Royal Sundaram Master Product - Total Health Plus - Platinum Plus

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Royal Sundaram Master Product - Total Health Plus - Platinum Plus

	Objective			A policy with an objective to cover several relationships under a single policy to reduce time and efforts on multiple policy handling.
Suited for			It covers many relationships under a single policy which makes it suitable for a big family. However, it covers all members on an individual sum insured basis.
What does it do?			It is a policy with a provision to cover several relations under a single policy. It can cover brother, sister, mother-in-law, father-in-law, grandfather, grandmother, grand-daughter, grandson, daughter-in-law, son-in-law. Each family member can select a sum insured that cannot be shared among other insured members. Platinum Plus plan covers out-patient treatment charges as well. Additional offers that sets this policy apart are Indexation benefit and Accidental hospitalisation cover. With increasing age and rising insurance needs, this policy allows sum insured to increase by 10% on an annual basis till it reaches 50%. Apart from this, the policy gives an extra protection for accidental hospitalisation which can be utilized only after exhaustion of basic sum insured.
Pros			This policy offers lifelong renewals. Premiums paid towards this policy enjoy a tax benefit under Section 80D. Reduces time and efforts to handle multiple individual policies.
Cons			Room rent and ICU charges are capped.
Our View			A comprehensive policy covering maternity, Out patient treatment and providing a daily cash allowance for related expenses as well. Accidental hospitalisation though is a good additional feature, it does not provide disability benefits so, cannot replace a standalone accident cover. Premiums for this policy are already higher than other comprehensive policies which means that the cost of Indexation benefit has already been taken care of.
Eligibility
Entry Age (years)
Minimum		18; 91 days for children
Maximum		65; 21 years for children
Maximum Policy Renewal Age (years)		Lifelong
Coverage Type		Individual/ Family/ other legal dependents on individual basis
Policy Term (years)		1
Sum Insured (Rs)
Maximum		10 lakh under Platinum Plan
Minimum		7.5 lakh under Platinum Plan
Discount		10% Family discount to cover 3 or more members 5% No claim discount on renewal premium
Pre Policy Medical Check Up		Not required upto 50 years of age for sum insured of Rs 3 lakhs and upto 45 years of age for sum insured above Rs 3 lakhs and upto Rs 10 lakhs. Insurer will reimburse 50% of costs if proposal gets accepted
Grace Period for Policy Renewal		30 days
Policy Termination		Either of the parties may terminate this policy. Policyholder may cancel this policy anytime and the insurer would pay proportionate premiums if no claim has been made.
Customer Service
Address		Royal Sundaram Alliance Insurance Company Limited Sundaram Towers 45 & 46, Whites Road, Chennai 600 014
Mail to		customer.services@royalsundaram.in
Call to		1860 425 0000 (toll free)
SMS		SMS to 560701
Network Hospitals		Http://www.royalsundaram.in/App/search-hospital-list.aspx

 

	Scope Of Cover
Cashless facility		allowed if treatment is availed in a network hospital
Reimbursement facility		allowed if treatment is availed in a non- network hospital
Pre and Post hospitalisation		covers medical expenses incurred 60 days prior to hospitalisation and 90 days after discharge from the hospital
In patient hospitalisation		covered
Room rent		No limit
ICU charges		No limit
Day care procedures		147 in number are covered
Emergency ambulance		covered upto Rs 1500 per claim upto total of Rs 3000 policy limit
Health Check up		allowed after every 4 claim free years for upto Rs 3000
Accident hospitalisation		covered for upto 50% of basic sum insured
Indexation benefit		Sum Insured increases by 10% each year till it reaches 50% irrespective of claim in expiring policy
Maternity Benefit(allowed for first two children)		pays 10% of sum insured upto Rs 50000
Outpatient Treatment Charges		covers consultation fees/ pharmacy bills/ diagnostic test charges for maximum upto Rs 2500
Hospital Cash Allowance( for upto 30 days)		Rs 1000 per day

 

	Exclusions and Waiting Period
Pre-existing diseases		covered after 3 years of continuous policy renewal
No claim period		initial 30 days of policy commencement
Waiting period		Diseases such as Congenital Internal Disease, Stone in urinary and biliary systems, Migrane/Vascular headaches etc., are not covered during first policy year.Certain diseases such as Cataract, Knee/Hip Replacement, Heart Disease, Chronic Renal Failure/ End Stage Renal Failure etc are not covered during first two policy years.certain diseases such as Osteoarthritis of any joint, treatment of joint replacement surgery etc shall be covered after first three policy years. 3 years for maternity benefits
Other Exclusions		Ayurvedic or any other non-allopathic treatmentAIDS or related condition

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