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Care Health Insurance

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Overview of Care Health Insurance

Care Health Insurance offers a wide range of health insurance products, catering to the retail segment with offerings such as health insurance, top-up coverage, personal accident, maternity, international travel insurance and critical illness coverage. In addition, they also provide group health insurance and group personal accident insurance for corporations, micro-insurance products for rural markets, as well as a comprehensive set of wellness services. 

 

The company’s core operating philosophy is centred around prioritizing the needs and satisfaction of the consumers. With a commitment to leveraging technology, they have focused on providing exceptional customer service, introducing innovative products and delivering value-for-money services. 

 

Here is the list of awards and accolades that have been conferred upon Care Health Insurance Company - 

 

2024

  • ‘Claims Service Leader for the Year’ & ‘Best Health Insurance Company in Rural Sector’ at the India Insurance Summit & Awards 

2023

  • ‘Excellence in Patient Service Delivery’ at the FICCI Healthcare Excellence Awards 
  • ‘Smart Insurer’ & ‘Amiable Insurer’ awards in the domain of Health Insurance at the 10th Annual Insurance Summit & Awards
  • ‘Best Health Insurance Company of the Year’ at India Insurance Summit & Awards 

2022

  • ‘Smart Insurer of the Year’ and ‘Sales Champion of the Year’ at The Economic Times Insurance Summit & Awards

2021

  • ‘Best Health Insurance Product’ and ‘Best Health Insurance Agents’ awards at the Insurance Alerts Awards

2019

  • ‘Best Health Insurance Product Award’ at FICCI Healthcare Excellence Awards
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Key Features of Care Health Insurance Company

Care Health Insurance is a leading provider in India’s health insurance industry, catering to the specific needs of individuals and families. It offers a wide range of plans that can be tailored to suit different requirements.

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Care Health Insurance Contact Details

You may contact Care Health Insurance using the below-mentioned information if you have any queries about Care Health Insurance plans:

Phone: 1800-102-4499 (Sales) or WhatsApp: 8860402452 (Services)

Download the Mobile App for easy policy management.

Care Health Insurance Add-on Riders

Care Health Insurance riders offer policyholders additional coverage benefits beyond their base health insurance policy and can be acquired from Care Health Insurance Limited for an extra premium. These riders serve to increase the coverage level of the policy at the time of purchase or renewal.

Care Health Insurance Inclusions

  • Inpatient Hospitalization: Covering hospital expenses including room rent, ICU charges and doctor’s fees during planned or emergency hospitalization up to the sum insured.
  • Pre-Hospitalization Medical Expenses: Covering pre-hospitalization expenses up to 60 days before admission.
  • Advanced Medical Treatments: Get modern medical treatments like robotic surgeries and chemotherapies with our health insurance plans in India.
  • Daily Allowance: Offering a fixed amount for everyday hospitalization.
  • Post-Hospitalization Medical Expenses: Covering follow-up visits and medical tests up to 180 days after hospital discharge.
  • Domiciliary Hospitalization: Cvering home-based care expenses for elderly members under medical coverage terms.
  • AYUSH Treatments: Covering modern and traditional treatments combined, offering alternative options.
  • Coronavirus Treatment: Hospitalization and medication coverage for COVID-19 treatment according to policy terms.
     

Care Health Insurance Exclusions

  • Self-Inflicted Injuries: No coverage for self-harm injuries.
  • Recent Medical Events: Excludes diseases, surgeries, or medical events (except accidents) occurring within 30 days of the policy start date.
  • Substance Misuse: Expenses related to the use, misuse, or abuse of alcohol or drugs are not covered.
  • Pregnancy and Childbirth: Treatment arising from or related to pregnancy, childbirth, miscarriage, abortion, and their consequences are excluded.
  • Infertility Treatments: Tests and treatments for infertility and in vitro fertilization are not covered.
  • Cosmetic Treatments: Cosmetic or aesthetic treatments that are not deemed medically necessary are excluded.
  • War and Civil Unrest: Hospitalization due to war, riot, strike, or nuclear weapons is not covered.

Care Health Insurance Claim Process

Care Health prioritizes your health and aims to alleviate stress during unexpected medical situations. This guide will simplify the process of filing claims under your insurance plan, whether it is for emergency hospitalization, planned procedures or selecting between cashless and reimbursement options.

Timely Intimation is Key

  • Contact the helpline number within 24 hours of hospitalization for efficient claim processing.
  • Notify the Care office 48 hours before a planned procedure for pre-authorization and smoother claim settlement. 

 

Choosing Your Claim Path: Cashless or Reimbursement
 

  • For cashless claims at in-network hospitals, request pre-authorization at the insurance/TPA desk. They will handle the paperwork while you focus on recovery.
  • For non-network hospitals or upfront payments, submit the claim form and required documents for reimbursement.

 

Claim Approval Process
 

  1. Complete the pre-authorization form at the hospital's insurance/TPA desk and submit it to Care via fax.
  2. Your request will be reviewed and an approval letter will be sent to you.
  3. Prompt responses from you or the hospital will speed up the claim assessment process. 


Care Health Insurance Claim Process Through Claim Genie
 

At Care Health, accessibility and hassle-free claim processes are the top priorities. With “Claim Genie” integrated into their Care Health Customer App, you can conveniently handle all your health insurance needs. The user-friendly app allows for claim intimation, online form submission, document uploads and real-time claim status tracking. 

Make sure you have all the necessary documents ready for a quick claim settlement, whether you are opting for the cashless or reimbursement method. Having the right paperwork in order will help expedite the process and ensure that you receive timely compensation for your claim.

               

Required Documents for a Smooth Claim Experience

Step 01

Filled and signed claim form with name, policy number, illness details and address.

Step 02

Include all medical test reports and relevant documentation.

Step 03

Original hospital bills, discharge summaries and payment receipts are crucial for claim verification.

Step 04

Attach pharmacy bills and corresponding prescriptions for medication used during treatment.

Step 05

Include police FIR and post-mortem report (if applicable) for accident claims.
 

Claim Intimation Made Easy with Claim Genie

Step 01

Open the Care Health Customer App on your smartphone

Step 02

Find and click “Claim Genie” and then “Claim Intimation” on the home screen

Step 03

Choose between “Emergency” or “Planned” when asked to choose a claim type.

Step 04

Enter claim details for the insured member.

Step 05

Upload your medical documents for your claim.


Track Your Claim Status with Ease

 

To ensure absolute transparency, you have the power to monitor the progress of your claim at any given moment. All you need to do is access the app’s homepage and click on the “Claim Tracking” option. This section provides you with a comprehensive overview of all your active claims. By selecting the “Track Cliam” feature for the specific claim you wish to keep tabs on, you will instantly presented with the most up-to-date status update. Moreover, the app grants you the ability to effortlessly download vital documents, ranging from query and settlement letters to approval notices.
 

Documents Required for Buying a Health Insurance

  • Valid ID proof like an Aadhar card, voter ID, PAN card, or passport is required.
  • Accepted address proofs include utility bills, rent agreements, and bank statements.
  • Insurance providers must do CDD for new policyholders using provided KYC documents.

Documents Required for Health Insurance Claim Process

  • Filled and signed claim form with name, policy number, illness details and address.
  • Include all medical test reports and relevant documentation.
  • Original hospital bills, discharge summaries and payment receipts are crucial for claim verification.
  • Attach pharmacy bills and corresponding prescriptions for medication used during treatment.
  • Include police FIR and post-mortem report (if applicable) for accident claims.

 

Best Health Insurance Plans In India

When it comes to the best health insurance, there is no “one-size-fits-all” policy. It is like choosing a Netflix or OTT plan - different plans offer different benefits and have different costs. However, this age is designed to meet the diverse needs of most users, making it a versatile and comprehensive health insurance comparison page.

It is essential to conduct a thorough comparison to find the policy that best suits your needs. We have created a comprehensive table of how some of the top mediclaim policies in India compare to others in the industry.

Insurance Provider Plan Name Coverage Type Sum Insured Range Age Limit (Adults) Important Parameters
Care Advantage Health Insurance Plan Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
ICICI Elevate Health Insurance Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
IFFCO Tokio Family Health Protector Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
Niva Bupa Aspire Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
Arogya Supreme Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
TATA AIG Medicare Lite Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium

Frequently Asked Questions (FAQs)

A.

Care Health Insurance is a reputable company in India that offers a wide range of health insurance plans for individuals, families and corporations. Their plans are designed to provide financial support in case of illness, injury or hospitalization, helping individuals and families to cover their medical expenses.

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Care Health Insurance provides a variety of plans designed to suit different requirements and financial capabilities, such as individual plans, family floater plans, senior citizen plans and critical illness plans.

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Yes, Care Health Insurance offers cashless treatment at their network hospitals, eliminating the need for upfront payment of covered medical expenses.

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Care Health Insurance provides the convenience of both cashless and reimbursement claim settlement. Cashless claims are quickly resolved within 6 hours, whereas reimbursement claims may take a longer time of up to 7 days.

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Care Health Insurance offers a user-friendly network hospital finder tool on its website, allowing users to easily search for hospitals by location or name. This feature provides convenience and accessibility for individuals looking to find healthcare facilities within their network.

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The minimum age requirement for coverage varies depending on the specific plan. Some plans may start coverage as early as 91 days old while others may have a minimum age of 18 or higher. It is important to carefully review the terms and conditions of the plan to understand the age requirements for coverage.

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Pre-existing condition coverage varies based on the chosen plan, with some offering coverage after a waiting period. It is essential to carefully review the policy wording to know which pre-existing conditions are covered.

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The cost of a Care Health Insurance plan can vary based on factors such as your age, health condition, desired coverage amount and the specific plan you choose. You have the option to receive a customized quote by visiting their website or reaching out to an agent for assistance.

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It is important to note that the required documents for a cashless claim may vary depending on the specific circumstances. However, in most cases, you will typically need to provide your policy documents, a doctor’s referral and your medical records. To ensure that you have the most up-to-date information, it is recommended to contact Care Health Insurance or the network hospital directly for the latest requirements.

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Consider your age, health status, budget and desired coverage level when choosing a Care Health Insurance plan. Think about the medical expenses you want to cover, the need for OPD coverage and the importance of pre-existing condition coverage. 

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It is crucial to thoroughly read the policy wording to grasp any potential exclusions that might be in place. These exclusions typically encompass self-inflicted injuries, cosmetic surgeries and treatment for specific pre-existing conditions, all of which depend on the specific plan.

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Keep your policy documents easily accessible and notify Care Health Insurance right away if you get hospitalized for a smooth claim settlement process. Ensure that you have the required documents for your claim type, whether it is cashless or reimbursement. Additionally, before getting admitted, confirm that the hospital you have chosen is indeed in Care Health Insurance’s network.

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Customer ratings for Care Health Insurance may differ across platforms. It is recommended to read reviews on multiple platforms to gain a comprehensive understanding of their service, despite their industry recognition and awards.

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You can buy a Care Health Insurance plan directly from this website, where you can also compare different Care health insurance plans and get quotes.

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