Zuno Arogya Sanjeevani Plan: Benefits, Features, Renewal

Zuno Arogya Sanjeevani Plan

Zuno Arogya Sanjeevani Insurance Policy is introduced under the recent announcement of IRDAI, which is a basic health cover with sum insured ranging from Rs 1 lakh to 5 lakh. In order to maintain its uniqueness, the IRDAI has also restricted all the insurance providers to imposing deductibles and variants with this policy.

Aditya Birla Arogya Sanjeevani Policy

Bajaj Allianz Arogya Sanjeevani Policy

Bharti AXA Arogya Sanjeevani Policy

Digit Arogya Sanjeevani Policy

Future Generali Arogya Sanjeevani Policy

IFFCO Tokio Arogya Sanjeevani Policy

Liberty Arogya Sanjeevani Policy

National Arogya Sanjeevani Policy

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Zuno Arogya Sanjeevani Policy: Key Highlights

Type	Individual/Floater
Sum Insured	1 lakh-5 lakh
Pre-existing Illness Waiting Period	48 months
Claim Payment Type	Indemnity Basis (Cashless/Reimbursement)
Cumulative Bonus	5%-50% of the SI

Scope of Coverage

The scope of coverage under this policy starts from Rs 1 lakh, while the maximum sum insured to be availed is Rs 5 lakh. Increment in SI in allowed in multiples of Rs 50,000. The policy tenure is for 1 year. The scope of coverage under this policy can be categorized as:

Hospitalization Expenses: In-patient treatment expenses for a hospital stay in excess of 24 hours are reimbursed fully, subject to complying with the limits prescribed in the policy.
Day-Care Treatment: The cover is for treatment or procedures in a hospital where the hospital stay is less than 24 hours.
Pre Hospitalization: During 30 days before admission into a hospital, all medical expenses are reimbursed.
Post Hospitalization: The medical expenses incurred during 60 days from the discharge date are eligible for reimbursement.
Cataract Treatment: The insured is covered for expenses up to lower of 25% of the Sum Insured or Rs 40, 000, whichever is lower, per eye per policy year.
Alternative Treatment: The Insured can avail of AYUSH Treatment with up to full reimbursement of incurred expenses.

Inclusions of the Zuno Arogya Sanjeevani Policy

The inclusions in the policy have a bearing on the decision to buy Zuno Arogya Sanjeevani. Though the premium is extremely affordable, the policy’s inclusion list is not with less coverage:

Hospitalization Expenses: All treatment costs are covered under hospitalization with an overnight stay or in a Day-Care facility with a stay of a few hours.
Pre and Post Hospitalization Expenses: The cover is for 30 and 60 days, respectively, for all incurred medical outgo.
Ambulance Charges: Emergency road Ambulance charges are reimbursed with a monetary cap of Rs.2000 per hospitalization.
Other Expenses: Dental treatment and plastic surgery expenses are reimbursed, provided they are essential for the treatment of a disease or accidental injury.

Exclusions of the Zuno Arogya Sanjeevani Insurance Policy

The Insured must clearly understand the exclusions in the Zuno Arogya Sanjeevani Insurance Policy to obviate future complications in claim settlement. Accordingly, the indicative list of exclusions is listed below for guidance, but the policy document lists them in greater detail.

Initial Waiting Period: Treatment of any illness is not covered in the first 30 days from the commencement of the policy, except for accidental injury.
Pre-Existing Disease(PED) Waiting Period: The treatment of these diseases is covered after the expiry of 48 months of continuous coverage from the policy commencement date.
Specific Disease Waiting Period: Health insurance policy of Zuno GI Co. Limited has prescribed specific ailments for delayed cover after the expiry of 24 / 48 months of continuous coverage.
Other Exclusions: A broad spectrum of conditions is not covered by the policy. It is sensible to check the policy document for a detailed list of exclusions.

Features & Benefits of the Zuno Arogya Sanjeevani Policy

The features and benefits are the essential parameters to study before buying Zuno Arogya Sanjeevani policy:

The policy tenure is only 1 year, and renewal before the expiry is compulsory for continued coverage.
There is a co-payment clause in each claim. The amount is 5% of the admissible claim. Mandatorily applicable across all ages.
The Sum Insured is increased by 5% every claim-free year through a cumulative bonus, which is limited to up to 50% of the Sum Insured.
The Insured enjoys tax exemptions for the premium paid during a financial year as per extant laws under the Income Tax Act. 1961.

Eligibility Criteria

The minimum eligibility criteria to buy this policy are:

Minimum Entry Age	Adult: 18 years
Maximum Entry Age	Adult: 65 years. Lifelong policy renewability
Number of people covered	Individual for self, spouse, dependent children, dependent parents, and dependent parents-in-law. Family Floater members can include up to 8 members: Self, spouse, dependent children from 3 months to 25 years of age, dependent parents, and dependent parents-in-law.
Residential Status	Residents of India, including citizens, and permanent residents

Information on Cancellation of the Policy

The Zuno Arogya Sanjeevani Insurance policy can be cancelled by the insured by giving a 15-day notice. The premium refund is governed by the term and conditions prescribed by the Insurer. It is applicable for both offline and online Zuno Arogya Sanjeevani Insurance Policy.

FAQs

Q. What is the applicable sub-limit for hospital accommodation in the Zuno Arogya Sanjeevani Insurance Policy?

Ans: The room rent is up to 2% of the sum insured with a per day amount cap of Rs 5,000, and the ICU/ICCU Charge is up to 5% of the sum insured with an amount cap of Rs 10,000 per day.
Q. What is the maximum number of members included in the Individual Zuno Arogya Sanjeevani Insurance Policy?

Ans: A maximum of 8 members can be accommodated in Family Floater Policy as per combinations included in the family.
Q. What is the claim settlement procedure in Zuno Arogya Sanjeevani Insurance Policy?

Ans: The insured is entitled to both Cashless Treatment and Reimbursement claims as per the emerging circumstances.
Q. Is the insured entitled to buy more than one health insurance?

Ans: Yes, the Insured can buy multiple health insurance policies, and the claim will be settled in cumulative Sum Insured, as per conditions.
Q. Can the Insured port the Zuno Arogya Sanjeevani Insurance Policy?

Ans: The policy can be migrated as per the governing rules related to portability.