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Edelweiss Tokio Life Criticare Plus Plan

What is the Plan all About?

Edelweiss Tokio Life CritiCare+ is a non-linked and non-participating Critical Illness health plan that provides coverage against 17 critical illnesses under 4 different group categories. Upon the onset of a critical illness, this plan covers health care expenses plus day-to-day hospital expenses. Under this plan, you have an option to make claims up to 3 times during the entire policy term. Edelweiss Tokio Life ensures that the future premiums are waived off after the first claim and the policyholder may continue to avail the benefit of protection.

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What are the Key Features?

  • Protection against 17 Major Critical Illnesses
  • Lump Sum Benefit on the diagnosis of Critical Illness
  • Claim upto 3 times under Multi Claim Option
  • Waiver of future premiums on occurrence of first claim
  • Discounts on opting Higher Sum Assured
  • Easy benefit design for better understanding of the product
  • Avail Tax Benefits

What are the Plan Benefits?

Policy Benefits

    Lump Sum Benefit

    Lump sum payout equal to the sum insured is paid out to the policyholder in the event where the insured is being diagnosed from any of the 17 critical illnesses.

    The critical illness benefit options available under the policy benefits are:

    1. Critical Illness Benefit- OPTION 1-Single Claim:

    A lump-sum benefit (equal to the sum assured) is paid on the survival of life insured for 28 days after the date of the confirmed diagnosis of Critical Illness and policy terminates thereafter.

    1. Critical Illness Benefit- OPTION 2-Multi Claim:

    The insured can get claim benefits for up to 3 claims. The life insured can claim for Critical Illness only once from one group out of the 4 groups of categorized Critical Illness. Under this option, the claim is paid as a lumpsum benefit is paid on the survival of life insured for 28 days after the date of the confirmed diagnosis. The benefits you can avail under each claim are described below.

    • First Claim- Sum Assured is paid and future premiums are waived off
    • Second Claim- Sum Assured is paid
    • Third Claim- Sum Assured is paid and policy will be terminated thereafter

    Death Benefit

    There is no death benefit payable under this plan.

    Maturity Benefit

    There is no maturity benefit payable under this plan.

    How the Plan Works?

    Let us understand the plan with the example of Mr. Raman:

    Life Insured: Mr. Raman

    Age: 30 years

    Term: 20 years

    Sum Insured: Rs 20 lacs

    Annual Premium: Rs 4,254

Value Added Benefits

    • Avail tax benefits u/s 80D as per IT Act, 1961 for premium paid for this plan.
    • High Sum Assured Rebates can be availed under this plan.

Sub Limits

    • No Copay or sub limit is applicable.

Waiting Period Clause

    • Initial Waiting Period: Claim for critical illness will only be accepted if the illness has occurred after the expiry of 90 days from the date of issue/date of revival of the policy.
    • Survival Period Waiting Period: There is a survival period of 28 days and the waiting period between claims is 365 days.
    • Pre Existing Diseases Waiting Period: For all pre-existing diseases or health conditions, the benefits would be available after 48 months from date of commencement or reinstatement.

Product Snapshot

Factor Minimum Maximum
Age (as on last birthday) 18 Years 65 Years
Sum Assured 5 Lacs 1 Crore
Cover Type - -
Policy Tenure 5 Years 30 Years
Grace Period 30 Days -
Freelook Period 15 Days/ 30 Days (for Distance Marketing Channel) From The Receipt Of The Policy -
Riders Nil -
Plan Type Online -

Exclusions

  • Unreasonable failure to seek or follow medical advice.
  • Existence of any sexually Transmitted Disease (STD) and its related complications or Acquired Immune Deficiency Syndrome (AIDS) or the presence of any Human Immuno-deficiency Virus (HIV).
  • Self-inflicted Injuries, etc.