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CLAIMS SETTLED Rupees 2,913 Crores Claims Settled from Inception till June 2017.
Claim Board
Sum Insured per Policy per Policy Year (Rs. in Lakh) 3.00, 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 ( > 10 days of hospitalisation)
2 c)  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 4 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 4 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 3 Years]
3 b) Outpatient Dental Treatment
Waiting Period 3 years
Not Covered
3 c) Spectacles, Contact Lenses, Hearing Aid
Every Third Year
Not Covered
3 d) E-Opinion in respect of a Critical Illness Not 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 per Policy subject to a Maximum of Rs. 5,000 per Insured Person, only once at the end of a block of every continuous three policy  years.
6 Critical Advantage Rider Not covered Offered (where base Sum Insured is Rs.10 lacs & above)

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