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Bharti AXA Smart Super Health Assure Health Insurance

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Bharti AXA (now ICICI Lombard) Health Insurance
Smart Super Health Assure Policy
Claim SettlementDedicated Team
Claim Settlement Ratio93.10%
COVID-19 CoverYes
Network Hospitals4,500+
Policies Sold21,829
RenewabilityLifelong

About Bharti AXA Smart Super Health Assure Health Insurance

Smart Super Health Assure Policy offered by Bharti AXA General Insurance provides protection to you and your family from financial stress arising due to different types of medical emergencies. The policy can be issued to an individual and/or a family, wherein a family can comprise of self, spouse, and up to three dependent children aged up to 23 years. The policy covers people aged between 91 days and 65 years, 65 years being the maximum entry age. You can add children under the policy if they are aged between 91 days and 5 years, if either parent is insured under the policy too. You can buy this policy for sum insured options of Rs. 1 Lakh, Rs. 2 Lakh, Rs. 3 Lakh, or Rs. 4 Lakh, for a policy term of 1 year, 2 years, or 3 years, as per your budget and other requirements.

The policy covers you for a wide range of healthcare expenses that includes in-patient hospitalisation expenses, pre-hospitalisation and post-hospitalisation expenses, organ donor expenses, daycare expenses, treatments taken under AYUSH systems of medicines, and domiciliary hospitalisation expenses. The policy comes with optional covers too for extended coverage, that you can buy by paying an extra premium, at the time of policy purchase. Other benefits that the policy offers you include restoration of sum insured, health check-up, No Claim Bonus, emergency surface ambulance expenses, and tax benefits on the premium paid, under Section 80D of the Income Tax Act, 1961.

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Key Inclusions and Exclusions of the Plan

What's Included

  • In-patient hospitalisation expenses
  • 60 days pre-hospitalisation and 90 days post-hospitalisation expenses
  • Organ donor expenses
  • Daycare treatments
  • Treatments taken under AYUSH systems of medicines
  • Domiciliary hospitalisation expenses

What's Not Included

  • Change of gender treatments
  • Treatment required due to participation in adventure sports or hazardous activities
  • Obesity/weight control treatments
  • Cosmetic or plastic surgery
  • Treatments taken outside the geographical limits of India
  • Expenses related to OPD treatments

Bharti AXA Cashless Network Hospitals in India

Add-ons to Enhance Benefits

  • Hospital Cash Allowance

    This add-on provides you a hospital cash allowance of Rs. 100, Rs. 200, Rs. 300, Rs. 500 per day covers you for up to a maximum of 30 days with one day deductible.
  • Maternity Benefit

    The add-on of maternity benefit covers you for up to 2 deliveries/MTP in lifetime (available only with a policy term of 3 years). Also, it covers you for newborn baby expenses for the first 90 days. Maternity expenses are covered for up to Rs. 35,000 and newborn baby cover for Rs. 20,000. Note that this benefit can be availed only in a family floater policy, and only when the insured and the insured’s spouse both are covered under the same policy.
  • Critical Illness Cover

    With this add-on cover, you will be provided a lump sum benefit over and above sum insured. Note that this add-on cover can be purchased with sum insured options of Rs. 2 Lakh, Rs. 3 Lakh, and Rs. 4 Lakh with options of 2 Lakh; Rs. 2 Lakh, Rs. 3 Lakh; and options of Rs. 2 Lakh, Rs. 3 Lakh, Rs. 4 Lakh respectively. Note that critical illness sum insured opted should not be more than sum insured under the base hospitalisation policy.

Claim Process at Bharti AXA (now ICICI Lombard) Health Insurance

  • Network Hospital
  • Non-Network Hospital
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 48 hours prior to admission.
  • 3

    Claim Processing

    Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
  • 4

    Claim Settlement

    Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 48 hours prior to admission.
  • 3

    Claim Processing

    Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
  • 4

    Claim Settlement

    Once your request for reimbursement of expenses is approved, the claim will be settled.

FAQs on Smart Super Health Assure Policy Health Insurance Plan

  • What are the sum insured options available under Smart uper Health Assure Policy offered by Bharti AXA General Insurance?

    Smart uper Health Assure Policy offered by Bharti AXA General Insurance comes can be purchased for sum insured of Rs. 1 Lakh, Rs. 2 Lakh, Rs. 3 Lakh, and Rs. 4 Lakh, as per your requirement and budget.

  • Is there any pre-policy check up required to be covered under Smart Super Health Assure Policy?

    There is no pre-policy check up required to be covered under this policy if you are aged up to 45 years, provided there is no adverse medical history declaration in the medical form. Whereas if you are aged 46 years and above, then you may require to undergo pre-policy check-up. 

  • Is there any limit on surface ambulance expenses covered under Smart Super Health Assure Policy?

    Yes. Smart Super Health Assure Policy covers you for surface ambulance expenses for up to Rs. 3,000 per event. 

     

  • What are the optional covers available under Smart Super Health Assure Policy?

    Smart Super Health Assure Policy comes with the following optional covers that you can opt for by paying an extra premium:

    • Hospital cash allowance
    • Maternity benefit
    • Lump sum benefit for critical illnesses 
  • Can I avail tax benefits on the premium paid for Smart Super Health Assure Policy?

    Yes. You are eligible for tax benefits on the premium paid for Smart Super Health Assure Policy, under Section 80D of the Income Tax Act, 1961. 

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