FAQs FG Heart & Health Insurance Plan (UIN: 133N069V01)

Transcription

1 1. What is FG Heart & Health Insurance Plan? FG Heart & Health Insurance Plan is an Individual / Nn - Linked / Nn - Participating / Fixed Benefit Health plan which pays lump sum t the life assured n diagnsis r underging the surgical prcedure f the listed Minr, Mderate r Majr stage Critical Illness as per ptins chsen. 2. Hw Des FG Heart & Health Insurance Plan wrk? This is a regular premium payment Individual / Nn - Linked / Nn Participating/ Health plan As per yur requirement, chse the ptin:- Optin 1 - Heart Cver Optin 2 - Critical Illness Cver Optin 3 - Heart Cver with Return f Premium Optin 4 - Critical Illness Cver with Return f Premium Pay the premium till the end f plicy term Receive lump sum n diagnsis r underging the surgical prcedure f the listed Minr, Mderate r Majr stage critical illness On diagnsis/underging the surgical prcedure f the Minr r Mderate critical illness, premiums will be waived ff fr the perid f 5 plicy years r till the end f the plicy term, whichever is earlier. (Only nce during the plicy term) Death benefit in case life assured dies during the plicy term Maturity Benefit if life assured survives till the end f plicy term (Available nly with ptin 3 and 4) 3. Why d I need FG Heart and Health Insurance Plan? Life is abut enjying all big and small mments with thse wh matter t yu. And, these mments are best enjyed when yu are healthy and wrry free. The mdern lifestyle hwever, expses us t many risks arising n accunt f lack f exercises, irregular eating schedule, sedentary wrk habits and erratic sleep patterns etc. Therefre, while preventin is the best slutin, preparedness is equally imprtant. Presenting the Future Generali Heart and Health Insurance Plan, a cmprehensive health prtectin plan, that safeguards yu and yur family against financial risks arising ut f any defined unfreseen medical emergency. The plan prvides a fixed financial benefit that will help yu cver medical csts, especially in case f critical illness which require a lng term treatment, cst f secnd pinins, pst treatment nursing and abve all a lss f incme during the affected perid. 4. What are the key features f this plan? Prvides Cmprehensive Health Cver - Get cver against 59 Critical Illnesses and surgical prcedures including Heart and Cancer related ailments. Yu have an ptin t pt fr a separate Heart Cver as well that will prvide cver against 18 Heart Related illnesses and surgical prcedures.

2 Flexibility t Chse yur cver yu can chse frm the available 4 ptins basis yur needs Lumpsum Payut n diagnsis/underging surgical prcedure f the listed illnesses Inbuilt Death Benefit Has death cver frm day 1 with all the ptins Multiple Claim Benefit Claim upt 2Minr r 2 Mderate cnditins prvided yu have nt exhausted yur Sum Assured Waiver f Premium Benefit - If yu are diagnsed with any f the defined minr r mderate cnditins, yur premiums will be waived fr the fllwing 5 years. This means that the plan cntinues withut yu having t pay premiums fr 5 years Prvides ptin t get yur premiums back n maturity Buy fr Self and Family - Yu can als buy this plan fr Yur Spuse, Children and Parents. Yu will have t buy individual plicy fr each family member. 5% Discunt n premium rates n buying directly frm ur website Tax Benefit under bth sectin 80C and 80D 5. But I already have a mediclaim plicy, why d I need this Cver? The medical expenses incurred fr a critical illness treatment may be very high, depending n the stage. Mrever, there are sme ther csts as well like Travel Expenses fr secnd pinin and treatment, rehab, nursing at hme and cunseling csts pst treatment, lss f incme during the treatment and recvery perid etc. While it is advisable t have a mediclaim plicy, yu shuld bjectively assess the limitatins f it. Mediclaim plicies ffer nly hspitalizatin expenses basis the bill amunt and it may nt be sufficient t cver all the expenses. FG Heart and Health Insurance Plan is a fixed benefit plan and pays ut lump sum n diagnsis/underging f surgical prcedure f the listed illnesses which can help yu in taking care f bth Medical and ther incidental csts. 6. What is the eligibility criterin fr taking this plicy? Minimum Age at Entry - 18 years (as n last birthday) Maximum Age at Maturity - 65 years (as n last birthday) 7. What is the minimum / maximum age at which plicy will mature? Maximum Maturity age: 75 years (as n last birthday) 8. What are the minimum and maximum Sum Assured limits? Minimum Sum Assured: 5 Lac Maximum Sum Assured: 50 Lac SA Optins t the Plicyhlder 5 Lac/10Lac/20Lac/30Lac/40Lac/50Lac 9. What are the plicy term ptins available under the plan? Plicy Term Optins are 10, 15, 20, 25, 30, 75 minus age at entry 10. What are the premium payment term ptins available under this plan? This is a regular premium payment plan and premium payment term equals t the plicy term.

3 11. What are the premium payment mdes available with this plan? Annual, Half Yearly, Quarterly, Mnthly Half-yearly Premium- 52% f annual premium. Quarterly Premium- 26.5% f annual premium. Mnthly Premium) % f annual premium 12. When the risk under the plicy wuld cmmence? Date f Cmmencement f Risk wuld be the date f issue f first premium receipt 13. What are the varius types f claim available under the plan? All ptins prvide lumpsum n diagnsis/underging f surgical prcedure f Minr, Mderate r Majr claim as per belw table:- Minr Claim Mderate Claim Majr Claim 25% f Critical Illness Sum Assured is payable and future Premiums will be waived fr 5 years r till the end f the Plicy Term, whichever is earlier (nly n first minr cnditin claim). 50% f Critical Illness Sum Assured is payable and future Premiums will be waived fr 5 years r till the end f the Plicy Term, whichever is earlier (nly n first mderate cnditin claim). 100% f Critical Illness Sum Assured less the benefit amunt already paid under Minr r Mderate Cnditin, if any during the entire Plicy Term. Plicy will terminate pst payut f majr claim. 14. If I dn t claim any amunt, what will happen? If yu have chsen ptin 3 and 4, and yu stay healthy thrughut the term f the plicy, yu will get yur premiums back. Even if yu have made a claim, but the claim amunt paid t yu is lwer than the premiums paid by yu we will refund the balance f yur premiums back as per the calculatin given in the belw table Optins Optin 1 & 2 Maturity Benefit N benefit payable in case life assured survives till the maturity date. Plicy will

4 terminate n maturity Optin 3 & 4 If Life Assured is alive n the Maturity Date and if all Installment Premiums have been received in full, then Maturity Payut will be- Sum f all Instalment Premiums paid (excluding taxes and extra premiums) less any ther critical illness benefits paid under the Plicy Any Premiums waived shall als be cnsidered alng with premiums paid by the Plicyhlder fr calculatin f the Maturity Benefit 15. What is the death benefit under FG Heart & Health Insurance Plan? If the Life Assured dies n r after the Risk Cmmencement Date but during the Plicy Term and prvided that the Plicy has nt Lapsed, the Death Benefit payable shall be as fllws Death benefit payable shall be highest f the fllwing - 25% f Sum Assured ; r 10 times Annualised Premium (excluding gds and services tax, rider premium, mdal ladings, and underwriting extra premium, if any); r 105% f all premiums paid (excluding gds and services tax, rider premium, mdal ladings, and underwriting extra premium, if any) as n date f death ; Guaranteed Maturity Benefit, if any (nly applicable under Optin 3 and 4) The Plicy will terminate n payment f Death Benefit 16. When the waiver f premium will be applicable? On diagnsis/underging f surgical prcedure f Minr r Mderate Cnditin, whichever ccurs first, future Installment Premiums will be waived fr next 5 plicy years r till the end f Plicy Term whichever is earlier Waiver f Premium will be applicable nly nce during the Plicy Term 17. What are the illnesses/surgical prcedures that are cvered under this plan? Please refer ur prduct brchure fr the list f illnesses, definitins and exclusins under this plan. 18. Will my premium be same during the plicy term? Is there any premium guarantee? Premium rates are guaranteed fr an initial perid f 5 years frm the date f issuance f the

5 Plicy and thereafter fr a perid f every blck f five years The Cmpany can review the renewal premium after the cmpletin f first 5 Plicy years and that reviewed premiums will remain unchanged fr a perid f every blck f five years. Any such change in premium shall be subject t prir apprval frm IRDAI. In case f any change in Premium rates, the revised Premium rates shall be applicable based n Age at Plicy Cmmencement Date and riginal Plicy Term chsen. Any revisin in the Premium rates shall be ntified t the plicyhlder at least three mnths prir t the date f such revisin and the plicyhlder will be given a perid f 30 days frm Premium Due Date (n r after the effective date f change) t cntinue the Plicy. 19. Is there any initial waiting perid in the Plicy? Yes, there is a waiting perid f 180 days frm the Risk Cmmencement r reinstatement date (whichever is later). N benefits shall be payable within 180 days In case f any Cnditin (Minr r Mderate r Majr) diagnsed r manifested during Waiting Perid, n Critical Illness benefit shall be payable and the Plicy will terminate. In such case, Cmpany will refund the premiums frm Risk Cmmencement Date f the Plicy r frm the date f Revival, as applicable. 20. Is there any survival cnditin pst diagnsis f critical illness? Yes. Survival cnditins are applicable and n benefits shall be payable if Insured persn has survived fr less than r equal t belw mentined survival perid Majr Stage Cancer r Early Stage Cancer r Carcinma in-situ 0 days Minr, Mderate and Majr Heart Related Cnditins /Other Critical Illness Cnditins 21 days 21. In case plicy hlder disagrees t the terms and cnditins f the plicy, what ptin is available t him? In case yu disagree with any f the terms and cnditins f the plicy, yu can return the plicy t the cmpany within 15 days (30 days if plicy is sld thrugh direct marketing mde) f its receipt fr cancellatin, stating yur bjectins. Future Generali will refund the plicy premium after the deductin f stamp duty charges, medical expenses, if any and prprtinal risk premium fr perid f cver, if any 22. In case plicyhlder is unable t pay premium n due date, what can he d? Plicyhlder get a grace perid f 30 days fr annual, half yearly and quarterly mde and 15 days fr mnthly mde frm the premium due date t pay his missed premium. During this

6 grace perid, he will cntinue t be insured and be entitled t receive the benefits. If a valid claim arises under the plicy during the Grace Perid, but befre the payment f due premium, the claim will be hnred. In such cases, the due premium will be deducted frm the benefit payable. 23. If I am unable t pay premium during the grace perid als, what will happen t my plicy? Fr Optin 1 and 2 - If yur due premium remains unpaid at the end f the grace perid the plicy shall lapse and n benefit will be prvided t yu during lapse perid. Yu can revive the plicy within 2 years frm the date f last unpaid premium. Fr Optin 3 and 4 - If due premiums fr the first three (3) plicy years have nt been paid within the grace perid, the plicy shall lapse and will have n value. In case the Plicy is nt revived during the revival perid n benefit shall be payable at the end f revival perid and the plicy will terminate 24. What are the revival perid cnditins? A lapsed plicy may be revived during the Plicy Term within a perid f tw years frm the due date f first unpaid premium. The revival will be cnsidered n receipt f a written applicatin frm the plicyhlder alng with payment f all verdue premiums. N interest shall be charged n revival fr Optin 1 - Heart Cver and Optin 2 - Critical Illness Cver 25. In case plicyhlder wants t surrender his plicy, what benefit he wuld receive? We encurage yu t cntinue yur plicy as planned, hwever, yu have the ptin t surrender the same fr immediate cash requirement, in case f an emergency, any time after the payment fr first three full plicy year s premium. There is n surrender value applicable under Optin 1 Heart Cver and Optin 2 - Critical Illness Cver. Under Optin 3 & 4, plicy can be surrendered any time after the payment fr first three full plicy year s premium.the amunt payable n surrender will be higher f the Guaranteed Surrender Value (GSV) and Special Surrender Value (SSV) 26. Is there any premium discunt available if I buy plicy nline? 5% nline discunt n Premium will be applicable fr the plicies bught thrugh Online

7 channel. The premium rates applicable fr staff shall be the same as applicable fr nline channel i.e. 5% discunt n the premium rates Staff buying Online will nly be eligible fr Online discunt. Staff discunt will nt apply in such case 27. What happens in case life assured cmmits suicide? If the Life Assured s death arises directly r indirectly thrugh r in cnsequence f suicide within 12 mnths : frm the date f inceptin f the Plicy, the nminee r beneficiary shall be entitled t 80% f the premiums paid, prvided the Plicy is in frce, r frm the date f revival f the Plicy, the Nminee r beneficiary shall be entitled t an amunt which is higher f 80% f premiums paid till the date f death r the Surrender Value, if any, as available n the date f death 28. What is pre-existing disease exclusin? Pre-Existing means any cnditin, ailment r injury r related cnditin(s) fr which the Life Assured had signs r symptms, and/r were diagnsed, and/r fr which medical advice/treatment was received within 48 mnths prir t the first plicy issued by the Cmpany and renewed cntinuusly thereafter. Any investigatin r treatment fr any Illness, disrder, cmplicatin r ailment arising ut f r cnnected with the pre-existing Illness shall be cnsidered part f that pre-existing illness. 29. Will I get any tax benefit under this plicy? Tax benefits as per sectin 80C/80 D n premiums paid Premium will be divided and shwn separately under 80C and 80D in schedule and BI and als in Premium Paid Certificate Tax n the premium will als be shwn separately All payuts wuld be tax free u/s 10(10D) 30. Can an NRI apply fr this Plicy? This plan is available fr Residential Indians nly 31. Can I buy this plan if I am a smker r cnsume tbacc in any frm? Yes. Hwever, smker rates are higher than the nn-smker rates. A persn is cnsidered as a nn-smker if he/she has nt been smking r having/chewing tbacc in any frm (cigarettes, bidis, gutkha etc.) fr the last 3years.

8 32. Hw d I generate a premium receipt fr submissin at my ffice t claim Incme Tax benefits? The first premium receipt will be a part f the plicy kit dispatched t yu nce the plicy is issued. Als, n successful payment, an nline acknwledgement is ed t yu which is printable. Yu can als g t Custmer Service sectin in ur website and generate the Premium Paid Certificate f yur plicy by entering yur Plicy N. 33. When and hw d I pay my future premiums? The due dates fr premium payment are mentined in the Plicy Schedule f yur Plicy Dcument. Hwever, it is recmmended that yu give us a Direct Debit / ECS Mandate / Standing Instructin fr autmatic premium debit frm yur Bank Accunt / Credit Card. 34. Can I pay premiums in any ther currency? N. All premiums are accepted nly in Indian currency. 35. D I have t underg medical tests befre enrlling fr Future Generali Heart and Health Insurance Plan? Basis yur age and selectin f Sum Assured yu might have t underg medical tests. 36. What are the exclusins under this plan? Please refer ur brchure fr disease specific and generic exclusins under this plan