dule of Benefits

Particulars
Basis of Offering
Hospitalization Expenses (In-patient Care and Day Care
Ireatment) Room Category Single =

Private Room

Pre-hospitalization & Post-hospitalization medic al Expenses Pre-hospitalization up to 30 days before & Post-hospitalization up to
60 days after hospitalization
Ambulance Cover
Up to Rs. 2,000 per Hospitalization
4 Organ Donor Cover
Up to Rs. 1,00,000 per Policy Year

Domiciiary Hospitalization Up to 10% of the Sun Insured per Policy Year, with a deductibleof
first 3 days

Automatic Rocharge One re-instatement of up to Sum Insured per Policy Year

Second Opnion Once per Policy Year per Insured Person for each major illness/injury
Altermative Treatments Up to Rs. 20,000 per Policy Year

No Claims Bonus 0% of Sum Insured for each Claim free year, maximum upto 50% of
Sum Insured; reduced by 10% of Surn Insured in case of claim

Annual Health Check-up One Health Check-up per Insured Person per Policy Year

Portability Details of the Insured

Previous Insurer: Cholamandalanm Ms General Ins

Name Date of First Expiry Policy Si Rs.

First Policy Number Expiry Policy Number
Enroliment (Original SI+CB)
Ashwin Shamaldas Kandhia
2866/0010821 2866/00108212/000/ 04-Dec-2008 100000 50000
12
Namrata Ashwin Kandhia 2866/00108212/0O0/ 04-Dec-2008 100000+50000
2866/00 0821
12
*S = Sum nsured. CB= Cumuiative Bonus

Special Conditions
No. Particulars
Co-payment (Applicable where age of member at entry is 6! years or above)

For Care Health Insurance Limited

(Formerly known as Religare Health Insurance Company Limited)

Authorized SignatorY Date of lssue: 27-Nov-2021 Place of Issue: Gurgaon, Haryana

ervice Brandh CHIL 903/904.Krushal Commercial Complex Above Shoppers Stop. G.M. Road, Chembur West, Ghatkoper, Mumbai, Maharashtra - 400089 Branch Contact No. : 022-2508024

orrespondence Address:
are Health insurance Limted
Formerty known as Religare Health Insurance Company Limited)
nit no 604- 607. 6th Floor. Tower C, Unitech Cyber Park, Sector 39, Gurgaon -122001.(HARYANA) Contact No: 1800-102-4488
vebsite: www.careinsurance.com Email:customerfirst@careinsurance.com

onsolidated Stamp Duty paid vide E-Challan GRN no. 80837922 dated I8 Aug 2021, RCM Applicability- N/A
AC: 997133 and Descrption ofService Accident and Health Insurance Services State GSTIN No: 27AADCR628INIZS IRDA Registration Number- I48 UIN: RHIHLIPZI017VOS2021
egistered office address: 5th Floor, 19 Chawa House, Nehru Pace, New Delhi - 10019

IN:U6600ODL2007PLCI61503
lote:
Attached with this Polkcy Certficate are the Poky ternms and condtons, Optional Covers (f opted) and Annexures Please ensure that these documents have been receved ead and understood lt any ot e

documents have nat been received. please email at customerfirs@careinsuran ce.com or contact the Company at 1800-102-4488/ 1800-102-6635.
for waiting periods and exdusions under this Polcy, please refer to Clause 4 of the Policy terms and conditions.
This Poicy Certificate in original must be surrendered to the Cormpany in case of cancellation of the Policy.
 Care
HEALTH INSURANCE

Date: 27 November 2021

Mr Ashwin Shamaldas Kandhia

402. Gayatri Darshan, Behind Haribhai Kandoi Shop

Derasar Lane, M.G Road. Ghatkpar East

Mumbai 400077

Maharashtra

Policy No. 35920912

Mobile No. XXXXXX7763

Dear Mr Ashwin Shamaldas Kandhia,

Thank you for trusting us as your preferred Health Insurer.

At Care Heath Insurance, it is our endeavor to make quality healthcare easily accessible tor our customers as well as ensure a truly hassle-ree claim
servicing experience.
To help you understand services better,
our
please go through the 'Know your policy better kit that accompanies this letter and constrtutes
th
followin
Policy Certuficate
Premium Acknowledgement
Key Policy Information
Claim Process
Policy Terms and Conditions- https://bit.ly/3rFYIDu and also available on Customer App

Ago appended herewth for your convenience is your Care Health Card. This card should be presented at the time of an emergency ora
planned hosprialization, to avail cashles treatment at our network of over 16000+ cashless network pan-Incia.

ourter smplify procedures, we're online as well. Visit our portal www.careinsurance.com; and view network hospitals across the coun
ashess proedures and do rnuch more. In case of a query at any juncture, feel free to mail us at customerfirst@careinsurance.com or call
e00-102-4488

for any a5s/starice feel free to mail s at custornerfirst@careinsurance.com or call I800-102-4488. Once again, we thank you for this opport
10 erve you, and wish you and your loved ones good health always

Once agair, we thank ou for this opportunity to serve you, and wish you and your loved ones good health always!

Team Care Health Irisurance

CUSTOMER
 Care
HEALTH INSURANCE

Policy Certificate

Mr Ashwin Shamaldas Kandhia Policy No. 35920912

Plan Name CARE
402. Gayatri Darshan, Behind Haribhai Kandoi Shop
Cover type Floater
Policy Period - Start Date 00:00 hrs 09-Dec-202
Derasar Lane. M.G Road, Ghatkpar East
Policy Period - End Date Midnight 08-Dec-2022
Mumbai 4O0077 Nominee Name Mr Mehul Kandhia
Nominee Relationship (Son)
Maharashtra 27 Premium Paid Rs. 24489
(Prerniurm Rs 70753.52 +CGT PR; 186/22 +iGST Rs G T
Ps 186/87 + JGST R; 0

Premium Payment Mode Single Premiun

Gender Date Of Birth Client ID

Policyholder
Ashwin Shamaldas Kandhia Male 25-Feb-1966 97076879

Details of Insured
insured with the
Name Client ID Relationship (DD-MM-YYY) Pre-existing diseases (since) Lompany(since)
Ashwin Shamaldas Kandhia 97076870 Member 25-Feb-1966 None 09-Dec-202

Namrata Ashwin Kandhia 97262695 Spouse 17-Jan-1966 None 09-Dec-202

Details of Cover
No. Particulars Details

Sum Insured Rs. 5,00,000

Contact details for Claims & Policy Servicing

Care Heaith Insurance Limited
Correspondence address
(Formerly known as Religare Health Insurance Company Limited)
Unit no 604 - 607, 6th Floor, Tower C, Unitech Cyber Park, Sector 39. Gurgaon -I2200i.(HARYANA)

Contact no. 1800-102-4488

E-mail ID for Clairns clarnsycareinsurance.com

E-nail 1Dfor Policy servicing customerir sUCareinSurance.com

Website vIwwsareinsurance.com

Intermediary Details

arne Code Contact Number

M/S Probitas Insurance

20031 163 9819702646
Brokers Pvt Ltd