Care Insurance Care Supreme with Instant Cover Rider

The Care Insurance Care Supreme with Instant Cover Rider plan is a comprehensive health insurance policy offered by Care Health Insurance Company. 

It takes care of medical expenses for PEDs like asthma, diabetes, hypertension, and hyperlipidemia after the first 30 days. This plan is affordable when compared to other products available in the market and provides extensive coverage. You can earn a No Claim Bonus of up to 600% under the plan. However, the plan does not offer a monthly premium payment option. And, our research suggests that the insurer has faced more complaints related to policy purchases and claim settlements. This indicates a less favourable track record when it comes to both purchase and claims service.  

What are the benefits offered by the Care Insurance Care Supreme With Instant Cover Rider Plan?

• Inpatient hospitalisation coverage: Like most health insurance plans, the Care Insurance Care Supreme with Instant Cover Rider Plan takes care of inpatient hospitalisation costs. This covers fees for your hospital room, nursing care, consultations, prescription medications, ICU expenses, and any other related costs. It ensures that you are supported during your hospital stay without the added financial burden.
• Pre-hospitalisation coverage: Before getting admitted to the hospital, you might incur some medical costs known as pre-hospitalisation charges. These include fees for consultations, lab tests, checkups, medical reports, etc. The insurance company will cover these expenses only if they are directly related to the medical condition that eventually leads to your hospitalisation, and the claim is approved as part of your inpatient hospitalisation coverage. Under the Care Insurance Care Supreme with Instant Cover Rider Plan, your pre-hospitalisation expenses are covered for 60 days before your hospitalisation, up to the sum insured.
• Post-hospitalisation coverage: Once you leave the hospital, you might incur extra medical expenses called post-hospitalisation costs. These expenses include doctor visits, checkups, rehabilitation, physical therapy, etc. To make sure these costs are covered, they need to be linked to your hospitalisation, and your claim has to be approved as part of your hospitalisation coverage. With the Care Insurance Care Supreme with Instant Cover Rider Plan, you will get coverage for post-hospitalisation expenses for 180 days following your hospital stay, up to the sum insured.
• Daycare treatment coverage: A daycare treatment is a medical procedure that once needed a long hospital stay but can now be done in just 24 hours due to medical advancements in the field. The Care Insurance Care Supreme with Instant Cover Rider Plan covers all daycare treatments without any limit.
• Domiciliary treatment coverage: Domiciliary treatments are medical treatments for illnesses or injuries that necessitate immediate attention at the hospital but are administered at home due to the severity of the patient’s condition or the unavailability of beds in nearby hospitals. The Care Insurance Care Supreme with Instant Cover Rider Plan covers the costs of all domiciliary treatments except for 12 illnesses, up to the chosen sum insured.
• Organ donor coverage: The Care Insurance Care Supreme with Instant Cover Rider Plan includes coverage for organ donor expenses. It covers all costs related to harvesting the organ from the donor where you are the recipient, up to the chosen sum insured.
• Modern treatment coverage: With the ongoing advancements in medical technology, we now have access to cutting-edge treatments like stem cell therapy, radio surgery, etc. that were once considered impossible. The Care Insurance Care Supreme with Instant Cover Rider Plan is designed to keep up with these medical breakthroughs and covers expenses related to these modern treatments up to the sum insured, without any limit.
• Non-medical expenses coverage: Non-medical expenses include coverage for consumables like gloves, nebulization kits, oxygen masks, etc. These costs can accumulate quickly and cause financial strain. The Care Insurance Care Supreme plan with Instant Cover Rider, offers coverage for non-medical expenses without any limit, as an add-on.
• No-claim bonus: When you buy the Care Insurance Care Supreme With Instant Cover Rider Plan, you can enjoy a great benefit called the No-Claim Bonus for staying healthy and not making any claims in a policy year. Under this plan, you get 50% of the sum insured as a no claim bonus, up to a maximum of 100% of the sum insured. And the best part is that even if you make a claim in a policy year, your no claim bonus will stay intact.
• Super No Claim Bonus: The Super No Claim Bonus is a turbocharged version of the regular No Claim Bonus. The Care Insurance Care Supreme with Instant Cover Rider Plan helps you enjoy this accelerated bonus feature as an add-on. It offers 100% of the sum insured as a Super No Claim Bonus each year. The maximum bonus you can accumulate under the plan is 500% of the sum insured. The accumulated bonus will stay intact even if you make a claim in a policy year. The Super No-Claim Bonus leads to a rise in the sum insured that exceeds the increase earned through the regular No Claim Bonus.
• Restoration Benefit: This feature restores your sum insured after you have used it for both related and unrelated illnesses during a policy year. The refill kicks in once your sum insured and no claim bonus (if any) is completely exhausted. You can enjoy this benefit unlimited times in a policy year, starting with the first paid claim. In the case of portability, the credited sum insured would be applicable only up to the extent of the sum insured of the expiring policy, inclusive of the recharge benefit.

Please note that the limits and conditions mentioned in the above benefits and features are for Rs. 10 Lakhs sum insured.

Care Insurance Care Supreme With Instant Cover Rider Plan: Financial Limits

• Room rent limit: It is the maximum amount your health insurance policy will pay for the room you stay in during your hospitalisation. If you stay within this limit, it means that you will not incur additional charges. Opting for a room exceeding this limit requires you to contribute a proportional share of the entire hospital bill, and not just the excess room rent. With the Care Insurance Care Supreme with the Instant Cover Rider Plan, you have the freedom to select any room without any restrictions.
• ICU rent limit: Under the Care Insurance Care Supreme with Instant Cover Rider Plan, the expenses related to your ICU stay are covered up to the sum insured without any limit. This means you can receive excellent medical care without being concerned about the associated costs.
• Copayment: A copayment is a certain percentage of the approved claim amount you must pay upfront before your insurer takes care of the remaining amount. The Care Insurance Care Supreme with Instant Cover Rider Plan does not have a copayment.
• Deductible: Deductible is a certain amount you are responsible for paying before your insurance company steps in to cover your medical expenses. The Care Insurance Care Supreme with Instant Cover Rider Plan does not have any deductible.
• Limits on surgeries/treatments: It is the maximum limit up to which your health insurance policy will cover for specific medical procedures. Some plans place a cap on how much they’ll cover for certain treatments, while others do not. Under the Care Insurance Care Supreme with Instant Cover Rider Plan, you receive coverage for cataract treatment and joint replacement surgery up to the sum insured without any limit.

Please note that the above financial limits are taken for a 30-year-old individual opting for a sum insured of Rs. 10 Lakhs.

Care Insurance Care Supreme with Instant Cover Rider Plan: Waiting Periods & Exclusions

👉Waiting period

A waiting period is a specific time frame during which specific illnesses and medical conditions are not covered right after buying a health insurance policy. You can only claim these conditions after the waiting period is over. Some of the types of waiting periods include –

• Initial waiting period: Under the Care Insurance Care Supreme with Instant Cover Rider Plan, there is a 30-day initial waiting period for all medical conditions except accidents. During this period, you cannot claim for hospitalisation expenses unless it is due to an accident. After the initial waiting period ends, you can make claims for all covered medical conditions.
• Waiting period for pre-existing diseases: A pre-existing condition is a medical condition or disease you had within 36 months before applying for a health insurance policy. In the Care Insurance Care Supreme with Instant Cover Rider Plan, there is a 12-month waiting period (as an add-on). During this waiting period, you cannot claim expenses related to your pre-existing condition. Diseases like asthma, diabetes, hypertension, and hyperlipidemia are covered from day 31. 
• Waiting period for specific diseases: Insurance companies may apply waiting periods on certain medical conditions or illnesses apart from your pre-existing diseases. These waiting periods are decided by the insurer and are not based on your current state of health. Care Insurance Care Supreme with Instant Cover Rider Plan has a 24-month waiting period for specific diseases.

👉Exclusions

Health insurance policies come with exclusions, which are situations or medical conditions that the policy will not cover. Some of these include –

• Standard permanent exclusions: Insurance companies in India must adhere to a set of 'standard permanent exclusions' mandated by IRDAI (Insurance Regulatory and Development Authority of India). Some of these exclusions include –

1. Investigation and evaluation: Hospitalisation for monitoring or observation purposes.
2. Rest cure, rehabilitation, and respite care: Admission to a facility for bed rest where no active medical treatment is administered.
3. Obesity/weight control: Any treatment or surgery designed for weight control or obesity.
4. Change of gender treatment: Any medical treatment designed to alter the characteristics of the body to that of the opposite gender.
5. Plastic/cosmetic surgery: Any surgical or medical procedures for the modification of appearance or body characteristics.
6. Profession in hazardous or adventure sports: Any medical expenses incurred while engaging as a professional in adventure activities such as skydiving, river rafting, scuba diving, horse racing, etc.
7. Breach of law: Any expenses incurred for treating a person who has committed or attempted to commit a criminal act.
8. Excluded providers: Treatment received from a medical practitioner or hospital excluded by the insurance company.
9. Narcotics: Treatment for addictive conditions like alcohol addiction, drug usage, etc.
10. Treatments in establishments arranged for domestic purposes: Expenses related to receiving treatments from health spas, nursing homes, or similar establishments arranged entirely or partially for domestic reasons.
11. Dietary supplements, substances purchased without prescription: Vitamins, minerals, and other dietary supplements not prescribed by a medical practitioner.
12. Refractive error: Expenses related to correcting refractive errors up to 7.5 diopters for improved eyesight.
13. Unproven treatments: Any surgeries, medical procedures, or treatments that are not proven to be effective.
14. Expenses related to birth control, sterility infertility: Contraception, sterilisation, artificial insemination, advanced reproductive technologies such as IVF, ZIFT, GIFT, ICSI, gestational surrogacy, etc.
15. Maternity expenses: Expenses related to pre/post-natal care, childbirth hospitalisation, etc.

• Additional permanent exclusions: Apart from the exclusions mandated by IRDAI, insurance companies may add more exclusions for specific illnesses and situations. If a certain illness is considered high-risk, insurers can decide to permanently exclude it from coverage. It is important to note that insurers can only make permanent exclusions for diseases listed in the pre-approved IRDAI list. They cannot permanently exclude any disease or medical condition beyond this list.
• Non-standard exclusions (Specific exclusions): In the Care Insurance Care Supreme with Instant Cover Rider Plan, there are specific exclusions beyond the standard exclusions set by IRDAI. These vary across insurers and depend on the terms and conditions of the plan. Here are some of the specific exclusions in this plan –

1. Injuries or illnesses caused by participation in professional or semi-professional naval, military, or air force operations or aviation activities.
2. Prosthetics or external devices, such as wheelchairs, walkers, glucometers, crutches, etc.
3. Expenses related to hair loss treatments and products.
4. Costs for screening, counselling, or treatment of external birth-related illnesses, defects, or anomalies.
5. Circumcision, unless necessary due to an accident or for treating a disease.
6. Costs associated with preventive care (excluding those under 'Annual Health Check-up' benefit), vaccinations, inoculations, immunizations (except for post-animal bite treatment), and tonics.
7. Use of a ventilator for a patient in a vegetative state (brain dead) with no chance of recovery.
8. Injuries or diseases resulting from war, invasion, acts of foreign enemies, warlike operations, etc.
9. Treatment for intentionally self-inflicted injury or attempted suicide by any means.
10. Illness or injury resulting from a nuclear, chemical, or biological attack, weapons, etc.
11. Abuse of stimulants or depressants impairing intellectual abilities, unless prescribed by a medical practitioner.
12. Treatment is received in a clinic, rest home, sanatorium, detoxification centre, or similar institutions.
13. Expenses related to hormone replacement therapy.

What To Expect In Terms Of Claims Experience If You Buy From Care Health Insurance Company?

• Speed of claims: With a remarkable 100% of claims settled within 30 days, Care Health Insurance Company stands out for its swift and efficient claim resolution. This indicates that they provide a prompt and efficient claim settlement process.
• Claim-related complaints: Our research reveals that Care Health Insurance Company has a higher complaint rate for claims, when compared to other insurance providers, accounting for 0.39%. This indicates that the insurer has to concentrate more on creating an effective process for settling claims.
• Claims incurred ratio: It is a measure of the financial performance of an insurer. It is the ratio of the total claims incurred by the insurer to the total premiums collected in a financial year. Care Health Insurance Company has a claims incurred ratio of 57.69%.
• Claim settlement ratio: Care Health Insurance Company shows a claim settlement ratio of 90.50%. It is the percentage of claims settled by the insurer compared to the total claims received in a financial year.
• Network hospitals: With Care Health Insurance Company, you get access to a network of 24,800+ hospitals. This vast network ensures that you can avail of cashless treatments from a diverse range of healthcare providers without any financial burden.

How Is The Customer Service Of Care Health Insurance Company?

• Policy purchase-related complaints: Our research shows that Care Health Insurance Company has a higher complaint rate for post-sales service, compared to other insurers, accounting for 0.01%.
• Response on toll-free: As per our research, we found that the response rate on Care Health Insurance Company's toll-free number is average, as compared to other insurers.
• Response on Twitter: As per our research, Care Health Insurance Company’s response time on Twitter is average.

About Care Health Insurance Company

Care Health Insurance, previously known as Religare Health Insurance Company Limited, is a dedicated health insurance provider in India. The company offers a wide range of insurance products, including health insurance, top-up coverage, personal accident insurance, maternity insurance, international travel insurance, and critical illness plans for individuals. The company also provides group health insurance and group personal accident insurance tailored for corporate needs. Established in 2012, the company is based in Gurugram, Haryana. And, Mr. Anuj Gulati serves as the company’s CEO and MD.