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The high-cover plan - cover starts at ₹25 Lakh and runs to ₹6 Crore, with the recharge and the bonus you can turn up as options.
Where this plan is strong, where to watch - and how it performs on what matters most.
You’ve read the shape of this cover. Now put a real bill through it.
Filter by the worry on your mind to see how this plan handles each concern - its sub-limits, waiting periods and the catches.
The no-limit room holds only while Optional Cover 8 is left out. If you take that premium discount, check your Policy Schedule: the cap becomes a Single Private Room, which the policy defines as the hospital's most basic and most economical single air-conditioned room.
A condition you did not declare when you applied is not covered even after 36 months, because cover after the wait applies only to what was declared and accepted. Leaving a known illness off the form can cost you the whole claim.
The recharge is used last - only after your Sum Insured, No Claims Bonus and No Claims Bonus Super are all finished.
If you do not renew on or before the end of the policy period, or the end of the grace period, the entire accrued No Claims Bonus is forfeited. On a ₹25,00,000 cover that is up to ₹12,50,000 of extra cover gone.
The extra Sum Insured is spent only after your own Sum Insured is finished, and only for the person who was hospitalised after the accident. An illness claim cannot touch it. It applies once during the policy period. A second accident in the same year draws nothing from this pool, so you are back to your Sum Insured plus any accrued bonus.
These conditions are covered after a waiting period - not excluded. Once the wait is over, they're treated like any other illness. Select a body region, or view the entire body, to see which ones this plan names.
How long you wait, for what
Covered from the first day, with no waiting at all.
After the first month, ordinary illness is covered.
Each one is then covered, like any other illness.
Conditions you declared when you bought the plan.
After this, only proven fraud can be held against a claim.
Already diagnosed with one of these? A different rule applies - conditions you already have follow the pre-existing waiting period. See how that works
Eye lens clouding (Cataract)
Head & Face
A clouding of the eye lens that makes vision blurry.
“Cataract and age related eye ailments”
Section 4.1(a)(ii) · pages 28–29
High eye pressure (Glaucoma)
Head & Face
Increased pressure inside the eye that can harm vision.
“Cataract and age related eye ailments”
Section 4.1(a)(ii) · pages 28–29
Retina problems
Head & Face
Diseases affecting the back screen of the eye which is crucial for seeing.
“Cataract and age related eye ailments”
“Age-related macular degeneration (ARMD), Diabetic retinopathy and Retinal vein occlusion.”
Section 4.1(a)(ii) · pages 28–29
Tonsil and throat swelling
Head & Face
Swollen throat glands that cause pain and trouble swallowing.
“Surgical treatments for Benign ear, nose and throat (ENT) disorders and surgeries (including but not limited to Adenoidectomy, Mastoidectomy, Tonsillectomy and Tympanoplasty), Nasal Septum Deviation, Sinusitis and related disorders.”
Section 4.1(a)(ii) · pages 28–29
Middle ear infection
Head & Face
An infection inside or just behind the ear that causes pain.
“Surgical treatments for Benign ear, nose and throat (ENT) disorders and surgeries (including but not limited to Adenoidectomy, Mastoidectomy, Tonsillectomy and Tympanoplasty), Nasal Septum Deviation, Sinusitis and related disorders.”
Section 4.1(a)(ii) · pages 28–29
We read all 45 exclusion clauses in this policy. 22 clauses change what you’d actually claim.
No waiting period reaches these - the plan does not cover them at all.
Written as exclusions, but the policy states a way in. The condition is the whole point.
Every discount printed in this policy’s own documents - what it’s worth, who qualifies, and what it asks in return.
Nothing is given up in return - you either meet the condition or you don't.

About the provider
Care Advantage beside each of the other plans on the shelf: every clause that differs, read from the policy wording.
Sources
Everything on this page is read from the insurer’s own filings. It is an educational summary - not advice, not a recommendation to buy, and we sell nothing.
Plan facts last updated 21 Aug 2026.
IRDAI UIN: CHIHLIP27062V052627
For employees of Care Health Insurance or of its promoter companies, and their dependents. A flat 15%, not a ceiling.
7.5% for a 2-year policy term; 15% for a 3-year term. Whether it applies to add-on premium as well as base premium is not stated.
When you buy direct from the insurer, with no intermediary. It is the only row in the discount schedule that states in terms that it applies at renewal as well as at first purchase.
On a sale where no intermediary commission is payable. It is a ceiling, so how much is passed back to you is at the insurer's discretion.
When an insured person already holds a policy with Care Health and buys this one as well. It is not a discount for porting in from another insurer, and not a discount for staying on at renewal.
2.5% if you renew within the 30 days before the premium due date; 5% if you renew 31 days or more before it. Renewing more than a month early earns double the discount of renewing inside the last month.
If you are covered under a corporate Group Mediclaim policy and buy this retail policy. No minimum group size is stated.
5% with two or three members on the policy; 10% with four or more. It applies to each additional member other than the eldest, and only where the members hold individual Sums Insured on one policy - not on a family floater.
For a Non-Resident Indian policyholder. Neither document defines who counts as an NRI.
At each renewal the insurer scores every policy year by the rupee value of claims paid - no claim scores −1, a claim up to ₹1,00,000 scores 0, ₹1,00,000 to ₹2,00,000 scores 1, and so on - and adds the years together. The running total sets the discount: −5 or below earns 40%, −1 earns 30%, 0 earns 7.5%, and 8 or above earns nothing. A new policy starts at −1, so it is priced with 30% off; one claim of any size in the first year takes the total to 0 and the discount to 7.5%.
The 40% aggregate cap is worded to cover only the Schedule of Discounts rows, so whether this discount counts inside that cap is not stated.
At a renewal following a claim-free year you may take a flat ₹49 off the base premium on an individual cover, or ₹99 on a floater, instead of that year's No Claims Bonus - which on a ₹25,00,000 Sum Insured would have added ₹2,50,000 of cover. It is available only while the maximum bonus has not yet accrued, and only as many times as the bonus would have accrued; a claim in the previous policy year makes it unavailable.
At each renewal you may take either this discount or the No Claims Bonus, never both. Nothing in either document bars it from stacking with the Schedule of Discounts rows.
The premium comes down, but the policy asks for something back.
Opt an aggregate deductible of ₹3 lakh, ₹5 lakh or ₹10 lakh for the policy year and the premium falls. The documents say a discount follows but not by how much - the rates sit in a premium annexure that is not part of either document. The pre-policy medical grid counts the deductible inside your Sum Insured, so opting one can move you into a higher underwriting band.
You pay the first ₹3 lakh, ₹5 lakh or ₹10 lakh of your claims in a policy year yourself before the cover starts paying.
Can be combined with the Co-Payment Option and with Smart Select; on a claim the deductible is applied first, then any co-payment.
A premium reduction for accepting the hospital list in Annexure IV. The reduction applies to your total premium apart from Air Ambulance, Annual Health Check-up, Daily Allowance and Unlimited e-consultations; its size is not published.
Every claim at a hospital outside that list carries a 20% co-payment from your pocket, on each and every claim, with no emergency exception stated.
The 20% is printed as applying "in addition to any other co-payment", so with the Co-Payment Option at 20% as well you would bear 40% of a claim at a hospital outside the list.
Opt a co-payment of 5%, 10%, 15% or 20% per claim and the premium falls. The reduction for each rung is not published - the rates sit in a premium annexure that is not part of either document. It stays optional at every age; no age makes it compulsory.
You pay your chosen share - 5% to 20% - of every single claim yourself.
Printed as applying "over and above any other co-pay", so it adds to Smart Select's 20% if both are opted.
A premium reduction for accepting a room cap in place of the base policy's room entitlement, which carries no sub-limit. The size of the reduction is not published.
Your room entitlement narrows to a Single Private Room. Take a costlier room and you also bear a proportionate share of the associated medical expenses.
Not discounts, but printed with them because they move the premium too.
The premium illustrations carry a Floater Discount column for family floater policies, but it reads "NA" in all three illustrations and no floater rate is published anywhere in either document.
Premium depends on your city - the product prices seven zones, from Delhi NCR, Surat, Mathura and Aligarh in Zone 1 to the rest of India in Zone 7, and the premium illustrations are priced on Zone 1. How much each zone differs is not published. This is the only geography-based pricing mechanic; there is no separate rural or smaller-city discount.
Care Health Insurance is a standalone health insurer (IRDAI Reg. No. 148) headquartered in Gurugram that began operations in 2012. It launched as Religare Health Insurance and rebranded to Care Health in 2020 after an ownership change within the Religare group. It is one of India's larger standalone health insurers, offering retail and group health cover including its flagship Care Supreme plan.
96.74%
of claims settled, counted by number of claims
58.32%
share of premium paid back out as claims
1.68
capital cushion held - IRDAI floor is 1.5
24,800+
where claims can be settled without you paying first
4.2
grievances logged for every thousand claims
Every insurer sits inside the same regulated safety net. You are never left with only the insurer's answer.
Raise it with Care Health
Escalate to IRDAI - Bima Bharosa
Insurance Ombudsman