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Health Insurance Nationalized Banks Comparison-upload
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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
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
Comment
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
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
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
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
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
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
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
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
Corporation Bank has
higher time period for
pre-existing diseases
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
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
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
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
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
Expenses limit more stringent in Andhra Bank; most other banks have
similar expense limit restrictions
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
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
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
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
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
Maximum additional covers under Bank of India, Indian Overseas
Bank, Bank of Maharashtra and Canara Bank
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.
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.
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
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