Paripoorna Mediclaim Ayush Bima: The Department of Financial Services (DFS), part of the Ministry of Finance, has rolled out a new optional health insurance plan for CGHS beneficiaries, named Paripoorna Mediclaim Ayush Bima. This plan is designed to offer extra medical coverage alongside the existing CGHS benefits.
This policy aims to enhance CGHS coverage. It provides cashless treatment, covers advanced medical procedures, and allows treatment at a network of top hospitals nationwide. It’s exclusively for CGHS beneficiaries, and you can cover up to six family members under one policy.
What makes this health insurance plan unique?
This mediclaim policy takes care of hospitalization costs within India. You can choose sum insured amounts between Rs 10 lakh and Rs 20 lakh. There’s also a co-payment option, where costs are shared between the insurance company and the policyholder in a 70:30 or 50:50 split. This gives you the flexibility to select a higher or lower premium based on your needs.
What costs are covered?
Room rent is limited under the policy. It covers expenses up to 1% of the sum insured per day for a regular room and up to 2% for an ICU. Medical costs incurred 30 days before hospitalization and up to 60 days after discharge are also included. AYUSH treatments (Ayurveda, Yoga, Unani, Siddha, and Homeopathy) are fully covered, up to 100% of the sum insured.
Advanced medical services will be covered up to 25% of the sum insured, but you can increase this to 100% by opting for an additional rider. If you don’t make any claims in a year, you’ll receive a cumulative bonus of 10% each year, up to a maximum of 100% of the sum insured.
This scheme is affordable
This plan is more economical than a typical health insurance policy. You can get discounts of up to 28% for the 70:30 option and up to 42% for the 50:50 option. Plus, there’s no GST on this policy, which will help lower premiums even more. Paripoorna Mediclaim Ayush Bima will soon be offered to CGHS beneficiaries as a retail policy through New India Assurance Company.
