HealthAssure: A long-term critical. Key Advantages of HealthAssure



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ICICI Prudential Life Insurance - covering you at every step in life. ICICI Prudential Life Insurance Company is a joint venture between ICICI Bank, a premier financial powerhouse and Prudential plc, a leading international financial services group, headquartered in the United Kingdom. ICICI Prudential was amongst the first private sector life insurance companies to begin operations in India. ICICI Prudential is the No.1 Private Life Insurance Company^ in India. Our customer- centric product portfolio includes pioneering plans to secure your child's future, innovative retirement solutions, as well as other insurance plans tailor-made to satisfy individual needs. Now, we present health insurance plans to protect you against critical illnesses. Thus, fulfilling our commitment to cover your needs at every step in life. Health cannot be taken for granted. How often have you expressed sympathy for someone who is suffering from a critical illness, while giving little or no thought to the idea of protecting your own health? The truth is that most of us take our health for granted, not realising that with our hectic schedules, fast-paced life and demanding lifestyles, chances of health hazards have increased substantially. The following facts also support it: According to the World Health Organization, 60% of the world s cardiac patients will be from India by 2010. Every year, there will be 8,00,000 new cancer cases in India as per the National Cancer Registry Programme. Provide for health care expenses. A critical illness doesn't come with medical and hospital expenses alone (direct medical expenses), but can also have an you with the necessary financial adverse effect on your work, resulting in a assistance, irrespective of your actual temporary loss of income. Not only that, medical expenses. there are other expenses related to HealthAssure covers you for a long hospitalization such as travelling, lodgingterm. It guarantees to pay the benefit boarding and other incidental expenses amount on diagnosis of the specified critical (indirect expenses) which in some cases illness. This is a comprehensive critical can be very substantial, bloating the overall illness plan, which can take care of direct cost of treatment. medical expenses as well as other indirect Generally, the direct expenses account for expenses, arising during the treatment. On 65% of the total cost of treatment while diagnosis of a specified critical illness, you indirect expenses would be as much as 35% of can claim the benefits under this plan overall cost of treatment*. Thus, you need to through a simple claims procedure. provide adequately for cost of treatment, other Terms you need to know indirect expenses related to treatment and the loss of income during the treatment period. Premium: The money you have to pay every year for the entire term of the plan in order to *Source - Professor Prabuddha Ganguli, Presentation at the CIPH Seminar, WHO (Geneva), April 2005 subscribe to the plan and to enjoy the benefits under the plan. HealthAssure: A long-term critical Policy Term: This is the period for which the illness plan policy is issued to you. Now, we at ICICI Prudential are Sum Assured (for critical illness benefit): pleased to introduce HealthAssure, the This is the amount of money that you will plan that covers you against 6 critical receive in the unfortunate event of diagnosis illnesses for a longer period, by providing Key Advantages of HealthAssure HealthAssure provides you long-term You have the following two options to coverage against 6 critical illnesses. receive your benefit amount: On diagnosis of any of the covered One-time lump sum payment critical illnesses, the Sum Assured Installment payment over # will be paid. Thus, this plan provides 5 years. you the freedom to choose the best Hassle-free claims procedure for possible Health Care available. claiming the benefit amount. No medical or other bills are Easy sign-up. No medical check-ups required for claiming the benefit. are required for Sum Assured upto The benefit amount received can be + Rs. 500,000. used for medical expenses and will act Avail tax benefit up to Rs. 3,366 under as a supplement to your income Section 80D on the premium paid. during the treatment period. +Conditions apply.

of the specified critical illness as mentioned diagnosis of Critical Illnesses. You also have Is there any Death Benefit or Maturity in the benefit amount table. the flexibility to choose from the two options Benefit under this plan? How does the plan work? to claim your Critical Illness benefits. This is There is no Death Benefit since there is explained in the following table with an You need to choose the Sum Assured no life insurance cover under this plan. There example given below: and plan term which once chosen, cannot is no Maturity Benefit under this plan. be changed. The premium amount will Benefit Amount Table: What are my tax benefits? be calculated based on your age, the Assuming, Critical Illness Sum Assured is The premiums paid up to Rs.10,000 for Sum Assured and the term chosen. Since Rs.1,00,000 HealthAssure would be eligible for tax this is a regular premium plan, the premiums If Critical Illness is diagnosed after 1 year from the date the policy is issued. benefits under Section 80D, as a premium have to be paid throughout the term of the paid towards a health insurance plan as per plan. You have the convenience of paying the Option 1: Lump Sum Option 2: Installment prevailing income tax laws. regular premium as yearly, half-yearly or in Illustrative Premium Table: monthly installments. Rs.100,000 Rs. 25,000 (25% of Below are the premium rates for In the unfortunate event of diagnosis (100% of for 1st year Sum Assured of Rs. 5,00,000 under of any of the critical illnesses covered under + Rs.20,000 (20% of HealthAssure plan for various entry ages and the plan, the benefit amount (Critical Illness coverage periods. is paid and the plan ceases from 2nd to 5th year Covered till Covered till to exist. (Total benefit:105% of Age 60 years Age 65 years What are my Benefits? Entry Annual Critical Annual Critical If Critical Illness is diagnosed between Age Premium Illness Premium Illness Critical Illness Benefit 6 months - 1 year from the date the Policy (years) Benefit Benefit HealthAssure provides you cover is issued. 35 4,505 5,00,000 5,305 5,00,000 against the following six critical illnesses: Option 1: Lump Sum Option 2: Installment 40 5,385 5,00,000 6,350 5,00,000 Cancer 45 6,585 5,00,000 7,750 5,00,000 The premiums mentioned here are for healthy males, Coronary Artery Bypass Graft/Surgery Rs.50,000 Rs.12,500 (12.5% of excluding any service tax and education cess. The Heart Attack (50% of Sum premium rates are reviewable every five years from the Assured) Kidney Failure policy inception. Major Organ Transplant (as a recipient) Stroke What are the conditions? for 1st year + Rs.10,000 (10% of from 2nd to 5th year (Total benefit:52.5% of Minimum Sum Assured under the plan In case any of the specified critical Rs.150,000 illnesses is diagnosed, the benefit amount Maximum Sum Assured (Critical Illness will be paid If the Critical Illness is diagnosed in the first under the plan Rs.1,000,000 6 months from the date the Policy is issued to you. Minimum Premium Rs. 1,800 p.a. then the premium paid (excluding any extra For detailed definitions of Critical Illnesses, please Minimum Term 10 years premiums) is returned and the policy closes. refer to the policy documents. Please see What is not Maximum Term 30 years covered under HealthAssure? Section. Minimum Age at entry 18 years Critical Illness Benefit Amount and Maximum Age at entry 55 years Payout Options Maximum Age at maturity 65 years The benefit amount which you receive is based on the time that has elapsed since the date of issue of the policy to the date of

What are the documents required for processing a claim? Standard documents required for claim processing are as under: Written intimation of the claim Original plan document Hospital Certificates Claimant's statement with hospital's discharge card or hospital/pathology report Any other relevant hospital records What is not covered under HealthAssure? The Critical Illness shall not have been caused by the existence of Acquired Immuno-deficiency Syndrome or the presence of any Human Immunodeficiency Virus Infection in the person of the Life Assured or self-inflicted injury, drug or alcohol abuse, failure to follow medical advice, war, whether declared or not and civil commotion, pregnancy, breach of law, aviation other than as a fare-paying passenger in a commercial licensed aircraft (being a multi-engined aircraft), hazardous sports and pastimes such as parachuting, bungee jumping, sky diving, river rafting, etc. The Critical Illness benefit shall not be payable if its symptoms have occurred, its care, treatment or advice was recommended by or received from a Physician, first manifested itself, contracted or claim has or could have been made under any earlier policy, before the issue date of the policy or during the first six months from the issue date of the policy. The premium amount payable under this policy is guaranteed for five years from the date of commencement of the policy and is fully reviewable every five years thereafter. #This benefit will be payable only on survival of the policyholder for 28 days from the date of diagnosis of the critical illness. $ Wherever any premiums are refundable under this policy, any extra premiums (charged over and above the standard premiums) will not be refunded.

Customer Service Helpline (9 a.m. to 9 p.m.) Andhra Pradesh 98495-77766 Maharashtra (Rest) 98904-47766 Chhattisgarh 98931-27766 Punjab 98159-77766 Delhi 98181-77766 Rajasthan 98292-77766 Goa 98904-47766 Tamil Nadu (Chennai) 98408-77766 Gujarat 98982-77766 Tamil Nadu (Rest) 98944-77766 Haryana (Karnal) 98961-77766 Uttar Pradesh (Agra, Bareilly, Haryana (Faridabad) 98181-77766 Karnataka 98455-77766 Kerala 98954-77766 Madhya Pradesh 98931-27766 Maharashtra (Mumbai) 98925-77766 Meerut, Varanasi) 98973-07766 Uttar Pradesh (Kanpur, Lucknow) 99352-77766 Uttaranchal 98973-07766 West Bengal (Kolkata, Howrah) 98313-77766 You can also call us on our Toll Free Number 1800 22 2020 or visit us at www.iciciprulife.com Registered Office: ICICI Prudential Life Insurance Company Limited, ICICI PruLife Towers,1089 Appasaheb Marathe Marg, Prabhadevi, Mumbai 400 025. ^In terms of weighted received premium & funds under management.this product brochure is indicative of the terms, conditions, warranties and exceptions contained in the insurance policy. Refer to the policy document for risk factors & further details. Insurance is the subject matter of the solicitation. ICICI Prudential Life Insurance Company Limited. HealthAssure: Form No. T10. Ver No. 02 HeAs 01 w.e.f. 15th June. 06/JAS/SO