Galaxy Promise Plan

Galaxy Promise Plan

Galaxy Promise plan provides comprehensive coverage to meet the health needs of individuals and families. It locks the policy premium at the time of purchase under the Premium Promise benefit unless the insured is 55 years old or files a health insurance claim. It also waives off renewal premiums for two years if the insured voluntarily donates an organ under the organ donor cover.

This Galaxy health insurance policy covers pre-existing asthma, blood pressure and cholesterol from the 31st day with the Insta Care Cover. Besides, it provides coverage for hospice care, sleep disorders and chronic severe refractory asthma. Moreover, the policy comes with maternity cover, consumables cover, health check-up benefit, personal accident cover, home care treatment, hospital cash benefit, etc.

Galaxy Promise Plan: Key Highlights

Benefits of Galaxy Promise Plan

Take a look at the key benefits of the Galaxy Promise plan:

1. No Hike in Premium Promise

   With the Premium Promise benefit, Galaxy Health Insurance Company Limited promises not to hike health insurance premiums unless the insured turns 55 years old or files a claim. Although this benefit is in-built under the Signature variant, policyholders will have to opt for this benefit under the Elite variant.

2. Pre-existing Diseases (PED) Coverage from Day 31

   Policyholders can avail coverage for pre-existing blood pressure, cholesterol and asthma after a waiting period of 30 days. However, this cover is only available as an optional cover under the Signature variant.

3. Premium Waiver for Voluntary Organ Donation

   Under this mediclaim policy, the insurance company waives off renewal premiums for 2 years in case the insured voluntarily donates an organ.

4. Hospice Care

   Unlike most health insurance plans, the Galaxy Promise plan covers the cost of hospice care availed by patients suffering from life-limiting diseases like cancer, heart failure, etc. However, this cover is only available under the Signature variant once in the lifetime of the policy.

5. Coverage for Chronic Severe Refractory Asthma

   This Galaxy health insurance policy provides coverage for the treatments availed for chronic severe refractory asthma. However, this cover is only available under the Signature variant.

6. Automatic Restoration of the Sum Insured

   With the Automatic Restoration benefit, the sum insured of the policy is automatically restored by 100% in case of exhaustion. However, this benefit is not available under the Premier variant.

7. Preventive Health Check-ups

   The insurance company covers the cost of preventive health check-ups incurred by the insured at one of its network hospitals. While the Signature variant offers annual health check-up benefit, the Premier and Elite variants cover the cost of health check-ups depending on the claim history.

8. 20% Wellness Discount

   The Galaxy Health Insurance Company Limited offers a wellness discount of up to 20% on renewal premiums under the Gala Fit – Pro Active Care program on earning over wellness coins by performing various wellness activities.

9. Cumulative Bonus

   With the cumulative bonus, policyholders can increase their sum insured by up to 100% if they do not file any claims in the previous policy year. However, if they opt for the no claim discount, they can reduce their renewal premiums by up to 4% every claim-free year.

10. Tax Benefits

    Policyholders can enjoy tax benefits on the premiums paid to buy a Galaxy Promise plan under Section 80D of the Income Tax Act.

Galaxy Promise Plan Eligibility Criteria

Check out the eligibility criteria to buy a Galaxy Promise plan:

Inclusions of Galaxy Promise Plan

The Galaxy Promise plan includes the following coverage:

• In-patient Treatment – It covers the medical expenses incurred during hospitalization of at least 24 hours, including room rent, doctor’s fees, ICU charges, etc.
• Day Care Procedures/Treatments – It pays for all day care procedures or treatments that require hospitalization of less than 24 hours.
• Pre-Hospitalization Expenses – It covers the medical costs incurred for up to 90 days before being admitted to the hospital.
• Post-Hospitalization Expenses – It pays for the follow-up expenses incurred for up to 180 days after the hospital discharge.
• Road Ambulance – It covers the cost of availing road ambulance services to transport the insured to the hospital or from one hospital to another.
• Air Ambulance – It pays for the air ambulance services availed to transport the insured to the hospital during a medical emergency.
• Treatment for Cataract – It covers the medical expenses incurred on the treatment of cataract.
• AYUSH Treatment – It pays for the in-patient hospitalization costs incurred on obtaining treatment under the Ayurveda, Siddha, Unani, Yoga & Naturopathy and Homoeopathy systems of medicine.
• Domiciliary Hospitalization – It covers the cost of availing medical treatment at home for more than three days on the advice of the attending doctor in case shifting to a hospital is not possible.
• Modern Treatment – It pays for the medical expenses incurred on 12 modern treatments, such as robotic surgeries, stem cell therapy, bronchial thermoplasty, etc.
• Organ Transplantation Expenses – It covers the hospitalization costs incurred on the organ transplant surgery of the insured, including the harvesting of the donated organ.
• Organ Donor Expenses – It pays for the medical expenses incurred on donating an organ for transplant surgery, including complications leading to an ICU admission or a redo surgery. It also waives off the policy premiums for 2 years in case the insured donates an organ. However, this cover is only available under the Signature variant.
• Assisted Reproduction Treatment – It covers the cost of assisted reproduction treatments availed by the insured. However, this cover is only available under the Signature variant.
• Surrogacy Cover – It pays for in-patient hospitalization expenses of the surrogate mother, including post-partum delivery complications, if the insured is the intended couple. It also pays a lump sum amount to the surrogate mother in case of an accidental miscarriage. However, this cover is only available under the Signature variant.
• Oocyte Donor Cover – It covers the in-patient hospitalization costs of the oocyte donor due to complications from assisted reproduction treatments if the insured is the intended couple. However, this cover is only available under the Signature variant.
• In Utero Fetal Surgery/Intervention – It pays for the cost of in utero fetal surgeries or procedures availed by the insured. However, this cover is only available under the Signature variant.
• Delivery Expenses – It covers delivery expenses of the insured mother, including normal and caesarean deliveries, along with pre-natal and post-natal expenses. It also pays for the antenatal scan of the insured mother in the 12th and 20th weeks. However, this cover is only available under the Signature variant.
• Newborn Baby Cover – It pays for the medical expenses incurred on the treatment of the newborn baby from day 1 of its birth.
• Second Medical Opinion – It covers the cost of availing second medical opinion for an illness or medical condition.
• Emergency Domestic Medical Evacuation – It reimburses the transportation cost of the insured from one hospital to another for further treatment. However, this cover is only available under the Signature variant.
• Repatriation of Mortal Remains – It pays for the cost of repatriating the mortal remains of the insured, including coffin and embalming charges, to the place of residence.
• Treatment for Sleep Disorders – It covers the treatment cost of any medical condition that may disrupt normal sleep patterns, duration, quality and timings. However, this cover is only available under the Signature variant.
• Home Care Treatment – It pays for the medical treatments availed at home, which would normally require hospital care, on the advice of the doctor. However, this cover is only available under the Signature variant.
• Treatment for Chronic Severe Refractory Asthma – It covers the cost of availing in-patient treatment, OPD treatment, day care treatment and home care treatment for chronic severe refractory asthma. However, this cover is only available under the Signature variant.
• Compassionate Travel – It reimburses the transportation expenses of one immediate family member in case the insured is hospitalized due to a life-threatening emergency in another city.
• Treatment in Valuable Service Provider Network (VSP) – It pays a lump sum amount to the policyholder in case they obtain treatment at a hospital from the Valuable Service Provider (VSP) network.
• Bariatric Surgery – It covers hospitalization expenses, including pre-hospitalization and post-hospitalization expenses, incurred on bariatric surgery and its complications.
• Consumables Cover – It pays for the non-medical items, such as cotton, syringes, admission charges, etc., used during in-patient hospitalization. However, this consumables cover is only available under the Signature variant.
• Rehabilitation and Pain Management – It covers the medical expenses incurred on availing rehabilitation and pain management treatments by the insured.
• Hospice Care – It pays for the cost of availing hospice care from a network provider of the insurer once in the lifetime of the policy. However, this cover is only available under the Signature variant.

Optional Covers:

• Accidental Death and Permanent Total Disablement – It pays a compensation amount if the insured dies or suffers from permanent total disability due to an accident. However, this cover is only available under Elite and Signature variants.
• Hospital Cash – It provides a daily cash allowance to the insured for each day of hospitalization for a maximum of 10 days. However, this cover is only available under Elite and Signature variants.
• Pre-existing Diseases (PED) Buy Back – It reduces the waiting period for pre-existing diseases from 3 years to 2 years or 1 year. However, this cover is only available under the Signature variant.
• Deductibles – It provides up to 40% discount on the premium in case the policyholder opts for an aggregate deductible or up to 15% discount on opting for a deductible on every claim. However, this cover is only available under Elite and Signature variants.
• Room Rent Enhancement – It allows the insured to choose staying in any hospital room for hospitalization. However, this cover is only available under Elite and Signature variants for a sum insured between ₹5 lakh and ₹20 lakh.
• Insta Care Cover from 31st Day – It covers pre-existing asthma, blood pressure and cholesterol after a waiting period of 30 days. However, this cover is only available under the Signature variant.
• Consumables Cover – It covers the cost of consumables, such as registration charges, syringes, cotton, masks, gloves, etc., used during the hospitalization of the insured. However, this cover is only available under the Elite variant.
• Premium Promise – It locks the premium at which the policy was purchased unless the insured turns 55 years old or files a claim. However, this cover is only available under the Elite variant.

Exclusions of Galaxy Promise Plan

The following expenses are excluded by the Galaxy Promise plan:

• Obesity and weight-control treatments
• Treatment for drug abuse or alcohol addiction
• Dietary supplements and substances
• Injuries due to participation in hazardous or adventure sports
• Intentional self-injury
• Plastic or cosmetic surgery
• Unproven treatments

Galaxy Promise Plan Waiting Periods

Here are the waiting periods applicable to the Galaxy Promise plan:

Galaxy Promise Plan - FAQs