Per Member. Per Member. Per Member. Per Member. Per Member for Individual Sum Insured and Per Policy for Floater. Sum Insured.

Full text

(1)

Plan Details

Rate Chart

All Premium Exclusive of GST All amounts in rupees

Optional Extensions Extensions Policy SI Add on SI Applicability

Optional Extension HC1 Hospital Daily

Cash All

INR 500 per day for a maximum of 10 days (Minimum 3 days of Hospitalisation)

Per Member

Optional Extension HC2 Convalescence

Benefit All

Rs.10,000 (minimum hospitalisation of 10 days)

Per Member

Optional Extension HC4 Donor Expenses All Upto of Annual

Sum Insured Per Member

Optional Extension HC6 Critical Illness

Cover All Sum Insured - 5

lacs Per Member

Optional Extension HC11

Double Sum Insured for Hospitalization due to Accident

All Annual Sum

Insured

Per Member for Individual Sum Insured and Per Policy for Floater Sum Insured

Optional Extension HC3 Domiciliary

Hospitalization All Upto of Annual

Sum Insured Per Member

Optional Extension HC5 Alternative

Treatment All INR 50000 Per Member

Optional Extension HC7 Maternity Benefit All INR 50000

Age Band: 18-45 years and for 1

adult only

Optional Extension HC8 New Born Baby

Cover All Upto of Annual

Sum Insured

Age Band: 18-45 years and for 1

adult only Optional Extension HC9 Compassionate

Visit All INR 10000 Per Member

Optional Extension HC10 Restoration of Sum

Insured All Annual Sum

Insured Per Member

Sum Insured - INR 10 lacs . Tenure 1 year Age Group (Years)

Individual 2 Adults

2 Adult + 1

Child 2 Adult + 2 Child

2 Adult + 3 Child

1 Adult + 1 Child

1 Adult + 2 Child

1 Adult + 3 Child 91 days =<=17 5,730 - - - - - - - 18<=25 6,876 11,484 12,858 16,160 17,673 8,252 9,283 10,314 26<=30 7,449 12,441 13,931 17,506 19,146 8,940 10,057 11,175 31<=35 7,717 12,887 14,430 18,134 19,832 9,261 10,418 11,576 36<=40 8,787 14,673 16,430 20,649 22,582 10,544 11,861 13,179 41<=45 10,315 17,226 19,288 24,240 26,509 12,378 13,925 15,472 46<=50 16,045 26,795 30,004 37,706 41,236 19,254 21,661 24,067 51<=55 20,629 34,451 38,577 48,479 53,017 24,755 27,849 30,944 56<=60 28,652 47,849 53,579 67,332 73,636 34,383 38,680 42,978 61<=65 39,349 65,712 73,581 92,470 1,01,126 47,219 53,120 59,022 66<=70 49,663 82,937 92,871 1,16,709 1,27,635 59,596 67,045 74,495 71<=75 64,944 1,08,457 1,21,446 1,52,619 1,66,906 77,933 87,675 97,416 76<=80 72,585 1,21,217 1,35,733 1,70,574 1,86,543 87,102 97,990 1,08,877

> 80 84,046 1,40,356 1,57,165 1,97,507 2,15,997 1,00,855 1,13,462 1,26,069 Eligibility: Minimum Entry Age

Maximum Entry Age

Minimum : 5 Years (91 days to 5 years can be covered if any of the Parent is also covered in the same Policy)

Maximum Entry Age 65 years

Maximum age up to which dependent children who are unmarried and unemployed can be

Exit Age No Exit Age

Mandatory Medical check-up Every Individual member greater than 18 years Waiting Period for Pre-existing Illness 4 years

Individual / Floater Both applicable

Annual Sum Insured available INR 10 lac/ 15 lac/ 20 lac/ 25 lac/ 50 lac/ 75 lac/ 100 lac

Policy Tenure 1 Year / 2 Years / 3 Years

Optional Extensions (HC1, HC2,…. HC12)

Option 1 (HC1) / Option 2 (HC2)/

Option 3 (HC3)/ Option 4 (HC4)/

Option 5 (HC5)/ Option 6 (HC6)/

Option 7 (HC7)/ Option 8 (HC8)/

Option 9 (HC9)/ Option 10 (HC10)/

Value Added Services

One free health check up for each insured person that is above 18 years of Age for the specified tests

(2)

Age Group (Years)

Individual 2 Adults

2 Adult + 1

Child 2 Adult + 2 Child

2 Adult + 3 Child

1 Adult + 1 Child

1 Adult + 2 Child

1 Adult + 3 Child 91 days =<=17 10,888 - - - - - - - 18<=25 13,065 21,819 24,431 30,704 33,578 15,678 17,638 19,597 26<=30 14,154 23,637 26,469 33,262 36,376 16,985 19,109 21,232 31<=35 14,662 24,485 27,417 34,455 37,681 17,595 19,795 21,994 36<=40 16,694 27,879 31,218 39,233 42,905 20,035 22,537 25,041 41<=45 19,598 32,729 36,648 46,055 50,367 23,519 26,458 29,397 46<=50 30,486 50,911 57,007 71,641 78,349 36,583 41,156 45,728 51<=55 39,196 65,457 73,295 92,110 1,00,733 47,035 52,913 58,794 56<=60 54,439 90,913 1,01,800 1,27,931 1,39,908 65,327 73,493 81,658 61<=65 74,762 1,24,852 1,39,804 1,75,692 1,92,139 89,716 1,00,928 1,12,143 66<=70 94,360 1,57,581 1,76,454 2,21,747 2,42,506 1,13,232 1,27,386 1,41,540 71<=75 1,23,394 2,06,069 2,30,747 2,89,976 3,17,122 1,48,073 1,66,583 1,85,091 76<=80 1,37,911 2,30,312 2,57,893 3,24,090 3,54,431 1,65,493 1,86,180 2,06,867

> 80 1,59,686 2,66,677 2,98,614 3,75,264 4,10,394 1,91,624 2,15,577 2,39,531

Sum Insured - INR 10 lacs . Tenure 3 years Age Group (Years)

Individual 2 Adults

2 Adult + 1

Child 2 Adult + 2 Child

2 Adult + 3 Child

1 Adult + 1 Child

1 Adult + 2 Child

1 Adult + 3 Child 91 days =<=17 15,472 - - - - - - - 18<=25 18,566 31,006 34,718 43,632 47,717 22,280 25,064 27,849 26<=30 20,114 33,590 37,614 47,267 51,693 24,137 27,154 30,171 31<=35 20,836 34,794 38,962 48,962 53,547 25,004 28,129 31,255 36<=40 23,724 39,618 44,362 55,752 60,970 28,470 32,026 35,584 41<=45 27,850 46,509 52,078 65,447 71,573 33,421 37,598 41,775 46<=50 43,322 72,348 81,010 1,01,805 1,11,338 51,986 58,485 64,982 51<=55 55,699 93,018 1,04,157 1,30,894 1,43,147 66,839 75,193 83,550 56<=60 77,360 1,29,192 1,44,664 1,81,796 1,98,816 92,834 1,04,437 1,16,040 61<=65 1,06,241 1,77,422 1,98,669 2,49,668 2,73,040 1,27,491 1,43,424 1,59,361 66<=70 1,34,091 2,23,931 2,50,751 3,15,115 3,44,614 1,60,909 1,81,022 2,01,135 71<=75 1,75,349 2,92,835 3,27,903 4,12,071 4,50,647 2,10,419 2,36,723 2,63,023 76<=80 1,95,979 3,27,285 3,66,479 4,60,549 5,03,665 2,35,175 2,64,572 2,93,969

> 80 2,26,923 3,78,962 4,24,347 5,33,269 5,83,191 2,72,307 3,06,347 3,40,386 Sum Insured - INR 15 lacs . Tenure 1 year

Age Group (Years)

Individual 2 Adults

2 Adult + 1

Child 2 Adult + 2 Child

2 Adult + 3 Child

1 Adult + 1 Child

1 Adult + 2 Child

1 Adult + 3 Child 91 days =<=17 6,505 - - - - - - - 18<=25 7,806 13,035 14,597 18,343 20,061 9,367 10,537 11,709 26<=30 8,456 14,122 15,813 19,872 21,732 10,148 11,415 12,684 31<=35 8,760 14,628 16,381 20,585 22,512 10,511 11,826 13,139 36<=40 9,974 16,657 18,651 23,438 25,633 11,969 13,465 14,961 41<=45 11,709 19,554 21,895 27,515 30,091 14,050 15,806 17,563 46<=50 18,213 30,416 34,058 42,801 46,808 21,856 24,588 27,321 51<=55 23,417 39,106 43,790 55,030 60,182 28,101 31,613 35,126 56<=60 32,524 54,314 60,820 76,431 83,586 39,029 43,907 48,786 61<=65 44,666 74,593 83,525 1,04,965 1,14,792 53,599 60,299 66,999 66<=70 56,375 94,145 1,05,420 1,32,480 1,44,883 67,649 76,105 84,562 71<=75 73,721 1,23,113 1,37,857 1,73,243 1,89,462 88,465 99,522 1,10,581 76<=80 82,394 1,37,597 1,54,076 1,93,625 2,11,751 98,872 1,11,232 1,23,591

> 80 95,403 1,59,324 1,78,404 2,24,198 2,45,186 1,14,484 1,28,795 1,43,105 Sum Insured - INR 15 lacs . Tenure 2 years

Age Group (Years)

Individual 2 Adults

2 Adult + 1

Child 2 Adult + 2 Child

2 Adult + 3 Child

1 Adult + 1 Child

1 Adult + 2 Child

1 Adult + 3 Child 91 days =<=17 12,359 - - - - - - - 18<=25 14,831 24,767 27,734 34,852 38,116 17,797 20,021 22,247 26<=30 16,067 26,832 30,045 37,758 41,291 19,281 21,689 24,099 31<=35 16,643 27,794 31,123 39,112 42,773 19,972 22,469 24,965 36<=40 18,951 31,648 35,437 44,533 48,703 22,741 25,583 28,426 41<=45 22,246 37,152 41,600 52,279 57,173 26,695 30,032 33,370 46<=50 34,605 57,790 64,711 81,322 88,936 41,526 46,717 51,909 51<=55 44,492 74,302 83,201 1,04,558 1,14,346 53,391 60,065 66,740 56<=60 61,795 1,03,197 1,15,557 1,45,219 1,58,814 74,154 83,423 92,693 61<=65 84,865 1,41,726 1,58,698 1,99,433 2,18,104 1,01,838 1,14,568 1,27,299 66<=70 1,07,112 1,78,876 2,00,298 2,51,712 2,75,277 1,28,534 1,44,600 1,60,668 71<=75 1,40,069 2,33,915 2,61,928 3,29,161 3,59,978 1,68,083 1,89,093 2,10,105 76<=80 1,56,548 2,61,435 2,92,745 3,67,888 4,02,327 1,87,857 2,11,340 2,34,823

> 80 1,81,266 3,02,715 3,38,968 4,25,976 4,65,854 2,17,519 2,44,710 2,71,899

(3)

Age Group (Years)

Individual 2 Adults

2 Adult + 1

Child 2 Adult + 2 Child

2 Adult + 3 Child

1 Adult + 1 Child

1 Adult + 2 Child

1 Adult + 3 Child 91 days =<=17 17,563 - - - - - - - 18<=25 21,075 35,196 39,411 49,526 54,165 25,290 28,451 31,615 26<=30 22,832 38,130 42,696 53,655 58,677 27,400 30,821 34,246 31<=35 23,651 39,497 44,228 55,580 60,783 28,381 31,930 35,476 36<=40 26,930 44,974 50,358 63,284 69,209 32,316 36,355 40,395 41<=45 31,613 52,795 59,116 74,291 81,246 37,936 42,676 47,420 46<=50 49,176 82,122 91,958 1,15,563 1,26,382 59,011 66,387 73,765 51<=55 63,226 1,05,587 1,18,232 1,48,582 1,62,492 75,871 85,356 94,841 56<=60 87,814 1,46,648 1,64,213 2,06,364 2,25,683 1,05,377 1,18,548 1,31,722 61<=65 1,20,598 2,01,400 2,25,518 2,83,404 3,09,937 1,44,718 1,62,808 1,80,898 66<=70 1,52,211 2,54,192 2,84,634 3,57,695 3,91,183 1,82,653 2,05,484 2,28,318 71<=75 1,99,045 3,32,405 3,72,214 4,67,756 5,11,547 2,38,854 2,68,710 2,98,570 76<=80 2,22,462 3,71,513 4,16,006 5,22,788 5,71,728 2,66,955 3,00,325 3,33,695

> 80 2,57,588 4,30,174 4,81,691 6,05,334 6,62,003 3,09,106 3,47,746 3,86,382 Sum Insured - INR 20 lacs . Tenure 1 year

Age Group (Years)

Individual 2 Adults

2 Adult + 1

Child 2 Adult + 2 Child

2 Adult + 3 Child

1 Adult + 1 Child

1 Adult + 2 Child

1 Adult + 3 Child 91 days =<=17 7,124 - - - - - - - 18<=25 8,549 14,277 15,987 20,091 21,972 10,259 11,542 12,824 26<=30 9,262 15,466 17,319 21,765 23,802 11,114 12,503 13,892 31<=35 9,594 16,022 17,941 22,546 24,656 11,513 12,952 14,391 36<=40 10,924 18,243 20,428 25,671 28,075 13,109 14,748 16,385 41<=45 12,824 21,416 23,980 30,136 32,956 15,388 17,312 19,235 46<=50 19,948 33,313 37,302 46,878 51,266 23,937 26,930 29,922 51<=55 25,647 42,830 47,960 60,271 65,914 30,777 34,624 38,472 56<=60 35,621 59,487 66,612 83,710 91,547 42,746 48,089 53,432 61<=65 48,920 81,696 91,481 1,14,962 1,25,724 58,704 66,042 73,379 66<=70 61,744 1,03,112 1,15,461 1,45,098 1,58,681 74,092 83,354 92,616 71<=75 80,742 1,34,839 1,50,987 1,89,743 2,07,505 96,890 1,09,001 1,21,113 76<=80 90,241 1,50,701 1,68,749 2,12,065 2,31,918 1,08,289 1,21,824 1,35,361

> 80 1,04,489 1,74,497 1,95,395 2,45,550 2,68,537 1,25,387 1,41,061 1,56,734 Sum Insured - INR 20 lacs . Tenure 2 years

Age Group (Years)

Individual 2 Adults

2 Adult + 1

Child 2 Adult + 2 Child

2 Adult + 3 Child

1 Adult + 1 Child

1 Adult + 2 Child

1 Adult + 3 Child 91 days =<=17 13,536 - - - - - - - 18<=25 16,243 27,126 30,375 38,172 41,746 19,492 21,929 24,366 26<=30 17,597 29,386 32,906 41,354 45,223 21,117 23,756 26,395 31<=35 18,229 30,442 34,087 42,838 46,847 21,875 24,608 27,343 36<=40 20,755 34,661 38,814 48,775 53,342 24,906 28,021 31,132 41<=45 24,365 40,690 45,562 57,258 62,617 29,238 32,892 36,547 46<=50 37,901 63,294 70,874 89,068 97,406 45,481 51,167 56,853 51<=55 48,730 81,378 91,124 1,14,515 1,25,236 58,476 65,785 73,096 56<=60 67,680 1,13,026 1,26,563 1,59,050 1,73,939 81,216 91,368 1,01,520 61<=65 92,948 1,55,223 1,73,813 2,18,427 2,38,876 1,11,537 1,25,480 1,39,421 66<=70 1,17,313 1,95,913 2,19,375 2,75,685 3,01,493 1,40,775 1,58,373 1,75,970 71<=75 1,53,409 2,56,193 2,86,875 3,60,511 3,94,260 1,84,091 2,07,103 2,30,114 76<=80 1,71,457 2,86,333 3,20,624 4,02,923 4,40,645 2,05,748 2,31,466 2,57,187

> 80 1,98,529 3,31,545 3,71,251 4,66,545 5,10,221 2,38,235 2,68,015 2,97,794

Sum Insured - INR 20 lacs . Tenure 3 years Age Group (Years)

Individual 2 Adults

2 Adult + 1

Child 2 Adult + 2 Child

2 Adult + 3 Child

1 Adult + 1 Child

1 Adult + 2 Child

1 Adult + 3 Child 91 days =<=17 19,235 - - - - - - - 18<=25 23,083 38,547 43,164 54,245 59,323 27,699 31,162 34,625 26<=30 25,006 41,759 46,761 58,766 64,265 30,009 33,759 37,509 31<=35 25,904 43,260 48,440 60,875 66,571 31,086 34,970 38,856 36<=40 29,494 49,256 55,156 69,311 75,801 35,393 39,819 44,241 41<=45 34,624 57,823 64,746 81,367 88,982 41,549 46,742 51,935 46<=50 53,859 89,944 1,00,716 1,26,570 1,38,419 64,631 72,711 80,791 51<=55 69,248 1,15,642 1,29,492 1,62,731 1,77,967 83,097 93,484 1,03,873 56<=60 96,177 1,60,616 1,79,853 2,26,018 2,47,176 1,15,413 1,29,839 1,44,265 61<=65 1,32,084 2,20,580 2,46,998 3,10,396 3,39,456 1,58,500 1,78,314 1,98,125 66<=70 1,66,707 2,78,402 3,11,744 3,91,763 4,28,437 2,00,049 2,25,056 2,50,063 71<=75 2,18,002 3,64,064 4,07,665 5,12,306 5,60,264 2,61,602 2,94,304 3,27,005 76<=80 2,43,649 4,06,894 4,55,623 5,72,575 6,26,180 2,92,379 3,28,926 3,65,476

> 80 2,82,120 4,71,142 5,27,567 6,62,984 7,25,051 3,38,544 3,80,864 4,23,180

(4)

Age Group (Years)

Individual 2 Adults

2 Adult + 1

Child 2 Adult + 2 Child

2 Adult + 3 Child

1 Adult + 1 Child

1 Adult + 2 Child

1 Adult + 3 Child 91 days =<=17 7,744 - - - - - - - 18<=25 9,293 15,518 17,377 21,837 23,882 11,151 12,545 13,939 26<=30 10,067 16,811 18,825 23,657 25,872 12,081 13,590 15,100 31<=35 10,428 17,416 19,501 24,506 26,800 12,514 14,079 15,642 36<=40 11,874 19,829 22,204 27,903 30,516 14,249 16,029 17,811 41<=45 13,939 23,278 26,065 32,756 35,822 16,727 18,817 20,908 46<=50 21,683 36,209 40,546 50,954 55,724 26,019 29,271 32,524 51<=55 27,878 46,556 52,131 65,512 71,645 33,453 37,635 41,817 56<=60 38,719 64,660 72,404 90,989 99,507 46,463 52,270 58,078 61<=65 53,174 88,800 99,435 1,24,958 1,36,657 63,809 71,784 79,761 66<=70 67,113 1,12,078 1,25,500 1,57,714 1,72,479 80,535 90,602 1,00,669 71<=75 87,763 1,46,563 1,64,116 2,06,242 2,25,550 1,05,315 1,18,479 1,31,644 76<=80 98,088 1,63,806 1,83,424 2,30,506 2,52,085 1,17,705 1,32,418 1,47,132

> 80 1,13,575 1,89,671 2,12,386 2,66,902 2,91,888 1,36,290 1,53,327 1,70,363 Sum Insured - INR 25 lacs . Tenure 2 years

Age Group (Years)

Individual 2 Adults

2 Adult + 1

Child 2 Adult + 2 Child

2 Adult + 3 Child

1 Adult + 1 Child

1 Adult + 2 Child

1 Adult + 3 Child 91 days =<=17 14,713 - - - - - - - 18<=25 17,656 29,485 33,016 41,490 45,376 21,187 23,835 26,485 26<=30 19,127 31,942 35,767 44,948 49,156 22,954 25,821 28,691 31<=35 19,814 33,090 37,051 46,562 50,920 23,776 26,749 29,720 36<=40 22,560 37,675 42,188 53,017 57,980 27,072 30,455 33,841 41<=45 26,484 44,228 49,524 62,236 68,063 31,780 35,753 39,726 46<=50 41,197 68,798 77,037 96,812 1,05,876 49,436 55,615 61,796 51<=55 52,967 88,456 99,049 1,24,474 1,36,125 63,561 71,506 79,452 56<=60 73,566 1,22,855 1,37,567 1,72,878 1,89,063 88,279 99,314 1,10,349 61<=65 1,01,030 1,68,719 1,88,927 2,37,421 2,59,648 1,21,236 1,36,390 1,51,546 66<=70 1,27,514 2,12,947 2,38,450 2,99,657 3,27,711 1,53,017 1,72,143 1,91,272 71<=75 1,66,749 2,78,470 3,11,820 3,91,859 4,28,545 2,00,099 2,25,110 2,50,124 76<=80 1,86,366 3,11,232 3,48,505 4,37,961 4,78,961 2,23,640 2,51,595 2,79,550

> 80 2,15,793 3,60,375 4,03,533 5,07,113 5,54,588 2,58,951 2,91,321 3,23,689

Sum Insured - INR 25 lacs . Tenure 3 years Age Group (Years)

Individual 2 Adults

2 Adult + 1

Child 2 Adult + 2 Child

2 Adult + 3 Child

1 Adult + 1 Child

1 Adult + 2 Child

1 Adult + 3 Child 91 days =<=17 20,908 - - - - - - - 18<=25 25,090 41,899 46,917 58,960 64,481 30,108 33,870 37,636 26<=30 27,181 45,391 50,826 63,873 69,853 32,618 36,693 40,771 31<=35 28,156 47,022 52,652 66,167 72,360 33,788 38,012 42,234 36<=40 32,059 53,538 59,951 75,339 82,393 38,471 43,279 48,089 41<=45 37,635 62,850 70,376 88,440 96,721 45,162 50,807 56,453 46<=50 58,543 97,766 1,09,474 1,37,575 1,50,456 70,251 79,032 87,816 51<=55 75,269 1,25,700 1,40,754 1,76,884 1,93,441 90,323 1,01,614 1,12,905 56<=60 1,04,541 1,74,583 1,95,490 2,45,669 2,68,669 1,25,449 1,41,130 1,56,812 61<=65 1,43,569 2,39,759 2,68,475 3,37,388 3,68,974 1,72,283 1,93,817 2,15,354 66<=70 1,81,204 3,02,609 3,38,850 4,25,828 4,65,694 2,17,445 2,44,624 2,71,807 71<=75 2,36,959 3,95,720 4,43,112 5,56,852 6,08,985 2,84,351 3,19,894 3,55,440 76<=80 2,64,836 4,42,277 4,95,245 6,22,366 6,80,628 3,17,804 3,57,530 3,97,256

> 80 3,06,653 5,12,111 5,73,442 7,20,635 7,88,099 3,67,983 4,13,982 4,59,979

(5)

Age Group (Years)

Individual 2 Adults

2 Adult + 1

Child 2 Adult + 2 Child

2 Adult + 3 Child

1 Adult + 1 Child

1 Adult + 2 Child

1 Adult + 3 Child 91 days =<=17 12,813 - - - - - - - 18<=25 15,376 25,677 28,752 36,133 39,516 18,450 20,757 23,063 26<=30 16,657 27,817 31,148 39,144 42,808 19,988 22,487 24,985 31<=35 17,255 28,816 32,267 40,548 44,344 20,705 23,294 25,882 36<=40 19,647 32,810 36,739 46,170 50,492 23,576 26,523 29,469 41<=45 23,063 38,516 43,129 54,199 59,273 27,676 31,135 34,595 46<=50 35,876 59,913 67,089 84,310 92,203 43,051 48,433 53,815 51<=55 46,127 77,032 86,257 1,08,398 1,18,546 55,353 62,271 69,190 56<=60 64,065 1,06,988 1,19,802 1,50,553 1,64,647 76,878 86,488 96,098 61<=65 87,983 1,46,931 1,64,527 2,06,760 2,26,115 1,05,579 1,18,776 1,31,974 66<=70 1,11,046 1,85,446 2,07,656 2,60,958 2,85,388 1,33,255 1,49,912 1,66,569 71<=75 1,45,214 2,42,508 2,71,550 3,41,252 3,73,200 1,74,257 1,96,039 2,17,821 76<=80 1,62,298 2,71,038 3,03,497 3,81,400 4,17,105 1,94,758 2,19,102 2,43,447

> 80 1,87,924 3,13,833 3,51,418 4,41,621 4,82,965 2,25,509 2,53,698 2,81,885 Sum Insured - INR 50 lacs . Tenure 2 years

Age Group (Years)

Individual 2 Adults

2 Adult + 1

Child 2 Adult + 2 Child

2 Adult + 3 Child

1 Adult + 1 Child

1 Adult + 2 Child

1 Adult + 3 Child 91 days =<=17 24,345 - - - - - - - 18<=25 29,214 48,786 54,629 68,652 75,080 35,056 39,439 43,820 26<=30 31,648 52,853 59,182 74,374 81,335 37,977 42,726 47,472 31<=35 32,784 54,750 61,307 77,042 84,254 39,340 44,259 49,176 36<=40 37,329 62,339 69,805 87,723 95,935 44,795 50,393 55,992 41<=45 43,820 73,181 81,945 1,02,977 1,12,618 52,584 59,157 65,731 46<=50 68,165 1,13,835 1,27,469 1,60,189 1,75,185 81,797 92,023 1,02,249 51<=55 87,641 1,46,360 1,63,888 2,05,957 2,25,238 1,05,170 1,18,315 1,31,462 56<=60 1,21,723 2,03,278 2,27,624 2,86,050 3,12,829 1,46,069 1,64,327 1,82,586 61<=65 1,67,167 2,79,169 3,12,602 3,92,843 4,29,619 2,00,601 2,25,675 2,50,750 66<=70 2,10,987 3,52,348 3,94,547 4,95,821 5,42,237 2,53,185 2,84,833 3,16,481 71<=75 2,75,906 4,60,765 5,15,945 6,48,380 7,09,080 3,31,087 3,72,475 4,13,860 76<=80 3,08,366 5,14,972 5,76,645 7,24,659 7,92,500 3,70,040 4,16,295 4,62,549

> 80 3,57,055 5,96,282 6,67,695 8,39,080 9,17,633 4,28,466 4,82,026 5,35,582

Sum Insured - INR 50 lacs . Tenure 3 years Age Group (Years)

Individual 2 Adults

2 Adult + 1

Child 2 Adult + 2 Child

2 Adult + 3 Child

1 Adult + 1 Child

1 Adult + 2 Child

1 Adult + 3 Child 91 days =<=17 34,595 - - - - - - - 18<=25 41,514 69,327 77,630 97,559 1,06,693 49,816 56,045 62,270 26<=30 44,974 75,107 84,101 1,05,689 1,15,582 53,968 60,716 67,460 31<=35 46,588 77,802 87,121 1,09,481 1,19,730 55,905 62,895 69,882 36<=40 53,046 88,587 99,196 1,24,659 1,36,329 63,656 71,612 79,567 41<=45 62,271 1,03,994 1,16,448 1,46,336 1,60,036 74,724 84,066 93,407 46<=50 96,866 1,61,766 1,81,140 2,27,637 2,48,948 1,16,238 1,30,769 1,45,301 51<=55 1,24,542 2,07,985 2,32,893 2,92,676 3,20,075 1,49,452 1,68,132 1,86,814 56<=60 1,72,975 2,88,868 3,23,465 4,06,492 4,44,546 2,07,571 2,33,518 2,59,465 61<=65 2,37,553 3,96,714 4,44,224 5,58,251 6,10,511 2,85,064 3,20,696 3,56,329 66<=70 2,99,824 5,00,705 5,60,672 7,04,587 7,70,547 3,59,789 4,04,762 4,49,736 71<=75 3,92,078 6,54,771 7,33,185 9,21,382 10,07,639 4,70,493 5,29,306 5,88,116 76<=80 4,38,204 7,31,802 8,19,442 10,29,779 11,26,184 5,25,846 5,91,576 6,57,307

> 80 5,07,395 8,47,349 9,48,829 11,92,376 13,04,004 6,08,873 6,84,984 7,61,091 Sum Insured - INR 75 lacs . Tenure 1 year

Age Group (Years)

Individual 2 Adults

2 Adult + 1

Child 2 Adult + 2 Child

2 Adult + 3 Child

1 Adult + 1 Child

1 Adult + 2 Child

1 Adult + 3 Child 91 days =<=17 19,336 - - - - - - - 18<=25 23,203 38,749 43,390 54,527 59,631 27,843 31,324 34,804 26<=30 25,137 41,979 47,005 59,071 64,601 30,164 33,934 37,705 31<=35 26,039 43,485 48,693 61,191 66,920 31,246 35,152 39,058 36<=40 29,648 49,513 55,442 69,673 76,196 35,578 40,026 44,472 41<=45 34,804 58,123 65,084 81,791 89,448 41,765 46,986 52,207 46<=50 54,140 90,414 1,01,243 1,27,230 1,39,141 64,968 73,089 81,210 51<=55 69,609 1,16,247 1,30,169 1,63,581 1,78,895 83,531 93,972 1,04,413 56<=60 96,679 1,61,455 1,80,790 2,27,196 2,48,466 1,16,015 1,30,516 1,45,018 61<=65 1,32,773 2,21,730 2,48,285 3,12,016 3,41,225 1,59,327 1,79,243 1,99,159 66<=70 1,67,577 2,79,854 3,13,369 3,93,806 4,30,673 2,01,092 2,26,230 2,51,366 71<=75 2,19,139 3,65,963 4,09,790 5,14,978 5,63,188 2,62,968 2,95,838 3,28,709 76<=80 2,44,921 4,09,018 4,58,002 5,75,563 6,29,446 2,93,905 3,30,643 3,67,381

> 80 2,83,592 4,73,599 5,30,317 6,66,442 7,28,832 3,40,311 3,82,850 4,25,389

(6)

Age Group (Years)

Individual 2 Adults

2 Adult + 1

Child 2 Adult + 2 Child

2 Adult + 3 Child

1 Adult + 1 Child

1 Adult + 2 Child

1 Adult + 3 Child 91 days =<=17 36,738 - - - - - - - 18<=25 44,086 73,623 82,441 1,03,601 1,13,299 52,902 59,516 66,128 26<=30 47,759 79,759 89,310 1,12,235 1,22,743 57,312 64,475 71,639 31<=35 49,474 82,622 92,516 1,16,263 1,27,148 59,368 66,789 74,210 36<=40 56,332 94,074 1,05,340 1,32,379 1,44,773 67,599 76,049 84,496 41<=45 66,129 1,10,434 1,23,660 1,55,402 1,69,950 79,353 89,274 99,193 46<=50 1,02,867 1,71,787 1,92,361 2,41,737 2,64,368 1,23,440 1,38,869 1,54,299 51<=55 1,32,257 2,20,868 2,47,322 3,10,804 3,39,901 1,58,709 1,78,546 1,98,386 56<=60 1,83,690 3,06,764 3,43,501 4,31,672 4,72,084 2,20,429 2,47,981 2,75,535 61<=65 2,52,268 4,21,287 4,71,741 5,92,830 6,48,328 3,02,722 3,40,562 3,78,403 66<=70 3,18,397 5,31,722 5,95,401 7,48,232 8,18,278 3,82,075 4,29,836 4,77,595 71<=75 4,16,365 6,95,329 7,78,602 9,78,458 10,70,057 4,99,639 5,62,092 6,24,547 76<=80 4,65,349 7,77,133 8,70,203 10,93,569 11,95,948 5,58,419 6,28,222 6,98,024

> 80 5,38,825 8,99,838 10,07,602 12,66,239 13,84,780 6,46,591 7,27,415 8,08,239

Sum Insured - INR 75 lacs . Tenure 3 years Age Group (Years)

Individual 2 Adults

2 Adult + 1

Child 2 Adult + 2 Child

2 Adult + 3 Child

1 Adult + 1 Child

1 Adult + 2 Child

1 Adult + 3 Child 91 days =<=17 52,207 - - - - - - - 18<=25 62,648 1,04,622 1,17,152 1,47,222 1,61,005 75,177 84,576 93,971 26<=30 67,869 1,13,342 1,26,914 1,59,491 1,74,424 81,444 91,623 1,01,802 31<=35 70,305 1,17,410 1,31,470 1,65,216 1,80,684 84,365 94,911 1,05,457 36<=40 80,050 1,33,685 1,49,694 1,88,117 2,05,730 96,061 1,08,069 1,20,074 41<=45 93,972 1,56,933 1,75,727 2,20,834 2,41,508 1,12,765 1,26,863 1,40,958 46<=50 1,46,179 2,44,118 2,73,356 3,43,521 3,75,680 1,75,415 1,97,341 2,19,267 51<=55 1,87,944 3,13,866 3,51,457 4,41,669 4,83,017 2,25,534 2,53,723 2,81,916 56<=60 2,61,034 4,35,928 4,88,133 6,13,429 6,70,857 3,13,241 3,52,394 3,91,550 61<=65 3,58,486 5,98,672 6,70,369 8,42,442 9,21,308 4,30,183 4,83,957 5,37,730 66<=70 4,52,458 7,55,605 8,46,096 10,63,277 11,62,817 5,42,949 6,10,820 6,78,688 71<=75 5,91,676 9,88,100 11,06,434 13,90,440 15,20,608 7,10,013 7,98,762 8,87,514 76<=80 6,61,285 11,04,347 12,36,604 15,54,019 16,99,505 7,93,543 8,92,736 9,91,929

> 80 7,65,699 12,78,717 14,31,855 17,99,392 19,67,846 9,18,839 10,33,695 11,48,550

(7)

Age Group (Years)

Individual 2 Adults

2 Adult + 1

Child 2 Adult + 2 Child

2 Adult + 3 Child

1 Adult + 1 Child

1 Adult + 2 Child

1 Adult + 3 Child 91 days =<=17 29,179 - - - - - - - 18<=25 35,015 58,475 65,478 82,286 89,989 42,019 47,271 52,523 26<=30 37,933 63,348 70,935 89,143 97,488 45,520 51,210 56,900 31<=35 39,295 65,622 73,481 92,343 1,00,988 47,154 53,048 58,942 36<=40 44,742 74,719 83,667 1,05,143 1,14,986 53,690 60,401 67,113 41<=45 52,523 87,713 98,217 1,23,428 1,34,984 63,027 70,906 78,784 46<=50 81,702 1,36,442 1,52,783 1,92,000 2,09,974 98,043 1,10,298 1,22,554 51<=55 1,05,046 1,75,426 1,96,435 2,46,857 2,69,967 1,26,055 1,41,811 1,57,568 56<=60 1,45,897 2,43,648 2,72,827 3,42,857 3,74,954 1,75,075 1,96,961 2,18,845 61<=65 2,00,365 3,34,609 3,74,682 4,70,857 5,14,937 2,40,438 2,70,493 3,00,547 66<=70 2,52,887 4,22,322 4,72,899 5,94,286 6,49,920 3,03,465 3,41,398 3,79,331 71<=75 3,30,699 5,52,267 6,18,407 7,77,142 8,49,896 3,96,839 4,46,444 4,96,048 76<=80 3,69,605 6,17,239 6,91,160 8,68,571 9,49,883 4,43,525 4,98,967 5,54,406

> 80 4,27,963 7,14,699 8,00,291 10,05,714 10,99,865 5,13,556 5,77,750 6,41,945 Sum Insured - INR 100 lacs . Tenure 2 years

Age Group (Years)

Individual 2 Adults

2 Adult + 1

Child 2 Adult + 2 Child

2 Adult + 3 Child

1 Adult + 1 Child

1 Adult + 2 Child

1 Adult + 3 Child 91 days =<=17 55,441 - - - - - - - 18<=25 66,529 1,11,102 1,24,409 1,56,344 1,70,979 79,835 89,815 99,794 26<=30 72,073 1,20,362 1,34,776 1,69,372 1,85,227 86,487 97,298 1,08,109 31<=35 74,660 1,24,682 1,39,614 1,75,452 1,91,877 89,593 1,00,791 1,11,990 36<=40 85,009 1,41,966 1,58,967 1,99,771 2,18,474 1,02,011 1,14,761 1,27,514 41<=45 99,793 1,66,655 1,86,613 2,34,513 2,56,469 1,19,752 1,34,722 1,49,689 46<=50 1,55,234 2,59,240 2,90,287 3,64,800 3,98,950 1,86,281 2,09,566 2,32,852 51<=55 1,99,586 3,33,309 3,73,226 4,69,029 5,12,938 2,39,504 2,69,441 2,99,379 56<=60 2,77,203 4,62,930 5,18,371 6,51,429 7,12,413 3,32,643 3,74,226 4,15,806 61<=65 3,80,693 6,35,757 7,11,896 8,94,628 9,78,380 4,56,832 5,13,936 5,71,040 66<=70 4,80,486 8,02,412 8,98,508 11,29,143 12,34,849 5,76,584 6,48,655 7,20,729 71<=75 6,28,328 10,49,308 11,74,974 14,76,570 16,14,803 7,53,994 8,48,243 9,42,492 76<=80 7,02,249 11,72,754 13,13,204 16,50,285 18,04,779 8,42,698 9,48,036 10,53,372

> 80 8,13,130 13,57,928 15,20,554 19,10,857 20,89,744 9,75,757 10,97,726 12,19,695

Sum Insured - INR 100 lacs . Tenure 3 years Age Group (Years)

Individual 2 Adults

2 Adult + 1

Child 2 Adult + 2 Child

2 Adult + 3 Child

1 Adult + 1 Child

1 Adult + 2 Child

1 Adult + 3 Child 91 days =<=17 78,784 - - - - - - - 18<=25 94,541 1,57,882 1,76,791 2,22,173 2,42,971 1,13,450 1,27,631 1,41,812 26<=30 1,02,419 1,71,040 1,91,523 2,40,686 2,63,218 1,22,903 1,38,266 1,53,629 31<=35 1,06,096 1,77,180 1,98,399 2,49,327 2,72,667 1,27,316 1,43,230 1,59,144 36<=40 1,20,802 2,01,741 2,25,900 2,83,885 3,10,463 1,44,963 1,63,082 1,81,204 41<=45 1,41,811 2,36,825 2,65,187 3,33,256 3,64,456 1,70,174 1,91,447 2,12,716 46<=50 2,20,596 3,68,394 4,12,514 5,18,400 5,66,930 2,64,715 2,97,805 3,30,895 51<=55 2,83,623 4,73,650 5,30,373 6,66,514 7,28,912 3,40,348 3,82,890 4,25,433 56<=60 3,93,921 6,57,848 7,36,632 9,25,715 10,12,377 4,72,704 5,31,794 5,90,882 61<=65 5,40,984 9,03,444 10,11,641 12,71,313 13,90,329 6,49,183 7,30,330 8,11,477 66<=70 6,82,796 11,40,269 12,76,828 16,04,572 17,54,785 8,19,356 9,21,774 10,24,194 71<=75 8,92,887 14,91,121 16,69,700 20,98,284 22,94,720 10,71,465 12,05,398 13,39,331 76<=80 9,97,932 16,66,546 18,66,133 23,45,141 25,64,685 11,97,519 13,47,210 14,96,897

> 80 11,55,501 19,29,687 21,60,787 27,15,428 29,69,636 13,86,601 15,59,926 17,33,251

Optional Extensions Premium (price per member per year) Optional Extension HC1 170

Optional Extension HC2 112 Optional Extension HC4 1,000

Age Group (Years) 10 lac 15 lac 20 lac 25 lac 50 lac 75 lac 100 lac

91 days =<=17 2,849 4,273 5,698 7,122 14,244 21,366 28,488 18<=25 2,849 4,273 5,698 7,122 14,244 21,366 28,488 26<=30 3,046 4,569 6,091 7,614 15,229 22,843 30,457 31<=35 3,686 5,529 7,372 9,215 18,431 27,646 36,861 36<=40 4,267 6,400 8,533 10,667 21,333 32,000 42,666 41<=45 7,292 10,938 14,584 18,230 36,460 54,690 72,921 46<=50 12,926 19,389 25,852 32,315 64,630 96,945 1,29,260 51<=55 19,615 29,423 39,231 49,038 98,077 1,47,115 1,96,153 56<=60 31,466 47,198 62,931 78,664 1,57,328 2,35,992 3,14,656 61<=65 46,249 69,374 92,498 1,15,623 2,31,246 3,46,868 4,62,491 66<=70 46,249 69,374 92,498 1,15,623 2,31,246 3,46,868 4,62,491 71<=75 46,249 69,374 92,498 1,15,623 2,31,246 3,46,868 4,62,491 76<=80 46,249 69,374 92,498 1,15,623 2,31,246 3,46,868 4,62,491

> 80 46,249 69,374 92,498 1,15,623 2,31,246 3,46,868 4,62,491 Optional Extension HC6

Premium Per Member Per Year

(8)

Age Group (Years) 10 lac 15 lac 20 lac 25 lac 50 lac 75 lac 100 lac All 500 750 1,000 1,250 2,500 3,750 5,000

Optional Extension HC3 50

Optional Extension HC5 100

Optional Extension HC7 18,868 Age Group (Years) 10 lac 15 lac 20 lac 25 lac 50 lac 75 lac 100 lac 18-45 years 1,62,736 2,12,264 2,40,566 3,00,708 4,59,906 6,36,792 7,78,302 Optional Extension HC9 165 Age Group (Years) 10 lac 15 lac 20 lac 25 lac 50 lac 75 lac 100 lac 91 days =<=17 100 100 100 100 100 100 100

18<=25 100 100 100 100 100 100 100

26<=30 100 100 100 100 100 100 100

31<=35 100 100 100 100 100 100 100

36<=40 100 100 100 100 100 100 100

41<=45 100 100 100 100 100 100 100

46<=50 100 100 100 100 100 100 100

51<=55 100 100 100 100 100 100 100

56<=60 300 300 100 100 100 100 100

61<=65 600 700 100 100 100 100 100

66<=70 1,500 1,600 200 200 200 100 100

71<=75 3,300 3,400 400 400 300 200 200

76<=80 5,000 5,300 500 500 400 300 300

> 80 8,000 8,500 800 700 600 500 500

*Premium rates are inclusive of 18% GST. Please get in touch with your tax consultant for any other taxes/cess as may be applicable.

Optional Extension HC10 Premium Per Member Per Year Premium Per Member Per Year

Optional Extension HC8 Premium Per Member Per Year

Figure

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References

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