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Personal Accident Insurance

Accidents can happen anywhere and can cause indefinite degree of personal damage. A personal accident insurance policy can relieve your financial burden in case of any risk to life during accidents such as burns, fractures, disability, and other severe injuries.

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What is Personal Accident Insurance?

Personal accident insurance is a type of insurance that provides financial support during medical emergencies arising from accidents, injuries, accidental death, and disability. The policy acts as an agreement wherein the insurer promises the policyholder (or his beneficiaries) a payment up to the sum insured in the event of pre-defined accidental scenarios.

In Personal Accident Cover, Care Health Insurance offers sum insured options up to 3 Cr. for covering accidental death, injuries like burns and fractures, permanent total and partial disabilities, road ambulance cover, etc.

Select from the Best Health Insurance Plans

At Care Health Insurance, we offer multiple health plans catering to the diverse needs of the individuals. You can choose from some of our best-selling health insurance plans:

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Look for best health plan that suits your need!
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Personal Accident Insurance

Exclusive Accidental Insurance Policy with Death Compensation

  • Total & Partial Permanent Disability Cover
  • Reconstructive Surgery Cover
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Care Advantage

Health insurance for domestic and global coverage up to 6 crore

  • Global Health Cover 
  • 10% No Claim Bonus every year, max. Up to 50%
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Care Supreme

Ideal for families looking for capless coverage

  • 500% Boost in Coverage in 5 Years
  • Unlimited Automatic Recharge
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Types of Personal Accident Policy

There are two main categories namely:

  • Individual Personal Accident Policy: This policy covers medical emergencies arising out of accidental death, injury and disability concerning an individual.
  • Group Personal Accident Policy: This policy is offered by employers to employees to cover accidental death, injuries and disability. Depending on the group size, coverage and plan type, the premium is decided. However, these plans are very basic in nature and come with limited coverage.

Why is it Important to Buy Personal Accident Insurance?

Here are some of the reasons highlighting why one must invest in personal accident insurance plans:

 

Financial Protection from Accidents & Injuries

Unexpected incidents like fractures, burns, accidents, etc., can drain all your savings in no time. Care Health Insurance ‘Secure’ plan protects you from financial losses due to accidents, injuries, and disability.

 

Lifetime Security for Family Members

More than emotional support, your family needs financial backing to get through the unfortunate times of accident, death, or disability. A premium accident cover promises financial security to your loved ones.

 

Essential for People at Hazardous Workplaces

People working in dangerous industries like mining, production, etc., must protect their family with a personal accident insurance scheme to ensure coverage against workplace hazards.

 

Lowers Disability Treatment Expenses

Whether permanent or partial, disabilities can turn your life upside down— burdening you with treatment costs. A high-value person accident plan ensures you can continue the treatment without financial stress and burden.

 

Enhanced Coverage with Add-on Benefits

Care personal accident insurance online helps you beyond accidental death and disability. To extend financial support, we offer useful add-on benefits like accidental hospitalisation, daily allowance, OPD cover, etc.

 

Key Features of Personal Accident Insurance

Key Features ₹10L ₹15, 20, 25 & 30L ₹50L/1/2/3 cr.
Accidental Death Up to the Sum Insured Up to the Sum Insured Up to the Sum Insured
Permanent Total Disablement
Permanent Total Disablement Improvement ×
Permanent Partial Disablement
Permanent Partial Disablement Improvement ×
Fractures Up to ₹ 50,000 Up to ₹ 1,00,000 Up to ₹ 2,00,000
Child Education × 10% of Sum insured 10% of Sum insured
Major Diagnosis Tests × Up to ₹ 15,000 Up to ₹ 25,000
Disappearance × Sum insured Sum insured
Mobility Cover × Up to ₹ 15,000 Up to ₹ 25,000
Burns × Up to ₹ 10,00,000 Up to ₹ 20,00,000
Repatriation of Mortal Remains × × 2% of SI, Max ₹ 1,00,000
Temporary Total disablement Up to ₹ 5,000 per week Up to ₹ 10,000 per week Up to ₹ 20,000 per week
Loyalty Benefit 5% of Sum Insured 5% of Sum Insured 5% of Sum Insured
Common Carrier Mishap Cover × ×
Mobility Cover × Up to ₹ 15,000 Up to ₹ 25,000
Accidental Hospitalization Up to ₹ 50,000 Up to ₹ 50,000 Up to ₹ 1,00,000

Benefits of Care Personal Accident Insurance Policy

The Personal Accident Insurance policy from Care Health Insurance comes with its advantages. Refer to the pictorial representation of the benefits the Personal Accident Insurance offers. You should check our individual insurance plans if you want personal medical coverage. Here are some of the benefits of a personal accident insurance policy:

  • Covers Medical Expenses: Offer hospitalisation and medical treatment coverage after an accident.
  • Disability Benefits: Provides economic assistance in case of permanent or temporary disability due to an accident.
  • Accidental Death Cover: Ensures a one-time payout to your beneficiaries in case of accidental death.
  • No Medical Tests: Most plans do not need pre-policy clinical, which makes getting insured easier.
  • Flexible Sum-Insured Options: Opt from a broad range of sum-insured choices to match your requirements and preferences.
  • Emergency Assistance: Offers emergency help like ambulance fees and transportation expenses to the hospital.

 

benefits of securing family health insurance benefits of securing family health insurance

 

If you are looking for personal medical coverage, you should check our individual insurance plans.

Tax Benefits under a Personal Accident Policy

Personal accident insurance offers tax deductions on premiums and tax-free payouts. However, you must consult a tax professional to check your policy details.Let us learn further about the possible personal accident insurance income tax benefits here:

Let us learn further about the possible tax benefits covered under a personal accident policy:

  • Premiums: You would be able to deduct up to ₹25,000 per year for premiums paid for yourself, your spouse, and dependent children. If you are over 60, the limit increases to ₹50,000.
  • Claims: The amount received in a claim for accidental death or disability is tax-free according to Section 10 (10D) of the Income Tax Act.
  • Policyholders covering a senior citizen: You can deduct up to ₹75,000 if you cover a senior citizen under your policy.
  • Both policyholder and premium payer are senior citizens: You can deduct up to ₹1,00,000 if both you and the premium payer are senior citizens.

What is Covered Under Personal Accident Policy?

Sometimes unavoidable circumstances can lead to serious injuries or, worst– death. Thus, it is essential to safeguard yourself against financial losses due to such unforeseen events. With sum insured options starting from 10 lakhs and going up to 3 cr, Care Health Insurance Personal Accident Policy offers coverage for following types of accidents:

 

Accidental Death

We ensure your family’s financial well-being by paying the chosen sum insured amount, post the unfortunate event of your death due to accident or injury.

 

Permanent Total & Partial Disability

Disability can ruin anyone’s financial stability. We offer up to 100% sum insured in case of permanent or partial loss of pre-specified body organs.

 

Reconstructive Surgery

If a medical condition has malformed your bodily functions, you can get reimbursement for reconstructive surgery that is performed as per policy terms.

 

Fractures

Recovering from a fracture is an expensive journey. We lower your burden by reimbursing up to 100% of SI  in case of fractures, as listed in the policy.

 

Child Education

We offer the best accidental insurance plan that takes care of your dependent children’s education in the unfortunate event of accidental death or disability.

 

Major Diagnostics

We support you in bearing the expenses of major diagnostic tests like CT scans, MRIs, etc., as prescribed by a medical practitioner and conducted as per policy terms.

 

Severe Burns

We support you during an unfortunate event of second and third-degree burns across the body surface by paying you up to the sum insured as per policy terms.

 

Mobility Cover

Our personal accident cover procures essential medical prosthetic devices like wheelchairs, braces, etc., making ‘Secure’ the best personal accident insurance.

What is not covered under Personal Accident Insurance Policy?

The following events are not covered under Secure- Personal Accident Health Insurance Policy

  • Any self-inflicted injury, suicide or attempted suicide, sexually transmitted conditions, mental or nervous conditions, insanity, disorder, anxiety, stress, or depression
  • The Insured Person flying in an aircraft other than as a fare-paying passenger in a Scheduled Airline
  • The Insured Person engaging in sporting activities in so far as they involve the training for or participation in competitions of professional sports, unless declared beforehand and agreed by the company in writing subject to additional premium being received and incorporated accordingly in the policy
  • An insured person serving in any branch of the military, navy or air-force or any branch of armed Forces or any paramilitary forces
  • Any claim related to Hazardous Activities
  • Persons whilst working within underground mines, explosives, press, activities like racing on wheels or horseback, winter sports, canoeing involving white water rapids, any bodily contact sport
  • Claim arising out of mental illness, stress, psychiatric or psychological disorders

Eligibility Criteria to Buy Care Personal Accident Insurance

Category Terms
Minimum Entry Age 91 days
Maximum Entry Age Child:24 years, Adult: 70 years
Renewal Lifelong
Policy Tenure 1, 2 and 3 years
Grace Period 30 days

How to Buy Personal Accident Insurance Policy Online?

You can opt for Care Personal Accident Insurance Plan by following these steps:

1

Step 1

Visit the Care official website and head to the ‘Secure’ product page from the ‘View All Products’ menu.

 
2

Step 2

In the ‘Get Quote’ section, enter your contact number and pincode to access the quotation form.

 
3

Step 3

Share your name, email address, age, and employment status, along with your annual income.

 
4

Step 4

Choose the sum insured amount and policy term and view the premium cost on the page’s left corner.

 

Cost of Personal Accident Insurance

The cost of personal accident insurance depends on certain factors such as:

  • Coverage: Analyse your need and opt for the coverage as higher coverage means higher premium.
  • Age: Your age has a direct impact on the cost of insurance. You pay comparatively lesser premium at your young age than your later ages.
  • Occupation: The nature of occupation also impacts on insurance premiums. People with high risk jobs tend to pay a higher premium for personal accident insurance.
  • Add-on: If you opt for add-ons with the basic coverage, you pay a higher premium.

How much Accidental Insurance Coverage is enough?

Considering the rising medical inflation rate, it is recommended that you assess your requirements. Here are some factors one must know while buying a family personal accident insurance plan:

  • Dependants: If you have dependants like spouse, children or senior citizen parents then you should opt for higher coverage such as 50 lakh and more.
  • Income: Consider your annual income and current inflation rate as a considerable amount is replaced by the coverage offered under PA policy in case of death or disability.
  • Debt/Loan: Opt for the coverage taking the loan/debt your family would need to manage into account so that it fulfills the need.

How to Claim Accident Insurance?

Under our personal accidental insurance, if you opt for the basic standard coverage, you can only file a reimbursement claim. However, if you have enhanced your policy with the optional benefit of accidental hospitalisation, you can avail of the cashless claim settlement facility. Below are the steps involved under both types of claim settlement processes under our personal accidental insurance:

Cashless Claim Process Reimbursement Claim Process
Step 1: Fill out the pre-authorization form available at the insurance desk and send it to our claim management team
Step 2: You will get an approval letter once your claim is verified
Step 3: Make sure to respond to queries from the claim management team
Step 4: File a reimbursement claim request in case your cashless claim request doesn't go through.
Step 1: Submit your claim form along with the required documents
Step 2: Get the approval letter from the claim management team
Step 3: Respond to queries raised by our claim management team
Step 4: In case your claim is rejected, our claims team will contact you and share the reasons of rejection at the earliest.

What are the documents required for filing a claim?

You have to apply for a reimbursement claim wherein the insurer reimburses your expenses, subject to policy terms and conditions. Here is the list of documents required to submit to file your claim without any further hassle:

Document Details
Claim Form A duly completed and signed claim form should be submitted to the insurer.
Indoor Case Papers A copy of key treatment details provided by the hospital shall be submitted.
Hospital Discharge Summary The hospital discharge summary works as the proof of hospitalisation.
Payment Receipts They are important documents, providing evidence of medical expenses and other costs.
Consultation Papers It proves the timeline of your diagnosis as it becomes significantly more difficult to track, and this can lead to delays or even denial of your claim.
Medical Reports Gives the details of the accident, the nature of the injury, the details of treatment provided, and the admission and death summary accident report.
Original Death Certificate If applicable
Disability Certificate Disability Certificate issued by CMO (Chief Medical Officer) as appointed by the Hospital Authorities, if applicable.
Newspaper Cutting A newspaper cutting about the accident, if available.

Difference Between Accidental Insurance & Life Insurance

Learning how it differs from a life insurance policy is essential to understand the benefits of a personal accident cover. Here is the representation of differentiating between accidental insurance and life insurance:

Parameter Accident Insurance Life Insurance
Coverage Personal accident insurance plans are specifically designed to cover accident-related losses, including death, injury and disability. Under a life insurance policy both accidental and natural death coverage is offered.
Premium The premiums can be higher considering the risk appetite Comparatively lower
Payout 1, 2 or 3 years Usually for long term up to 20/25/30 years
Exclusions Doesn’t cover non-accidental event or death No coverage for suicidal death and risky activities

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FAQs on Personal Accident Insurance Policy

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Disclaimer : Information above is just for reference. Kindly read T & C of policy thoroughly, Do refer IRDAI guidelines for tax exemption conditions.

~Tax benefit is subject to changes in tax laws. Standard T&C Apply

**Number of Claims Settled as of 31st March 2024

^^Number of Cashless Healthcare Providers as of 31st March 2024

^10% discount is applicable for a 3-year policy

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