Berhampur Division
Arogya Rakshak Plan
No:906
IT IS A VALUE CONTRACT
VALUE CONTRACT/ INDEMNITY CONTRACT
FULL UMBRELLA PROTECTION
ONLY MEDICAL EXPENSES OTHER EXPANSES
WHEN VALUE IS THE CONSIDERATION
PRICE BECOMES IRRELEVANT
MORBIDITY/MORTALITY
STRATEGY OF OUR COMPETITORS
blue ocean [Link]
HCB:HOSPITAL CASH HEALTH CHECKUP Quick cash FACILITY
BENEFIT
MSB:MAJOR SURGICAL No claim Bonus
BENEFIT
DCPB:DAY CARE PROCEDURE
BENEFIT Auto Health Cover
MMB: MEDICAL MANAGEMENT BENEFIT
Premium waiver benefit
OSB: OTHER SURGICAL BENEFIT
A VALUE
CONTRACT
AMBULANCE
BENEFIT
BASIC CONDITIONS
Min Age at Entry Max Age at Entry Cover ceasing
Age
Principal Insured 18y LBD 65y LBD 80y LBD
Insured 18y LBD 65y LBD 70y LBD
Spouse/PARENTS
Insured Children 91 DAYS 20y LBD 25y LBD
Cover period 80 minus age at entry 70 minus age at entry 25 minus age at
entry
Hospital Cash Benefit (HCB)
• Payable for Hospitalization due to Accidental Bodily Injury or
Sickness;
• Minimum IDB Rs. 2500 & Maximum IDB Rs. 10000
• Spouse to have IDB less than or equal to that of Principal Insured;
• Others to have less than or equal to that of Spouse/Principal
Insured;
Hospital Cash Benefit (HCB)
•If in ICU two times applicable Daily benefit payable.
•A MAXIMUM OF 30 days hospitalization in the first policy year
•A MAXIMUM OF 90 days hospitalization in the 2nd & subsequent years.
•A total of 900 days till the ceasing of the term of the policy
Major Surgical Benefit(MSB)
• 100 TIMES Applicable HCB (ADB)+HCB
• 264 listed Surgeries covered
• 100% MSB per member/per annum; 1000% per member during Life
Time
• Surgeries classified as:
• Cat I – 100% MSB 31 Surgeries
• Cat-II – 60% MSB - 59 Surgeries
• Cat III – 40% MSB - 112 Surgeries Cat IV – 20% MSB – 62
Surgeries
• One year premium waived coinciding with the surgery date
Quick Cash Benefit (QCB) Ambulance Benefit
• 50% of eligible MSB paid in advance Paid for MSB Category I & II Surgeries
Rs. 1000 lump sum per person per
to Policyholder’s Bank A/C annum
• Eligible for MSB Cat-I & II Surgeries
MAJOR SURGICAL BENEFIT
• Surgery to be performed in any of the RESTORATION. After exhaustion of MSB
Network Hospitals of Servicing TPA in a year any subsequent major surgery
will be covered provided it should not
be from same surgery.
Day Care Procedure Benefit (DCPB)
Other Surgical Benefit (OSB
•244 Surgeries, other than covered under MSB •Payable for Surgeries not listed under MSB
•DCPB payable @ 5 Times ADB in lump sum & DCPB
•Can be availed Maximum 3 Times per year •Daily Benefit @2.5 Times ADB
per insured member •Maximum 15 Days in 1st Year per insured
•During Life time, maximum 30 times allowed •Maximum 45 Days per insured there after
per insured member • 450 Days during Life time fore each insured
•HCB is not payable in case of DCPB •Minimum Stay in hospital to exceed 24 hours
Medical management benefit
Following diseases covered. Maximum of 2 times in each
[Link] policy year.
[Link]
[Link] Lifetime maximum limit of 20
[Link] tuberculosis times.
[Link] hepatitis A
A lump sum of 2.5 times of Applicable Daily Not to be paid if MSB or OCB or
benefit shall be payable +HCB for the period DCB are paid for same illness
Auto step up benefit No Claim Benefit
Applicable Daily Benefit(ADB = IDB + • 5% increase in IDB if there is
Increase of 15% EVERY 3 no Claim on any life Insured
years once. under the Policy for 3 years
Will be added till applicable daily • Increase after every 3 years from
benefit attains 1.5 times of IDB DOC (called Automatic Renewal
All Benefits are multiples of ADB, Date)
hence, Benefits increase with • No Upper Limit for increase
increase in ADB
Additional benefits
Extended Hospitalization Benefit;
If insured hospitalized for more than 30 days
A lump sum of 10 times IDB payable in
addition to HCB,MSB
MAXIMUM OF 1 TIME DURING EACH POLICY
YEAR & MAXIMUM OF 10 TIMES DURING THE
TERM.
Additional benefitS
Health checkup benefit;
Health checkup expenses once in 3 years
up to a maximum of
ONE HALF OF Applicable Daily Benefit
Additional benefits
If PI dies AUTO HEALTH COVER (AHC) will be provided.
Premiums payable in respect of other insured’s premiums are waived for
a period of 15 years or 70 years aged whichever is earlier.
For insured children it is up to the age of 25 years
NOT applicable for suicidal death within 12 months of new policy or
revival.
General Waiting period Specific Waiting period In case of revival Exclusions
No coverage for No coverage for 24 45 days waiting No coverage for 31
Sickness with in treatments for 2 period if revived treatment
90 days from DOC years from DOC within 90 days
from FUP
Not applicable for Fresh 2 years 90 days waiting
accident cases specific waiting period if revived
period if revived after 90 days from
after 90 days from FUP
FUP
Premium Waiver Benefit
• One Full year’s premium waived for all members covered in the event
of
any member undergoing Surgery under MSB Cat-I & II
• Surgery can be for any member
Review of Premium
• Review after every block of 3 Years from DOC (called ARD)
• Not individual review, only based on Corporation’s total experience
• Revised Premium rate applicable as on age at entry only
Commission to agents
1st Year 2nd to 10th Year Subsequent Years
25% 6% 5%
Bonus commission---40% of 1st year commission
DEVELOPMENT OFFICERS CREDIT
100%
VALUE PLACED IN THE MIND OF THE CUSTOMER
• LIFE BOY : HEALTH SOAP
• LUX : BEAUTY SOAP
• TATA : QUALITY PRODUCTS
• AROGYA RAKSHAK: VALUE CONTRACT
AROGYA RAKSHAK LUNCHING DAY ZO NB COMPETITION
DT:19.07.2021
Competition for Agents
Condition CASH AWARD
1 POL Rs.200/-
2 POL Rs.500/-
3 POL Rs.1000/-
For every additional POL [Link].300/-
AROGYA RAKSHAK LUNCHING DAY ZO NB COMPETITION
DT:19.07.2021
CLIAs
Condition CASH AWARD
3 POL Rs.500/-
5POL Rs.1000/
For every additional 2 POL Rs.400/-
