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Bank Name Name of scheme Insurer Andhra Bank AB Arogyadaan Scheme United India Insurance Co Ltd Bank of Baroda BarodaHealth National Insurance Co Ltd Bank of India BOI National Swasthya Bima policy National Insurance Co Ltd Bank of Maharashtra Mahabank Swsthya Yojana United India Insurance Co. Ltd Canara Bank CanMediclaim United India Insurance Co. Ltd

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Page 1: Health Insurance Nationalized Banks Comparison-upload

Bank Name Name of scheme Insurer

Andhra Bank AB Arogyadaan Scheme United India Insurance Co Ltd

Bank of Baroda BarodaHealth National Insurance Co Ltd

Bank of India BOI National Swasthya Bima policy National Insurance Co Ltd

Bank of Maharashtra Mahabank Swsthya Yojana United India Insurance Co. Ltd

Canara Bank CanMediclaim United India Insurance Co. Ltd

Page 2: Health Insurance Nationalized Banks Comparison-upload

Corporation Bank Corp Mediclaim New India Assurance Company Ltd.

Indian Bank IB Arogyaraksha United India Insurance Co. Ltd

Indian Overseas Bank IOB Health Care Plus Universal Sompo General Insurance Company Ltd

Oriental Bank of CommerceOriental Bank Mediclaim Oriental Insurance Company Ltd

Punjab National Bank Royal Mediclaim Oriental Insurance Company Ltd

Page 3: Health Insurance Nationalized Banks Comparison-upload

Comment

Page 4: Health Insurance Nationalized Banks Comparison-upload

Eligibility Policy type Family floater

coverage

Minimum

entry age

Maximum

entry age

Account holders only Plan 1 - self, spouse, 2 dependent

children

Plan 2 - Plan 1 +Parents of prime

holder

Yes 5 years (3

months if both

parents are

covered

concurrently)

60 years

Account holders only Self and family (spouse+ 2 dependent

children)

Yes 3 months 65 years

Account holders, staff and cardholders Self and family (spouse+ 2 dependent

children)

Yes 3 months 65 years

Account holders with initial deposit

applicable to SB accounts

Plan A – Account holder, Spouse and

2 dependent children (1+3)

Plan B - Plan A + parents (1+5)

Yes 5 years (3

months if both

parents are

covered

concurrently)

65 years

Account holders of the Bank i.e.

Deposits as well as loan, including

employees, ex-employees and Cancard

holders

Plan A – Account holder, Spouse and

2 dependent children (1+3)

Plan B - Plan A + parents (1+5)

Yes 5 years (3

months if both

parents are

covered

concurrently)

60 years

Page 5: Health Insurance Nationalized Banks Comparison-upload

Account holders only Self and family (spouse+ 2 dependent

children)

4 Plans depending on the age of the

senior most member of the family

Yes 3 months 65 years

Account holders Self and family (spouse+ 2 dependent

children+parents)

3 Plans as under:

i) Plan A upto 35 years*

ii) Plan B upto 65 years*

iii) Plan C upto 80 years*

(* Based on the age of the eldest

person in the group)

Yes 3 months 80 years

Saving bank, Cumulative deposit

Account holders, including NRIs

Self and family (spouse+ 2 dependent

children); Parents can be included for

additional premium

Yes 18 years 65 years

Account holders only Self and family (spouse+ 2 dependent

children)

Yes 3 months 79 years

Account holders and employees Self and family (spouse+ 2 dependent

children)

Yes 3 months 80 years

Page 6: Health Insurance Nationalized Banks Comparison-upload

Option to include parents available

with: Andhra Bank, Bank of

Maharashtra, Canara Bank, Indian

Bank, IOB

Higher entry age

for Indian Bank,

Oriental Bank of

Commerce and

Punjab National

Bank; Lower age

for Andhra

Bank, Canara

Bank

Page 7: Health Insurance Nationalized Banks Comparison-upload

Maximum age

on renewal

Minimum Sum

Assured

Maximum Sum

Assured

Premium per annum

(for a sum insured of Rs. 3 lakhs)

Pre-hospitalization

time period

80 years 100,000 500,000 Plan 1 - Rs.6,874

Plan 2 - Rs.11,587

30 days

80 years, at a

premium

loading of 25%

50,000 500,000 Upto 65 years - Rs. 4,734

Upto 80 years - Rs. 5,917

30 days

80 years, at a

premium

loading of 25%

50,000 500,000 Rs. 4,729 30 days

80 years 50,000 500,000 Plan A - Rs. 4,875

Plan B - 8,120

30 days

80 years 50,000 500,000 Plan A - Rs. 4,870

Plan B - 8,131

30 days

Page 8: Health Insurance Nationalized Banks Comparison-upload

70 years 50,000 500,000 Plan 1: Age of senior most family member

-35 years: Rs. 3,526

Plan 2: Age of senior most family member-

36-45 years: Rs. 3,832

Plan 3: Age of senior most family member-

46-55 years: Rs.4,873

Plan 4: Age of senior most family member-

56-65 years: Rs. 5,605

Plan 5: Age of senior most family member-

66-70 years: Rs.6,752

Premium is for four family members and

is exclusive of service tax and Rs.250

bank charges

30 days

80 years 50,000 10,00,000

(subject to

certain

restrictions for

Plan C)

Not specified NA

80 years 50,000 500,000 Rs. 6,261

(For a family of four, without Personal

Accident cover; Age of senior most family

member: 36-45 years)

NA

79 years 100,000 500,000 Rs 4,620 30 days

80 years 100,000 500,000 Rs. 4,536 30 days

Page 9: Health Insurance Nationalized Banks Comparison-upload

Highest sum

assured option

available with

Indian Bank

Most banks charge a flat premium

irrespective of age;

Andhra Bank - Premium comparatively

high

Corporation Bank and IOB charge

premium according to age- high premium

in Corporation Bank if you are above 55

years

Indian Overseas Bank - premium is high

compared to peers

Cheapest premium available with Bank of

Baroda, Bank of India, Punjab National

Bank and Oriental Bank of Commerce

Page 10: Health Insurance Nationalized Banks Comparison-upload

Post-hospitalization

time period

Pre-existing diseases

coverage

Medical check-up Minimum

hospitalization period

Waiting period

60 days 3 years from start of

policy, if there is no

hospitalization during

this time

Not specified 24 hours, subject to

certain exceptions

30 days

60 days 3 years No 24 hours 30 days except

accidental injury

60 days 3 years No 24 hours, subject to

certain exceptions

30 days except

accidental injury

60 days 3 years from start of

policy, if there is no

hospitalization during

this time

No, upto 45 years 24 hours 30 days

60 days 3 years from start of

policy, if there is no

hospitalization during

this time

No NA 30 days

Page 11: Health Insurance Nationalized Banks Comparison-upload

60 days 4 years from start of

policy, if there is no

hospitalization during

this time

No, upto 55 years NA 30 days except

accidental injury

NA 3 years from start of

policy, if there is no

claim during this period

No NA 30 days except

accidental injury

NA 3 years from start of

policy, if there is no

claim during this period

No NA 30 days except

accidental injury

60 days 3 completed years No 24 hours, subject to

certain exceptions

30 days

60 days NA No 24 hours, subject to

certain exceptions

30 days

Page 12: Health Insurance Nationalized Banks Comparison-upload

Corporation Bank has

higher time period for

pre-existing diseases

Page 13: Health Insurance Nationalized Banks Comparison-upload

Cashless facility Claim considered

same illness if

Maximum time to

submit bills on

discharge

Available in network

hospitals

Relapse within 105

days of date of

discharge

30 days

Available in network

hospitals

NA Not specified

Available in network

hospitals

Relapse within 45 days

of date of last

consultation with

doctor

Not specified

Available in network

hospitals

NA Not specified

Available in network

hospitals

Relapse within 105

days of date of

discharge

Not specified

Page 14: Health Insurance Nationalized Banks Comparison-upload

Available in network

hospitals

NA Not specified

Available in network

hospitals

NA Not specified

Available in network

hospitals

NA Not specified

Available in network

hospitals

Relapse within 105

days of date of

discharge

7 days

Available in network

hospitals

Relapse within 105

days of date of

discharge

7 days

Page 15: Health Insurance Nationalized Banks Comparison-upload

Most banks are silent

on this; Bank of India

has a shorter time

period for 'new illness'

but it is from the date

of last consultation

with the doctor, which

can be beneficial

Page 16: Health Insurance Nationalized Banks Comparison-upload

Expenses limit

1) Room, boarding, nursing: 1% of sum insured per day

2) ICU: 2% of sum insured

3) Specific sublimits for certain diseases

4) Pre&post hospitalization expenses: 10% of sum insured

5) 20% of all admissible claims will be deductible towards co-payment

of the claim.

1) Ambulance charges and Out of pockets expenses: Rs.1000/- each per

policy period.

2) Health check-up: 1% of sum insured after completion of three

continuous claim free years

1) Ambulance charges and Out of pockets expenses: Rs.1000/- each per

policy period

2) Health check-up: 1% of sum insured after completion of three

continuous claim free years

3) Maternity Benefit and Baby Care Expenses: 5% of the sum insured.

4) Funeral expenses: Rs.1000/- over and above the sum insured

1) Ambulance charges and Out of pockets expenses: Rs.1000/- each per

policy period

2) Health check-up: 1% of sum insured after completion of three

continuous claim free years

3) Maternity Benefit and Baby Care Expenses: 5% of the sum insured.

4) Funeral expenses upto Rs 1,000/- in case of insured donating eye(s)

1) Ambulance charges and hospital cash: Rs.1000/- each per policy

period.

2) Health check-up: 1% of sum insured after completion of three

continuous claim free years

3) Funeral expenses: Rs 1,000/- in case of insured donating eye(s)

5) Maternity benefits and baby care : 5% of sum insured

Page 17: Health Insurance Nationalized Banks Comparison-upload

1) Ambulance charges upto Rs.1000/- per policy period.

Not specified

1) Ambulance charges and out of pocket expenses: Rs.1000/- per

policy period.

2) Health check-up: 1% of sum insured after completion of three

continuous claim free years

3) Maternity Benefit and Baby Care Expenses:5% of the sum insured.

4) Funeral expenses:Rs.1000/- over and above the sum insured

1) Room, boarding, nursing: 1% of sum insured per day

2) ICU: 2% of sum insured per day or Rs. 10,000 whichever is less

3) Ambulance charges: 1% of sum assured per policy period

4) Hospital cash: Upto 1,000 per policy period

5) Funeral expenses: 1,000 during the policy period

1) Room, boarding, nursing: 1% of sum insured per day of Rs. 5,000

whichever is less

2) ICU: 2% of sum insured or Rs.10,000 whichever is less

3) Ambulance charges: 1% of sum assured per policy period

4) Hospital cash: Upto 1,000 per policy period

5) Funeral expenses: 1,000 during the policy period

Page 18: Health Insurance Nationalized Banks Comparison-upload

Expenses limit more stringent in Andhra Bank; most other banks have

similar expense limit restrictions

Page 19: Health Insurance Nationalized Banks Comparison-upload

Major exclusions

1)Pre-existing diseases upto 3 years

2) Any disease within 30 days of start of policy

3) Certain treatments done within 1 year of start of policy

4) Alternative treatment

5) Dental treatments

6) Pregnancy related

7) Domiciliary hospitalization benefits

1)Pre-existing diseases upto 3 years

2) Any disease within 30 days of start of policy, except injury out of accident

3) Certain treatments done within 1 year of start of policy

4) Naturopathy treatment

5) Dental treatments

6) Pregnancy related

7) Benefits accrued under previous policies by any other insurance co

8) Domicilary Hostpialization benefits

1)Pre-existing diseases upto 3 years

2) Any disease within 30 days of start of policy, except injury out of accident

3) Certain treatments done within 1 year of start of policy

4) Expenses primarily for diagnosis

5) Naturopathy treatment

5) Dental treatments

6) Benefits accrued under previous policies by any other insurance co

7) Domicilary Hostpialization benefits

1)Pre-existing diseases upto 3 years

2) Any disease within 30 days of start of policy

3) Certain treatments done within 1 year of start of policy

4) Naturopathy treatment

5) Dental treatments

6) Pregnancy related beyond 5% of Sum Insured

7) Domiciliary hospitalization benefits

1)Pre-existing diseases upto 3 years

2) Any disease within 30 days of start of policy

3) Certain treatments done within 1 year of start of policy

4) Naturopathy treatment

5) Dental treatments

6) Treatment arising from or traceable to pregnancy (including voluntary

termination of pregnancy) and child birth including caesarean section

7) Domiciliary hospitalization benefits

Page 20: Health Insurance Nationalized Banks Comparison-upload

1)Pre-existing diseases upto 4 years

2) Any disease within 30 days of start of policy except accidental injury

3) Certain treatments done within 1 year of start of policy

4) Naturopathy treatment

5) Dental treatments

6) Treatment arising from or traceable to pregnancy (including voluntary

termination of pregnancy) and child birth including caesarean section

7) Domiciliary hospitalization benefits

1)Pre-existing diseases upto 3 years

2) Any disease within 30 days of start of policy except accidental injury

3) Certain treatments done with 1 year of start of policy

1)Pre-existing diseases upto 3 years

2) Any disease within 30 days of start of policy except accidental injury

3) Certain treatments done with 1 year of start of policy

4) Domiciliary hospitalization benefits

1)Pre-existing diseases upto 3 years

2) Any disease within 30 days of start of policy, except injury out of accident

3) Certain treatments done with 1 year of start of policy

4) Expenses primarily for diagnosis

5) Naturopathy treatment

6) Dental treatments

7) Treatment arising from or traceable to pregnancy (including voluntary

termination of pregnancy) and child birth including caesarean section

1) Certain treatments done with 1 year of start of policy

2) Expenses primarily for diagnosis

3) Naturopathy treatment

4) Dental treatments

5) Treatment arising from or traceable to pregnancy (including voluntary

termination of pregnancy) and child birth including caesarean section

Page 21: Health Insurance Nationalized Banks Comparison-upload

Maximum exclusions under Andhra Bank, Corporation Bank and Canara Bank

Pregnancy related benefited excluded from Andhra Bank, Bank of Baroda,

Canara Bank, Corporation Bank, Oriental Bank and PNB

Domiciliary hospitalization benefits excluded from Andhra Bank, Bank of

Maharashtra, Corporation Bank, Indian Overseas Bank

Page 22: Health Insurance Nationalized Banks Comparison-upload

Additional covers

Not specified

1) Ambulance charges upto Rs.1000/- per policy period.

2) Out of pockets expenses upto Rs. 1000 per year for hospitalisation

of children below 12 years

3) Health check-up: 1% of sum insured after completion of three

continuous claim free years

1) Ambulance charges upto Rs.1000/- per policy period.

2) Out of pockets expenses upto Rs. 1000 per year for hospitalisation

of children below 12 years

3) Health check-up: 1% of sum insured after completion of three

continuous claim free years

4) Maternity Benefit and Baby Care Expenses: up to 5% of the sum

insured.

6) Funeral expenses: Upto Rs.1000/- over and above the sum insured

7) Domiciliary hospitalization subject to certain conditions

8) Treatment of NRIs in Indian hospitals

9) Treatment in hospitals in Nepal and Bhutan in INR

1) Ambulance charges upto Rs.1000/- per policy period.

2) Hospital cash upto Rs. 1000 per year for hospitalisation of children

below 12 years

3) Health check-up: 1% of sum insured after completion of three

continuous claim free years

4) Funeral expenses upto Rs 1,000/- in case of insured donating eye(s)

5) Maternity benefits and baby care : Upto 5% of sum insured if opted

6) Treatment in Nepal/Bhutan in Indian currency

7) Personal accident - death benefits included, subject to certain

conditions

1) Ambulance charges upto Rs.1000/- per policy period.

2) Hospital cash upto Rs. 1000 per year for hospitalisation of children

below 12 years

3) Health check-up: 1% of sum insured after completion of three

continuous claim free years

4) Funeral expenses upto Rs 1,000/- in case of insured donating eye(s)

5) Maternity benefits and baby care : Upto 5% of sum insured if opted

6) Treatment in Nepal/Bhutan in Indian currency

7) Personal accident - death benefits included, subject to certain

conditions

Page 23: Health Insurance Nationalized Banks Comparison-upload

1) Ambulance charges upto Rs.1000/- per policy period.

Maternity expenses after 9 months of taking first policy – for the first

two children only

1) Ambulance charges upto Rs.1000/- per policy period.

2) Out of pockets expenses upto Rs. 1000 per year for hospitalisation

of children below 12 years

3) Health check-up: 1% of sum insured after completion of three

continuous claim free years

4) Maternity Benefit and Baby Care Expenses: up to 5% of the sum

insured.

6) Funeral expenses: Upto Rs.1000/- over and above the sum insured

7) Personal Accident death cover is available for additional premium.

8) Treatment of NRIs in Indian hospitals

9) Treatment in hospitals in Nepal and Bhutan in INR

1) Ambulance charges upto Rs.1000/- per policy period.

2) Out of pockets expenses upto Rs. 1000 per policy period

3) Funeral expenses: Upto Rs.1000/- over and above the sum insured

4) Domiciliary hospitalization subject to certain conditions

1) Ambulance charges upto Rs.1000/- per policy period.

2) Hospital cash upto Rs. 1000 per policy period

3) Health check-up: On completion of four continuous claim free

years, maximum of 1% of average sum insured of the four years

4) Funeral expenses: Upto Rs.1000/- over and above the sum insured

4) Domiciliary hospitalization subject to certain conditions

Page 24: Health Insurance Nationalized Banks Comparison-upload

Maximum additional covers under Bank of India, Indian Overseas

Bank, Bank of Maharashtra and Canara Bank

Page 25: Health Insurance Nationalized Banks Comparison-upload

Closing comment

This plan gives you the option of including your parents. However,

compared to other plans, premium is higher for both the available

plans. Further, though exclusions are in line with peers, there is a

limit on various expense heads not normally seen in peers. Maximum

entry age for new policy is also among the lowest

Premium comparable among peers. However, there is no option to

include parents. Also, there are no maternity benefits available. No

medical check-up needed for any age of insured

Premium is low and many additional covers are available. Maternity

benefits and domiciliary hospitalization benefits are also available.

However, parents are not included. No medical check-up needed for

any age of insured

This plan gives you the option of including your parents. Premium

comparable with peers. Many additional covers are available.

Maternity benefits and personal accident cover is also available.

However medical check-up is needed if you are above 65 years

This plan gives you the option of including your parents. Premium

comparable with peers. Additional covers include Maternity benefits

and personal accident cover. However, domiciliary hospitalization

benefits are not available. No medical check-up needed for any age

of insured.

Page 26: Health Insurance Nationalized Banks Comparison-upload

Premium depends on age of the senior most member in the family. It

works out cheaper than other plans if you are below 45 years.

However, service tax and bank charges are applicable over n above

the premium amount. Further the maximum age for renewal of the

policy is lower than other policies. The pre-existing diseases waiting

period is higher than other policies and medical check-up is needed

above 55 years. Maternity and domiciliary hospitalization benefits

also not available

Parents are included in this plan, but premium depends on age of the

insured. Maternity benefits are available, subject to certain

conditions. The maximum age of entry is higher compared to other

policies. A unique feature is the high amount of cover which can be

taken (Rs. 10 lakhs)

Parents can be included in this plan, but premium depends on age of

the insured. Premium is on the higher side compared to peers, for

similar age group. Personal accident-death cover available at

additional cost. Maternity benefits are available, subject to certain

conditions. But domiciliary hospitalization benefits are not available.

No medical check-up needed for any age of insured.

Premium comparable among peers. However, there is no option to

include parents. Maximum entry age is the highest among peers. No

medical check-up needed for any age of insured. However there are

expense restrictions on room, boarding, nursing and ICU charges.

Maternity benefits are not available. Further, if you take treatment

from a non-network hospital, you should submit bills within 7 days.

Premium comparable among peers. However, there is no option to

include parents. Maximum entry age is the highest among peers. No

medical check-up needed for any age of insured. However there are

expense restrictions on room, boarding, nursing and ICU charges.

Maternity benefits are not available. Further, if you take treatment

from a non-network hospital, you should submit bills within 7 days.

Health check-up costs reimbursed after completion of 4 claim free

years, compared to 3 years among peers.

Page 27: Health Insurance Nationalized Banks Comparison-upload
Page 28: Health Insurance Nationalized Banks Comparison-upload

VERDICT

Avoid due to high premium and other restrictions

Can be taken if parents need not be covered and no need for

maternity benefits

Can be taken if parents need not be covered

Can be taken

Can be taken. Avoid if you need domiciliary hospitalization benefits

Page 29: Health Insurance Nationalized Banks Comparison-upload

Can be taken for lower age, due to lower premium. Else avoid due to

high premium and other restrictions

Can be taken if you want high cover, else avoid

Avoid due to high premium

Can be taken if parents need not be covered and no need for

maternity benefits

Can be taken if parents need not be covered and no need for

maternity benefits

Page 30: Health Insurance Nationalized Banks Comparison-upload