The Corona Kavach and Corona Rakshak policies have common policy wordings across insurance companies. However, in the case of other coronavirus policies, the
policy wordings may differ from insurer to insurer.
The health insurance schemes cover the treatment cost of coronavirus disease. These were launched as short-term policies last year and were valid till March 2021. The health insurance products are based on the guidelines issued by the Insurance Regulatory and Development Authority of India (IRDAI). However, looking at the increasing number of coronavirus cases in India, the Insurance Regulator has further extended these health plans till September 30.
Corona Kavach policy:
The Corona Kavach is an indemnity basis type plan where the hospital bill gets reimbursed up to the
sum insured limit subject to terms and conditions.
The Corona Kavach Policy will become active only when there is a hospitalization of a minimum period of 24 hours. The actual medical expense incurred, up to a maximum of the sum insured, will be paid to the insured irrespective of the number of days he/she stays in the hospital post the first 24 hours.
Corona Kavach is the Individual Covid standard health insurance proposed by Insurance regulatory and development authority of India and is being offered by almost 30 insurance companies in India.These companies include standalone health and general insurance companies in India. Some of these companies include Acko Corona Kavach, Bajaj Allianz Corona Kavach, and HDFC ERGO Corona Kavach etc.
Let us understand the coverage and exemptions under the Corona Kavach insurance policy :-
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- Entry Age: Minimum entry age is 18 years and the maximum age at entry shall be at least 65 years. Insurance companies are permitted to cover people above 65 years of age as per their product filing with the IRDA and the underwriting philosophy of the company. Children shall be covered from Day 1 of age up to 25 years.
- Room Rent/ICU Limit: There is no Room rent or ICU limit under the policy. You can get the actual amount incurred on the room rent and ICU.
- Hospitalization Expenses: Hospitalization expenses such as Surgeon, Anaesthetist, Medical Practitioner, Consultants, and Specialist Fees whether paid directly to the treating doctor / surgeon or to the hospital. Anaesthesia, blood, oxygen, operation theatre charges, surgical appliances, ventilator charges, medicines and drugs, costs towards diagnostics, diagnostic imaging modalities, PPE Kit, gloves, mask and such similar other expenses.
- Ambulance Charges: Ambulance charges are paid subject to a maximum of Rs.2000 per hospitalization which means that each time the insured is hospitalized up to Rs.2000 would be paid as Ambulance charge.
- Sub Limits:Hospital Daily Cash which is an optional cover is 0.5% of Sum Insured per day subject to maximum of 15 days in a policy period for every insured member. Home care treatment can be availed maximum up to 14 days per incident.
- Home care treatment:Home care treatment is covered under the Corona Kavach policy. Home care treatment means undergoing treatment for COVID-19 at home on the advice of the medical practitioner. All the corona infected patients need not get admitted in a hospital, hospitalization is only necessary in case the patient is in severe condition where he/she is not able to breathe properly and requires external support to survive. Home care treatment should be prescribed by the doctor as and when necessary to insurance claims under this section.
Corona Rakshak policy:
The Corona Rakshak policy is a benefit basis plan where 100 percent sum insured is paid to the insured if he/she gets hospitalized as per policy terms and conditions.
In the case of Corona Rakshak, the policy will become active only when the policyholder is hospitalized for a minimum continuous period of 72 hours.
Corona Rakshak is an Individual
Covid-19 health insurance proposed by Insurance regulatory and development authority of India and is being offered by almost all the general and standalone health insurance companies in India. Some of these companies include Acko Corona Rakshak, Go digit, Edelweiss Tokio and HDFC ERGO Corona Rakshak etc.
- Entry Age: Minimum entry age is 18 years and the maximum age at entry shall be at least 65 years. Insurance companies are permitted to cover people above 65 years of age as per their product filing with the IRDA and the underwriting philosophy of the company. Children shall be covered from Day 1 of age up to 25 years.
- Room Rent/ICU Limit: There is no Room rent or ICU limit under the policy. You can get the actual amount incurred on the room rent and ICU. The benefit amount paid to the insured customer can be used to pay the ICU or Room rent.
- Hospitalization Expenses: Hospitalization expenses such as Surgeon, Anaesthetist, Medical Practitioner, Consultants, and Specialist Fees whether paid directly to the treating doctor / surgeon or to the hospital. Anaesthesia, blood, oxygen, operation theatre charges, surgical appliances, ventilator charges, medicines and drugs, costs towards diagnostics, diagnostic imaging modalities, PPE Kit, gloves, mask and such similar other expenses. Minimum of 72 hours of hospitalization is mandatory cover for the claim to be paid under the Corona Rakshak insurance policy.
- Ambulance Charges: There is no separate provision for the ambulance charges; the lump sum amount includes the ambulance charge as well.
- Sub Limits:There are no sub limits mentioned under the Corona Rakshak insurance policy and the lump sum amount can be utilised for the treatment of Corona virus.
- Home care treatment:Home care treatment is not covered under the Corona Rakshak insurance policy as this policy requires at least 72 hours of hospitalization for the claim to be admissible.
Let’s read on to know how Corona Rakshak and Corona Kavach's policies are different from each other.
|
Corona Kavach Policy |
Corona Rakshak Policy |
Policy Type |
Indemnity-based plan in which the insurance company settles the claim up to the sum insured or actual whichever would be lower. |
Benefit based plan in which the insurance company would settle the total amount of sum assured to the insured on diagnosis with Corona subject to 72 hours mandatory hospitalization. |
Minimum Hospitalization |
A minimum hospitalization period of 24 hours is mandatory. |
A minimum hospitalization period of 72 hours is mandatory. |
Family floater |
Family can be covered under the Kavach policy. |
Family members cannot be included in Rakshak policy, only individuals can take the policy |
Sum Insured |
Minimum S.I- Rs.50K
Maximum S.I- Rs 5 Lakhs. Minimum Sum insured can be increased in multiples of 50K. |
Minimum S.I- Rs.50k
Maximum S.I- Rs.2.5 Lacs. Sum insured can be increased in multiples of 50,000 and the maximum |
Add-on Benefit |
Hospital daily cash benefit can be taken as an add-on in Kavach policy |
No add-on benefit available under Rakshak policy |
Policy Tenure |
3.5 months, 6.5 months & 9.5 months |
3.5 months, 6.5 months & 9.5 months |
Ambulance Charges |
Rs.2000 per event |
No limit on ambulance charges. |
Waiting period |
15 days from the policy start date |
15 days from the policy risk start date. |
Claim Settlement |
Claim settlement amount would be the actual amount incurred on corona treatment or the sum insured amount whichever would be lower. |
The entire sum insured amount would be settled to the customer irrespective of the treatment costs involved. |
For the best Corona health insurance policies please visit Health Insurance or talk to our agent to choose the best corona insurance policy.