CLOSED : JIO Mediclaim Renewals

From: 31 Mar 2017

Till: 30 Mar 2018

Payment for policy premium is accepted only through Online Payment or Demand Draft

CASH/ CHEQUE/ NEFT & RTGS WILL NOT BE ACCEPTED

 

PREMIUM details for Gold Policy Phase - 1, Renewal

PROPOSER BELOW 40 YEARS

PREMIUM details for Gold Plan (Phase - 1, Renewal)

FAMILY SIZE

SUM INSURED

PREMIUM
Including 15% Service Tax

Family Floater of size 1+7

Rs. 25 Lacs

Rs. 59, 258/-

Family Floater of size 1+7

Rs. 20 Lacs

Rs. 54, 738/-

Family Floater of size 1+7

Rs. 15 Lacs

Rs. 44, 694/-

Family Floater of size 1+7

Rs. 10 Lacs

Rs. 21, 594/-

Family Floater of size 1+7

Rs. 5 Lacs

Rs. 13, 107/-

Family Floater of size 1+7

Rs. 2 Lacs

Rs. 10, 546/-

Strictly for Individual below 40 Yrs

Rs. 2 Lacs

Rs. 2, 626/-

SUM INSURED

PREMIUM

SERVICE TAX
@ 15%

PREMIUM AFTER
TAX

200000

3500

525

4025

500000

5500

825

6325

1000000

8000

1200

9200

PROPOSER ABOVE 40 YEARS

SUM INSURED

PREMIUM

SERVICE TAX
@ 15%

PREMIUM AFTER
TAX

200000

5500

825

6325

500000

7500

1125

8625

1000000

13000

1950

14950

• Please read PHASE-5 Terms & Conditions before making the payment.


ONLINE PROCEDURE

OFFLINE PROCEDURE

Step 1: Get JIO Membership Number

Please register online for JIO Membership on www.jio.net.in/membership
If You are already JIO Member, please ignore the Step 1

 

Step 2:Give your family details

Please click on Register Online. Please login with JIO Membership Number. ADD your family member details

 

Step 3: Pay premium

Please pay premium via Payment Gateway.

Step 1:Prepare Demand Draft

Please prepare Demand Draft in favor of “ JAIN INTERNATIONAL ORGANISATION A/c Shravak Arogyam “Payable AT PAR at MUMBAI.

 

Step 2: Download& Fill the Proposal Form

Download the soft copy of the PROPOSAL FORMby clicking on REGISTER OFFLINE and fill it completely

 

Step 3: Courier the Proposal Form & Demand Draft(at the following address )

JIO PHASE-5
C/o Alliance Insurance Brokers Pvt Ltd
No.102, 1st Floor, Ranee Villa, 10th Road,
JVPD Scheme, Vile Parle (W),
Mumbai – 400049

For any queries call 022-66876777

 

CLICK HERE FOR NETWORK HOSPITAL LIST

 

SALIENT FEATURES OF Renewals

(Phase-1, Phase-2, Phase-3, Phase-4, Phase-5, Phase-6, Phase-7.2, HNI Policy)



PREMIUM details

FAMILY SIZE SUM INSURED PREMIUM FOR
12 MONTHS
SERVICE TAX
@ 15%
AMOUNT PAYABLE
Family Floater of size 1+7 Rs.10 Lacs 26,043 3,907 29,950
Family Floater of size 1+7 Rs.5 Lacs 15,609 2341 17,950
Strictly for individual below 40 Yrs Rs.2 Lacs 4,304 646 4,950

 

We are happy to announce that the existing ELDERLY MEMBERS covered under the Policy who have already completed 80 years of age, are welcomed to continue the cover in the Renewal also for life time.

  1. FAMILY FLOATER MEDICLAIM: Sum Insured of Rs.5 Lacs and Rs.10 Lacs
  2. FAMILY DEFINITION: (1+7) maximum 8 members with self-mandatory : Primary Member + Spouse + 4 Dependent children up to 25 years of age + Parents or Parents in law (Any one set of parents only allowed)
  3. INDIVIDUAL POLICY with Sum Insured of Rs.2 Lacs available only for member BELOW 40 years
  4. CASHLESS TREATMENT ONLY – Claims will be Payable ONLY ON CASHLESS Basis. No Reimbursement facility available. For availing cashless Facility, Star Health Insurance Company has an empaneled list of 8,000 Hospitals PAN India. However in the case of Medical Emergencies & Accidents, treatment can be taken in other Hospitals and seek reimbursement. Such claims are subject to ADDITIONAL COPAY OF 30% (after adjusting the copay and all inner limits indicated for a normal cashless claims). In all cases immediate intimation shall be given to our Call Center within 24 hours of Hospitalization.
  5. 30% ADDITIONAL CO-PAY on all REIMBURSEMENT claims
  6. Claim Intimation for all reimbursement claims have to be intimated within 24 hours of Admission, failure to intimate within stipulated time limits will lead to rejection of the claim
  7. PRE-EXISTING DISEASES are covered from Day One
  8. CO PAYMENT:
    • 10% CO-PAY for sum insured 2 lac, 5 lac & 10 lac and 15% CO-PAY for existing HNI Policy holders (for sum insured 5 lac & 10 lac) on all NON-PRE EXISTING DISEASE claims irrespective of age.
    • 50% CO-PAY on all PRE-EXISTING DISEASE CLAIMS irrespective of age

      (**If it is proved during Cashless that the ailment is NON-PED e.g in case of Fever or Accidental cases, etc. then Star will deduct NON-PED Co-pay of 10% in case of Sum Insured of Rs.2 Lacs, Rs.5 Lacs & Rs.10 Lacs and 15% in case of existing HNI Policy holders **)

      (**In case if 50% Co-pay is deducted in cashless for PED claim, and the member can prove the concerned ailment was NON-PED, Insurer will pay difference of 40% on Reimbursement basis for Sum Insured of Rs.2 Lacs, Rs.5 Lacs & Rs.10 Lacs and 35% on Reimbursement basis for existing HNI Policy holders. This claim will not be construed as Reimbursement claim**)
    • Co pay will not apply on maternity, maternity related and Cataract claims.
  9. NO MEDICAL CHECK-UP required
  10. AGE LIMIT- 0-80 years (Entry Age of Proposer Between 18 to 80 Years), However ELDERLY MEMBERS who have completed 80 years on or after 30th Oct, 2014 can continue in the Policy till LIFETIME
  11. 1st year entry age is upto 80 years and upon renewal they can continue in the policy till LIFETIME
  12. As per INCOME TAX Act deductions under Sec 80D, Proposer will be eligible for exemption. (Exemption for Payment by Cash not applicable)
  13. Waiting period applicable for Joint Replacement 1 year waiting period applicable for Existing as well as Fresh Enrolled Members in this Policy
  14. Maternity Benefit covered with limit of Rs.25,000 for NORMAL Delivery and CESARIAN Delivery both from Day 1 for existing Members, however waiting period of 9 months will be applicable for new members. However the maternity benefit will not be applicable to Individuals with Sum Insured of 2 Lacs.
  15. AYUSH Treatment Covered upto Rs.10,000 per claim maximum up to Rs.20,000 per year per family subject to the treatment being taken in a Government hospital or in any institute recognized by Government and/or accredited by Quality Council of India or National Accreditation Board on Health.
  16. Cyberknife, Cochlear Implant, and Psychiatric Treatment: Cyberknife and Cochlear implant covered with 50% copayment and Psychiatric treatment covered upto Rs.30,000.
  17. Dental Treatment: Covered in case of Road Accident Requiring Hospitalization.
  18. Day Care Procedures 405 day Care Procedures covered (list attached in the annexure)
  19. Emergency Ambulance Charges Covered maximum upto Rs. 2500/- per case
  20. Pre-Post Hospitalization Expenses (30/60 days respectively) Covered within Family Floater Sum Insured
  21. Internal Congenital Ailments cover Covered
  22. Organ transplant Donor Expenses for organ transplantation where the insured person is the recipient are payable provided the claim for transplantation is payable and subject to the liability of the sum insured. Donor screening expenses and Post-dontaion complications of the donor are not payable. This cover is subject to limit of 10% of the Sum insured or Rs. One Lakh whichever is less.

 

CAPPINGS UNDER THE RENEWAL POLICY

 

Sum Insured Bracket

200,000

500,000

1,000,000

 

 

 

 

Ailments / Procedures

 Limits of Insurance Company's Liability Per Person in Rs.

Cataract

15,000/-

21,500/-

25,000/-

CABG (Bypass)

1,50,000/-

2,00,000/-

2,50,000/-

PTCA (Angioplasty)

1,25,000/-

1,75,000/-

2,25,000/-

Valve Replacement

1,50,000/-

2,00,000/-

2,50,000/-

CAG (Coronary Angiography)

18,000/-

18,000/-

18,000/-

CVA requiring surgery

1,20,000/-

2,20,000/-

2,80,000/-

CVA not requiring surgery

40,000/-

50,000/-

60,000/-

Cancer (All treatment inclusive)

1,20,000/-

2,20,000/-

2,80,000/-

Breakage of Bones / Arthro Plasty

1,00,000/-

2,00,000/-

2,80,000/-

Genito Urinary Calculus

40,000/-

50,000/-

60,000/-

Dialysis

35,000/-

35,000/-

35,000/-

Renal (other than the above 2 ailments)

1,20,000/-

2,20,000/-

2,80,000/-

Cholecystectomy

40,000/-

40,000/-

40,000/-

Hysterectomy

40,000/-

40,000/-

40,000/-

Appendicectomy

40,000/-

40,000/-

40,000/-

Fistula (Anal)

30,000/-

30,000/-

30,000/-

Hernia (All types)

30,000/-

30,000/-

30,000/-

Anaemia (Not for evaluation)

50,000/-

50,000/-

50,000/-

Other Major Surgeries

96,000/-

1,80,000/-

2,20,000/-

*All other major surgeries – Acute/Sub Acute/Chronic, Bilo Pancreatic Surgery, Gastro-Intestinal Surgeries, Surgeries on Prostate, Surgery related to Genito Urinary Tract*

 

Shravak Arogyam RENEWAL Group Personal Accident Policy

 

  • GPA also offers cover to Proposer in case of Accidental Death only Sum Insured for Personal Accident policy is Rs.2 Lacs for Individual Policy’s PROPOSER and Rs.5 Lacs and Rs.10 Lacs for Family floater Policy PROPOSER as per Mediclaim Sum Insured.