Overview of Care Health Insurance
Care Health Insurance is offered by Care Health Insurance Limited (formerly Religare Health Insurance Company Limited). The company was incorporated in 2012 as a subsidiary of Religare Enterprises but was renamed in August 2020. It specializes in a range of health insurance products designed for individuals and families, including maternity insurance, senior citizen insurance, diabetes insurance, heart insurance, cancer/critical illness insurance, OPD plan, etc.
Care Health Insurance (formerly Religare Health Insurance) boasts of approving all cashless claims within 2 hours. Besides, the company has earned an incurred claim ratio of 65.05% in the year 2021-22.
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Care Health Insurance Plans
Care Health Insurance offers a wide range of health insurance plans to cater to the health needs and budgets of different customers. Check out the list of the various health insurance plans offered by Care Health Insurance Limited below:
For diabetes, high BP & BMI
Plan name
Care Operation Mediclaim Policy
For surgeries
Plan name
Care Health Care Advantage Plan
For family
Plan name
Care Health Secure Personal Accident Insurance Plan
For accidents
*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C apply.
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Care Health Insurance Plans in Detail:
Care Supreme Plan
The Care Supreme plan has been designed to provide comprehensive medical coverage to the insured with a bunch of unique benefits. The plan offers a sum insured of Rs 5 lakh, Rs 7 lakh, Rs 10 lakh and Rs 15 lakh.
Features and Benefits:
- In-patient care, pre-hospitalization and post-hospitalization medical expenses are covered
- Coverage for organ donor expenses, AYUSH treatments and ambulance charges are available
- Day care treatments, advance technology methods and domiciliary hospitalization are covered
- Unlimited automatic recharge of the sum insured for unrelated and same illnesses are available
- 50% cumulative bonus for up to 50% is granted for every claim-free year
- Health services and unlimited e-consultations are also available
- No sub-limits apply to hospitalization and ICU charges
- Cumulative bonus super, annual health check-up, air ambulance and wellness benefits are available as optional benefits
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Care Health Insurance Plan
Care Health Insurance is a comprehensive health insurance plan that offers complete coverage to you and your family with assured quick and hassle-free claim settlement. The plan comes with a sum insured ranging from Rs 3 lakh to Rs 6 crore.
Features and Benefits:
- Hospitalization expenses as well as day care procedures are covered
- Pre-hospitalization cover for up to 30 days and post-hospitalization cover for up to 60 days are available
- Ambulance charges, alternative treatment and domiciliary hospitalization are covered
- Care Anywhere cover for global treatment and maternity cover of up to Rs 1 lakh are available
- Cost of preventive health check-ups are covered every year
- 50% cumulative bonus for up to 150% and recharge of sum insured benefit are available
- Daily allowance, second opinion and organ donor cover are available
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Care Joy Maternity Insurance Plan
The Care Joy Maternity Insurance plan covers the medical expenses incurred during pregnancy along with newborn baby expenses. The sum insured of Rs 3 lakh and Rs 5 lakh is available under this plan.
Features and Benefits:
- Maternity cover, including pre and post-natal expenses, is available
- Day care treatments, ambulance charges and in-patient hospitalization expenses are covered
- Coverage for a newborn baby for up to 90 days are available
- Pre-hospitalization cover for up to 30 days and post-hospitalization cover for up to 60 days is available
- No pre-policy medical check-up is required for up to 45 years
- Maternity claims can be raised with a waiting period of 9 months
- Single private air-conditioned room can be availed
- 100% increase in sum insured is available with No claim bonanza optional cover
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Care Senior Health Advantage Plan
Care Senior Health Advantage is a health insurance policy designed for elderly people of age 60 years and above. It comes with a sum insured of Rs 5 lakh and Rs. 10 Lakh.
Features and Benefits:
- In-patient hospitalization, day care treatments and advance technology methods are covered
- Annual health check-up facility and unlimited e-consultations available
- Pre and post-hospitalization cover is available for 30 days and 60 days respectively
- Organ donor cover and road ambulance cover are available
- AYUSH treatment and domiciliary hospitalization expenses are also recompensed
- 10% No Claim Bonus for up to 50% is available for every claim-free year
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Care Classic Plan
Care Classic is a family health insurance plan that allows policyholders to decide their premiums based on the city they reside in. It is available with a sum insured of Rs 5 lakh, Rs 7 lakh, Rs 10 lakh and Rs 15 lakh.
Features & Benefits:
- Coverage for in-patient care, pre-post hospitalization and domiciliary hospitalization are available
- Assisted reproductive treatment, second opinion and organ donor expenses are covered
- Unlimited automatic recharge of the sum insured is available for the same or unrelated illness
- Cost of AYUSH treatments, day care treatments and advance technology methods are covered
- Ambulance cover, compassionate travel, unlimited e-consultations and value-added services are available
- 25% no claim bonus for up to 150% is available for every claim-free year
- OPD care and annual health check-up benefit are available as optional benefits
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Care Enhance Plan
Care Enhance is a top-up health insurance policy that comes useful in case the base sum insured of the existing health plan gets exhausted. It comes with a mandatory deductible ranging from Rs 1 lakh to Rs 20 lakh for a sum insured of Rs 1 lakh to Rs 40 lakh. The plan is available in two variants – Enhance 1 and Enhance 2.
Features and Benefits:
- In-patient hospitalization expenses incurred on a single private AC room are covered
- Coverage for both pre-hospitalization and post-hospitalization are available
- No sub-limits on the hospitalization and ICU charges
- Organ donor expenses and day care treatment are covered
- Annual health check-up facilities and Enhance anywhere cover are available
- No pre-policy medical check-up is required for up to 50 years and/or Rs 40 lakh sum insured
- Expert opinion benefit is available as an add-on cover
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Care Freedom Plan
The Care Freedom plan has been especially designed to cover people suffering from diabetes, hypertension and high BMI. It is available for a sum insured of Rs 3 lakh, Rs 5 lakh, Rs 7 lakh and Rs 10 lakh.
Features and Benefits:
- In-patient care and day-care treatment are covered up to the sum insured limit
- 100% restoration of sum insured and annual health check-up facilities are offered
- Both consumable allowance and companion benefit are available
- Dialysis charges and domiciliary hospitalization expenses are recompensed
- Pre and post-hospitalization charges as well as ambulance charges are covered
- Home care and health check-up+ are available as optional covers
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Care Critical Mediclaim Plan
The Care Critical Mediclaim plan offers comprehensive coverage for 32 critical illnesses. The plan is a part of the Super Mediclaim policy and is available for a sum insured of Rs 10 lakh to Rs 2 crore.
Features and Benefits:
- In-patient hospitalization, OPD expenses and alternative treatments are covered
- Chemotherapy & radiotherapy cover and dialysis cover are available
- Road ambulance, organ donor expenses and second opinions are covered
- Global coverage and no claim bonus are available
- Day care treatments, pre-post hospitalization expenses and health services are covered
- Free annual health check-ups from the 2nd year of the policy term are available
- No pre-policy issuance medical check-up is required
- Optional covers, such as unlimited automatic recharge, reduction in PED wait period, room rent modification, etc. are available
- International second opinion, air ambulance and additional sum insured for accidental hospitalization are available as optional covers
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Care Cancer Mediclaim Plan
Care Cancer mediclaim plan offers lifelong coverage for cancer of all stages. It is a part of the Super Mediclaim policy and is available for a sum insured ranging from Rs 10 lakh to Rs 2 crore.
Features and Benefits:
- Inpatient hospitalization expenses, day care treatments and alternative treatments are covered
- Ambulance cover, second opinion, OPD cover and global coverage are available
- Cost of chemotherapy and radiotherapy are covered
- Organ donor expenses, pre & post-hospitalization expenses and health services are covered
- Annual health check-up facilities and no claim bonus are available
- No pre-policy medical check-ups are required
- Air ambulance cover and international second opinion are available as optional covers
- Unlimited automatic recharge, reduction in PED wait period and room rent modification are also available as optional covers
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Care Heart Mediclaim Plan
Care Heart Mediclaim plan offers coverage for 16 major heart-related illnesses that include relapse cases. This plan falls under the Super Mediclaim policy and is available for a sum insured ranging from Rs 10 lakh to Rs 2 crore.
Features and Benefits:
- In-patient hospitalization costs, alternative treatments and day care treatments are covered
- Global coverage, ambulance cover, second opinion and organ donor cover are available
- OPD expenses and pre-post hospitalization expenses are covered
- No claim bonus and annual health check-up facilities are available
- No pre-policy health check-up is required
- Optional covers, such as air ambulance cover, international second opinion and reduction in PED wait period, etc. are available
- Room rent modification and unlimited automatic recharge are available as add-on covers
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Care Plus Plan
The Care Plus plan offers comprehensive coverage for a wide range of benefits to the insured for planned and emergency medical expenses. It is available with a sum insured plan ranging from Rs 3 lakh to Rs 25 lakh.
Features & Benefits:
- Coverage for in-patient care, domiciliary hospitalization and AYUSH treatments are available
- Day care treatments, pre-post hospitalization expenses and advance technology methods are covered
- Road ambulance, air ambulance and personal accident cover are available
- OPD expenses, second opinion and organ donor expenses are covered
- Unlimited automatic recharge, inflation shield and unlimited e-consultations are available
- 50% no claim bonus protect for up to 200% is available for every claim-free year
- Health services and earn & burn benefit are also available
- Maternity & newborn cover, international second opinion and smart select are available as optional benefits
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Care Heart Insurance plan
Care Heart Insurance plan has been designed to provide coverage to cardiac patients suffering from pre-existing heart ailments. The plan offers a sum insured of Rs 3 lakh, Rs 5 lakh, Rs 7 lakh and Rs 10 lakh.
Features and Benefits:
- In-patient hospitalization expenses and pre & post-hospitalization expenses are covered
- Annual cardiac health check-ups and ambulance cover are available
- Alternative treatments, day care treatments and domiciliary hospitalization are covered
- 100% automatic restoration of the sum insured is available
- 10% no claim bonus is granted on every claim-free year
- No pre-policy issuance medical check-up is required
- OPD care, international second opinion, home care and active health check-up thrice a year are available as optional benefits
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Care Arogya Sanjeevani Policy
Care Arogya Sanjeevani Policy is a standard health insurance product that helps the insured avail medical services without any financial constraints. The plan comes with a sum insured ranging from Rs 50,000 to Rs 10 lakh.
Features and Benefits:
- Hospitalization expenses, ambulance charges and AYUSH treatments are covered
- Coverage for dental treatments and plastic surgery in the case of an injury or disease are available
- Cataract treatment, modern treatments and day care procedures are covered
- Both pre-hospitalization and post-hospitalization cover are available
- 5% cumulative bonus for up to 50% is available for not raising a claim
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Care Operation Mediclaim Plan
Care Operation Mediclaim plan has been designed to provide comprehensive medical coverage for all surgical procedures without any financial constraints. The policy is a type of Super Mediclaim policy and is available for a sum insured ranging from Rs 10 lakh to Rs 2 crore.
Features and Benefits:
- In-patient charges, pre and post-hospitalization expenses and day care treatments are covered
- Organ donor cover, global cover, ambulance cover and second opinion are available
- No claim bonus and annual health check-up facilities are available
- No pre-policy medical check-up is required
- Air ambulance charges, unlimited automatic recharge and international second opinion are available as optional covers
- Reduction in PED wait period and room rent modification are also available as optional covers
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Care Secure Personal Accident Insurance Plan
Care Secure Personal Accident Insurance plan provides financial support in case the insured gets injured or dies in an accident. The sum insured of this plan ranges from Rs 10 lakh to Rs 25 crore.
Features and Benefits:
- Lump sum payment is made in case of an accidental death
- Coverage for permanent total and partial disability are available
- Medical expenses incurred on the treatment of any fractures and burns are covered
- Child education, disappearance cover, mobility cover, loyalty benefit and nursing care benefit are available
- Reconstructive surgery expenses and the cost of repatriation of mortal remains are covered
- Reimbursement of ambulance charges and the cost of major diagnostic tests are available
- Optional covers, such as accidental hospitalization, convalescence benefit, accidental OPD cover, common carrier mishap cover, compassionate visit, etc. are available
- Temporary total disablement, permanent partial disablement improvement and daily allowance are available as optional covers
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Care Corona Kavach Policy
Care 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 plan is available for a sum insured of Rs 50,000 to Rs 5 lakh.
Features and Benefits:
- Coronavirus treatment taken in a government-recognized hospital and at home is covered
- Road ambulance cover, pre-post-hospitalization cover and AYUSH treatment are available
- Co-morbidities along with pre-existing diseases like blood sugar, blood pressure, hypertension, etc. are covered
- Cost of consumable items like PPE kits, gloves, oximeters, etc. are covered
- Hospital daily cash benefit is available as an optional cover
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Care Advantage plan
Care Advantage plan is a 1 crore health insurance policy that offers comprehensive coverage for a number of illnesses to meet the rising healthcare costs. It also offers a sum insured amount of Rs 25 lakh and Rs 50 lakh apart from Rs 1 crore.
Features and Benefits:
- In-patient hospitalization expenses and day care treatments are covered
- Ambulance cover and organ donor expenses cover are available
- Pre and post-hospitalization expenses are also covered for 30 days and 60 days respectively
- Automatic restoration of the sum insured is available once in a policy term
- 10% no claim bonus for up to 50% is provided for not filing a claim
- No sub-limits apply to this policy
- No Claim Bonus Super, annual health check-up and reduction in PED wait period are available as optional benefits
- Air ambulance cover, co-payment waiver, smart select and room rent medication optional benefits are also available
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Care Assure Plan
The Care Assure plan offers comprehensive medical coverage for up to 20 critical illnesses, medical events and surgical procedures. The sum insured is available from Rs 1 lakh to Rs 25 crore.
Features & Benefits:
- Critical illnesses as well as personal accident are covered
- Coverage for child education and second opinion are available
- Free annual health check-ups are available
- Everyday care and HIV cover are available as add-on covers
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Care COVID Care Plan
Care COVID Care plan has been designed to cover the medical expenses incurred during the treatment of COVID-19. The plan comes with a sum insured ranging from Rs 3 lakh to Rs 10 lakh and is available in two variants – Plus and Advantage.
Features & Benefits:
- Cost of in-patient hospitalization and day care treatments are covered
- OPD benefit is available under the COVID Care Advantage plan
- Both pre-hospitalization and post-hospitalization costs are covered
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Explore Care Health Insurance
Why Should You Buy Care Health Insurance Plans?
Check out the top reasons why buying a Care health insurance plan is a beneficial choice:
- Variety of Health Insurance Plans – Care Health Insurance offers a wide range of health insurance plans, including customized plans for cancer, heart diseases, COVID-19, etc. that cater to the needs of different individuals.
- Faster Claim Approval – The company boasts of approving all cashless claims within 2 hours, thus, ensuring a faster settlement of claims.
- 24x7 Claim Support – The Care health insurance customer care team is available for claim assistance round the clock making it very easy to file a claim.
- Hassle-free Claim Settlement – Policyholders can enjoy a hassle-free claim settlement experience as the insurer enjoys a good claim settlement ratio.
- Tax Benefits – The premium paid for buying a Care health insurance plan is eligible for tax deductions under Sec 80D of the Income Tax Act.
How to File a Claim with a Care Health Health Insurance Plan?
The procedure to file a claim with Care Health Insurance is given below:
1
Contact the Hospital Helpdesk
Reach out to the helpdesk of the network hospital as soon as you get admitted
2
Submit the Required Documents
Submit a copy of your e-health card, medical id card and valid government ID proof along with a duly filled pre-authorization form to the hospital helpdesk.
3
Seeking Pre-Authorization Approval
The hospital helpdesk will submit all the documents to the TPA or Care Health Insurance to get a pre-authorization for cashless treatment.
4
Pre-Authorization Approval for Cashless Claim
The TPA or the insurer will verify the form and other documents based on the terms & conditions of the policy and will accordingly approve your cashless claim request.
5
Post-Discharge Document Submission
Once your treatment is complete, the hospital will submit the discharge summary and other required documents to the TPA/ insurer for final approval.
6
Cashless Claim Settlement
After final approval, the insurer or TPA will inform pay the claim amount directly to the network hospital.
Note: In case of reimbursement claims, avail the treatment at the hospital and collect all the documents at the time of discharge. Submit these documents to Care Health Insurance/ TPA, who will then review them and accordingly pay you the claim amount.
Documents Required for Care Health Insurance Claim
Here is the list of documents required to file a Care health insurance claim:
- Care health insurance claim form
- Letter from the doctor advising hospitalization/diagnostic tests/consultation
- Original final hospital bill with an item-wise break-up
- Original hospital discharge card
- Investigations and pathological reports, such as MRI, X-ray, etc.
- Original payment receipts against the hospital bill
- Attested copy of indoor case papers
- Police FIR/MLC report and post-mortem report (if applicable under accident cases)
- Alcohol history (if applicable under accident cases)
- Invoice & sticker (in case of an implant surgery)
- KYC documents for claims above Rs 1 lakh
- Any other documents as required by the insurer
Care Health Insurance Network Hospitals
Care Health Insurance has a big list of network hospitals that allow policyholders to avail cashless hospitalization facilities across the country. Check out the list of Care Health Insurance network hospitals for different cities in India:
How to Buy Care Health Insurance Plans?
The process to buy a Care Health Insurance plan is given below:
Step 1: Visit the official website of Policybazar Insurance Broker Private Limited
Step 2: Select the ‘Health Insurance’ icon and choose the people to be insured
Step 3: Provide the requested details like age, city of residence, gender, etc.
Step 4: Enter your name and contact details
Step 5: Choose if you have any existing illness or pre-existing disease
Step 6: Pick the Care health insurance plan to be purchased and pay its premium online
Step 7: The insurer will issue your policy as soon as the payment is received.
How to Renew Care Health Insurance Plans?
Follow the step-by-step procedure for the Care Health Insurance renewal process given below:
Step 1: Visit Policybazaar.com and go to the ‘Renew Your Policy’ tab at the top of the page
Step 2: Select ‘Health Renewal’ from the dropdown menu
Step 3: Enter your mobile number in the box and the OTP received on your phone
Step 4: First-time users can select the ‘Health Insurance’ icon on the homepage and enter the requested details
Step 5: Choose the Care health insurance renewal plan and pay its premium online
Step 6: Once the payment has been received, your policy will be renewed.
How to Calculate Care Health Insurance Premium?
The premium of a Care health insurance policy can be calculated with the help of a health insurance premium calculator online by entering details like the city of residence, sum insured, etc. Use the Care health insurance premium calculator given below to estimate the premium of a Care health plan.
Contact Details of Care Health Insurance
Take a look at the contact details of Care Health Insurance below:
Categories |
Contact Details |
WhatsApp No |
88604 02452 |
Website Link |
https://www.careinsurance.com/contact-us.html |
Care Health Insurance - FAQs
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Ans: Care Health Insurance enjoys a claim settlement ratio of 95.2% for FY 2019-20.
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Ans: Co-payment is a part of your claim amount, which you will have to bear at the time of claim settlement. Co-pay can be a percentage of the sum insured or an absolute amount decided before the policy purchase.
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Ans: The following are the benefits of buying a Care Health Insurance (Formerly Religare Health Insurance) plan at an early age:
- Lower Premiums: The premium of a health plan increases with the age of the policyholder. So, the sooner you buy health insurance, the lower you will have to pay the premium.
- Coverage for Pre-existing Illness: Care Health Insurance (Formerly Religare Health Insurance) plan covers medical issues that you may develop later with age. But such diseases are covered after a waiting period. So, if you buy insurance early, your waiting period will be over by the time you are diagnosed with such diseases.
- No Claim Bonus: Each claim-free year fetches a considerable discount on the renewal premium amount due to no claim bonus. The chances of raising a claim is lower when you are young. Hence, you can reduce your renewal premium by buying health insurance early.
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Ans: The Care family floater plan is a health insurance plan that provides coverage to the entire family, including self, dependent children, spouse, and parents, in one plan for a single premium amount. You can make as many claims as you like as long as your sum insured limit does not get exhausted.
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Ans: The following is not covered under a standard Care Health Insurance (Formerly Religare Health Insurance) policy:
- Any surgery, disease or event that occurs or shows first signs or symptoms within the initial 30 days of the policy term
- Self-inflicted injuries arising out of an attempt to suicide
- Medical costs incurred due to any disease or event arising out of alcohol consumption or drug abuse
- Medical treatment of HIV/AIDS
- Congenital disease
- Medical expenses incurred on childbirth or any medical issues arising out of pregnancy. For example, abortion, miscarriage, etc.
- Expenses incurred on treatment of infertility or in vitro fertilization.
- Medical contingencies arising out of riot, war, strike, nuclear threat, etc.
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Ans: Under the auto recharge feature, Care health insurance automatically recharges the sum insured under the policy in case the base sum insured or accumulated no claim bonus gets exhausted during the policy term. The recharge facility may be available once or multiple times during a policy year for the same or unrelated illness. However, the terms and conditions may vary from policy to policy.
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Ans: No Claim Bonus (NCB) enables policyholders to earn a discount on their renewal premium if they do not make any claim in a policy year. Under some plans, NCB benefits the customers by increasing their policy sum insured by a fixed percentage without any increase in premium for not raising any claim.
For eg: if your sum insured is Rs 10 lakh and you earn an NCB of 10% for not raising a claim, then your sum insured will increase to Rs 11 lakh without any additional premium payment.
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Ans: A deduction from your Care health insurance claim amount can be made due to the following reasons:
- Non-medical expenditures, such as snacks, phone bills, etc.
- Lack of appropriate documents, such as prescriptions, bills, etc.
- Sum insured exhaustion
- Sub-limits
- Co-payment,
- Expenses incurred on any treatment that is not related to the issue the patient has been admitted for
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Ans: You can find the list of care health insurance network hospitals with your policy document or on the insurer’s website. You can also visit Policybazaar.com to check the city-wise list of network hospitals of the insurance company.
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Ans: A Care Health Insurance (Formerly Religare Health Insurance) policy can be cancelled by raising a written cancellation request with the insurance company. The insurer will cancel the policy and refund the paid premium after deducting the cancellation fee. However, if you cancel the policy during the free-look period or the first 15 days of the policy term, then no cancellation fee will apply.
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Ans: Care Health Insurance (Formerly Religare Health Insurance) Company requires you to submit the following documents for portability:
- A duly filled portability form
- A copy of your existing health insurance policy
- A copy of the policy renewal notice
- Care proposal form
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Ans: You are recommended to choose a Care floater policy at a young age as it will ensure medical coverage for your entire family under a single plan for a nominal premium. However, you must port to an individual insurance plan when you are old as you are more prone to diseases and consequent hospitalization in old age and therefore, may have to pay a higher premium.
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