LIC Health Insurance Plans in 2024

What is health insurance?

Health insurance is an agreement in which the insurance company pays the hospital’s bill in case of a medical emergency. The health insurance pay the medical bill , consulting fees , ambulance fees, etc.

For health insurance, you have to pay a premium at a fixed time. You can get health insurance for your spouse, dependent parents, children, and other family members.

Common Health Insurance provides:

a) Cashless Facility at Network Hospital: 5 lakh sum insured

b) Rembursement: after paying hospital bills.

But LIC plans are different; there is no relationship to reimbursement or cashless; only you will get defined benefits (Fixed Benefit Policy)

What are LIC health insurance plans?

The LIC health insurance plan is an established health plan that has the best features and provides hospital bills in case of a medical emergency. According to the information provided in the policy documents, medical costs are covered by LIC health insurance plans.

List of LIC Health Insurance Plans:

There are two types of plans in LIC Health Insurance Plans that are listed below:
1) Jeevan Arogya:

Eligible: Principle Insured

Family Floater: Own wife, Mother, Father and Child

Minimum age: 18

Maximum age: 65

Child age: 91 days and maximum: 20 years

The minimum cover-cease age is 80 years, and for children, 25 years.

Surgical benefit sum assured: Rs. 2.5 lakhs to 10 lakhs

There is generally 90-day waiting period and there is no waiting period of accidentals. For any specific disease, there is a specific waiting period of 2 years.

LIC’s Jeevan Arogya – A Non-linked, Non-Participating, Health Insurance Plan.
TO KNOW MORE: https://t.co/Y2LFTfggXe pic.twitter.com/PRc4n0YrsJ

— LIC India Forever (@LICIndiaForever) February 11, 2021

2) Cancer Cover Plan:

Minimum age: 20

Maximum age: 65

It helps with the coverage of early and major-stage cancer.

Basic sum assured: Rupees 15 lakhs to 50 lakhs

Nowdays cancer is spreading very fast because of usage of pesticides in our crops, air pollution and water pollution.
cancer treatment is very costly.
hence to handle the treatment expenses LIC has launched a cancer cover plan. pic.twitter.com/hLUH1d2eEc

— Nawab Asghar (@NawabAsghar9) February 3, 2023

What are the benefits of the LIC Health Insurance Plans?

1) HCB (hospitalization cash benefit): non-ICU bed due to fever or normal injury

Limit: 2500/- to 10000/- daily cash benefit

For ICU, the limit is 5000/- to 20000/-

But the condition is that you must be hospitalized for 28 hours.

2) Medical Management Benefit (MBB): hospitalized due to Dengue malaria, etc.

If you choose daily HCB rupees of 3000, then you will get 2.5 times your HCB (7500/-) for diseases like dengue, malaria, and TB.

3) Major surgical benefits (MSB) for more than 263 surgeries

In this case, if your HCB is 2500 rupees, then you will get 100 times more money, which is 2.5 lakhs.

4) Day care procedure benefit (DCPP) -244 surgeries

If you are having surgery, which is just for a single day, then you will get 5 times your HCB.

5) OSB (Other surgical benefit )

Here, you will get 2.5 times your HSB.

Pros & cons of LIC health insurance plans:

Pros:

You will get a slightly lower premium compared to private companies.

Cons:

There is no cashless facility; they provide quick cash features, but only up to 50%, and there is no proper network hospital list.

You have to pay first, and then LIC will provide the benefits.

How to claim for LIC Health Insurance plans:

If there is no accidental or surgical medical case, then generally, LIC has a waiting period of 90 days for the Mediclaim to get processed.

When a person in the family is hospitalized and needs treatment , one of the family members or any relative has to inform the nearest branch of LIC immediately to enable the claim process, and within 30 days, any of the family members need to submit the claim form and medical evidence to the branch.
the process will initiated , verified and processed.

Documents Required to Enable the Mediclaim Process:

FAQs:

1) How many plans are there in LIC health insurance plans?

Ans: There are two types of plans in LIC health insurance plans: the Cancer Cover Plan and the Jeevan Arogya Plan.

2) Why should we prefer LIC?

Ans: Because it has the best features and is also a government company.