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Health & Critical Illness
PROTECTION PLANNING

Health & Critical Illness

Premium health coverage structured around quality-of-care preservation — not just financial protection. Zero co-pay policies, room sub-limit waivers, and international coverage where applicable. 99% claims settlement success across our portfolio.

99%
Claims Settlement Success
7+
Insurers Compared
End-to-End
Claims Advocacy
Health & Critical Illness
OVERVIEW

Coverage That Works When You Need It

For families with substantial assets, the primary concern with health coverage is not financial protection from catastrophe — it is the preservation of quality of care. The right policy ensures access to the best specialists, eliminates administrative friction during hospitalisation, and does not impose co-pay or room sub-limit constraints that degrade the actual coverage at the moment of a claim.

We evaluate health plans on the factors that determine real-world coverage quality: zero co-pay structures, room rent sub-limit waivers (which can otherwise cap reimbursement far below the actual bill), pre-existing disease waiting periods, network depth at premium hospitals, and international coverage eligibility. A plan with a lower premium but aggressive sub-limits is not comprehensive coverage — it is the appearance of coverage.

Our claims advocacy service is what distinguishes our health advisory from a policy comparison portal. When a claim event occurs, our team manages the cashless admission request, TPA liaison, document submission, and escalation — from first notice to final settlement — with a 99% claims settlement success rate across our managed portfolio. That level of advocacy is what the policy is actually worth.

WHAT'S INCLUDED

Key Features

Individual & Family Floater Plans

Base health plans from ₹5 lakhs to ₹1 Cr+ covering hospitalisation, day procedures, ICU, and modern treatments. Family floater structures cover all members under a single sum insured.

Super Top-Up Plans

High-deductible plans that activate above ₹3–5 lakhs per claim — providing ₹20–50 lakhs of additional coverage at a fraction of the cost of an equivalent base plan premium.

Critical Illness Cover

Lump-sum payouts of ₹25 lakhs to ₹2 Cr on diagnosis of specified critical illnesses — cancer, cardiac events, kidney failure, stroke. Provides income replacement beyond hospitalisation costs.

Sub-Limit & Co-Pay Analysis

We identify and quantify room rent sub-limits and co-pay clauses in every plan we compare — clauses that can reduce your effective coverage by 30–50% on a major claim.

Network Hospital Verification

We confirm network hospital coverage in your specific city and neighbourhood before recommending — a plan with 10,000 network hospitals is only valuable if the hospitals you would use are included.

Full Claims Advocacy

When a claim occurs, our team manages the cashless admission request, TPA liaison, document submission, and insurer escalation from first notice to final settlement — with a 99% success rate. No family should have to navigate an insurer's claims process alone.

PARTNERS

Nuvama Wealth
Motilal Oswal
HDFC MF
HDFC Life
HDFC Home Loans
OUR PROCESS

How We Work

A clear, structured approach from your first consultation to ongoing support.

1

Coverage Gap Assessment

We review any existing health cover (employer group policy, individual plans) and identify gaps in sum insured, room rent limits, critical illness cover, and overseas coverage.

2

Plan Comparison

We compare 7+ plans across room rent, co-pay, pre-existing waiting period, network hospitals, and premium — providing a side-by-side matrix that makes the right choice clear.

3

Application & Issuance

We complete the proposal form accurately (especially pre-existing condition disclosure), coordinate any required medical tests, and confirm policy issuance with correct nominee and sum insured details.

4

Annual Review & Claims Support

Annual renewal review — considering premium increases, health changes, and sum insured adequacy — alongside on-call claims support whenever a hospitalisation occurs.

FAQ

Frequently Asked Questions

Ready to get started?

Schedule a consultation with our team. We'll assess your needs, answer your questions, and recommend the right path forward.