Kotak General Insurance 
Claim Settlement Ratio 97%
Renewability 100%
Claim Settlement Facility 100%
COVID-19 Cover Yes
Network Hospitals 7000
Incurred Claim Ratio 48.21%
The maximum and minimum entry age under this plan is 18 years and 65 years with lifelong renewability. Kotak Secure shield offers 4 major benefits which are mentioned below:-
The policy covers the medical expenses incurred by the insured due to hospitalization such as in-patient hospitalization, day care treatments, pre and post hospitalization expenses etc. The plan also provides free health checkup which includes medical tests such as CBC, MER, SERUM, CHOLESTEROL, SGPT/SGOT etc. for every member above 18 years of age. The plan also covers the hospital cash benefit up to Rs. 500 per day for a minimum of 3 days hospitalization subject to a maximum of 10 days of hospitalization. The policy also covers the convalescence benefit up to Rs.10,000 in case of minimum hospitalization for 10 days. The policy provides for double hospitalization expenses in case of hospitalization due to an accident. The plan also covers the medical expenses incurred for up to 150 day care procedures specified in the policy. The plan covers the medical expenses incurred for pre and post hospitalization up to 30 days before and 60 days after hospitalization. The minimum and maximum sum insured under the plan is Rs.2 lakhs and Rs.1 Crore.
The plan covers the medical expenses over and above the deductible limit mentioned under the policy and works in conjunction with the basic health insurance plan. The plan covers the ambulance expenses up to Rs.2000 per hospitalization. The plan also provides 100% of the restoration sum insured in case of exhaustion of the basic sum insured as well as the cumulative bonus accrued under the policy due to a claim. The reinstated sum insured cannot be carried forward to the next policy year under the plan.
The plan covers the hospitalization expenses such as in-patient treatment, day care treatment, alternative treatment etc. The plan covers around 405 day care procedures where the hospitalization is done under 24 hours. The plan also provides Second E-Opinion cover under which the insured customer can avail second opinion in case of diagnosis with any illness. The second e-opinion cover can be availed any number of times during the policy period. Home nursing benefit is also payable under the plan in which the company pays for the services availed by the insured from a qualified nurse at the residence of the insured after discharge from the hospital. The plan also provides the air ambulance up to the limits mentioned under the plan in case of life threatening situations.
The plan provides the income to the family of the insured in case of death or permanent disability of the insured due to an accident. The minimum and maximum entry age under the plan is 5 years and 65 years with lifelong renewability options. The policy covers the death, permanent total disability, permanent partial disability and temporary total disability of the insured due to an accident. In addition to this the policy also pays for the accidental hospital daily cash, accidental hospitalization reimbursement expenses and a convalescence benefit of Rs.10,000 for a minimum of 10 days. The plan also pays the children’s educational grant which ensures the uninterrupted education of the insured person’s dependent child under the age of 25. The plan also pays for the funeral expenses of the insured person up to the limits mentioned under the policy. Expenses incurred to carry the dead body from the place of death to the place of residence is also covered under the plan.
