Kotak Mahindra Corona Kavach Policy

Eligibility Criteria

The eligibility criteria for the Kotak Mahindra Corona Kavach policyholder are given below.

1. The minimum and maximum entry age for the policyholder is 18 years up to 65 years.

2. The waiting period in Kotak Mahindra corona kavach policy is of 15 days to avail of the benefits of the policy.

3. Kotak Mahindra Corona Kavach policy can be availed by self as well as for the following family members:

• Wife
• Parents/Parents-in-laws
• Children (Natural or Adopted) Age should be between Day 1 to 25 years. If the child is above 18 years of age and financially independent then he/she will not be covered under the policy.

4. The policy period is as follows: Three and a half months (3 and ½ months), Six and a half months (6 and ½ months), Nine and a half months (9 and ½ months) including 15 days of waiting period.

5. Sub limits: 1. Hospital daily cash provided at 0.5% of the sum insured per day subject to a maximum of 15 days in the policy period for each insured person.

6. Home care treatment is provided for maximum up to 14 days per incident.

Sum Insured

The sum insured amount offered by the Kotak Mahindra Corona Kavach policy is Rs. 50,000 to Rs. 5,00,000. In an individual policy, only one person can use the whole sum insured amount. In family floater plan the sum insured amount has to be divided among the family members.

Inclusion in Kotak Mahindra Corona Kavach

The coverage provided by the Kotak Mahindra Corona Kavach health insurance policy for the insured is as follows:

• The policy will provide cover for Room rent, boarding of the patient, Nursing charges.
• Intensive car unit (ICU) and Intensive Cardiac Care Unit (ICCU) charges will be covered.
• Cover for Doctor, Surgeon, Anesthesia, Consultation charges as well as specialists fees paid directly or to the hospital will be covered.
• Operation theatre charges, Surgical appliances, ventilator, medicine and drug expenses, diagnostic cost, PPE kit cost, gloves as well as mask are covered under the policy.
• Road ambulance charges for up to Rs. 2000 per hospitalization are covered under the policy.

Optional Cover

The optional policy benefits are mentioned below:

• Hospital daily cash that is 0.5% of total sum insured will be paid per day to the insured each 24 hours in case of continuous hospitalization for the treatment of corona.
• The benefits will be payable for a maximum upto 15 days during the policy tenure in respect of each insured person.

Exclusions in Kotak Mahindra Corona Kavach

Kotak Mahindra Corona Kavach health insurance policy will not provide cover for the following:

• Initial Waiting Period: If the policyholder raises a claim due to Covid-19 within the 15 days from the date of commencement of the policy will not be admissible.
• Investigation & Evaluation: Any expenses incurred related to any admission for diagnostics and evaluation purposes will not be covered.
• Unauthorized testing center: If the policyholder get any testing done at the diagnostic center that are not authorized by the government of India will not be covered under the policy.
• Rest care, Rehabilitation and Respite care: The policy will not provide cover for any expenses incurred due to enforced bed rest and not for receiving treatment.

Claim Procedure

Procedure for cashless claim in Kotak Mahindra Corona Kavach policy:

• The policyholder has to inform the insurance company 48 hours prior the admission to a hospital.
• A complete and properly filled cashless request form should be sent to the company for authorization.
• When the company will receive the cashless request form and other related medical information from the policyholder will issue a pre-authorised letter to the hospital after verification.
• The discharge papers have to be signed by the insured person, pay for non-medical and inadmissible expenses.
• The company has the right to deny pre-authorization in case the insured person is not able to provide relevant medical details.
• In case the cashless claim is denied, as per the doctor’s advice the insured person may obtain the treatment and submit the claiming documents of the company for reimbursement.

FAQs