Raheja QBE health Insurance Plans

Raheja QBE Individual Personal Accident insurance

Buy Raheja QBE Personal Accident insurance

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Raheja QBE’s Individual Personal Accident Insurance provides you with mitigation against the financial consequences of unforeseeable accidents and mishaps.

Raheja QBE Health Insurance Review

Raheja QBE Health Insurance
Raheja QBE Insurance sum insured
1 lac − 50 lacs options available
Incurred Claims Ratio *
98.00%
Raheja QBE Insurance tenure options
1 or 2 years options available
Claims Settlement Ratio **
14.02%
List of network hospitals
5,000+ hospitals
Number of policies issued *
2,723
Maximum family floater coverage
Self, Spouse + 2 dependent children + parents
Number of lives covered *
5,685
* As per IRDAI report for 2020-21   |   ** As per NL25 data published on the Insurance Company website
Do You Know…Raheja QBE’s Personal Accident Policy reimburses your medical expenses and provides compensation in case of disability or death caused by accidents. This product is designed for your financial assistance in the event of an unfortunate accident.

Add on benefits

Medical Expenses Extension
(IPD&OPD)
Hospitalisation Cash Allowance
(Rs 500 /day max upto 30 days )
5 % discounting on Premium at the time of Renewal
( Max.upto 15% )
Entry Age
(18yrs to 65yrs)
Sum Insured
(Starting from Rs 1 Lakh...Max upto 10 times of annual Income of an Individual)

Policy coverage and benefits

Accidental Death Benefit (AD)
compensation of 100% sum insured
Permanent Total Disablement (PTD)
compensation of 100% sum insured
Permanent Partial Disablement (PPD)
compensation as per nature of Injury
Temporary Total Disablement (TTD)
compensation equivalent to 1% of the Sum Insured or Rs 5000/- per week for a period of 104 weeks since date of injury

Special benefits

Ambulance charges
(Maximum upto Rs 1000/accident)
Loss or damage to clothing
(INR 1,500 per accident)
Loss of employment as a consequence of PTD
(Maximum up to 2% of sum insured)
This product is designed for your financial assistance in the event of an unfortunate accident.

Accident is ‘an unintended, unforeseen and undesirable event ,especially one that causes harm injury ,damage or loss’. RahejaQBE’s Personal Accident Policy reimburses your medical expenses and provides compensation in case of disability or death caused by accidents.

What does policy cover?

Accidental Death (AD)
It is like basic feature of policy .In case of accidental death of the Insured Person, nominee gets compensation of 100% sum insured.

Permanent Total Disablement (PTD)
It provides for payment of compensation for injuries and permanent disabilities that will restrict you from engaging in any business or occupation again. This total disability could be the loss of both the eyes or of both limbs, which not only leads you into physical trauma, but the financial loss can cause big trouble. Compensation will be equivalent to the full Capital Sum Insured.

Permanent Partial Disablement (PPD)
It provides for payment of compensation for injury caused by accidental means resulting in Permanent Partial Disablement. This could be loss of toe ,loss of hearing etc. For Permanent Partial Disablement the compensation will depend on the nature of injury

Temporary Total Disablement (TTD)
If such Injury directly prevents the Insured Person from engaging in his/her occupation, policy will pay the Insured Person, the lower of a sum equivalent to 1% of the Sum Insured or Rs 5000/- per week for a period of 104 weeks since the date of Injury to the time he/she is fit enough to resume his/her occupation as certified by Our Medical Practitioner.

Policy coverage and benefits

  • Transportation cost for carriage of dead body to Home including funeral charges
  • Ambulance charges ( Maximum upto Rs 1000 / accident)
  • Loss or damage to clothing following an accident INR 1,500 per accident
  • Loss of employment as a consequence of PTD following an accident limited to 2% of sum insured
  • Education assistance for 2 dependent children in the event of death or PTD of Insured limited to the amount of INR 5000 for each child
  • Sum Insured - Starting from Rs 1 Lacs... Max upto 10 times of annual Income of proposer
  • Age - 18 yrs to 65 years
  • 5 % discounting on Premium at the time of Renewal ( Max.upto 15% )

What’s more... Add on Covers (additional premium shall be charged)
  • Medical Expenses Extension
  • Hospitalisation Cash Allowance: Rs 500 /day max upto 30 days

Premium chart ,basis occupation of proposer

Category Occupation details
Category A Students, Housewives, Accountants, Doctors, Lawyers, Architects, Consulting, Engineers, Teachers, Bankers, Person engaged in Administrative/Secretarial and Managerial functions, Shopkeepers, Shop assistants not using machinery, Commercial Travelers, Builders, Contractors and Engineers engaged in superintending functions only and persons employed in occupations/activities of similar nature
Category B Paid Drivers, Persons dealing with hazardous goods / chemicals / grains, lift attendants, Motor Driving Instructors, Conductors/cleaners of Vehicles. Persons engaged in Construction work, Geologists, Surveyors of Oil companies, Heavy equipment operators, Security Guards, Forestry, Civil Engineer, Crew of Aircraft, Ocean going Vessels , Offshore works, Persons engaged in Sports Duty, Film show and shooting and persons employed in occupations / activities of similar nature.
Category C Persons working in underground mines, explosives, magazines, workers involved in Electrical installation with high-tension supply. Circus personnel, persons engaged in activities like racing on wheels or horseback, big game hunting, Mountaineering, winter sports, skiing, ballooning, hand gliding, river rafting, polo, Stuntman in Film and persons engaged in occupations/ activities of similar hazard.

Raheja QBE Health Insurance FAQ’s

Your insurance company rewards you for staying hale and hearty! Every year you get cumulative bonus in the form of increased sum insured for not making any claims in consecutive of 2 years. We at Raheja QBE offer cumulative bonus of upto 100%

The fixed amount or percentage paid by the insured ( the one who is covered) for the medical treatment. If your co-payment percentage is 20% then in case of hospitalization you are suppose to bear 20% of the expense and remaining shall be paid by your insurer.

If you are suffering from any ailment at the time of buying a policy is termed as pre existing illness or disease. It’s important to declare pre existing disease at the time of policy issuance or else at the time of claim; if the insurer knows about your existing illness your claim may get denied.

Insurance Company gives you a chance to cancel your policy post payment if you have found a better plan and wish to take a different plan. This period is called free-look period.

Get additional sum insured equal to your actual sum insured in case your sum insured gets exhausted.

You must notify Us either at the call center Toll free 1800 425 9449 or in writing at mediassist, in the event of planned or emergency hospitalization.

The earlier the better, typically, everyone should consider buying a health insurance policy in their early 20's and one has just started earning. Health insurance also helps in planning within a family to ensure there is financial coverage in case of an unexpected health emergency. It also offers wider coverage at a lower premium.

Your ideal sum insured or total coverage would highly depend on factors such as your current age, lifestyle, medical history, income and place of residence. Looking at the medical inflation, most of our customers prefer a health insurance policy with a sum insured of 5 lacs and above.

Under cashless hospitalization, the insured person does not settle the hospitalization expenses at the time of discharge from hospital. The settlement is done directly by us for treatment that the insured person is eligible to receive under the terms of his/her policy. This is for your convenience. However, it is important to note here that prior approval is required from us before admission into the hospital. In some cases, you may have to pay for all or part of the treatment if it is not fully covered under the terms of the policy. However, in case of emergency hospitalization, you can obtain approval post-admission. Please note that the cashless facility is available only at our Network Hospitals.

Raheja QBE has an extensive network of 5,000+ network hospitals across India growing steadily over the years. One must get admitted to a network hospital in order to avail cashless treatment for their illness. One can get the hospital closest to them by going through the Raheja QBE network hospital list available on Health QBE plans.

There is no upper limit on the number of claims during the policy period. However, the total cumulative claim amount cannot exceed the Policy Sum Insured.

It refers to payment of the Medical Expenses incurred by the insured while undergoing Specified Day Care Procedures/ Treatment (as mentioned in the Day Care Surgeries list), which require less than 24 hours Hospitalization.

The premium paid on a health insurance policy is eligible for deduction under Section 80D of the Income Tax Act. So save with your policy now!

Prospectus

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Policy wordings

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CIN: U66000KA2018PTC117713 | IRDAI Web aggregator License Code Number: IRDAI / INT / WBA /53/ 2018, Valid till 07/08/2025
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