Care Health Insurance (Formerly known as Religare Health Insurance)

Religare Health Insurance is now Care Health Insurance effective from 1st September 2020. Care Health Insurance Company (formerly known as Religare Health Insurance Company Limited) specializes in the distribution of a range of health insurance products to individuals, corporates, and families. The company is the health insurance arm of Care Enterprise Ltd. and has a strong presence across 1,700 locations PAN India. The company was approved by the Insurance Regulatory and Development Authority of India (IRDAI) in 2012 and since then Care Health Insurance (Formerly known as Religare Health Insurance) has been one of the most trusted names in the health insurance sector.

The Care Health Insurance (Formerly known as Religare Health Insurance) Company has been felicitated with the ‘Best Medical Insurance Product Award’ at the FICCI Healthcare Awards. In addition to this, it has also been awarded as the Claim Leader of the Year. Moreover, to help the customers meet the increasing healthcare costs the company offers different health insurance policies to suit the health insurance need of all.

Care Health Insurance (Formerly known as Religare Health Insurance) offers maternity insurance plans, senior citizen insurance plans, Diabetes and hypertension cover, cancer/critical illness insurance, top-up health insurance plans, individual and family floater insurance plans. These plans are designed to cover the cost of expensive medical treatments, specialized medical procedures, diagnostic tests, hospital room charges, etc.

*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C apply.

Care Health Insurance (Formerly known as Religare Health Insurance) at a Glance:

Features	Specifications
Hospital Network	7400+
Incurred Claim Ratio ( 2018-2019)	55%
Claim Settlement Ratio	93%
Waiting Period specified for Pre-existing disease(s)	4 years
Policy Renewability	Lifetime renewal
Total Claim Paid	7lakh+

List of Care Health Insurance (Formerly known as Religare Health Insurance) Plans

Care Health Insurance (Formerly known as Religare Health Insurance) Company offers a comprehensive range of health insurance plans to the customers. The list of various health insurance plans offered by Care is given below:

Plan Name	Entry Age Criteria	Sum Insured (Rs.)	Policy Term
Care Health Care Insurance Plan	91 days and above	Up to 6 Crore	1/2/3 Years
Care Health Joy (Maternity and New-born) Insurance Plan	Adult: 18 years onwards Children: Day 1 onwards	3 Lakh- 5 Lakh	1/2/3 Years
Care Health Care Senior Health Insurance Plan	61 years and above	3 Lakh-10 Lakh	1/2/3 Years
Care Health Enhance Super top-up plan	1 day and above	1 Lakh-30 Lakh	N/A
Care Health Care Freedom (Diabetes and Hypertension)	18 years and above	3 Lakh-10 Lakh	1/2/3 Years
Care Health Critical Mediclaim Policy	5-50 years	10 Lakh- 200 Lakh	1/2/3 Years
Care Health Cancer Mediclaim Policy	5-50 years	10 Lakh-2 Crore	1/2/3 Years
Care Health Heart Mediclaim Policy	5-50 years	10 Lakh-2Crore	1/2/3 Years
Care Health Care Heart Insurance Plan	18 years and above	3 Lakh-10 Lakh	1/2/3 Years
Care Health Arogya Sanjeevani Policy	Individual-5 years and above Children- 3 months with one member 18 years old	Up to 5 Lakh	1 Year
Care Health Operation Mediclaim Policy	5-50 years	10 Lakh-2Crore	1/2/3 Years
Care Health Secure Policy	91 days-70 years	10 Lakh-50 Lakh	1/2/3 Years
Care Health Corona Kavach Policy	Individual-5 years and above Children- 1 day with one member 18 years old	50,000-5 Lakh	3.5 months, 6.5 months, and 9.5 months
Care Health Care Advantage	Adult: 5 years and above Children: 91 days-24 years	1 Crore	N/A

Let us discuss each insurance plan in detail:

Care Health Care Health Insurance Plan
Care Health Care is a comprehensive health Insurance plan that offers complete coverage to you and your family with assured quick claim settlement and hassle-free life throughout your life. Following are the key features:
Features and Benefits:
Care Health Joy Health Insurance Plan: A Maternity Insurance Focused Plan
Care Health believes in the miracle of life, which is the most joyous experience of the lifetime. This Care Health Insurance (Formerly known as Religare Health Insurance) plan covers hospitalization expenses in case of pregnancy along with new-born baby cover. Following are the key features of this insurance plan:
Features and Benefits
Care Health Care Senior Health Insurance Plan
Care Health Care Senior is a health insurance policy for elderly people above the age of 61 years. It comes in two variants i.e. Care 8 and Care 9. This Care Health Insurance (Formerly known as Religare Health Insurance) policy is specifically designed for senior citizens in your family. Now, you can take better care of elderly members in your family with assured health coverage up to Rs. 10 Lakh.
Features and Benefits
Additional Benefits
Care Health Enhance Top-up Plan
Care Health Enhance is a top-up health insurance policy that can be useful in case the sum insured of the existing health plan gets exhausted. The policy can take care of the expense over and above the deductible limit. The policy features and benefits are given below:
Features and Benefits:
- The policyholder can get admission in a single private room
- Hospitalization expenses in case of an illness or injury are paid up to the coverage amount
- There is not limit on the ICU Charges and doctor fees
- There is a waiting period of 30 days for any illness except injury
- 5% to 20% discount is offered based on the group size
- Organ donor expenses can also be claimed
- Pre-existing disease can also be covered after the completion of the waiting period of 4-years
Care Health Care Freedom Health Plan
Care Health care is a diabetes insurance plan that requires no pre-policy check-up for the applicants. This insurance plan is especially designed to cover people suffering from hypertension, BP, and high BMI. The details of this plan by Care Health Insurance (Formerly known as Religare Health Insurance) are given below:
Features and Benefits
Care Health Critical Illness Mediclaim Plan
Today’s trending lifestyle introduces several risks in your life, which you would want to ignore but couldn’t really find the way out. This Care Health Insurance (Formerly known as Religare Health Insurance) plan offers comprehensive coverage for 32 critical illnesses. Following are the key features of this plan:
Features and Benefits
Care Health Cancer Mediclaim Policy
Care Health cancer mediclaim policy offers lifelong cancer protection and covers the cancer of all the stages. It is a comprehensive insurance plan that offers coverage to you and your loved ones against life-threatening diseases like Cancer. Below are the plan details:
Features and Benefits
Care Health Heart Care Mediclaim Policy
Care Health Heart Care Mediclaim Plan coves 16 major heart-related illnesses that extend to relapse cases as well. Check out the coverage and benefits that the policyholder can avail under this mediclaim policy.
Features and Benefits:
Care Health Care Heart Insurance Policy
Care Health Insurance (Formerly known as Religare Health Insurance) has designed Care Health Care Heart insurance plan for cardiac patients. It is suitable for people suffering from pre-existing heart ailments. The coverage benefits of this plan are mentioned below:
Features and Benefits
Care Health Arogya Sanjeevani Policy
Care Health Arogya Sanjeevani Policy is a standard health insurance product that helps the insured avail the medical services without any financial constraints. The complete range of policy features and benefits are given below:
Features and Benefits:
- Care Health Arogya Sanjeevani Policy helps the policyholder meet the exorbitant hospitalization expenses
- In this policy the policyholder can get children, spouse, parents, and parents-in-law also insured
- Room rent, ICU, ICCU, boarding charges, along with other in-patient hospitalization expenses are covered
- One of the interesting feature is that Arogya Sanjeevani policy also pays for dental treatments/plastic surgery in case of an injury or disease
- Cataract treatment and other day care procedures are covered as well
Care Health Operation Mediclaim Policy
Care Health has designed this comprehensive medical policy to help the policyholder pay for surgical procedures without any financial constraints. Moreover, it does not require pre-medical screening before policy issuance.
Features and Benefits
Care Health Secure Personal Accident Insurance Plan
This Care Health Insurance (Formerly known as Religare Health Insurance) policy directly addresses each concern that arises in the event of a personal accident. It brings various optional benefits, including hassle-free claim settlement, thoughtful services while the recovery procedure remains certain with ensured good health at the end of the day. Following are the key features:
Features and Benefits
Care Health Corona Kavach Policy
Care Health Corona Kavach Policy is a COVID-19 health insurance policy that covers expenses incurred on the coronavirus treatment including the cost of oxygen cylinders, PPE kits, gloves, ventilators, masks, etc. The coverage benefits under this standard indemnity based policy are given below:
Features and Benefits:
- The minimum age of the proposer to buy this policy is 18 years
- The coverage can be provided to individuals at least 5 years old and children starting from day 1
- The coverage amount is up to Rs 5 Lakh
- Coronavirus treatment taken in an approved hospital, Ayush hospital, and even home treatment is covered
- The policy has an initial waiting period of only 15 days
- Co-morbidities along with pre-existing diseases like blood sugar, blood pressure, hypertension, etc. are covered
- The cost of consumable items like PPE kits, gloves, oximeters, are included in the coverage benefits
- ICU and ICCU charges are also covered
Care Health Care Advantage Plan
Care Health Care Advantage plan is a 1 Crore health insurance policy that offers cashless treatment in more than 7800 hospitals. The insured can avail comprehensive coverage for a number of illnesses to meet the rising healthcare costs. Checkout the policy benefits and features below:
Features and Benefits:
- The policy offers coverage on both individuals and family floater basis
- The insured can claim for hospitalization expenses, and day care treatments that do not require 24-hours of hospitalization
- The insured can claim for organ donor expense up to the sum insured limit
- Pre and post hospitalization expenses are also covered for 30 days and 60 days
- Automatic restoration of sum insured is provided up to the sum insured limit during the policy term
- 10%-50% of No-claim-bonus is provided for not filing a claim

Why Buy Care Health Insurance (Formerly known as Religare Health Insurance) Plans?

You can buy some of the most comprehensive and wide range of medical insurance plans from Care Health Insurance (Formerly known as Religare Health Insurance).

If you are planning to buy one from Care Health Insurance (Formerly known as Religare Health Insurance), you can check out the list of reasons that make it a beneficial choice:

Promising Claim Settlement Ratio-The Care Health Insurance (Formerly known as Religare Health Insurance) company’s claim settlement ratio also reflects positively at 93%. It is important to check CSR of the company, which is the ratio of the claim settled to the claims received by the Insurer. The higher the percentage, the better is the claim settlement ability.
Ultra-wide Hospital Network: The insured people have an option to avail treatment in more than 7400 leading hospitals across India.
Easy Claim and Grievance Redressal: Care customer care and health insurance team are well-equipped to cater to your queries round-the-clock. Just bring your requirements to the insurer and you will get an adequate resolution right away. The turn-around item for cashless health insurance claims in around 2-
Comprehensive Health Insurance Products: The insurance products offered by the Care Health Insurance (Formerly known as Religare Health Insurance) company are all-inclusive. Insured members can ensure good health by availing the right treatment at one of the best hospitals in India or abroad, as per the plan purchased.

Key Benefits of Care Health Insurance (Formerly known as Religare Health Insurance) Plan

Care Health Insurance (Formerly known as Religare Health Insurance) offers comprehensive health insurance plans that make it a smart choice for you and your family.

Following are the key benefits of Care Health Insurance (Formerly known as Religare Health Insurance) plans that a policyholder can avail.

Care Health Insurance (Formerly known as Religare Health Insurance) offers health insurance plans for families up to 6 members (4 Adults and 2 Children)
Its health insurance plans offer expense coverage for up to 30 Days and 60 Days prior to and post hospitalization
Care Health Insurance (Formerly known as Religare Health Insurance) also provides critical illness cover and pays for the expenses incurred on treatment on life-threatening illnesses
The insurer also gives an option to avail alternative treatment cover, day-care procedures, ambulance cover, health check-ups, and the likewise
The insurance company has designed specific health plans that cover 16 critical heart-related conditions
Wide range of defined surgeries are also recompensed by Care Health Insurance (Formerly known as Religare Health Insurance) plans
Pre-existing diseases are covered after a waiting period of 4 years
Care Health Insurance (Formerly known as Religare Health Insurance) policies are lifelong renewable, and the policyholder does not have to worry about any financial issue that may strike during a medical emergency
Care Health Insurance (Formerly known as Religare Health Insurance) has tie-up with more than 7400 hospitals where the insured person can avail cashless treatment facility
Auto recharge or restoration of the sum insured is provided in case the coverage is exhausted after availing the medical treatment
Care Health Insurance (Formerly known as Religare Health Insurance) provides an easy portability option to its customers. It follows a simple process including checking premium payments, providing coverage details, pending payments etc.
The insured can avail free medical checkup facilities as well

Care Health Insurance (Formerly known as Religare Health Insurance) Plan Add on Covers

The following are the add-on covers offered by Care Health Insurance (Formerly known as Religare Health Insurance) with all their medical insurance plans:

No Claim Bonus Super: This add on cover by Care Health Insurance (Formerly known as Religare Health Insurance) provides an increase in the sum insured by 50% for every claim-free year up to a maximum of 100%
Everyday Care: This add on cover provides 1% of Sum Insured for doctor consultation & diagnostic tests each
Unlimited Automatic Recharge: This add on cover by Care Health Insurance (Formerly known as Religare Health Insurance) provides reinstatement of the sum insured every time it gets exhausted, for an unlimited number of times.
Air Ambulance Cover: This add on cover provides proper coverage for treatments which are not in your city
Personal Accident Cover: This add on cover provides Accidental Death cover and Permanent Total Disability cover for up to 10 times of the Sum Insured
International Second Opinion: These add on cover provides you the option to consult doctors before going ahead with any course of treatment.
Global Coverage: This add on cover provides cashless cover at network hospitals outside India

Care Health Insurance (Formerly known as Religare Health Insurance) Plan Inclusions

Inclusion of Care Health Insurance (Formerly known as Religare Health Insurance) Plans may differ from one plan to another. Some of the inclusions that are common under all the policies are given below:

Inpatient hospitalization Cover- Care Health Insurance (Formerly known as Religare Health Insurance) plans cover in-patient hospitalization charges including room rent, boarding charges, ICU, OT, blood, doctor fees, and similar pay-outs
Pre-hospitalization Cover- The cost of treatment before the hospital admission is also paid up to the specified limit and for a specific number of days
Post-hospitalization Cover- The cost of treatment including medicines, diagnostic tests, etc. after getting discharged from the hospital is also paid up to the specified limit and for a specific number of days
Domiciliary hospitalization Cover- If the doctor recommends home treatment then it is also paid by the insurer
Health Check-up Facility- Care Health Insurance (Formerly known as Religare Health Insurance) plans also cover certain health check-ups as specified in the policy wordings
Alternative Treatments- It refers to alternative medical treatments such as Ayush hospitalization, Homeopathy, Unani, Siddha, and Ayurveda
Day Care Treatments- Care Health Insurance (Formerly known as Religare Health Insurance) plans cover treatments that do not require 24-hours of hospitalization
Organ Donor Cover- The best part about Religare medical insurance plans is that it pays for organ donor costs as well
No Claim Bonus- The insurer also pays No-claim-discount for not filing a claim during the policy term. The sum insured amount is increased by the percentage of NCB at the time of renewal
Second opinion- The insured person can also get compensation for taking a second medical opinion on the ongoing treatment
Recharge of SI- In case the sum insured is exhausted it is restored during the policy term

Care Health Insurance (Formerly known as Religare Health Insurance) Plan Exclusions

The exclusions under the Care Health Insurance (Formerly known as Religare Health Insurance) policies may vary from one plan to another. However, the following are the exclusions that are common to all the plans.

Any diagnosis of diseases or any undergoing of surgery whose signs or symptoms first occur within 30 days of policy start date
Expenses attributable to self-inflicted injury i.e. resulting from suicide or an attempted suicide
Expenses attributable to alcohol or drug use/misuse/abuse
Medical expenses incurred on the treatment of AIDS
Treatment due to pregnancy and childbirth, miscarriage, abortion and its consequences
Congenital diseases
Tests and treatment relating to infertility and in-vitro fertilization
Hospitalization due to war, riot, strike, nuclear weapons

Care Health Insurance (Formerly known as Religare Health Insurance) Claim Process

Care Health Medical Insurance Reimbursement Claim Process

You can file medical insurance reimbursement claims with Care Health Insurance (Formerly known as Religare Health Insurance) for treatment taken in a non-network hospital. The claim procedure is usually the same with most of the health insurance companies, but sometimes it may vary. Aforementioned is the claim process for Care Health Insurance (Formerly known as Religare Health Insurance) policy:

Inform Care Health Insurance (Formerly known as Religare Health Insurance)

Immediately intimate your insurer by sending a claim request. You need to inform within 24 hours in case of emergency hospitalization and for planned hospitalization you need to intimate within 48 hours. Email: This email address is being protected from spambots. You need JavaScript enabled to view it.. Helpline number: 1800-200-6677

Share the Information: Provide hospitalization details and other medical details of the insured person including:

Policy Holders’ Name
Name of the Claimant
Customer ID
Details of the hospital and treatment
Date of admission
Estimated claim amount

Submit the Documents: Submit the Care Health Insurance (Formerly known as Religare Health Insurance) reimbursement claim form along with the following documents

Photo ID proof
Letter from the doctor advising hospitalization/diagnostic tests/consultation
Hospital bills and discharge card
Pathological reports and payment receipts
Police FIR report and Post Mortem Report ( if applicable)
Any other documents as required by the insurer

Claim processing: The submitted documents will be verified by the Care Health Insurance (Formerly known as Religare Health Insurance) team. Your claim acceptance and rejected will be communicated to you by the TPA.
Claim Settlement: Once your claim request is approved the insurer will settle the claim amount.

Care Health Cashless Health Insurance Claim Process

Cashless health insurance claims can be filed for treatments taken in a Care Health Insurance (Formerly known as Religare Health Insurance) registered network hospital. The insured can register a cashless claim with the TPA within 24 hours to 48 hours as per the hospital admission. The procedure to file a cashless claim with Care Health Insurance (Formerly known as Religare Health Insurance) is given below:

Intimate the TPA or In-house Care Health Insurance (Formerly known as Religare Health Insurance) Claim Team: You can inform the insurer on their toll-free number 1800-102-4488 to register your claim request. If the hospitalization was planned then you need to inform within 24 hours. In case of planned hospitalization you can inform 48 hours prior to hospitalization
Initiating Pre-Authorization Process: The insured or claimant needs to fill a pre-authorization form. Fill and submit the form to the TPA and they will share it with Care Health Insurance (Formerly known as Religare Health Insurance).
Document Submission and Verification: Submit the cashless claim form along with all the documents
Approval of Cashless Claim: The form and documents will be verified by the insurer and based on that your claim will be accepted or rejected.
Cashless Claim Settlement: Once your pre-authorization claim request is approved, the insurer will inform the insured and the hospital and the treatment cost will be compensated

Note: For any other assistance regarding an insurance policy or claim, contact Care Health Insurance (Formerly known as Religare Health Insurance) customer care. You can also check your Care Health Insurance (Formerly known as Religare Health Insurance) claim status anytime over a call.

How to Renew Care Health Insurance (Formerly known as Religare Health Insurance) Policy?

To ensure continuous medical insurance cover for yourself and your loved ones, it is imperative to timely renew your health insurance policy. You can conveniently renew a Care Health Insurance (Formerly known as Religare Health Insurance) policy online.

To initiate the Care Health Insurance (Formerly known as Religare Health Insurance) renewal process the steps are given below:

Visit Policy Bazaar’s health insurance renewal page
Just click on the Health Renewal button
And enter your date of birth, policy number
Once you are sure, you can pay premium online using your credit card, debit card or net banking
And your policy is renewed
It will be emailed to you on your registered e-mail id

Care Health Insurance (Formerly known as Religare Health Insurance)- FAQs

Q1. What is the need to buy a Care Health Insurance (Formerly known as Religare Health Insurance) Policy?

Ans: Every individual has a high risk of being affected by various health related issues. People who are not covered by a health insurance policy pay hefty amounts of medical bills from their own pockets in case of hospitalization arising out of an injury or illness. Basically, an uninsured can exhaust his savings in event of a medical contingency. Also, in such a scenario, a person might also have to borrow funds for the medical treatment in case of insufficient savings.

In such a situation, a Care Health Insurance (Formerly known as Religare Health Insurance) Policy can prove to be a blessing. Care Health Insurance (Formerly known as Religare Health Insurance) ensures protection from unforeseen medical contingencies as well as the financial urgencies arising out of an illness or injury.

Health insurance covers the cost of private medical treatment for illness and injury that is curable.

Care Health Insurance (Formerly known as Religare Health Insurance) is a necessary measure considering the skyrocketing medical expenses and the uncertain environment nowadays. Thus, insuring yourself and your family by a health insurance policy is mandatory and should be a certain element of your financial plan.
Q2. What is co-payment in Care Health Insurance (Formerly known as Religare Health Insurance) plan?

Ans: Co-Payment option can be availed after insured member turns a certain age. Co-pay is that part of your claim amount, which you will have to bear. Co-pay can be a percentage of the sum insured or an absolute amount.
Q3. What are the benefits of buying Care Health Insurance (Formerly known as Religare Health Insurance) at an early age?
Ans: The following are the benefits of buying Care Health Insurance (Formerly known as Religare Health Insurance) plan at an early age:
- The premium of a Care Health Insurance (Formerly known as Religare Health Insurance) plan increases with the age of the policyholder. Meaning, the higher the age, higher the health insurance premium.
- Care Health Insurance (Formerly known as Religare Health Insurance) plan covers the medical issues that might get identified over years. However, there shall not be a halt in the health insurance policy.
- Additionally, each claim-free year under Care Health Insurance (Formerly known as Religare Health Insurance) plan fetches a considerable discount on the amount of the next due premium. It might also benefit the policyholder by increasing the amount of sum insured under the policy.
- Lastly, the premiums paid towards the Care Health Insurance (Formerly known as Religare Health Insurance) plan qualify for a deduction under the section 80 C of the Income Tax Act, 1961.
Q4. What is the meaning of Care Health Family Floater Plan?

Ans: It is a health insurance plan which provides coverage to the entire family including self, dependent children, spouse, and parent, less than one plan and the premium is also paid only once. You can make as many claims, but this is subjected to the sum assured limit.
Q5. What all is excluded from a standard Care Health Insurance (Formerly known as Religare Health Insurance) Policy?
Ans: The following is not covered under a standard Care Health Insurance (Formerly known as Religare Health Insurance) Policy:
- Any surgery, operation, disease, illness or event that occurs or shows first signs or symptoms within initial 30 days of the term of the policy.
- Expenses incurred to cure self-inflicted injuries arising out of attempt to suicide etc.
- Medical costs incurred due to any disease, disease, ailment or event arising out of alcohol consumption or drug abuse.
- Any amount spent for the medical treatment of HIV/AIDS
- Congenital disease
- Medical expenses incurred on child birth or for treating any medical issues arising out of childbirth or pregnancy. For example, abortion, miscarriage, etc.
- Expenses made for treatment and tests arising out of infertility or vitro fertilization.
- Medical contingencies arising out of riot, war, strike, nuclear threat, etc.
Q6. How does the auto recharge feature under Care Health Insurance (Formerly known as Religare Health Insurance) work?

Ans: Under this feature, Care, the health insurance provider, automatically recharges the sum assured under the policy, in event of sum assured or accumulated no claim bonus getting exhausted while the term of the policy id going on. As per this feature, the sum insured is recharged one time per policy year. Recharged Sum Assured can be availed for the claims in future but not for a disease or illness (or complications arising out of it) against which the policyholder has already made a claim during the current year.
Q7. What is a No Claim Bonus under Care Health Insurance (Formerly known as Religare Health Insurance)?

Ans: The concept of No Claim Bonus under Care Health Insurance (Formerly known as Religare Health Insurance) works on the same grounds as a car insurance policy. The policyholder is benefitted by the insurer for not making any claim in a policy year. This benefit is usually provided in the form of a discount on the subsequent premium.

Similarly, a standard Care Health Insurance (Formerly known as Religare Health Insurance) Policy forwards this benefit t its customers by by increasing their policy sum by 10% against no-claim year. Also, the policyholder is not required to pay any extra amount against this hike. Meaning, If a policyholder does not make any claim for one complete policy year, then the sum assured equal to Rs. 5 Lac under Care Health Insurance (Formerly known as Religare Health Insurance) Policy will further extended by Rs. 50,000 in the subsequent year without having o pay an extra amount of premium. Additionally, if he does not make a claim even in the third year of the policy, then he will get another hike in the sum assured equal to 10% of the base sum assured. Meaning, his sum insured will grow to Rs. 6 Lacs. However, a maximum of 50% (i.e. Rs. 2,50,000) hike in the sum insured can be offered as total no claim bonus.

Also, in event of a claim being made, the bonus that has been accumulated will be reduced by 10 per cent.
Q8. For what reasons can there be a deduction in the claim amount of Care Health Insurance (Formerly known as Religare Health Insurance)?
Ans: A deduction from the claim amount can be made due to following reasons:
- Non-Medical expenditures, such as snacks, phone bills, etc. aren’t payable,
- Treatment expenses without presentment of appropriate documents, such as prescription or bills,
- Exhausting of the Sum Insured,
- Amount more than particular sub-limits
- Applicability of Co Payment,
- Limitation of expenses in case of a particular benefit or treatment,
- Unavailability of original ills or reports,
- Expenses incurred on any treatment that is not related to the issue the patient has been admitted for.
Q9. How can an individual make a reimbursement claim?

Ans: In event of a claim for reimbursement, the policyholder bears the expense of hospitalization (insured expenses) himself and later claims from the insurer to reimburse those expenses. The policyholder, in such a scenario, needs to present the original documents and papers related to the treatment, such as bills, to the insurer and inform them about the hospitalization according to the terms and conditions of the policy.
Q10. Explain the Claim Processing and Reimbursement under Care Health Insurance (Formerly known as Religare Health Insurance) Policy?
Ans: Below are the claim process:
- The in-house medical team of Care Health Insurance (Formerly known as Religare Health Insurance) reviews the entire case and the documents related to the case submitted by the claimant.
- In case the policyholder’s request regarding the expenses to be reimbursed is accepted, he will be duly informed by the company.
- In event of any deficiency of information or requirement of some more information, the policyholder is instantly intimated in order to ensure a resolution for the same as soon as possible.
- If case the policyholder’s claim request gets rejected, then the same is communicated to him in addition to the reasons for refusal. However, one can reapply in case he or his representatives have some additional documents to substantiate the case.
Q11. How can one cancel his Care Health Insurance (Formerly known as Religare Health Insurance) Policy?

Ans: Care Health Insurance (Formerly known as Religare Health Insurance) allows the policyholder with a free-look period in order to review the terms and conditions of the policy carefully. In case the policyholder is not satisfied with the policy, he can apply for the cancellation of the health insurance policy during this free-look period. However, the policyholder will have to pay the premiums on the pro-rated basis for the number of days for which the policy was active along with the medical tests done before the policy, and the stamp duty. The remaining part of the paid premium shall be refunded to the policyholder.

Also, one can apply for the cancellation of the Care Health Insurance (Formerly known as Religare Health Insurance) Policy anytime during the term of the policy. In such case, amount if premium according to the short scale grid shall be refunded to the individual. This grid is well-mentioned and explained in the terms and conditions of the policy. However, if the policyholder has made a claim already, then no amount shall be refunded to him on cancellation of the policy.
Q12. What are the documents required for Care Health Insurance (Formerly known as Religare Health Insurance) Portability?
Ans: Care Health Insurance (Formerly known as Religare Health Insurance) Company requires you to submit the following documents attached with a duly filled portability form:
- A copy of your existing health insurance policy
- A copy of policy renewal notice
- CARE proposal form
Q13. How do you differentiate between a family floater insurance and critical illness insurance or hospital cash insurance?

Ans: A family floater as well as an individual health insurance policy works on the principle of indemnity, which means that you will only get your medical bills and hospitalization expense reimbursed. On the other hand, a critical illness insurance policy or hospital cash insurance policy pays you the entire sum insured when you fall sick and avail hospitalization cover, irrespective of your medical/hospitalization expense.
Q14. What is beneficial for me - floater insurance or individual insurance?

Ans: You are recommended to choose a floater policy at a young age while individual insurance is advisable when you are old. This is because you are more prone to diseases and consequent hospitalization when you are old than when you're young. And therefore, you have to pay a higher premium.

Care Health Insurance (Formerly known as Religare Health Insurance) - Latest News

Fincare Small Finance Bank Joins Hands with Care Health Insurance (Formerly known as Religare Health Insurance)

Fincare Small Finance Bank (SFB), based in Bengaluru, has announced a deliberated association with one of the leading specialist Health Insurance Companies - Care Health Insurance (Formerly known as Religare Health Insurance). The companies made the announcement at a press conference that was conducted on the sidelines of the company’s branch launch at Pritampura in New Delhi. As a corporate agent, Fincare SFB would offer Care Health Insurance (Formerly known as Religare Health Insurance) products to its valued customers at the full service banking outlets across India.

Fincare SFB noticed an increasing demand for customized and relevant solutions with health and wellness space is the key priority. The strategic association intends at addressing the gap it will allow Fincare SFB to provide comprehensive health insurance products to the large consumer base.
Care Health Sells off 80 Percent Health Insurance Stakesto True North and Others

Care Health Enterprises Limited has sold 80 percent of its Care Health Insurance (Formerly known as Religare Health Insurance) stake to the True North group and other investors at Rs. 1,300 Crore on Sunday.

The stake sale in the health insurance segment comes when Malvinder and Shivinder Singh,the promoters of Care Health are keen on disinvesting the stakes in the businesses that are specifically controlled by them.

In its statement, Care Health Enterprises mentioned that it has signed a definitive agreement with its investors for the sale, which estimates the insurance company at Rs. 1,300 Crores. With this deal, Care Health will get approx.Rs. 1,040 Crores.

Along withTrue North (previously India Value Fund Advisors), the other investors in the pool are Faering Capital private equity house led by Sameer Shroff and Aditya Parekh, along with Gaurav Dalmia. The compulsory regulatory approvals are yet to seal the deal. American investment bank J.P. Morgan played the prominent financial adviser to Care Health.

Care Health Insurance (Formerly known as Religare Health Insurance) made its debut in the month of July 2012. The firm has reported a GWP (Gross Written Premium) of Rs. 503 Crores in the financial year end,i.e.31 March 2016.