LIC Jeevan Arogya Features, Review, Benefits – LIC Health Insurance Plan 904

0
524

LIC Jeevan Arogya Review

LIC Jeevan Arogya Policy is a Non-Participating Health Insurance Plan, which covers you and your family at the time of medical emergency. LIC Jeevan Arogya Plan 904 was a modified Jeevan Arogya 903 Plan in force from 16th November 2013. The LIC Health Insurance Plan 904 provides health insurance cover for the entire family including Individual, Spouse, Children, Parents and Parents in Law.

Every Person worries because of the unfortunate events or the unexpected health issues that may occur in future. This LIC Health Plan 904 is a Non-Linked Plan, which provides financial protection at the time of Hospitalization and Surgeries. The Principal Insured can use the LIC Jeevan Arogya Premium Calculator for the yearly and half yearly premiums.

LIC Jeevan Arogya

LIC Jeevan Arogya Plan Key Features

  • Premium Payment options are Flexible.
  • Health Cover will increase every year.
  • In the case of the Hospitalization and Surgery, financial protection is provided.
  • The Benefit limit is flexible to choose.
  • Regardless of actual medical costs lump sum benefits are made available to the Life Assured.
  • No Claim Benefit: If there is No Claim during the Policy Commencement Date and next Renewal Date, the Principal Insured will get the No Claim Benefit from the LIC.

What are the Eligibility Conditions for LIC Health Insurance Plan 904?

Name of the Insured Minimum Entry Age Maximum Entry Age Maximum Ceasing Cover Age
Principal Insured/Spouse 18 years 65 years 80 years
Parents/Parents in Law 18 years 75 years 80 years
Dependent Children 91 Days 17 years (last birthday) 25 years (last birthday)
Modes of Premium Payment: Half Yearly or Yearly.

Benefits of Jeevan Arogya Policy

  • Hospital Cash Benefits (HCB): In the event of Hospitalization of the Insured and their family members the Hospital Cash Benefits is provided. The Minimum Initial Daily Benefit of Rs 1000/- and the multiples of 1000/- is paid.
  • Major Surgical Benefit (MSB): The Principal Insured during Jeevan Arogya cover period, undergoes any of the surgery, the MSB sum assured for the surgery as mentioned in the MSB Annexure will be paid to the PI. LIC will provide Ambulance Charges of Rs 1000/- in addition at the time of Major Surgical Treatment.
  • Day Care Procedure Benefit (DCPB): If the Insured is undergoing any specified Day Care Procedure mentioned in the Day Care Procedure Benefit Annexure will get an amount of 5 times the applicable daily benefit (ADB).
  • Other Surgical Benefit (OSB): If any of the Insured of Jeevan Arogya Plan, undergoing any surgery not listed in the Day Care Procedure Benefit or Major Surgical Benefit will get an amount of two times the ADB as a daily benefit for a continuous period of 24 hours during the cover period.
  • Grace Period: The Insured will be provided 30 days of Grace Period for the payment of due Premium. Finally policy lapses if the premium amount is not made available within the Grace Period.
  • Cooling-off period: LIC will provide 15 days of time for the Policy Holder to return the Policy if not satisfied with the Terms and Conditions of the Policy.

LIC Jeevan Arogya Policy 904 Riders

The Riders under LIC Health Insurance Policy are.

  1. Accident Benefit Rider.
  2. Term Assurance Rider.
  • Accident Benefit Rider: This Rider applies to the Insured and Spouse. The Accident Benefit Rider will be available by paying an extra premium of Rs 0.50/- for every Rs 1000/- of the Accident Benefit Sum Assured per policy year. If the case of sudden death, along with the Term Insurance Sum Assured a lump sum amount is available for the Nominee. After the Policy Anniversary, the Insured will not be required to pay Additional Premium for Accident Benefits rider.

Eligibility Conditions:

Minimum Age of Entry 18 years
Maximum Age of Entry 50 years
Benefit Closing Age 60 years
Maximum Term 35 years
Sum Assured Minimum: 25,000/-.

Maximum: The Amount equal to Term Assurance Sum Assured, subject to a maximum of Rs 50 lakh for the overall limit of existing policies.

Sum Assured in Multiples Rs 5,000/-.

Term Assurance Rider: LIC Jeevan Arogya Term Assurance Rider is an optional rider for Principal Insured or Insured Spouse only. The Premium amount is made available along with the base plan. During the term, if unfortunate death occurs an amount equal to Term Assurance Sum Assured will be payable.

Eligibility Conditions:

Minimum Age of Entry 18 years
Maximum Age of Entry 50 years
Benefit Closing Age 60 years
Maximum Term 35 years
Sum Assured Minimum: 100,000/-.

Maximum: The Amount equal to MSB Sum Assured, subject to a maximum of Rs 25 lakh for the overall limit of existing policies. 

Sum Assured in Multiples Rs 25,000/-.

Additional Information about LIC Jeevan Arogya Health Plan

  • Death Benefit: The Insured will not get any Death Benefit unless opted for Accident Benefit Rider or Term Assurance Rider Benefit.
  • Maturity Benefit: There is no Maturity Benefit at the end of the cover period.
  • Loan Facility: The Principal Insured will not get any loan for this Jeevan Arogya Plan.
  • Surrender Value: No Surrender Value is made available for Jeevan Arogya Policy.
  • Discontinuance of Premiums: If the Life Assured does not pay the premiums within grace period the policy will lapse, and no benefits are made available for the Principal Insured.
  • Revival: The Policyholder can revive the plan within two years from the due date of first unpaid premium.

 What are the Options available under LIC Jeevan Arogya Plan?

  • Option to migrate: The Children included in this plan can migrate to new health insurance plan after the completion of 18 years of age or at the specified exit age. The Policyholder can purchase the policy within 90 days after the termination of the existing policy.
  • Cover to new members: If the Principal Insured gets married, the spouse and parents in law can be included within six months from the date of marriage. The Newborn child or legally adopted child can join within three months from the date of birth or legal adoption.
  • Quick Cash Facility: The Principal Insured can avail the 50% of the MSB amount, for the treatment of any surgery listed in the Major Surgical Benefit (MSB).

LIC Jeevan Arogya Plan Rebates

There are 3 Rebates in this LIC Plan 904. They are

  1. Mode Rebate.
  2. HCB Rebate.
  3. CEIS Rebate.

Mode Rebate:

Mode % of Premium
Yearly   2% of tabular premium
Half Yearly 1% of tabular premium

HCB Rebate:

If the HCB exceeds more than 1000/- the amount paid will be reduced for each member.

HCB For Principal Insured For Each Member other than Principal Insured (PI)
2000/- 500/- 250/-
3000/- 1000/- 500/-
4000/- 1500/- 750/-

CEIS Rebate:

The Corporation eligible employees will get the 10% of the tabular premium.

LIC Jeevan Arogya Health Insurance Plan Buying Process

Before buying the Health Insurance Policy of LIC, the Customer has to read the details of the Plan. If the Life Assured satisfies with the Terms and Conditions, the policy can be purchased in two ways. The one way is through Online mode, in which the Policyholder can buy the Policy by visiting the Official website of LIC. The other way to buy the LIC Health Plan 904 is by visiting the nearest branch of Life Insurance Corporation. The Documents required for purchasing the Jeevan Arogya Plan are listed below.

  • Proposal Form / Application Form along with the Photograph.
  • Address Proof (Life Assured & Nominee).
  • Age proof of the Life assured.

LIC Jeevan Arogya Premium Calculator

LIC Jeevan Arogya Calculator is used to calculate Premium amount for yearly & half-yearly of Health Insurance Policy. This New LIC calculator is used to estimate the benefits offered by the Jeevan Arogya Plan. For more details regarding LIC Jeevan Arogya Premium Calculator refer our site www.policybook.in.

Claim Process of LIC Jeevan Arogya Policy

The Nominee/Life Assured can apply for Claim at the time of completion of the Policy Term or during the sudden Hospitalization of the Policyholder. Apply with all the required documents for the Claim amount. The Documents required at the time of Claim Process is available below.

  • Original Policy Bond / Document.
  • NEFT Form.
  • Discharge form.
  • Proof of Accident and Disability.
  • Proof of title.
  • Cancel check or Bank Passbook xerox.

FAQ’s of LIC Jeevan Arogya Plan

  1. What are the treatments not covered during the particular waiting period?

Ans. 

  • Treatment for Cataract.
  • Treatment for benign enlargement of prostate gland.
  • Treatment for adenoid or tonsillar disorders.
  • Treatment for benign uterine disorders like fibroids, uterine prolapse, dysfunctional uterine bleeding, etc.
  • Treatment for anal fistula or anal fissure.
  • Treatment for benign thyroid disorders.
  • Treatment for slip disc.
  • Treatment for degenerative joint conditions.
  • Treatment for Gallstones.
  • Treatment of Hernia.
  • Treatment for Piles.
  • Treatment for sinus disorders.
  • Treatment for varicose veins.
  • Treatment for hydrocele.
  • Treatment for benign breast disorders e.g. fibroadenoma, fibrocystic disease, etc.
  • Treatment for Carpal tunnel syndrome.
  • Treatment for kidney or urinary tract stones.

2. Is there any option of Quick Cash Facility?

Ans. Yes, the Life Assured can avail 50% of amount immediately if the Policyholder undergoes any MSB listed in the Plan.

3. Can the Policyholder can avail the Loan Facility in Jeevan Arogya Health Plan?

Ans. No, there is no facility of loan for this LIC Jeevan Arogya Policy.

LEAVE A REPLY