Useful Information

Birla

TPA Information

Super Top Up Plus Individual

Synopsis:

SUper top health insurance product from Aditya Birla

Highlight:

  • Deductible Converting to Zero (to an indemnity policy) After 5 years continuous renewal, if age at entry of eldest member for initial policy is 50 yrs and below
  • Domicillary Hospitalisation
  • Home Treatment S.I. 3 Lac, 4 Lac - Rs.25000 S.I. 5 Lac and above - Rs.50000
  • Domestic Emergency Assistance Services (including Air Ambulance)
  • International Emergency Assistance Services (including Air Ambulance)
  • HealthReturns Available up to 30% of premium Under Plan A
  • Health and Wellness Discount
  • Specific illness : 24 months
  • Mental illness: 48 months

Benefit:

Title
Description
Room Rent Limit
Plan A:-Single Private A.C. room.Plan B:-Up to S.I.
ICU Daily Rent Limit
ICU: Up to Sum Insured
Pre-Hospitalization Expenses
30 days
Post Hospitalization Expenses
60 days
Minimum Hospitalization Period
24 hours
Day Care Procedure Coverage
586 covered up to S.I.
Pre-Existing Disease / Illness coverage
Plan A:- After 48 Months. Plan B:-After 36 Months
Waiting Period for New Policy
30 days
Co-Payment
Not Applicable
Ambulance Expenses
Plan A:- Up to Rs. 2,000 per hospitalisation. Plan B:- Network Providers - Covered up to Actual expenses Non- network Providers- Up to Rs. 5000 / hospitalisation
Non-Allopathic Treatments
Plan A:- Not available. Plan B:- Covered up to Sum Insured
Donor Expenses
Covered Up to Sum Insured