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CLAIMS SETTLED Rupees 2,913 Crores Claims Settled from Inception till June 2017.
Claim Board
Sum Insured per Insured Person per Policy Year (Rs. in Lakh) 4.00, 5.00 7.50, 10.00 15.00,20.00, 25.00, 50.00
1 a) In-patient Treatment Covered
1 b) Pre-hospitalization Covered
1 c) Post-hospitalization Covered
1 d) Day Care Procedures Covered
1 e) Domiciliary Treatment Covered
1 f) Organ Donor Covered
1 g)) Emergency Ambulance Upto Rs.2000 per hospitalisation
1 h) Ayush Benefit Upto Rs 25,000 Upto Rs 50,000
1  i) Daily Cash for choosing Shared Accommodation Rs.500 per day, Maximum Rs.3,000 Rs.800 per day, Maximum Rs.4,800 Rs.1000 per day, Maximum Rs.6,000
2 a) Daily Cash for accompanying an insured child Rs.300 per day, Maximum Rs.9,000 Rs.500 per day, Maximum Rs.15,000 Rs.800 per day, Maximum Rs.24,000
2 b) Newborn baby Additional Benefit on payment of additional premium
2 c)  Recovery Benefit Not Covered  Rs 10,000 
2 d)  Emergency Air Ambulance Not Covered  Upto Rs.2.5 Lacs per hospitalisation 
3 a) Maternity Expenses
 
Normal Delivery Rs. 15,000* Caesarean Delivery Rs. 25,000*
(* Including Pre/Post Natal limit of Rs.1,500 and New Born limit of Rs.2,000) [Waiting Period of 6 years]
Normal Delivery Rs. 25,000* Caesarean Delivery Rs. 40,000*
(* Including Pre/Post Natal limit of Rs. 2,500 and New Born limit of Rs.3,500) [Waiting Period of 6 years]
Normal Delivery Rs. 30,000* Caesarean Delivery Rs. 50,000*
(* Including Pre/Post Natal limit of Rs. 5,000 and New Born limit of Rs.5,000) [Waiting Period of 4 Years]
3 b) Outpatient Dental Treatment
Waiting Period 3 years
Upto 1 % of Sum insured subject to a Maximum of Rs.5,000 Upto 1 % of Sum insured subject to a Maximum of Rs. 10,000
3 c) Spectacles, Contact Lenses, Hearing Aid
Every Third Year
Upto Rs.5,000 Upto Rs. 10,000
3 d) E-Opinion in respect of a Critical Illness Covered
4  Critical Illness  Rider Optional, if opted then the Critical Illness Sum Insured 50% or 100% of In-patient Sum Insured Optional, if opted then the Critical Illness Sum Insured 50% or 100% of In-patient Sum Insured upto a maximum of Rs 10 Lacs
5 Health Checkup Upto 1% of Sum Insured subject to a Maximum of Rs.5,000 per Insured Person, only once at the end of a block of every continuous two policy years
6 Critical Advantage Rider Not covered Offered (where base Sum Insured is Rs.10 lacs & above)

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