LifeLine Healthy Family^TM Plan

Max New York Life presents LifeLine Healthy Family^TM - Comprehensive Health Insurance Plan.

Key Benefits

Hospitalisation and post Hospitalisation Cover:

In case of hospitalization due to any illness or injury for a continuous period of at least 48 hours, the company shall pay the following Hospital Cash Benefit (HCB)depending on the number of units taken and duration of hospitalization, subject to terms and conditions of the policy contract.

• Daily Cash Benefit (DCB): In case of hospital admission is for a continuous period of at least 48 hours and the benefit payable is according to the duration of hospitalization and number of units of benefit purchased subject to policy limits, a cash benefit is payable to the policyholder.
• Intensive Care Unit Cash Benefit (ICU): 200% of Daily Cash Benefit in case of admission into an intensive care unit for a medically necessary treatment of any illness or injury for a continuous period of 8 hours or more during hospitalization for a continuous period of 48 hours or more and 24 hours in case of direct admission to ICU.
• Post Hospitalization Care Benefit (PCB): In case of hospital admission for a continuous period of 7 days or more, a lump sum post hospitalization care benefit is payable by the company if the life insured is discharged alive from the hospital.

Surgical Cash Benefit (SCB):

In case a life insured undergoes any of the medically necessary surgical procedures covered under this policy, the company shall pay a fixed lump sum amount of surgical cash benefit. The surgeries are divided into five categories, namely Minor, Intermediate, Major, Supramajor, and Other surgeries. "Other" category of surgeries is those, which are not covered under the first four categories of surgeries. The benefit payable will be subject to the units / scale of benefit and category of the surgery.

Congenital Disorder Surgical Correction Benefit

This benefit covers listed medically necessary surgeries required to correct congenital defects in a child born to a mother who is continuously covered for a period of 12 months under the policy.

Critical Illness (CI) Benefit

The benefit under critical illnessIncludes a range of illnesses that affect your health majorly, during a defined period of time. will be payable on diagnosis or actual undergoing of any of the surgeries related to critical illnesses covered under the policy. Under this benefit, an amount equal to relevant percentage of the critical benefit sum assuredThe sum assured is the minimum amount payable to the assured or his/her dependants on the death of the life assured. will be payable. Please note that there is a 28-day survival period for entitlement to CI benefit. It the claimant dies within 28 days following date of diagnosis of a critical illnessIncludes a range of illnesses that affect your health majorly, during a defined period of time. condition or on actual undergoing of one of the specified CI surgeries, no CI benefit is payable.

Click here to see the list of 38 critical illnesses covered

Also, there is no cap on the number of children covered; future children can also be provided cover. Children are covered from 91 days till their 22^nd birthday.

Your Choice of Coverage

You have the option of selecting coverage according to your needs for covering your Family or Parents or both. Family includes you, your spouse, dependent children, and Parents include your living parents. This plan provides flexibility to include future family members like spouse and future children too!! To cover your parents, you have to opt cover for parents at proposal stage itself, where they have separate benefits from the family cover. You can also decide the scale of benefits that is best suitable for your family, basis a scale of 1-5 units. Depending on the number of units purchased, the scale of benefits for Hospital Cash Benefit, Surgical Cash Benefit and Critical Illness will vary.

Benefit Structure For Family (covering policyholder, spouse and children)

Benefit Structure For Parents (applicable only for the parents of the policyholder)

• Surgical Cash Benefit available increases at a simple rate of 5% p.a. to help you stay ahead of medical inflation
• Spouse and existing children will be underwritten at time of policy issuance.
• The maximum surgical cash benefit payable in a policy year is as specified in the schedule.
• In case the life insured undergoes more than one surgery, under administration of the same dose of anesthesia, then 100% of the benefit payable under individual category of surgeries as specified in the schedule shall be payable for the surgery of the highest severity, 50% of the benefit payable for the applicable surgery for the second highest severe surgery, 30% of the benefit payable in respect of applicable surgery for third highest severe surgery and no surgical cash benefit shall be payable for the fourth highest severe surgery and thereafter.
• Critical Illness benefit is not applicable to children covered in the plan.
• List of surgeries can be seen on MNYL website and in the policy document as well.
• The policyholder cannot propose for a different unit / scale of benefit once the policy is effected.
• Surviving parents being covered under the plan will be underwritten at the time of policy issuance.

List of Surgeries

How do I add family members to the plan?

At the time of purchasing the policy, there is the option to purchase cover for family (you, your spouse and children) or take cover for your family and parental cover (parents of policy holder) as well. Once proposed, the cover for family cannot be extended to parents, but there is flexibility to add future members of the family to extend the cover to them. For full details please refer to policy contract or contact our agent advisor.

Simple Claims procedure

Click here to view the diagram

Sample First Year PremiumA regular payment made to the insurance company to keep the policy in force.

*A one time policy fee of Rs. 1500 will be paid by policyholder in first year premiumA regular payment made to the insurance company to keep the policy in force., which will not be charged in subsequent years.

The premiumA regular payment made to the insurance company to keep the policy in force. shall be charged on each life covered under this policy. Below are indicative rates for covering parents:

The above premiums are payable by annual mode for 1 unit of Healthy Family^TM Plan

Tax Benefit

You may be entitled to certain tax benefits on your premiums and benefits. Tax benefits are subject to change in tax laws.

ExclusionsSpecific conditions or circumstances listed in an insurance policy for which the policy will not provide benefit payments.

In the hospital cash benefit, surgical cash benefit, critical illnessIncludes a range of illnesses that affect your health majorly, during a defined period of time. benefits, there are a few instances which you cannot make a claimNotification to an insurance company that payment of an amount is due under the terms of the policy. for. Read more about it here