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Elevate - Quote - 2025-05-08T115429123 - 250508 - 120524

The document is a health insurance proposal for Mr/Ms. Srikanta Sahu, offering the Elevate plan with coverage options for two members aged 42 and 25. It outlines premium rates for different tenures, coverage benefits, and waiting periods for various conditions. The proposal emphasizes comprehensive coverage including in-patient treatment, wellness programs, and additional benefits like teleconsultation and claim protection.

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Mukesh Kumar
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22 views5 pages

Elevate - Quote - 2025-05-08T115429123 - 250508 - 120524

The document is a health insurance proposal for Mr/Ms. Srikanta Sahu, offering the Elevate plan with coverage options for two members aged 42 and 25. It outlines premium rates for different tenures, coverage benefits, and waiting periods for various conditions. The proposal emphasizes comprehensive coverage including in-patient treatment, wellness programs, and additional benefits like teleconsultation and claim protection.

Uploaded by

Mukesh Kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Dear Customer,

Dear Customer,

Thank you for your interest and choosing us as your health insurance partner, Mr/Ms. SRIKANTA SAHU VOICE CHANNEL is our trusted
partner and is an expert in providing health insurance solutions

We are glad to offer you Elevate, a comprehensive health insurance solution that suits your requirement.

Please find below details provided by you to Mr./Ms. SRIKANTA SAHU VOICE CHANNEL

No. of members 2

Age of Insured 1 42 years

Age of Insured 2 25 years

Preferred Sum Insured 10L

Sum insured option/ Premium options

Tenure Preferred Sum Insured - 10L Recommended Sum Insured - 15L

1 year 21452 24902

2 years 40758 47313

3 years 58992 68480

4 years 77226 89646

5 years 98902 114826

Summary of Coverage

Benefit Name Coverage

In-patient treatment In-built, up to SI

In Patient Hospitalisation (Surrogate Mother) In-built, up to SI subject to max of Rs. 5 lacs

In Patient Hospitalisation (Oocyte Donor) In-built, up to SI subject to max of Rs. 5 lacs

Room Rent Capping Single Pvt room

Day-care Treatments In-built, up to SI

Modern Treatment In-built, up to SI

AYUSH Treatment In-built, up to SI

Domiciliary Hospitalisation In-built, up to SI

Wellness Program In-built

Bariatric Surgery In-built, up to SI

Donor Expenses In-built, up to SI

Pre & Post Hospitalisation Pre - 90 days/Post -180 days

Domestic road ambulance In-built, up to SI

In-built, unlimited times for same & different


Reset Benefit
illness

In-built, 20% every year up to 100%;


Loyalty Bonus
irrespective of claims

PED Waiting Period 3 Years

Specific Disease Waiting Period 2 Years

Initial Waiting Period 30 Days

Waiting period for Diabetes,Hypertension and Cardiac conditions (unless they


90 Days
are PED)
BeFit 30 days

Maternity Waiting Period 2 Years

Bariatric Surgery 2 Years

Worldwide Cover Waiting Period 2 Years

Critical Illness Waiting Period/Survival Period 90 days / 0 days

Summary of Coverage

Benefit Name Coverage

Teleconsultation Yes

Claim Protector Yes

Inflation Protector Yes

Dependent Accomodation Benefit Yes

Infinite Care Yes

Power Booster Yes

2 hours hospitalization Yes

We thank you for showing your trust and confidence with us. We assure you that we will be with you at every step of your journey and
beyond.

Thanking you,
Team ICICI Lombard

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