Corona Kavach Policy… What is that?
It is a restituting health Insurance Policy created specifically for COVID-19 purposes. With this policy, an individual would be able to cover the hospitalization and medical expenses incurred because of Covid-19. Using this policy, one will be able to cover both pre & post expenses involved in hospitalization, home quarantine expenses, expenses incurred in AYUSH treatment, if only a person is diagnosed Corona virus positive. This policy can also be used if an individual is suffering from Co-Morbidity conditions*.
Corona Kavach Health Insurance Policy Overview
Sum Insured --- Starting from Rs.50,000 to Rs. 5,00,000 in multiples of Rs.50,000
Entry Age --- Up to 65 Years
People Covered --- Individual or Floater basis
Minimum hospitalization --- 24 hours mandatory
Pre-Hospitalization --- 15 days
Post-Hospitalization --- 30 days
Policy Period --- 3.5 Months (105 Days); 6.5 Months (195 Days); 9.5 Months (285 Days)
Waiting Period --- 15 days from the date of the policy comes into effect
Benefits & Features of Corona Kavach Policy
- This Covid-19 policy covers expenses incurred in hospitalization, co-morbidities, rental fee, nursing & ICU cost, surgeons & doctor’s session fees, etc…
- Upfront payment once and for all.
- Expenses incurred in Pre & Post hospitalization are covered for a specific time period.
- Charges involved in Emergency Ambulance are covered up to a limit.
What’s not covered?
- Procurement of Medicines that are not prescribed by the Doctors
- Vaccination Expenses
- Treatments outside India
- Covid claim earlier than the start of the policy is not covered.
- Any Hospitalization lower than 24 hours and Covid testing taken on an un-authorized hospital.
*This is not a complete list and the exclusion may from insurer to insurer
Cancelling Corona Kavach Policy?
One will be able to cancel his/her policy based on certain factors such as inability to meet specific requirements and unsatisfactory in terms of coverage within 2 weeks from purchase of policy. Premiums are accustomed as per IRDAI norms.
However, one can cancel his/ her policy anytime on grounds of misleading, non-disclosure of health issues, medical history, and act of fraud such as submitting fake documents for claiming the policy.
*Every Insurer has their own terms & conditions when it comes to policy cancellation. Kindly check the policy document you choose.
FAQ
1. What are the advantages and benefits available under the “Corona Kavach Policy”?
Policyholders are at liberty to the benefits of the policy if diagnosed positive on Covid-19 in a government authorized diagnostic centre and if requiring hospitalization.
Following are enclosed under the policy:
a) Base Cover: The expenses covered under the policy on indemnity basis are:
- Covid Hospitalization.
- Home Care Treatment.
- Ayush Treatment
- Pre & Post Hospitalization
b) Optional Cover: The following optional cover shall be offered under the policy on benefit basis:
- Hospital Daily Cash- 0.5% of Sum Insured is payable for each 24 hours of continuous hospitalization subject to maximum of 15 days in a policy period for every member insured
2. What is the entry age in “Corona Kavach Policy” as per the Guidelines?
Minimum entry age is 18 years and maximum age at entry shall be at least 65 years. Insurers may cover persons above 65 yrs of age as per the product design and underwriting policy of the Company. For dependent children up to the age of 25 years.
3. Can the policy be taken for the entire family?
Yes. “Corona Kavach Policy” is available for individuals as well as family floater basis. Policy can be availed for the following family members
- legally wedded spouse.
- Parents and Parents –in Law.
- Dependent Children (i.e. natural or legally adopted) up until age of 25 years. If the child above 18 years of age is financially independent, he or she shall is not eligible.
4. To what extent Room Rent/ICU/ ICCU expenses are covered in “Corona Kavach Policy”?
There is no Room/ICU/ICCU limit under the Policy.
5. What are the other hospitalization expenses covered apart from Room Rent/ICU/ ICCU expenses?
a) Surgeon, Anesthetist, Medical Practitioner, Consultants, Specialist Fees whether paid directly to the treating doctor / surgeon or to the hospital.
b) Anesthesia, blood, oxygen, operation theatre charges, surgical appliances, ventilator charges, medicines and drugs, costs towards diagnostics, diagnostic imaging modalities, PPE Kit, gloves, mask and such similar other expenses.
6. What are the sub limits in “Corona Kavach Policy”?
a) Hospital Daily Cash (Optional Cover): 0.5% of Sum Insured per day subject to maximum of 15 days in a policy period for every insured member
b) Home care treatment: Maximum up to 14 days per incident
c) Road Ambulance: Up to Rs.2000/- per hospitalization.
7. How much amount is reimbursed under the policy including the optional cover?
The total reimbursement shall not exceed the sum insured opted by the policyholder including the “Optional Cover-Hospital Daily Cash”.
8. What’s home care treatment? Is “Home Car treatment” enclosed under the policy?
Yes. “Home care treatment” is covered under Corona Kavach policy.
9. Whether day care and OPD treatments are covered?
No. They are not covered under the policyt
10. Is any discount mandated under the policy for Healthcare workers?
Yes. All Healthcare workers as defined in the corona kavach policy are entitled for a discount of 5% in the premium.
Healthcare workers are defined in the corona kavach policy as under: Health care worker for the purpose of this policy shall mean doctors, nurses, midwives, dental practitioners and other health professionals including laboratory assistants, pharmacists, physiotherapists, technicians and people working in hospitals.
