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Life is unpredictable in so many ways. Nobody sees life threatening disease coming, however when such situations arises, it takes a toll on our savings and left us feeling unsecured. This is where lifestyle protection plan from CignaTTK comes to your rescue. CignaTTK Lifestyle Protection Critical Care provides you coverage of 15 to 30 critical illnesses along with lump sum and installment payment option, so you don’t have to compromise on living standards after you lose your earning power from a primary source of income.
About CignaTTK LifeStyle Protection Plan – Critical Care
CignaTTK, the leading health insurance provider company has launched a unique insurance plan in the healthcare segment. It understands your need for money not only for hospitalization expenses, but to maintain the lifestyle for yourself and your family after diagnoses of critical illness. The plan allows you to avail sum insured up to ten times of your annual income. Your family members are also covered in proportion to your sum insured. The family members include your spouse, dependent children, and dependent parents. Upon diagnoses of critical illness, you are paid the amount equivalent to your sum insured on a lump sum basis or in installment, depending on the type of plan you have chosen while availing the insurance policy.
Types of CignaTTK LifeStyle Critical Care Insurance Plans
Cigna TTK Lifestyle Protection – Critical Care provides two types of plans :
Type-1: Basic Plan
It covers 15 most common critical illness.
Type-2: Enhanced Plan
It covers another 15 critical illness apart from the basic plan. Hence, 30 critical illness in total is covered under this plan.
Eligibility Criteria
| Criteria | Description |
| Minimum Entry Age | 18 Years |
| Maximum Entry Age | 65 Years |
| Renewal Age | Lifelong eligibility for renewal |
| Policy Tenure | 1/2/3 Year |
| Family Definition | Self, Spouse, Dependent children and parents |
| Sum Insured | Ten times of Gross Annual Income of Individual, subject to maximum INR 25 Crores |
| Premium Criteria | Age, Gender, Location, Lifestyle, Sum Insured, Type of cover |
Features Of CignaTTK LifeStyle Protection Critical Care Insurance Plan
- This policy will provide sum assured as soon as you are diagnosed with a critical illness, subject to waiting period completed if any. The insured will receive 100% sum insured upon discovery of a critical illness provided the person has chosen lump sum payout option at the time of availing the plan.
- The insured will receive 25% of sum insured upon discovery of critical illness as lump sum. The balance 75% + Additional 10% is paid to you in 60 equal installments over the next five years if they have chosen staggered payout option at the time of availing the plan.
- One can avail 10% policy discount if S/he choose to cover two of their family members for family insurance under the same policy.
- One can avail another 10% discount if they buy the plan directly from CignaTTK without any intermediates. Alternatively, one can avail 10% worksite marketing discount if they buy the policy through worksite marketing channel. You can be eligible only one discount at a time.
- If the potential insured choose to go for 2/3 year policy then S/he will be eligible to get a long term policy document which is 7.5% & 10% respectively
- There is a risk of loading on the Premium Payable according to the health status, medical reports and declaration in the proposal form on the type of existing medical situation. The maximum loading shall not exceed 100%.For basic critical care plan, no medical examination is necessary for age below 45 years if the person has chosen sum insured below INR 1 Crore.
- For enhanced critical care plan, no medical examination is necessary for age below 35 years if the person has chosen sum insured below INR 1 Crore.
- Portability benefit from your existing health insurance policy to CignaTTK lifestyle protection plan is allowed subject to terms and conditions.
- The premium paid for CigmaTTK Lifestyle Protection Critical Care is eligible for income tax benefit according to Section 80 D of the Income Tax Act, 1961.
What CignaTTK LifeStyle Protection Critical Care Insurance Plan includes?
This plan covers 15 and 30 critical illness according to the plan which covers the wife of the insured spouse, dependent spouse, dependent children, dependent grandchildren, and dependent parents in law
If the insured is diagnosed for the first time with the critical illness mentioned in the Annexure, the insurance company will pay the sum insured provided the waiting periods are met. The received amount can further be used to pay the hospitalization expenses as there is no hospitalization cover and cashless benefit.
Filing Claim With CignaTTK Lifestyle Protection Critical Care
Once you discover the critical illness of the life insured, you or your nominee can contact CignaTTK insurance company with available evidence to support your claim. The following information is necessary to ascertain the eligibility of your claim:
- Policy Number with the name of the policyholder and the insured person
- Nature of Critical Illness
- Details of Hospital and Consulting doctors
- Additional information if requested by the insurance company
Documents Required to Claim Insurance
- Duly filled Claim-form
- Medical Certificate from consulting doctor to confirm Critical Illness
- Certificate from Medical doctor to confirm that the claim does not relate to pre-existing illness or injury
- Discharge Summary
- Diagnostic examination reposts showing critical illness
- First consultation letter and doctor’s prescriptions
- KYC documents
- Critical illness specific documents
- FIR copy in case of an accident is the primary cause of critical illness
- As per case situations, the insurance company can ask other relevant documents.
Cases where you can’t claim (Exclusions)
No claim is admissible during the first 90 days from the date of inception of the policy. Moreover, pre-existing illness is excluded from the claim payment for the first three years.
- Critical illness diagnosed or happened before the policy inception date
- Disease happened due to HIV, AIIDS
- Critical illness arises out of drug, intoxication
- Any mental illness
How Long Does It Take to Payout a Claim?
The decision to accept or reject the claim under CignaTTK Lifestyle Protection Critical care depends on the accuracy of the documents submitted. Following steps will help you to avail your claim faster.
- Compile doctor’s consultation papers, prescriptions and medical examination reports in chronological orders.
- Support the case with medical bills, allied treatment reports, and other relevant documents
- Fill up the claim form accurately.
- Submit the claim and take acknowledgment.
- Once your claim is assessed and approved by CignaTTK experts, your eligible amount shall be deposited in your bank account.
Renewal Process Of CignaTTKLifestyle Protection
The policy would be considered fresh if there is a break of more than 30 days between the previous policy expiry date and start of current policy.
- Waiting period will be considered fresh if opted for increased sum insured
Advantages Of Buying CignaTTK Lifestyle Protection Critical Care Plan
Unlike other health insurance plan, CignaTTK Lifestyle protection plan aims at maintaining your lifestyle after critical illness.
- Irrespective of actual expense incurred during hospitalization, the sum insured is payable upon the occurrence of the critical illness.
- It is not necessary to submit hospital bills. You only need to submit the documents to prove the occurrence of critical illness.
- You can take the second opinion from CignaTTK’s medical network about the further treatment of critical illness.
- Every policyholder can participate in wellness programmes conducted by CignaTTK. It is the preventive step to avoid any critical illness.
Points to Consider before purchasing CignaTTK Lifestyle Protection – Critical Care Insurance Plan
- Insure Right Sum
The lifestyle protection plan is not the reimbursement of your medical treatment, but an effort to maintain your lifestyle after critical illness. The amount needed for a person with INR 10 lacs salary and the same need for a businessperson with INR 50 Lacs yearly income is not same. Hence it is recommended to insure yourself with an amount equivalent to ten times of your yearly gross income.
- Mention Pre-existing diseases
Your pre-existing disease is covered after a waiting period of 3 years. You should disclose any pre-existing disease in the policy. If it is found afterward that you had not declared the same intentionally, your policy may be forfeited without the return of premium. It is advisable to undergo a medical examination and submit the report to the insurance company even if it may not be compulsory for you. Such action abstains you from pre-existing disease related disclosures’ responsibility.
- Avail Discounts
You can avail 10% family discount when you insure more than two family members under the policy. If you buy directly from the website of CignaTTK or worksite marketing channels, you are eligible for 10% discount. Don’t forget to take the benefit of discount to avail higher sum insured at a lower premium rate.
Also Check: CignaTTK LifeStyle Protection – Accident Care: Types & Exclusions
FAQs
Q1. What is an expert opinion for critical care?
Upon diagnosis of critical illness, you can opt to take the second opinion through a panel of CignaTTK medical network. Such advice helps you to identify your illness accurately and guide for further course of actions. Such an opinion is free of cost for the insured once in a lifetime.
Q2. When the policy matures?
CignaTTK Lifestyle Protection Critical Care plan aims to provide a one-time lump sum amount upon the occurrence of the critical illness. Once the claim is approved and paid, the policy terminates.
Q3. Is pre-policy medical check-up mandatory?
A pre-medical check-up is mandatory above a certain age, and certain sum insured. However, for your own health benefit, you can undergo a medical examination. The report helps you to disclose accurate pre-existing disease if any.