Date : 24 May 2024
Mr Amit Kumar
S/o Fakir Chand, H No- A 151, Street No- 8 , Meet Nagar
Vtc Shahdara
110094
Delhi North East 110094
Delhi
State Code : 07
Policy No: 84218703
Mobile No: XXXXXX8216
Dear Mr Amit Kumar,
Thank You for trusting us as your preferred Health Insurer.
At Care Health insurance, it is our endeavor to make quality healthcare easily accessible for our customers as well as ensure a truly hassle-free claim
servicing experience
To help you understand our services better, please go through the 'Know your policy better' kit that accompanies this
letter and constitutes the following
l Policy certificate
l Premium Acknowledgement
l Key Policy Information
l Claim Process - http://bit.ly/3EyPRnT
l Policy Terms and Conditions- https://rb.gy/x2mup and also available on Customer App
Also appended herewith for your convenience is your Care Health Card. This card should be presented at the time of an emergency or a planned
hospitalization, to avail cashless treatment at our network of over 16000+ cashless network pan-India.
To further simplify procedures, we're online as well. Visit our portal www.careinsurance.com and view network hospitals across the country, cashless
procedures and do much more.
For any assistance, please feel free to write to us at https://www.careinsurance.com/contact-us.html.
Once again, we thank you for this opportunity to serve you, and wish you and your loved ones good health always!
Team Care Health Insurance
CUSTOMER APP
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Policy Certificate Policy No. 84218703
Mr Amit Kumar Plan Name CARE
S/o Fakir Chand, H No- A 151, Street No- 8 , Meet Add-on Policy Name Care Shield
Nagar
Cover Type Floater
Vtc Shahdara
110094 Policy Period - Start Date 00:00 hrs 25-May-2024
Delhi North East 110094 Policy Period - End Date Midnight 24-May-2025
Delhi Nominee Name (Relation) POOJA (Wife)
Premium Paid Rs.24,712.00
(Premium Rs 20942.30+Underwriting Loading
Rs 0.00+CGST Rs0.00+IGST Rs3,769.60+SGST
Rs0.00+UGST Rs0.00)
Premium Payment Mode Single Premium
Policyholder Gender Date Of Birth Client ID
Mr Amit Kumar Male 10-Jan-1988 B8439928
Details of Insured Person
Date of Birth Pre-existing diseases Insured with the
Name Client ID Relationship Sum Insured
(DD-MM-YYYY) (since) Company (since)
Amit Kumar B8439928 MEMBER 10-Jan-1988 NONE 25-May-2024 10,00,000.00
Kinjal . B8439929 DAUGHTER 16-Feb-2014 NONE 25-May-2024
Pooja . B8439930 SPOUSE 24-May-1990 NONE 25-May-2024
Arpit . B8439931 SON 06-Jan-2020 NONE 25-May-2024
Avika . B8439932 DAUGHTER 20-Mar-2018 NONE 25-May-2024
Contact details for Claims & Policy Servicing
Care Health Insurance Limited, Vipul Tech Square, Tower C, 3rd Floor, Golf Course Road, Sector-43,
Correspondence address
Gurugram-122009 (Haryana)
E-mail ID for Claims claims@careinsurance.com
Website www.careinsurance.com
Intermediary Details
Name Code Contact Details
sukhaveer . 20351379 9568370097
Schedule of Benefits
S No. Particulars Basis of Offering
1 In-Patient Care/Day Care Treatment Up to SI
2 Pre & Post Hospitalization Medical Expenses 30 days Pre-Hospitalization & 60 days Post-Hospitalization
3 Ambulance Cover Up to SI
4 Organ Donor Cover Up to Rs 1 Lac
5 Domiciliary Hospitalization Up to 10% of SI if domiciliary hospitalization exceeds 3 days
Coverage available Once in a Policy year for related and unrelated
6 Automatic Recharge
Illness .Max amount per claim up to SI
7 Second Opinion Once per Major Illness / Injury per policy year
8 AYUSH Treatments Up to SI
Schedule of Benefits
10% of Sum Insured for each Claim free year, maximum up to 50%
9 No Claims Bonus
of SI; reduced by 10% of Sum Insured in case of claim
10 Annual Health Check-up Annual
11 Initial Wait Period 30 Days
12 Named ailments 24 months
13 Pre-existing Diseases 48 months
14 Room Rent / Room Category Single Private Room
15 ICU Charges No Sub Limit
Optional Cover
S NO. Particulars Details
Additional 20% Co-payment applicable for all claims made in Non
1 Smart Select
Smart Select Network Hospitals.
Note: The cumulative liability of the Company for all the above benefits shall be limited to Base Sum Insured /sub-limits unless specified as
over and above under General Conditions applicable to all Benefits of Policy Terms & conditions or any amount accrued by Insured during
the Policy Year
Portability Details of the Insured
Previous Insurer : Star Health & Allied Ins.
1st Enrollment Expiry Policy SI Rs.
Name First Policy Number Expiry Policy Number
Date (Original SI+CB)
AMIT KUMAR P/161139/01/ P/161139/01/2024/000198 25-May-2021 5,00,000 + 0
KINJAL . P/161139/01/ P/161139/01/2024/000198 25-May-2021 5,00,000 + 0
POOJA . P/161139/01/ P/161139/01/2024/000198 25-May-2021 5,00,000 + 0
ARPIT . P/161139/01/ P/161139/01/2024/000198 25-May-2021 5,00,000 + 0
AVIKA . P/161139/01/ P/161139/01/2024/000198 25-May-2021 5,00,000 + 0
Add-on Policy - CARE SHIELD
UIN No- RHIHLIA21168V012021
Schedule of Benefits
S No. Particulars Description
1 Claim Shield Applicable
2 NCB Shield Applicable
3 Inflation Shield Applicable
For Care Health Insurance Limited
Authorized Signatory
Date of Issue : 24 May 2024
Place of Issue : Gurgaon, Haryana
Service Branch : 1st and 2nd floor Plot no F1 Sector6 Noida 201301Noida,Uttar Pradesh, Branch Contact No. : 0120-4888701
201301
Consolidated Stamp Duty paid vide E-Challan GRN no. 0107464159 dated 21 Sep 2023, RCM Applicability- N/A
SAC: 997133 and Description of Service: Accident and Health Insurance Services State
GSTIN No.: 09AADCR6281N1ZQS_GSTIN_No
UIN :CHIHLIP24065V072324
Note:
- Attached with this Policy Certificate are the Policy terms and conditions, Optional Covers (if opted) and Annexures. Please ensure that
these documents have been received, read and understood. If any of these documents have not been received, please feel free to write
to us at https://www.careinsurance.com/contact-us.html
- For waiting periods and exclusions under this Policy, please refer to Clause 4 of the Policy terms and conditions.
- This Policy Certificate in original must be surrendered to the Company in case of cancellation of the Policy.
Premium Acknowledgement
Policy No. 84218703
Client ID B8439928
Policyholder Mr Amit Kumar
S/o Fakir Chand, H No- A 151, Street No- 8 , Meet Nagar
Vtc Shahdara
Address 110094
Delhi North East 110094
Delhi
Policy Period 25-May-2024 to 24-May-2025
Premium Details
Particulars Amount (in Rs.) S.No. Receipt Number Amount Mode of Payment
1 B0319357 24,712.00 IPG
Gross Premium
Care 19,778.85
Care Shield 1,163.45
Goods & Services Tax (GST) 3,769.60
Total 24,712.00
The Premium is rounded off to the nearest rupee.
Eligibility of Premium for Deduction u/s 80D of the Income Tax Act, 1961
The premium paid through any mode other than cash for this policy is eligible for Income tax benefits to the person making the payment
subject to the provisions of section 80D of the Income Tax Act, 1961 and amendments thereof. Effective from Assessment year 2019-20, in
cases where health insurance premium for multiple years is paid in one year, it will be eligible for proportionate deduction in the years in
which the health insurance continues to be effective.
For Care Health Insurance Limited Signature Not Verified
Digitally signed by Manish Dodeja
Date: 20240524193227
Reason: I'm the author
Location: India
Authorized Signatory
Date of Issue : 24 May 2024
Place of Issue : Gurgaon, Haryana
Note:
1) In case of any discrepancy, the Policyholder is requested to contact the Company immediately.
2) Any amount paid in cash towards the premium would not qualify for tax benefits as mentioned above.
3) This document must be surrendered to the Company in case of Cancellation of the Policy or for the issuance of a fresh certificate in
the case of any alteration in the Policy.
4) This Policy is issued subject to realization of the premium amount. In case the instrument given towards the premium amount is
dishonored, then the cover provided under this Policy shall automatically get cancelled. In the given scenario, if any amount has been
paid by the Company in respect of a claim or due to any other reason than the amount so advanced by the Company shall be
refunded to the Company forthwith.
5) We may credit upto Rs. 1/- to your account for validation, before remitting any further payment.
Proposal Form-'CARE'
Dear Mr Amit Kumar
In reference to your online proposal (1120075930816) for 'Care'- Comprehensive Health Insurance policy, please find below the details as
provided by you:
Proposer Details
Name : Mr Amit Kumar
Address : S/o Fakir Chand, H No- A 151, Street No- 8 , Meet Nagar
Vtc Shahdara
Delhi North East 110094,Delhi
110094
Date of Birth : 10-Jan-1988
Landline : +91-
Mobile : XXXXXX8216
E-mail : kXXXXXXy@gmail.com
Details of the Persons be Insured
Name Date of Birth Relation Pre-existing Diseases
Amit Kumar 10-Jan-1988 MEMBER NONE
Kinjal . 16-Feb-2014 DAUGHTER NONE
Pooja . 24-May-1990 SPOUSE NONE
Arpit . 06-Jan-2020 SON NONE
Avika . 20-Mar-2018 DAUGHTER NONE
Additional Details
1. Does any person(s) to be insured has any pre-existing diseases?
Insured1 Insured2 Insured3 Insured4 Insured5
N N N N N
2. Have any of the person(s) to be insured ever filed a claim with their current / previous insurer?
Insured1 Insured2 Insured3 Insured4 Insured5
N N N N N
Is any of the person(s) proposed for insurance covered under any other health insurance policy with the Company or any
4.
other Company without break?
Insured1 Insured2 Insured3 Insured4 Insured5
N N N N N
You agreed to following terms & conditions of the purchase of policy
a. I have read and understood the Brochure/Prospectus/Sales Literature/Terms and Conditions of the Policy and confirm to abide by
the same.
b. Receipt of proposal form by the Company shall not be construed as acceptance of proposal. Commencement of risk under the
Policy shall be subject to realization of full premium and individual underwriting by the Company. The Company at its sole discretion
reserves the right to accept or reject or load any proposal. Policy would start from the date as specified in the Policy Certificate.
c. I understand that the Policy Period Start Date as specified in the Policy Certificate shall be from the 00:00 hours of the next day of
the Proposal receipt at branch/online, proposed policy period start date as opted by me or cheque date, whichever is later.
d. I understand that the Policy shall become void at the Company's option, in the event of any untrue or incorrect statement,
misrepresentation, non-description or non-disclosure of any material fact, in the proposal form/personal statement, declaration and
connected documents or any material information having been withheld by me or anyone acting on my behalf.
e. I hereby declare that the lives proposed to be insured would submit to medical examinations before the nominated doctors of the
Company or undergo diagnostic or other medical tests, as suggested by the Company for its underwriting.
f. I consent to and authorize the Company and/or any of its authorized representative agents to seek medical information from any
hospital/ medical practitioner or any other related entity that I have attended or may attend in future concerning any illness or injury.
g. I consent to provide a valid age proof and identity proof at the time of claims or any other time when required by the Company.
h. I authorize the Company to exchange, share or part with the information relating to myself/person(s) to be insured with any external
entity other than regulatory and statutory bodies, as may be required and I will not hold the Company or its agents liable for use/
sharing of this information.
i. I/We agree and undertake to convey to the Company any change/alterations carried out in the risk proposed for insurance after
submission of this proposal form.
j. I/We consent to receive information from the Company the through physical, electronic or telecommunication means from time to
time.
The undersigned hereby declare on my behalf and on behalf of each of the persons proposed to be insured that the above
statements and particulars are true, complete and correct in all respects and that all information which is relevant to this proposal has
been disclosed and not withheld from the Company. I declare that the money used to make the premium payment has not been
derived from any illegal activity or unaccounted funds. I further declare and agree that this declaration and the answers given above
shall be held to be promissory and shall be the basis of the contract between me/us and the Company.
By virtue of this communication, I give my implicit approval on receiving Whatsapp, SMS, E-mail (Transactional & promotional) from
the company.
The details mentioned in above proposal form have been verified through OTP received on my registered mobile number.
No physical Health Cards will be dispatched. The electronic version of the card below will be accepted across all network providers.
www.careinsurance.com
Policy No.
84218703
Member ID DOB NAME
B8439928 10-Jan-1988 Amit Kumar
B8439929 16-Feb-2014 Kinjal .
B8439930 24-May-1990 Pooja . Submit Your Queries/Requests: www.careinsurance.com/contact-us.html
B8439931 06-Jan-2020 Arpit . Disclaimer
B8439932 20-Mar-2018 Avika . 1. This card is not transferable
2. Use of this card is governed by the policy terms &
conditions
3. To avail cashless facility.this card needs to be produced along with photo
ID Valid
4. proofupto policy period end date or cancellation date,whichever is earlier
IRDAI Registration No.148
