Optima Restore - Premium Chart

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About Optima Restore: + No sub-limits + No co-payment + No Room Rent Restrictions

+ Sum Insured 3/5/10/15/20/25/50 Lakhs + Restore benefit to auto-reinstate your sum insured + Multiplier benefit offers a no claim benefit of 50% on 1 year & 100% on 2 Year... + Pre & Post hospitalization coverage for 60 days & 180 days + All Day Care procedures to be covered* + Expenses for Organ Donor + Daily Cash for Shared Accommodation + e-Opinion with respect to critical illnesses + Lifelong renewal + Emergency Ambulance Rs. 2000 + Health check-up benefit + + No additional loadings at renewal due to claims > Buy Individual plan for 2 or more get 10% Discount

50 L 14405 19884 22949 34145 43742 57362 80914

1A+1C 18-35 36-45 46-50 51-55 56-60 61-65

3 L 9705

5 L 10 L 15 L 20 L 25 L 50 L 12312 15519 18602 22426 24339 31292

10160

12891

16583

19876

23963

26006

33436

13530

17165

22593

27080

32648

35431

45553

16396

20801

27809

33333

40185

43611

56072

20027

25411

34679

41566

50112

54384

69924

26157

33186

46358

55564

66990

72702

93475

1A + 3C 18-35 36-45 46-50 51-55 56-60 61-65

3 L 8171

5 L 10366

10 L 15 L 20 L 25 L 50 L 13806 16548 19950 21650 27837

INDIVIDUAL

0-17 18-35 36-45 46-50 51-55 56-60 61-65 1A + 2C 18-35 36-45 46-50 51-55 56-60 61-65

3 L 4885 5836 6604 9660 12214 15769 21897

5 L 6197 7405 8379 12256 15497 20006 27782

10 L 7145 9861 11382 16935 21694 28448 40129

15 L 8562 11819 13642 20298 26002 34099 48099

20 L 10324 14250 16447 24471 31349 41109 57988

25 L 11204 15465 17850 26557 34022 44615 62932

> Buy 2 yr plan & get 7.5% Additional Discount

2A 18-35 36-45 46-50 51-55 56-60 61-65

9752

12374

16768

20099

24232

26297

33811

13875

17603

24286

29110

35095

38087

48969

17491

22192

31005

37162

44802

48622

62515

22306

28300

40121

48090

57977

62920

80898

30039

38112

54845

65738

79255

86013 110588

2A+2C 18-35 36-45 46-50 51-55 56-60 61-65

3 L 12038 13308 17743 21673 26565 34298

5 L 10 L 15274 19464 16886 21969 22512 29945 27497 37120 33705 46350 43516 61076

15 L 23330 26333 35891 44491 55555 73205

20 L 28126 31747 43270 53640 66979 88257

25 L 30525 34455 46962 58213 72690 95782

50 L 39246 44298 60379 74846 93458 123149

Note : A = Adult + C = Child

3 L

5 L

10 L 15 L 20 L 25 L 50 L

7528

9551

12337 14787 17827 19347 24875

8160

10352 13657 16369 19736 21418 27538

11353 14404 19409 23264 28047 30439 39136 14044 17818 24369 29209 35215 38218 49136 17633 22370 31174 37366 45048 48890 62858 23761 30146 42853 51365 61926 67207 86409 3 L 5 L 10 L 15 L 20 L 25 L 50 L 10913 13846 17287 20721 24980 27111 34857 11271 14300 18208 21824 26312 28555 36714 14738 18699 24360 29199 35202 38204 49120 17702 22460 29720 35622 42947 46609 59925 21359 27099 36625 43900 52925 57437 73849 27487 34875 48305 57898 69803 75755 97399

2A+1C 3 L 18-35 36-45 46-50 51-55 56-60 61-65 2A+3C

18-35 36-45 46-50 51-55 56-60 61-65 + Child

9862

5 L 10 L 15 L 20 L 25 L 50 L 12513 16281 19515 23527 25533 32828

11309 14347 19044 22826 27520 29866 38398 15567 19750 26762 32077 38672 41970 53962 19321 24514 33680 40369 48669 52819 67910 24169 30665 42847 51356 61916 67195 86394 31903 40477 57571 69006 83193 90287 116083 3L 14698 15754 20403 24547 29494 37227 2223

5 L 18648 19988 25886 31145 37420 47231 2821

10 L 23354 25545 33834 41323 50633 65358 3250

15 L 27992 30618 40554 49531 60689 78339 3896

20 L 33747 36913 48892 59714 73168 94446 4697

25 L 36625 40062 53061 64806 79406 102499 5098

50 L 47088 51507 68222 83323 102094 131784 6554

OPTIMA RESTORE - PPC GRID Age

3 Lacs

5 Lacs

10 Lacs

18-45

NIL

NIL

NIL

46-55

Cat – 18 [Rs 990]

Cat - 18 [Rs 990]

Cat - 19 [Rs 2940]

15 Lacs

Cat - 17 [Rs 2700] Cat - 17 [Rs 2940]

Age

3 Lacs

5 Lacs

10 Lacs

15 Lacs

56–60

Cat - 20 [Rs 1200] Cat - 21 [Rs-2140]

Cat - 5 [M-1765/ F-1690] Cat - 21 [Rs-2140]

Cat - 19 [Rs 2940] Cat – 19 [Rs 2940]

Cat - 19 [Rs 2940] Cat - 19 [Rs 2940]

61–65

Note : Pls contact your Branch for PPC Grid details above 20L

2 Yr Waiting Period – OPTIMA RESTORE # Any Benign ear, nose and throat (ENT) disorder Example: Sinusitis, Rhinitis etc

# All ear, nose and throat (ENT) surgery Example: Adenoidectomy, Mastoidectomy, Tonsillectomy, Tympanoplasty, Septoplasty, Functional endoscopic sinus surgery (FESS)

ENT

# Internal tumors, cysts, nodules, polyps including breast lumps (each of any kind unless malignant) # Polycystic ovarian diseases

# Dilatation and curettage (D&C) # Hysterectomy for menorrhagia or fibromyoma or prolapse of uterus unless necessitated by malignancy # Myomectomy for fibroids

Gynaecological

# Non infective arthritis # Gout and Rheumatism # Age related Osteoporosis

# Joint replacement # Surgery for prolapsed inter vertebral disk

# Calculus diseases of gall bladder # Fissure/fistula in anus, hemorrhoids, pilonidal sinus # Gastric and duodenal ulcers # All forms of cirrhosis

# Surgery of gallbladder and bile duct unless necessitated by malignancy # Surgery of hernia

# Calculus diseases of Urogenital system Example: Kidney stone, Urinary Bladder stone etc

# Any surgery of Urogenital system unless necessitated by malignancy # Surgery on prostate # Surgery for Hydrocele

Urogenital

# Cataract, # Internal tumors, cysts, nodules, polyps, skin tumors (each of any kind unless malignant)

# Surgery of varicose veins and varicose ulcers

Others

Orthopaedic Gastrointestinal

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