Name of the Insurance Company is ‘Care health insurance company Limited’. They service the claim through their in-house team. Alliance Insurance Broker will act as an intermediary between the client and Care Health insurance will maintain a clear flow of communication and expediating the claim processes, they will be managing the whole policy.
Registered Air veterans of Air Force Group Insurance Society are eligible for this scheme.
No, parents are not added in the policy, as this scheme is especially designed for Self, Spouse and Kids.
The policy coverage starts from the Master Policy start date (will be declared during enrolment). Any accidental claim will not have any waiting period. Whereas any Pre-existing disease will have 1 year waiting period.
The policy coverage is valid for 1 year from the Policy start date and this will be renewed on annual basis.
This scheme will not be affecting the ECHS scheme, as this is an additional cover being introduced by the Airforce for their veterans over and above ECHS.
This scheme is only for the ex-servicemen or retired personnel.
No, there is no need for Medical Check Up, but a good health declaration needs to be provided during enrolling for this programme. Below is the Good Health Declaration required:
I hereby declare that we are in good health and not suffering and/or undergoing treatment for any chronic diseases (refer exclusions for list of chronic ailments), neither are any treatments or evaluations planned for the same or Undergone surgery or hospitalization for any illness over 10 days, which are relapsing in nature or suffered from any disease requiring medication for more than 15 days or recurrent follow-ups.
The proposed scheme covers the below benefits:
No, there will be no limit / disease wise capping on expenditure on any particular disease, i.e. the full expense of the disease will be covered up to the sum insured opted except for the consumables items and non-payable item.
No, there is no option of a top up available.
Yes, it is both cashless and Reimbursement. The insurance company has 9400+ network hospitals. Now, Customers can also get cashless benefits even at non network hospitals subject to intimation 48 hours in advance (T&C apply), providing policyholders with an unprecedented level of flexibility and convenience. This initiative aims to eliminate the hassle of complicated reimbursement processes, providing policyholders with seamless and convenient claim experience.
Key Features of cashless anywhere:
By going cashless anywhere, we aim to enhance accessibility, reduce processing times, and provide a more user-centric experience.
There are certain steps which needs to be followed when you visit a Network Hospital for an IPD treatment where the hospital should be empanelled with the insurance company and TPA. They are:
We will provide EB360 portal link to check the network hospital with the name of the city and state during enrolment.
In case of a reimbursement claim following process need to be followed:
At times, it happens you must be admitted to a non-network hospital for treatment. The reimbursement claim needs certain documents which needs to be submitted within a stipulated period for smooth and quick claim settlement process:
Pre-existing conditions are those medical illnesses or injuries that the intended policyholder has before starting a healthcare plan or policy. This factor plays a significant role in your health insurance as you already suffer from these ailments. Conditions like diabetes, chronic obstructive pulmonary disease (COPD), cancer may be examples of pre-existing health conditions. They tend to be chronic or long-term.
It is very easy to check the nearest cashless network hospital by entering the city and state name by clicking on the EB360 link provided during Enrolment.
OPD cover include various options which can be opted by paying additional premium. It will include dental, vision, pharmacy, diagnostics and consultations. It will be on a floater basis (Combine limit as per the selected plan). OPD Services Are available on Allyve Health Platform
Upon completing the OPD treatment, you need to upload the doctor’s prescription and the original bill by logging in to your account via website or mobile app to process the reimbursement.
You can follow this process after logging in your Alyve Health app - Dashboard -> OPD Card -> Reimburse Now button -> Fill the details -> Submit
Only Date wise, Pre-numbered Prescribed Pharmacy expenses are covered under OPD on both Cashless and Reimbursement through Alyve Platform.
Some common exclusions that apply to an OPD cover:
Upon completing the OPD treatment, you need to upload the doctor’s prescription and the original bill by logging in to your account via website or mobile app to process the reimbursement.
You can follow this process after logging in your Alyve Health app - Dashboard -> OPD Card -> Reimburse Now button -> Fill the details -> Submit
At times, it happens you must be admitted to a non-network hospital for treatment. The reimbursement claim needs certain documents which needs to be submitted within a stipulated period for smooth and quick claim settlement process:
It is very easy to check the nearest cashless network hospital by entering the city and state name by clicking on the EB360 link provided during Enrolment.