Date : 23 Mar 2025
Ms Seegu Shilpa Chandrika
Flat 302 Sree Resindecy Kakatiya Nagar Mehdipatnam
Nanal Nagar
Golconda 500008
Telangana
State Code : 36
Policy No: 99389047
Mobile No: XXXXXX5073
Dear Ms Seegu Shilpa Chandrika,
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://bit.ly/3QfgyU8 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
For Android For iOS
Policy Certificate Policy No. 99389047
Ms Seegu Shilpa Chandrika Plan Name Care Supreme
Flat 302 Sree Resindecy Kakatiya Nagar Mehdipatnam Cover Type Floater
Nanal Nagar Policy Period - Start Date 00:00 hrs 24-Mar-2025
Golconda 500008
Policy Period - End Date Midnight 23-Mar-2026
Telangana
State Code : 36 Nominee Name (Relation) SEEGU VINAY (HUSBAND)
Premium Paid Rs.4,461.00
( Premium Rs 3780.62 + Underwriting Loading
Rs. 0.00 + CGST Rs. 0.00 + IGST Rs. 680.53 +
SGST/UGST Rs. 0.00 )
Premium Payment Mode QUATERLY PREMIUM
Installment Amount 4,461.13
Total Premium 17,844.55
Policyholder Gender Date Of Birth Client ID
Ms Seegu Shilpa Chandrika Female 21-Apr-1993 E1654921
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)
Seegu Shilpa
E1654921 MEMBER 21-Apr-1993 NONE 24-Mar-2025 10,00,000.00
Chandrika
Seegu Vinay E1654922 SPOUSE 12-Jan-1988 NONE 24-Mar-2025
Seegu Shivin E1654923 SON 27-Feb-2022 NONE 24-Mar-2025
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
Policybazaar Insurance
20374491 1800-2585970
Brokers Pvt Ltd
Schedule of Benefits
S No. Particulars Basis of Offering
1 Sum Insured 1000000
2 In-Patient Care Up to SI
3 Day Care Treatment All Day Care Procedures
4 Advance Technology Methods Up to SI
Up to SI, Pre-Hospitalization expense cover for 60 days prior to
5 Pre-Hospitalization Medical Expenses
hospitalization
Up to SI, Post-Hospitalization expense cover for 180 days after
6 Post Hospitalization Medical Expenses
discharge
7 AYUSH Treatment Up to SI
8 Domiciliary Hospitalization / Organ Donor Cover Up to SI
Schedule of Benefits
9 Ambulance Cover Up to Rs. 10,000
10 Cumulative Bonus 50% of SI, max up to 100% of SI.
11 Unlimited Automatic Recharge Available for unlimited times for unrelated or same illness.
12 Unlimited E-Consultations Available for Consultations with General Physicians
13 Health Services (Health Portal) Doctor on chat, Healthy tips reminder, etc.
Discounts on services such as consultations, diagnostics etc at our
14 Health Services (Discount Connect)
network
15 Room Rent / ICU All categories covered. / No Limit
16 Named Ailments Coverage 24 Months
17 Pre-existing Diseases Coverage 36 Months
18 Initial Wait Period 30 Days
19 Organ Donor Cover Up to SI
Optional Cover
S NO. Particulars Details
Discount on renewal premium based on active days achieved.
1 Wellness Benefit Online fitness Coaching/Counselling session from Wellness
Coaches
For Care Health Insurance Limited
Authorized Signatory
Date of Issue : 23 Mar 2025
Place of Issue : Gurgaon, Haryana
Service Branch : Vipul Tech Square TowerC3rd Floor Sector43Golf Course Road Branch Contact No. : 0124-6141810
Gurgaon Haryana 122009Gurgaon,Haryana,122009
Consolidated Stamp Duty paide vide E-Challan GRN No. 0117751470 dated 13/06/2024. RCM Applicability - N/A
SAC: 997133 and Description of Service: Accident and Health Insurance Services State
GSTIN No.: 06AADCR6281N1ZW
UIN :CHIHLIP25047V022425
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.
- This soft copy of the policy is as valid as a hard copy and can be used for claims. A physical hard copy will not be dispatched.
Premium Acknowledgement
Policy No. 99389047
Client ID E1654921
Policyholder Ms Seegu Shilpa Chandrika
Flat 302 Sree Resindecy Kakatiya Nagar Mehdipatnam
Nanal Nagar
Address Golconda 500008
Telangana
Policy Period 24-Mar-2025 to 23-Mar-2026
Premium Details S.No. Receipt Number Amount Mode of Payment
1 C0352204 4,461.00 IPG
Particulars Amount (in Rs.)
Gross Premium
Care Supreme 3,764.76
Wellness Benefit (Supreme) 15.86
Goods & Services Tax (GST) 680.53
Total 4,461.00
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: 20250323150132
Reason: I'm the author
Location: India
Authorized Signatory
Date of Issue : 23 Mar 2025
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 SUPREME'
Dear Ms Seegu Shilpa Chandrika
In reference to your online proposal (1120103249643) for 'Care Supreme'- Comprehensive Health Insurance policy, please find below the
details as provided by you:
Proposer Details
Name : Ms Seegu Shilpa Chandrika
Address : Flat 302 Sree Resindecy Kakatiya Nagar Mehdipatnam
Golconda Nanal Nagar,Telangana
500008
Date of Birth : 21-Apr-1993
Landline :
Mobile : XXXXXX5073
E-mail : sXXXXXX5@gmail.com
Details of the Persons be Insured
Name Date of Birth Relation Pre-existing Diseases
Seegu Shilpa Chandrika 21-Apr-1993 MEMBER NONE
Seegu Vinay 12-Jan-1988 SPOUSE NONE
Seegu Shivin 27-Feb-2022 SON NONE
Additional Details
1. Does any person(s) to be insured has any pre-existing diseases?
Insured1 Insured2 Insured3
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
N N N
Has any of your proposal(s) for Health insurance been declined, cancelled, charged a higher premium or issued with
3.
special condition(s)?
Insured1 Insured2 Insured3
N N N
4. Is any of the person(s) proposed for insurance covered under any other health insurance policy with the Company?
Insured1 Insured2 Insured3
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.
99389047
Member ID DOB NAME
E1654921 21-Apr-1993 Seegu Shilpa Chandrika
E1654922 12-Jan-1988 Seegu Vinay
E1654923 27-Feb-2022 Seegu Shivin Submit Your Queries/Requests: www.careinsurance.com/contact-us.html
Disclaimer
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
