LIC Jeevan Arogya Plan 904 Review (LIC Health Insurance Policy)

LIC Jeevan Arogya Plan table no 904 is an LIC mediclaim policy for family. And this is the place where we will share about this LIC health insurance policy. Till now, this is the only health insurance policy launched by LIC of India. Under this policy you can cover the health of your direct family like your Spouse, Parents, Children and Parents-in-law. In this article we will share about jeevan arogya features, jeevan arogya premium amount, lic jeevan arogya list of hospitals, jeevan arogya premium calculator and many more details about this policy.

LIC Jeevan Arogya Plan in Hindi

(LIC Jeevan Arogya Plan in Hindi – LIC Jeevan Arogya brochure)

LIC Jeevan Arogya Plan Details & Key features

  • Lump sum benefit irrespective of actual medical costs.
  • You can choose from many flexible premium payment options. (yearly & half yearly)
  • Financial protection in case of surgery, hospitalization, etc.
  • The health insurance coverage can be increased on yearly basis
  • Also get no claim benefit.
  • Choose from Rs 1000 to rs 4000 as daily Hospital Cash Benefit (HCB)
  • The Major Surgical Benefit (MSB) will be 100 times the Initial Daily Benefit
  • Min entry age is 18 years for adults and 91 days for children
  • Max entry age is 65-75 years for adults and 17 years for children
  • Maximum cover ceasing age 80 years for adults and 25 years for kids

LIC Jeevan Arogya Plan No 904 Benefits

LIC Jeevan Arogya provides couple of benefits. Let’s discuss them one by one and find how they can fit your health insurance requirement.

Hospital Cash Benefit (HCB)

This is the amount that will be paid in case you got hospitalized for more than 24 hours duration. This amount is fixed for the first year and will be increased by 5% every year till it touches 1150% of 1.5 times of daily benefit limit. Check out below the Applicable Daily Benefit (ADB) available under Lic Jeevan Arogya policy during the policy year.

` 1000 per day ` 2000 per day ` 3000 per day ` 4000 per day

Limits of HCB:

  • Total number of days for which HCB would be payable, in a policy year would be restricted to,
    • Maximum of 30 days of hospitalization including 15 days of I.C.U i.e. total 45 days in the 1st policy year.
    • Maximum of 90 days of hospitalization including 45 days of I.C.U i.e. total 135 days in the 2nd and subsequent policy years.
  • Total no. of days for which HCB would be payable during the policy period, shall be limited to a maximum of 720 days out of which 360 days shall be in an ICU.

Major Surgical Benefit (MSB)

Now this is the actual part what everyone want to know about a health insurance plan. How much will be the cover in case of critical hospitalization or any kind of surgery.  The calculation here is very simple as it is 100 times than the daily HCB limit. That means the amounts will be like below.

` 1,00,000 ` ` 2,00,000 ` ` 3,00,000 ` ` 4,00,000

Limits of MSB:

  • MSB will be paid only if Surgery occurs within India.
  • It will be paid as lump sum by providing proof of surgery to the company.
  • MSB sum assured is 100 times the ADB (Applicable Daily Benefit).
  • Amount payable under the MSB in any policy year during the cover period shall not exceed 100% of the MSB SA (Sum Assured) in that policy year.
  • Total amount payable under the MSB during the cover period (i.e. maximum lifetime benefit) shall not exceed 800% of the MSB SA.

Day Care Procedure Benefit (DCPB)

This is the 5 times of daily limit defined earlier. This benefit is applicable in case of surgery that happened in India itself. And maximum 3 surgeries can be covered for this benefit.

Ambulance Benefit

In case of surgery a lumpsum of Rs 1000 will be paid as ambulance charge.

No claim Benefit

In case a year passed without any claim, then a no claim benefit will be provided and that is No claim benefit = 5% of the Initial Daily Benefit. It will be paid during the period between date of commencement and next Automatic Renewal Date or between 2 Automatic Renewal dates of policy.

You can get the needed details regarding LIC jeevan arogya revival form in their official site.

Riders available under LIC Jeevan Arogya Policy

Two riders are available under Lic Jeevan Arogya Policy, they are

  1. Term Assurance Rider.
  2. Accident Benefit Rider.

LIC Jeevan Arogya Premium Calculator

LIC jeevan arogya 904 premium Calculator helps you to calculate the premium amount. You can calculate the premium just by entering some details like Name, Email ID, Mobile Number, Age, Relation ship and HCB amount.

Tables below give an indicative annual premium, payable yearly, for all health benefits corresponding to an Initial Daily Benefit of Rs. 1000 per day, for some of the ages in respect of  various lives that can be covered under a single policy:

PRINCIPAL INSURED (Male)

Age at entry

Premium (`)

20

1922.65

30

2242.90

40

2799.70

50

3768.00

         SPOUSE (Female) / PARENT (of PI/Spouse) (Female)

Age at entry

Premium (`)

20

1393.15

30

1730.65

40

2240.60

50

2849.10

CHILD

Age at entry

Premium (`)

0

792.00

5

794.75

10

812.35

15

870.75

(Premiums indicated are exclusive of Service Tax)

Eligibility Conditions And Other Restrictions:

FOR BASIC PLAN

1. For Hospital Cash Benefit (HCB) (under Basic Plan)

Feature Principal Insured (PI) Insured Spouse (if any) & Insured Parents / Parents-in-law (if any) Insured Dependent Children (if any)
1. Minimum Initial Daily Benefit (in a ward other than Intensive Care Unit) ` 1,000/- ` 1,000/- ` 1,000/-
2. Maximum initial daily amount ` 4,000/- Insured Spouse– Less than or equal to that of PI
Insured Parents /  Parents-in-law– Less than or equal to that of Insured Spouse (PI, if there is no Insured Spouse). Further, included parents / parents-in-law shall be covered for equal benefits.
Less than or equal to that of Insured Spouse (PI, if there is no Insured Spouse). Further, included children shall be covered for equal benefits.
3. Maximum annual benefit period, applicable to each insured 30 days in year 1, 90 days per year thereafter, inclusive of stay in ICU. Maximum number of days in ICU is restricted to 15 days in year 1 and to 45 days thereafter.
4. Maximum Lifetime Benefit period, applicable to each insured 720 days inclusive of stay in ICU. Maximum number of days in ICU is restricted to 360 days

Initial Daily Benefit shall be in multiples of ` 1000/-.

2. For Major Surgical Benefit (MSB) (under Basic Plan)

Feature Principal Insured (PI) Insured Spouse (if any) & Insured Parents / parents-in-law (if any) Insured Dependent Children (if any)
1. Major Surgical Benefit Sum Assured (MSB SA) 100 times of Applicable Daily Benefit (ADB) of PI (as specified in Para 1A) above). Insured Spouse– 100 times of ADB of Insured Spouse
Insured Parents / parents-in-law– 100 times of ADB of each parent
100 times of ADB of each child
2. Maximum annual benefit, applicable to each insured 100% of Major  Surgical Benefit Sum Assured
3. Maximum Lifetime Benefit, applicable to each insured 800% of  Major  Surgical Benefit Sum Assured

For Day Care Procedure Benefit (DCPB) (under Basic Plan) 

Feature Principal Insured (PI) Insured Spouse (if any) & Insured Parents / parents-in-law (if any) Insured Dependent Children (if any)
1. Lump sum benefit payable 5 times of Applicable  Daily Benefit (ADB) of PI Insured Spouse– 5 times of ADB of Insured Spouse
Insured Parents / parents-in-law– 5 times of ADB of each parent
5 times of ADB of each child
2. Maximum annual benefit, applicable to each insured 3 Surgical Procedures
3. Maximum Lifetime Benefit, applicable to each insured 24 Surgical Procedures

For Other Surgical Benefit (OSB) (under Basic Plan) 

Feature Principal Insured (PI) Insured Spouse (if any) & Insured Parents / parents-in-law (if any) Insured Dependent Children (if any)
1. Daily benefit amount 2 times of ADB of PI Insured Spouse– 2 times of ADB of Insured Spouse
Insured Parents / parents-in-law– 2 times of ADB of each parent
2 times of ADB of each child
2. Maximum annual benefit, applicable to each insured 15 days in first policy year and 45 days per year thereafter
3. Maximum Lifetime Benefit, applicable to each insured 360 days

Hope you will find the LIC Jeevan Arogya plan 904 review helpful. For more details visit LIC New Jeevan Arogya Official page.

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