L&T My Health Medisure Prime Insurance Plan

*Please note that the quotes shown will be from our partners

Introduction –

My: health Medisure Prime Insurance policy is an all-round health insurance plan that covers your medical expenses in case of illness or accident. You can also add your family members under this plan. It is the perfect health protection for you and your family.

Key Features –

  • Premium is decided on the basis of your location, which means if the expense of treatment is lower at your city than other than you have to pay less.
  • In-patient hospitalisation expenses are covered in this policy.
  • The policy covers pre and post hospitalization expenses for 60 and 90 days respectively. 
  • Additional cover equal to sum assured is provided for critical illness like cancer, heart attach etc.
  • Maternity and new born baby cover is provided.
  • Extra benefit of accidental cover.

Key Benefits –

  • Option of Family floater, which means you can also cover your family with yourself.
  • 5% cumulative bonus benefit for each claim free year, maximum up to 50%.
  • Income tax benefit on the premium paid as per Section 80D of the Income Tax Act.
  • Family discount of 10% is applicable.

Details about premium – (Individual)

Age/Sum Insured

Zone 1

Zone 2

Zone 3

3m-25

4940

4,507

4,290

26-35

5,961

5,435

5,172

36-40

6,981

6,363

6,053

41-45

8,114

7,433

7,093

46-50

12,131

11,203

10,739

51-55

15,533

14,296

13,677

56-60

19,942

18,333

17,529

61-65

29,469

26,994

25,757

66-70

42,137

38,425

36,569

71-75

55,747

50,798

48,323

76-80

82,968

75,544

71,832

81-85

1,03,383

94,103

89,463

Above 85

1,23,798

1,12,663

1,07,095


Zone I (All India Cover): Mumbai, Thane, Navi Mumbai, Delhi and NCR Regions

Zone II: Chennai, Hyderabad, Bangalore, Pune, Kolkata and Gujarat Regions

Zone III: Rest of India (other than Zone I and Zone II locations)

Policy details –

Minimum Sum Insured – 3, 00,000 /-

Maximum Sum Insured – 10, 00,000 /-

Age Limit - Entry age for the policyholder, spouse and parents is 18 years to 65 years with lifetime renewal option. Entry age for dependent Children is 3 months to 25 yrs.

Coverage type – Individual as well as family floater.

No claim bonus - 5% cumulative bonus benefit for each claim free year, maximum up to 50%. In case of a claim during the year, the cumulative bonus will be reduced by 10%

Portability -  If you are insured under any other health insurance policy of Non-life insurer you can transfer to L&T My: health Medisure Prime Insurance Policy with all your accrued benefits after due allowances for waiting periods.

Policy termination - Policyholder is allowed to terminate the policy at anytime by giving a 15 day written notice. In case no claim has been made under the policy, percentage of premium will be refunded.

Free look period -  If you would not be pleased with the coverage, and terms and conditions of the policy, you have the option of cancelling the policy within 15 days of receipt of the policy documents, provided there has been no claim.

Additional Features

  • You can renew your policy after 2 year rather than traditional method of 1 year.
  • No medical test up to an age of 45 years.
  • Lifetime renewal of policy is available.

Exclusions

  • Waiting period of 2 years is applicable for pre-existing diseases
  • Cosmetic, aesthetic, or related treatments will not be covered.
  • Any illness or disease contracted due to intake of alcohol or other addictive substances will not be covered.
  • Treatments consisting of non-allopathic medicine are not covered under this policy.

Documents Required

Policyholder has to fill up an ‘Application form/ proposal form’ with accurate medical history along with the address proof. Medical examination may be required in some cases, based on the sum assured and the age of the person.