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If you want complete health coverage for you and your family, our Health Total Policy is your best bet! Not only does it cover all your medical expenses, but it also offers discounts, tax benefits, and co-payment options!
Generali Central’s health total plan focuses on your holistic well-being. We cover you for physical health, mental health and includes protection for treatment of COVID-19.
We offer you a wide network of more than 6000+ hospitals that give you the benefit of cashless claim settlement. Our- in-house claim settlement team processes your cashless claims within 90 minutes.
Generali Central believes in keeping you and those you love fully secure. Our plans can cover up to 15 people from your family, without any upper age limit, under one plan.
Premiums paid for the health total plan are exempt from taxes up under Section 80D, subject to some limits. You can protect your future, while saving taxes in the present.
INCLUSIONS
People Covered
You can cover up to 15 members of your family depending on the plan chosen i.e. Vital, Superior or Premiere.
Hospitalization Expenses
All expenses incurred as a part of your hospital stay. Some examples include room stay, surgery, etc.
Day Care Treatment
All expenses incurred when you are hospitalized for less than 24-hours. Some examples include chemotherapy, dialysis, cataract, etc.
Pre-Hospitalization Costs
All medical expenses incurred before you are hospitalized. Some examples include doctor consultation costs, diagnostics tests, etc.
Post-Hospitalization Costs
All expenses that occur on your treatment that extends beyond your hospitalization. Some examples include follow-up doctor visits, medications, further diagnostic tests, etc.
Organ Donor Expenses
All expenses incurred in the surgery and storage of organ.
Domiciliary Hospitalization Expenses
All expenses incurred during at-home medical treatment (domicile) for a period of more than three days.
Maternity Expenses
All expenses incurred when a woman is pregnant, including pre-hospitalization expenses, post-hospitalization expenses, delivery charges, pre-and post-natal expenditure, etc.
Mental Illness Cover
All expenses involved in the treatment of mental illness.
Patient Care
All charges incurred in patient care like nursing, etc.
Road Ambulance Charges
Road ambulance expenses involved in providing emergent out-of-hospital medical care when the patient is stationary.
E-Opinion for an Illness or Injury
Expenses involved in seeking medical opinion online for an injury or illness.
Alternative Treatment
All expenses involved in mainstream and accepted form of therapy like Ayurveda/ Yoga and Naturopathy/ Unani, Siddha/ Homeopathy.
Accidental Hospitalization
Additional sum insured if you meet with accident and require a hospitalization.
Emergency Medical Evacuation
All expenses involved in transporting you from a medical facility that is not equipped to treat you to a hospital that is advanced and much more capable for treating your medical issue.
Consultation
Any charges incurred in seeking professional consultation from doctors.
Diagnostic Tests
All expenses involved in diagnosing an illness, including tests, imaging exams, check-ups, etc.
Child Vaccination Benefits
All vaccination expenses up to one year after the birth of the child.
New Born Baby
All new born baby expenses incurred during hospitalization from the day of birth till 91 days.
Medical Treatment Abroad
All costs involved in seeking medical advice, diagnosis, care or treatment abroad.
Out-Patient Medical Expenses (Consultation and Diagnostic)
All treatment expenses that do not require a hospital stay or admission. Some examples include therapy, diagnostic tests, etc.
Medications
Dental consultations and diagnostics only (up to 70%)
Out-Patient Medical Expenses (Prescribed Medications up to 80%)
EXCLUSIONS
Non-prescribed medicines
Illness due to the consumption of alcohol or drugs
Hormone replacement therapy
Age disabilities or illnesses from birth known as congenital
Sex change treatment
Injuries due to war
VITAL
Self, spouse, dependent children (unmarried and up to the age of 25 years) and dependent parents
SUPERIOR
Self, spouse, dependent (unmarried and up to the age of 25 years) or non – dependent children, dependent or non – dependent parents, dependent siblings, daughter in law, son in law, parents in law, grandparents and grandchildren.
PREMIERE
Self, spouse, dependent (unmarried and up to the age of 25 years) or non – dependent children, dependent or non – dependent parents, dependent siblings, daughter in law, son in law, parents in law, grandparents and grandchildren.
Want to know which plan to buy?
| Vital Plan | Superior Plan | Premiere Plan | ||||||
|---|---|---|---|---|---|---|---|---|
| Eligibility | ||||||||
| Sum Insured (in ₹) |
3 lakh |
5 lakh |
10 lakh |
15 lakh |
20 lakh |
50 lakh | 50 lakh | 1 crore |
| Minimum age at entry |
1 day |
1 day | 1 day | 1 day | 1 day | 1 day | 1 day | 1 day |
| Maximum age at entry |
None |
None | None | None | None | None | None | None |
| Maximum renewal age |
Lifelong | Lifelong | Lifelong | Lifelong | Lifelong | Lifelong | Lifelong | Lifelong |
| Individual SI / Family Floater SI options |
Both | Both | Both | Both | Both | Both | Both | Both |
| Family definition |
S+Sp+2C+2P (1+5) |
S+Sp+2C+2P (1+5) |
S+Sp+2C+2P (1+5) |
Extended family up to 15 members |
Extended family up to 15 members |
Extended family up to 15 members |
Extended family up to 15 members |
Extended family up to 15 members |
| Hospitalisation Benefits | ||||||||
| Hospitalisation |
Up to SI |
Up to SI | Up to SI |
Up to SI |
Up to SI |
Up to SI |
Up to SI |
Up to SI |
| Day care treatment |
||||||||
| Pre-hospitalisation | 60 days |
60 days | 60 days | 60 days | 60 days | 60 days | 60 days | 60 days |
| Pre-hospitalisation |
90 days |
90 days | 90 days | 120 days |
120 days | 120 days | 180 days |
180 days |
| Restoration of SI |
||||||||
| Cumulative bonus - 50% for every claim-free year to max 100% |
||||||||
| Maternity benefit - normal delivery (in ₹) |
15,000 | 20,000 | 25,000 | 30,000 |
40,000 |
40,000 |
50,000 | 50,000 |
| Maternity benefit - LSCS (caesarian) (in ₹) |
25,000 |
35,000 | 45,000 |
50,000 | 60,000 | 60,000 | 1,00,000 |
1,00,000 |
| Pre-natal hospitalisation (Within maternity limits) |
X | X | X | 90 days |
90 days |
90 days |
90 days |
90 days |
| Post-natal hospitalisation (Within maternity limits) |
X |
X |
X | 45 days |
45 days |
45 days |
45 days |
45 days |
| Organ donor expenses |
||||||||
| New born baby benefits: Automatic cover within mother’s / floater Sum Insured up to expiry date of policy |
X |
X |
X |
|||||
| New born baby benefits: Reasonable vaccination benefits up to 1 year of age (in ₹) |
X |
X |
X |
Max 3,500 |
Max 3,500 |
Max 3,500 |
Max 5,000 |
Max 5,000 |
| Patient care (Above 60 years) - per day benefit up to max (in ₹) |
350/day |
350/day |
350/day |
500/day |
500/day |
500/day |
1,000/day |
1,000/day |
| Patient care (Above 60 year) - maximum |
10 days per Hospitalisation and 30 days per policy year | |||||||
| Accidental hospitalisation - 25% increase subject to maximum of ₹ 10 lakh |
||||||||
| Accompanying person (Up to 12 years) ₹500 / day to maximum of 30 days |
||||||||
| Domiciliary hospitalisation expenses - maximum up to 10% of SI |
||||||||
| Alternative treatments Ayurveda / Yoga and Naturopathy / Unani, Siddha / Homeopathy |
||||||||
| Medical Treatment Abroad |
||||||||
| Medical treatment abroad |
X | X | X | X | X | X | ||
| Medical treatment abroad - waiting period |
3 Years |
3 Years | ||||||
| Road Ambulance |
||||||||
| Road ambulance charges - network hospitals (in ₹) |
1,500 |
1,500 | 1,500 | Actuals |
Actuals | Actuals | Actuals | Actuals |
| Road ambulance charges - non network hospitals (Reimbursement up to a maximum) (in ₹) |
1,500 | 1,500 | 1,500 | 2,000 |
2,000 | 2,000 | 5,000 | 5,000 |
| Emergency Medical Evacuation |
||||||||
| Emergency medical evacuation - 5% of SI (Reimbursement up to a maximum) |
X |
X | X | |||||
| E-Opinion |
||||||||
| E-Opinion for iIlness / injury (Maximum 2 per policy year) |
||||||||
| **Out-patient Medical Expenses |
||||||||
| Out-patient consultations and diagnostics (Reimbursement up to a maximum (in ₹) |
X | X | X | 3,000 for Individual option / 10,000 for Floater option | 3,000 for Individual option / 10,000 for Floater option |
3,000 for Individual option / 10,000 for Floater option |
10,000 for Individual option / 20,000 for Floater option | 10,000 for Individual option / 20,000 for Floater option |
| Prescribed medicines (Reimbursement up to a maximum) |
X | X | X | X | X | X | ||
| Child Vaccination Benefits |
||||||||
| Child vaccination benefits (Reimbursement up to a maximum) |
X | X | X | X | X | X | Up to 12 years of age (₹ 5,000 per annum) | Up to 12 years of age (₹ 5,000 per annum) |
| Wellness Benefits |
||||||||
| Wellness including medical tests at designated centres |
||||||||
| Family Discount |
||||||||
| Family Discount 10% (Individual SI Policies) |
||||||||
| Voluntary Deductible |
||||||||
| Discount in lieu of voluntary deductible |
||||||||
| Waiting Periods |
||||||||
| Pre-existing disease |
||||||||
| Compulsory waiting period | 2 years |
2 years | 2 years | 2 years | 2 years | 2 years | 2 years | 2 years |
| Pre-existing disease - max. liability 3rd year onwards |
50% |
50% |
50% | 50% | 50% | 50% | 50% | 50% |
| Pre-existing disease - 3rd Year Onwards |
100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| General waiting periods: |
||||||||
| 30-day - fresh proposals excluding accidental hospitalisation |
||||||||
| 2-year waiting period for listed conditions |
||||||||
| 3 years Waiting Period Onwards - Joint replacement and organ transplant |
||||||||
| Compulsory Co-pay |
||||||||
| 20% co-payment where entry age is from 60 years to 64 years |
||||||||
| 25% co-payment where entry age is from 65 years to 69 years |
||||||||
| 30% co-payment where entry age is from 70 years to 74 years |
||||||||
| 40% co-payment where entry age is 75 years and above |
||||||||
We only need some basic details to give you a quote.
What happens after purchase?
Once you secure the insurance cover, you get a financial assurance for all your health needs. You also get documents for your better understanding and convenience.
Get access to specialized doctor consultations right at your fingertips.
Our claim settlement process is fast and relaible
Collate Documents
Upon discharge, pay all hospital bills and collect all original documents of treatment undergone and expenses incurred
Claim Form
Download and fill the GCI health claim form
Document Submission
Submit original documents to the nearest Generali Central branch
Claim Settlement
We will settle the claim in subject to policy terms and conditions
File your claim in minutes with Generali Central’s easy four-step claim process
Visit Hospital
Approach an insurance desk of your nearest GCI Network Hospitals and show your health card for Cashless Treatment
Verify Yourself
The Network Hospital will verify your identity and submit duly filled pre-authorization form with Generali Central
Get Admitted
You get admitted without any deposit and get cashless treatment
Peace of Mind
Once you are discharged, the hospital will send your claim documents to GCI and the authorized amount will be settled directly with the hospital
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Read MoreWe're here to help you find the perfect insurance plan. our team will get in touch.
We respect your privacy. Your details are safe with us.
Our team will contact you shortly to provide personalized assistance with your insurance plan.
You can also reach out to us on 1800 266 1112
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PRODUCT NAME: HEALTH TOTAL | UIN NO: GCIHLIP25037V062425 | LAUNCH DATE: 16th SEPTEMBER 2024