Date : 24 Jun 2024
Mr Shubham Bhardwaj
A-82 S/f Jeewan Park Som Bazar
Uttam Ngr
New Delhi
New Delhi 110059
Delhi
State Code : 07
Policy No: 67416370
Mobile No: XXXXXX9999
Dear Mr Shubham Bhardwaj,
Thank You for trusting us as your preferred Health Insurer.
At Care Health insurance, it is our endeavor to make quality healthcare easily accessible for our customers as well as ensure a truly hassle-free claim
servicing experience
To help you understand our services better, please go through the 'Know your policy better' kit that accompanies this
letter and constitutes the following
l Policy certificate
l Premium Acknowledgement
l Key Policy Information
l Claim Process - http://bit.ly/3EyPRnT
l Policy Terms and Conditions- https://bitly.cx/Nzbz and also available on Customer App
Also appended herewith for your convenience is your Care Health Card. This card should be presented at the time of an emergency or a planned
hospitalization, to avail cashless treatment at our network of over 16000+ cashless network pan-India.
To further simplify procedures, we're online as well. Visit our portal www.careinsurance.com and view network hospitals across the country, cashless
procedures and do much more.
For any assistance, please feel free to write to us at https://www.careinsurance.com/contact-us.html.
Once again, we thank you for this opportunity to serve you, and wish you and your loved ones good health always!
Team Care Health Insurance
CUSTOMER APP
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Policy Certificate Policy No. 67416370
Mr Shubham Bhardwaj Plan Name Care Supreme
A-82 S/f Jeewan Park Som Bazar Cover Type Floater
Uttam Ngr Policy Period - Start Date 00:00 hrs 25-Jun-2024
New Delhi
Policy Period - End Date Midnight 24-Jun-2025
New Delhi 110059
Delhi Nominee Name (Relation) ANIL (Father)
State Code : 07 Premium Paid Rs.42,534.00
( Premium Rs 36045.88 + Underwriting Loading
Rs. 0.00 + CGST Rs. 0.00 + IGST Rs. 6,488.26 +
SGST/UGST Rs. 0.00 )
Premium Payment Mode Single Premium
Communication Address
ZONE 1
Zone
Policyholder Date Of Birth Client ID
Mr Shubham Bhardwaj 11-Oct-1993 25155695
Details of Insured Person
Insured with the
Name Client ID Date of Birth Relationship Pre-existing diseases since
Company (since)
Savita Bhardwaj 25769722 29-May-1974 MOTHER 14-Jun-2023 port benefit passed for Diabetes
Anil Bhardwaj 25769723 01-Nov-1966 FATHER 14-Jun-2023 NONE
Details of Cover
Accumulated No Claim Bonus/Cumulative
Policy Insured Name Policy Sum Insured
Bonus Amount (As Applicable)
Savita Bhardwaj 10,00,000.00 5,00,000.00
Anil Bhardwaj
Note -NCB/NCB Shield Protection has been applied on this renewal.
-Amount of No Claim Bonus / No Claim Bonus Super is calculated basis the claim status updated till Date of Payment of Renewal Premium.
-This amount can vary basis the claim reported against Expiring Policy Year.
-Floater Policy, all the member coverage is on shared basis. Individual Policy each member is covered on Individual Basis.
-Coverage and Claims Subject to the Policy Terms & Conditions.
Contact details for Claims & Policy Servicing
Care Health Insurance Limited, Vipul Tech Square, Tower C, 3rd Floor, Golf Course Road, Sector-43,
Correspondence address
Gurugram-122009 (Haryana)
E-mail ID for Claims [email protected]
Website www.careinsurance.com
Intermediary Details
Name Code Contact Details
Pooja . 20422003 7530890040
Schedule of Benefits
S No. Particulars Basis of Offering
1 Sum Insured 1000000
Schedule of Benefits
2 In-Patient Care Up to SI
3 Day Care Treatment All Day Care Procedures
4 Advance Technology Methods Up to SI
Up to SI, Pre-Hospitalization expense cover for 60 days prior to
5 Pre-Hospitalization Medical Expenses
hospitalization
Up to SI, Post-Hospitalization expense cover for 180 days after
6 Post Hospitalization Medical Expenses
discharge
7 AYUSH Treatment Up to SI
8 Domiciliary Hospitalization / Organ Donor Cover Up to SI
9 Ambulance Cover Up to Rs. 10,000
10 Cumulative Bonus 50% of SI, max up to 100% of SI.
11 Unlimited Automatic Recharge Available for unlimited times for unrelated or same illness.
12 Unlimited E-Consultations Available for Consultations with General Physicians
13 Health Services (Health Portal) Doctor on chat, Healthy tips reminder, etc.
Discounts on services such as consultations, diagnostics etc at our
14 Health Services (Discount Connect)
network
15 Room Rent / ICU All categories covered. / No Limit
16 Named Ailments Coverage 24 Months
17 Pre-existing Diseases Coverage 36 Months
18 Initial Wait Period 30 Days
19 Organ Donor Cover Up to SI
Optional Cover
S NO. Particulars Details
Discount on renewal premium based on active days achieved.
1 Wellness Benefit Online fitness Coaching/Counselling session from Wellness
Coaches
2 Air Ambulance Cover Up to 5 lacs per year.
3 Claim Shield Coverage of specified 68 Non Payable Items as defined in T&C
Previous Insurer Details of the Insured
Previous 1st Sum insured + NCB/CB(As
Policy Period Insured Name Insurer Name Policy Enrollment Applivable) + NCBS/CBS(As
Number Date Applicable) + Inflation SI
14-Jun-2023 to 13-Jun-2024 ANIL BHARDWAJ Care Health Insurance Ltd 67416370 14-Jun-2018
10,00,000.00 + 0.00 + 0.00 +
14-Jun-2023 to 13-Jun-2024 SAVITA BHARDWAJ Care Health Insurance Ltd 67416370 14-Jun-2018
0.00
Niva Bupa Health Ins.Co 307797692 5,00,000.00 + 4,00,000.00 +
14-Jun-2022 to 13-Jun-2023 SAVITA BHARDWAJ 14-Jun-2018
Ltd. 02204 0.00 + 0.00
Niva Bupa Health Ins.Co 307797692
14-Jun-2022 to 13-Jun-2023 ANIL BHARDWAJ 14-Jun-2018
Ltd. 02204
For Care Health Insurance Limited
Authorized Signatory
Date of Issue : 24 Jun 2024
Place of Issue : Gurgaon, Haryana
Service Branch : 1st and 2nd floor Plot no F1 Sector6 Noida 201301Noida,Uttar Pradesh, Branch Contact No. : 0120-4888701
201301
Consolidated Stamp Duty paide vide E-Challan GRN No. 0107464159 dated 21/09/2023. RCM Applicability - N/A
SAC: 997133 and Description of Service: Accident and Health Insurance Services State
GSTIN No.: 09AADCR6281N1ZQ
UIN :CHIHLIP23128V012223
Note:
- Attached with this Policy Certificate are the Policy terms and conditions, Optional Covers (if opted) and Annexures. Please ensure that
these documents have been received, read and understood. If any of these documents have not been received, please feel free to write
to us at https://www.careinsurance.com/contact-us.html
- For waiting periods and exclusions under this Policy, please refer to Clause 4 of the Policy terms and conditions.
- This Policy Certificate in original must be surrendered to the Company in case of cancellation of the Policy.
- This soft copy of the policy is as valid as a hard copy and can be used for claims. A physical hard copy will not be dispatched.
Premium Acknowledgement
Policy No. 67416370
Client ID 25155695
Policyholder Mr Shubham Bhardwaj
A-82 S/f Jeewan Park Som Bazar
Uttam Ngr
Address New Delhi
New Delhi 110059
Delhi
Policy Period 25-Jun-2024 to 24-Jun-2025
Premium Details
Particulars Amount (in Rs.) S.No. Receipt Number Amount Mode of Payment
1 B1203924 42,534.00 IPG
Gross Premium
Care Supreme 33,855.80
Wellness Benefit (Supreme) 64.86
Air Ambulance Cover (Supreme) 432.44
Claim Shield 1,692.78
Goods & Services Tax (GST) 6,488.26
Total 42,534.00
The Premium is rounded off to the nearest rupee.
Eligibility of Premium for Deduction u/s 80D of the Income Tax Act, 1961
The premium paid through any mode other than cash for this policy is eligible for Income tax benefits to the person making the payment
subject to the provisions of section 80D of the Income Tax Act, 1961 and amendments thereof. Effective from Assessment year 2019-20, in
cases where health insurance premium for multiple years is paid in one year, it will be eligible for proportionate deduction in the years in
which the health insurance continues to be effective.
For Care Health Insurance Limited Signature Not Verified
Digitally signed by Manish Dodeja
Date: 20250111003753
Reason: I'm the author
Location: India
Authorized Signatory
Date of Issue : 24 Jun 2024
Place of Issue : Gurgaon, Haryana
Note:
1) In case of any discrepancy, the Policyholder is requested to contact the Company immediately.
2) Any amount paid in cash towards the premium would not qualify for tax benefits as mentioned above.
3) This document must be surrendered to the Company in case of Cancellation of the Policy or for the issuance of a fresh certificate in
the case of any alteration in the Policy.
4) This Policy is issued subject to realization of the premium amount. In case the instrument given towards the premium amount is
dishonored, then the cover provided under this Policy shall automatically get cancelled. In the given scenario, if any amount has been
paid by the Company in respect of a claim or due to any other reason than the amount so advanced by the Company shall be
refunded to the Company forthwith.
5) We may credit upto Rs. 1/- to your account for validation, before remitting any further payment.
No physical Health Cards will be dispatched. The electronic version of the card below will be accepted across all network providers.
www.careinsurance.com
Policy No.
67416370
Member ID DOB NAME
25769722 29-May-1974 Savita Bhardwaj
25769723 01-Nov-1966 Anil Bhardwaj
Submit Your Queries/Requests: www.careinsurance.com/contact-us.html
Disclaimer
1. This card is not transferable
2. Use of this card is governed by the policy terms &
conditions
3. To avail cashless facility.this card needs to be produced along with photo
ID Valid
4. proofupto policy period end date or cancellation date,whichever is earlier
IRDAI Registration No.148
Good Health Declaration
I/ We hereby state and confirm that I/ We continue to enjoy good health since the expiry of our policy
till today. I/ We further state and confirm that neither has any member covered under the policy
undergone any consultation, investigation and treatment for any illness or injury nor any claims has
been logged during this period. I/ We also understand that the policy coverage would not be
extended over the break in period. I/We understand that no claim will be reported/is payable for break
in period till the new policy gets issued. Further to this, there has been no other change to the
information previously provided in the proposal form submitted during initial purchase of this policy
Proposal No: 1129978146455S_APPLICATION_PROPOSAL_NO
Declaration as provided to the insurer at the time of proposing for insurance cover
Date: 24 Jun 2024
