Royal Sundaram Lifeline Classic Policy

• Enjoy options to cover yourself, your spouse, kids and even your parents
• Enjoy access to 10,000+ hospitals for cashless treatment
• Reduce your taxable income by up to Rs. 50,000 deduction under section 80D**

Royal Sundaram is a renowned general insurance service provider with a range of health insurance plans in its lineup. The company has plans suitable for people with different requirements. Royal Sundaram Lifeline Classic Policy is an affordable health insurance cover developed for individual and families in the middle income category. This plan provides comprehensive protection against various unexpected medical threats.

Eligibility for Royal Sundaram Lifeline Classic Policy

People who meet the following eligibility criteria can avail Royal Sundaram Lifeline Classic Policy:

• The proposer of the policy must be over 18 years of age.
• There is no maximum entry age when it comes to availing this cover.
• Dependents between the age of 91 days and 25 years can be covered in this policy alongside their parents.
• The family floater policy can be taken for self, spouse, and dependent children.
• A maximum of 2 adults and 4 children can be covered in the family floater policy.

Features of Royal Sundaram Lifeline Classic Policy

Some of the notable features of Royal Sundaram Lifeline Classic Policy can be listed as follows:

• This policy comes in three different sum insured options: Rs.2 lakh, Rs.3 lakh, and Rs.4 lakh.
• The sum insured amount chosen at the time of subscription can be enhanced during the time of renewal. However, the waiting periods will start afresh for the new sum insured amount.
• This policy can be obtained in 1, 2, and 3-year policy terms.
• Pre-existing diseases are covered after 48 months of continuous policy coverage.
• There is a general waiting period of 30 days from the date of commencement of the policy for sickness hospitalisation. This waiting period does not apply for hospitalisation resulting from accidents.
• A specific waiting period of 24 months of coverage shall be applicable for certain conditions like cataract, hernia, fissures, sinusitis, varicose veins, etc.
• Pre-hospitalisation expenses are covered for up to 30 days prior to the date of hospitalisation.
• Post-hospitalisation medical expenses are covered in this policy for up to 60 days after discharge from the hospital.
• A free look period of 15 days is available for policyholders to review the terms and conditions of this cover. The policy can be cancelled during this period without incurring any charges.
• There is a grace period of 30 days for policyholders to renew this policy after the date of expiry. However, there will not be any coverage for the days during which the premium is not paid.
• This policy can be ported to other service providers in the market subject to prior notification to the company at least 45 days before the date of renewal.
• Under Section 80D of the Income Tax Act, tax relief is available for the premium amount paid towards this policy cover.

Benefits of Royal Sundaram Lifeline Classic Policy

The benefits available under this medical insurance policy can be given as follows:

Exclusions of Royal Sundaram Lifeline Classic Policy

Some of the key exclusions of Royal Sundaram Lifeline Classic Policy can be listed as follows:

• Claims attributable to addictive conditions and disorders
• Any kind of alternative treatment except for AYUSH
• Expenses related to outpatient treatment
• Claims arising out of participation in adventure sports and hazardous activities
• Intentional self-injuries and injuries caused by suicide attempt
• Injuries resulting from unlawful activities
• Treatment taken outside the country
• Any kind of cosmetic or aesthetic treatments
• Claims related to experimental or unproven treatment methods
• Claims related to sexually transmitted diseases and venereal diseases
• Congenital conditions, birth defects, and anomalies
• Expenses related to weight management and obesity treatments
• Claims related to preventive care and diagnosis
• Any kind of psychiatric or psychosomatic disorders
• Dental treatment unless arising out of an accident
• Expenses related to convalescence and rehabilitation
• Any kind of non-medical expenses such as transportation, items of personal comfort, etc.

Claim Procedure

In case of an event that may result in hospitalisation, the insurer must be intimated right away. The company must be intimated at least 48 hours before planned hospitalisation or within 48 hours of emergency hospitalisation. Cashless treatment can be availed in any of the company’s 3,000+ network hospitals located in different parts of the country.

For cashless claims, pre authorisation must be obtained from the third-party administrator managing the claims. Claims forms can be obtained from the network hospital itself. Duly filled authorisation request form, along with the policy details, can be sent to the TPA through fax or email. The TPA will check the validity of the claim and provide the authorisation within a maximum of 4 hours for all valid claims. In case of rejection, the hospital will be notified within 2 hours along with a valid reason.

Reimbursement claims can be filed within 30 days from the date of discharge from the hospital. The claim form must be submitted along with various documents like medical bills, discharge summary, diagnostic reports, physician certificate, prescriptions, etc. The company’s customer care department can be contacted for the complete list of required documents. In case of any discrepancies in the documents, the company will notify the policyholder within a maximum of 7 days. Following the successful acceptance of the claim, the company will provide the settlement amount within a maximum of 30 days from the date of submission of documents.