How does it work

How does Health Advantage Plus Work?

Under this policy, the insurance premium remains the same at Rs. 15,000 or Rs. 20,000 (depending upon age of the insured). What changes is the Sum Insured (amount of coverage) depending on the age and the number of members covered. The amount of the premium (Rs. 15,000) is fully deductible under Section 80D of the Income Tax Act^. Thus, you save up to Rs. 4,635 on your tax payable.*

^Maximum tax benefit of Rs. 4,635/- subject to the provisions of Section 80D of the Income Tax Act, 1961 and amendments made thereafter
*For highest income tax slab of 30.90%.


Additionally, you can claim OPD (Outpatient Department) up to Rs. 10,000 (depending on sum insured chosen and age of the insured)
Total Savings = Tax Benefit + OPD Reimbursement
Effective Premium = Total Premium - Total Savings

In a scenario wherein an Adult aged 34 years, were to buy the Health Advantage Individual plan for Rs. 2 lakhs.Then, effective cost of Health Advantage Plus Insurance would be:

Effective Premium = Premium Paid - (Maximum OPD Benefit + Maximum Tax Benefit)

Rs. 15,000 - (Rs. 9,000 + Rs. 4,635) = Rs. 1,365

Refer to the table below to find out how much you save.

Age of Senior Most Member (as on his last birthday) Individual
Fixed Premium Rs. 15,000

Sum Insured under Hospitalisation Benefit =

Rs. 2 Lakhs

Sum Insured under Hospitalisation Benefit -

Rs. 3 Lakhs

Age in Years

Sum Insured under OPD Benefit as below

How much do you save?

Total Savings = (OPD Benefit + Tax Benefit)

 

Effective Premium = (Total Premium - Total Savings)

Sum Insured under OPD Benefit as below

How much do you save?

Total Savings = (OPD Benefit + Tax Benefit)

 

Effective Premium = (Total Premium - Total Savings)

 

5 - 18
Rs. 10,000
Rs. 14,365
Rs. 635
Rs. 9,500
Rs. 14,135
Rs. 865

19 - 35

Rs. 9,000

Rs. 13,635
Rs. 1,365
Rs. 8,800
Rs. 13,435
Rs. 1,565
36 - 45
Rs. 8,500
Rs. 13,135
Rs. 1,865
Rs. 8,000
Rs. 12,635
Rs. 2,365
46 - 55
Rs. 6,000
Rs. 10,635
Rs. 4,365
Rs. 5,500
Rs. 10,135
Rs. 4,865
56 - 60*
Rs. 4,500
Rs. 9,135
Rs. 5,865
Rs. 3,500
Rs. 8,135
Rs. 6,865
Fixed Premium Rs. 20,000
61 - 65
Rs. 7,000
Rs. 11,635
Rs. 8,365
Rs. 5,500
Rs. 10,135
Rs. 9,865
66 - 70 (for renewal only)**
Rs. 4,000
Rs. 8,635
Rs. 11,365
Rs. 2,000
Rs. 6,635
Rs. 13,365
2 Adults (Floater Benefit)
Fixed Premium Rs. 15,000

Sum Insured under Hospitalisation Benefit =

Rs. 2 Lakhs

Sum Insured under Hospitalisation Benefit -

Rs. 3 Lakhs

Age in Years

Sum Insured under OPD Benefit as below

How much do you save?

Total Savings = (OPD Benefit + Tax Benefit)

 

Effective Premium = (Total Premium - Total Savings)

 

Sum Insured under OPD Benefit as below

How much do you save?

Total Savings = (OPD Benefit + Tax Benefit)

Effective Premium = (Total Premium - Total Savings)

 

5 - 18
-

19 - 35

Rs. 8,000

Rs. 12,635
Rs. 2,365
Rs. 7,500
Rs. 12,135
Rs. 2,865
36 - 45
Rs. 7,000
Rs. 11,635
Rs. 3,365
Rs. 6,500
Rs. 11,135
Rs. 3,865
46 - 55
Rs. 3,000
Rs. 7,635
Rs. 7,365
Rs. 2,000
Rs. 6,635
Rs. 8,365
56 - 60*
-

*Medical Tests mandatory for insured aged 56 and above

**Age at entry: max. upto 65 years; renewable upto 70 years