Care Advantage health insurance is an all-inclusive health plan which provides health coverage up to 1 crore. Care Advantage plan cover you for hospitalisation expenses incurred during hospitalisation exceeding 24 consecutive hours.
Let’s review Care Advantage Plan and it’s benefits for you.
Table of Contents
Care Advantage -Eligibility /Who can buy?
One can buy care advantage on individual or family floater basis. The eligible members are self, spouse, son and daughter.
| Feature | Care Advantage Plan |
| Min. Entry Age | Individual Plan – 5 years Floater Plan- 91 days with at least one person age 18 years or above |
| Max. Entry Age | All ages |
| Age of proposer | 18 years |
| Sum Assured | 25 lac, 50 lac, 1 crore |
| Policy Term | 1/2/3 Years |
| Plan Type | Individual /Floater |
| Renewability | Life Long |
Care Advantage health insurance -Waiting Period
The initial waiting period is 30 days, which is common in all policies.
PED coverage time is 4 years in Care Advantage Plan, however one can buy additional cover option and reduce the waiting period in the plan.
| Feature | Care Advantage Plan |
| Initial Waiting Period | 30 days |
| Specified disease waiting period | 2 years |
| Pre- existing Disease Waiting Period | 4 years |
Policy Benefits Coverage
Care Advantage Plan pay for medical expenses( cashless or reimbursement) upto Sum Assured. The expenses covered under the plan are
| Feature | Care Advantage Plan |
| Room Rent | Up to Sum Assured |
| ICU Charges | Up to Sum Assured |
| Day Care | Up to Sum Assured |
| Pre Hospitalisation | 30 days |
| Post Hospitalisation | 60 days |
| Domiciliary Treatment | NA |
Other Benefits – Refill
Automatic Restoration or refill is available under Care Advantage Policy. Under refill option, The sum insured is refilled once in a policy year.
When your policy coverage is exhausted due to claims made in a year, the sum assured is restored for subsequent claims.
In case, you want unlimited restoration of your basic sum assured, you can buy unlimited Restore benefit by paying some extra premium.
| Feature | Care Advantage Plan |
| Automatic recharge/Refill | Once in policy Year for 100% Sum Assured. Single Claim Cannot be higher than basic SA |
| unlimited Restore Benefit | OPTIONAL |
| Ambulance Cover | Up to Sum Assured |
| Organ Donor Expense | Up to Sum Assured |
| Air Ambulance | On additional payment only |
| Health Check up | On additional payment only |
| No claim Bonus | 10% of Sum assured is increased for each claim free year. Maximum Accumulation up To 50% of SA |
| Daily Cash | NA |
| E- Opinion | NA |
| Stay Active Benefit | NA |
| Preventive Health Check Up | NA |
| Alternate Treatment | NA |
| Advance Technology Treatment | Uterine Artery Embolisation and HIFU, Balloon Sinuplasty, Deep Brain stimulation, Oral chemotherapy, Immunotherapy- Monoclonal,Antibody to be given as injection, Intra vitreal injections, Robotic surgeries, Stereotactic radio surgeries, Bronchial thermoplasty, Vaporisation of the prostrate (Green laser treatment or holmium laser treatment), 1ONM – (Intra Operative Neuro Monitoring), Stem cell therapy: Hematopoietic stem cells for bone marrow transplant for haematological conditions to be covered. |
Care Advantage Policy Brochure
Add ons to Enhance Benefits
| Feature | Care Advantage Plan |
| No Claim Bonus Super | It allows to increase by 50%Sum Assured for every claim free year, maximum increase up to 100% ( But Sum assured will be decreased by 50% which has been added by NCBS in case of claim) |
| Room Rent Modification | Room category will be limited to ‘Single Private room’ under hospitalisation expenses |
| Covid Care with OPD | Get covid Care up to 1%of sum insured as OPD benefit after Govt. confirmative diagnosis |
| Reduction in PED Time | Pre existing disease cover can be reduced from 4 years to 2 years |
| Co Payment Waiver | co payment from age 61 can be waived off on additional payment |
| Smart Select | take treatment in smart select hospitals and avail 15% discount in premium but if you take treatment in other hospital than you have to make 20% copayment |
Care Advantage – Premium
This is a sample calculation for different age and 25 lac Sum Assure. In comparison Care Advantage plan premium is quite low as shown below.
Thus one can choose the plan as per the benefits required for a family or on individual level. The hospitalisation expenses and ICU charges are fully covered in the plan.
Care Advantage Health Insurance Reviews
Care Advantage plan is a 1 crore health insurance policy. If we compare the premium with other health insurance, its quiet competitive price with limited functionalities.
| Sum Assured – ZONE 1 | Care Advantage Plan |
| 25 LAC FLOATER- ( AGE 42, SPOUSE, TWO KIDS | 28550 |
| 25 LAC INDIVIDUAL – ( AGE 26 YRS) | 8802 |
| * Disclaimer – The Premium Might differ with zone and age |
