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PLAN C ( upto 65 years*)Account holder +

Plan A ( upto 35 years*) Account holder + Plan B (up to 65 years* )Account holder +spouse + 2 Dependent Children+ Dependent
spouse + 2 Dependent Children (1+3) spouse + 2 Dependent Children (1+3) Parents (1+5)
Total
Sum- Mediclaim PA Service Tax Premium Mediclaim PA Service Tax Mediclaim PA Service Tax
insured Premium Premium @ 15% Proposed Premium Premium @ 15% TOTAL Premium Premium @ 15% Total
1 Lakh 1406 50 219 1675 2116 50 325 2491 3569 50 543 4162
1.5 Lakh 2059 76 320 2455 3100 76 476 3651 5226 76 795 6097
2 Lakhs 2630 101 410 3141 3986 101 613 4700 6720 101 1023 7844
2.5 Lakhs 3342 126 520 3988 4760 126 733 5619 8047 126 1226 9399
3 Lakh 3694 151 577 4422 5561 151 857 6569 9373 151 1429 10953
3.5 Lakhs 4152 176 649 4978 6248 176 964 7389 10534 176 1607 12317
4 Lakh 4608 202 721 5531 6938 202 1071 8211 11694 202 1784 13680
4.5 Lakh 5066 227 794 6087 7628 227 1178 9033 12857 227 1963 15046
5 Lakh 5525 252 867 6643 8317 252 1285 9855 14017 252 2140 16410
6 Lakh 6550 370 1038 7958 9980 370 1553 11903 19428 371 2970 22769
7 Lakh 7264 519 1167 8950 11644 519 1824 13987 23704 518 3633 27855
8 Lakh 7835 726 1284 9845 13308 726 2105 16139 28918 726 4447 34090
9 Lakh 8358 1016 1406 10781 14971 1016 2398 18386 35280 1016 5444 41741
10 Lakh 8840 1423 1540 11803 16634 1423 2709 20766 43040 1423 6670 51133

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