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FAQs

Arogya Top Up

  • Q1. What is Arogya Top-Up Policy?

  • Arogya Top-Up is a health insurance plan which provides coverage on Indemnity basis up to specified sum insured subject to deductible for each event, so that you get enhanced protection at a low premium to meet the rising healthcare costs.

  • Q2. What is age eligibility for Arogya Top-Up?

    • The minimum entry age for Arogya top-Up is 3 months.
    • The maximum entry age for Arogya top-Up is 65 years.

    Age limit can be extended for 70 years with Minimum deductible of Rs. 5 lakhs.

  • Q3. What is the family definition allowed under Arogya Top-Up?

  • Family means Self, Spouse, children, Parents and Parents in law.

  • Q4. What are the Sum insured options available under Arogya Top-Up?

  • The Sum insured options available under Arogya Top Up are in range of Rs. 1 lakh to Rs. 50 lakhs (in multiples of Rs. 1 lakh)

  • Q5. What is a deductible?

  • Deductible is cost-sharing requirement under a health insurance policy that provides that the Insurer will not be liable for a specified rupee amount in case of indemnity policies and for a specified number of days/hours in case of hospital daily cash policy which will apply before any benefits are payable by the Insurer. A deductible does not reduce the sum insured.

  • Q6. What are the deductible options available under Arogya Top-Up?

  • The deductible options available under Arogya Top Up are in range of Rs. 1 lakh to Rs. 10 lakhs (in multiples of Rs. 1 lakh).

  • Q7. What are the tenure options available under Arogya Top-Up?

  • The Policy tenure available under Arogya Top-Up is 1 year, 2 years and 3 years.

  • Q8. Are Pre-hospitalization and Post Hospitalization expenses covered under Arogya Top-Up?

  • Yes, prehospitalization expenses are covered 60 days prior to hospitalization and, post hospitalization expenses are covered up to 90 days post discharge from hospital.

  • Q9. Are Pre policy medical tests applicable for purchase of Arogya top-Up policy?

  • Yes, Pre policy medical tests are applicable for insured whose age is >55 years of age. Where the proposed insured person/s is/are suffering from an existing medical condition

  • Q10. Are there any waiting periods applicable under under Arogya Top-Up?

  • Yes, below waiting periods will be applicable in Arogya Top-Up policy.

    • Initial waiting period: 30 days for all illnesses (not applicable on renewal or for accidents)
    • Listed diseases and surgeries- One year and 90 days
    • Pre-existing diseases: 48 months
    • Maternity Benefit expenses - 9 months
  • Q11. Are there any sub-limits for coverages under Arogya Top-Up policy?

  • The below sub-limits are applicable under Arogya Top-Up policy:

    • Listed conditions under Mental illness are restricted to Sum insured Rs. 1lakh.
    • Internal congenital diseases covered up to 10% of Sum insured.
    • Listed 12 Advance treatment procedures covered up to 50
  • Q12. What is the maximum renewal age under Arogya Top-Up policy?

  • The policy can be renewed lifelong subject to terms and conditions.

  • Q13. Can I avail tax benefits for Arogya Top-Up health insurance policy under Sec. 80D of the Income Tax Act?

  • Yes, premium paid for Arogya Top Up is available for tax rebate under Sec. 80D of the Income Tax Act.

  • Q14. Can I avail Floater discount on purchase of Arogya Top-Up policy for my Family?

  • Yes, floater discount as per below table is available for coverage of members under floater plans.

    • 2 Members = 10%
    • 3 Members = 15%
    • 4 or more Members = 20%
  • Q15. Is any long term discount available in Arogya Top-Up policy?

  • Below long term discount is applicable for Arogya Top Up policy:

    • For 2 years policy: 5% discount
    • For 3 years policy term: 7.5% discount
  • Q16. Is any discount available for coverage of more than 2 members?

  • Yes, discount is applicable in Non- floater policy as below:

    • Non Floater discount for 2 member: 5%.
    • Non Floater discount for >2 members: 7.5%.