Your new
health coverage.
has got you new health insurance and top-notch health benefits from Loop!
Here’s what you need to do to onboard successfully:
Step 1
Reach out to your HR team to enroll yourself in few mins
Step 2
Attend the onboarding event on [date].
Step 3
Activate your health benefits by downloading the Loop app.
Step 4
Say hi to your dedicated Medical Advisor in the Loop app.
Step 2
Attend an upcoming on boarding event
Step 3
You'll be informed when you can login to the loop health app to view your e card and book consultations
Step 4
Say hi to your dedicated Medical Advisor in the Loop app.
Your new policy covers
Your health insurance is from
Care Health Insurance
supercharged by Loop.
Hospitalisation
Expenses upto Sum Insured when hospitalised for 24 hours or more
Day Care
Procedures that require less than 24 hours of hospitalisation
Pre & Post Hospitalisation
Covering the cost of Pre-Hospitalisation procedures for upto 30 Days and Post- Hospitalisation for upto 60 Days
Room Rent
Covered upto
1% of SI
Covered upto
2% of SI
Ambulance
Covering charges upto
₹
2000
in cases of emergency
Modern Treatment
Covered upto 50% of Sum Insured on IPD basis for complex procedures like oral chemotherapy, Immunotherapy, Intra vitreal injections, bronchial thermoplasty, cochlear implant, uterine artery embolization, etc
AYUSH Treatment
(AYUSH)-30000
Pre existing diseases
Covered with 4 years Waiting Period
Ultra Modern Treatment
Covered upto 50% of Sum Insured on IPD basis for complex procedures like oral chemotherapy, Immunotherapy, Intra vitreal injections, bronchial thermoplasty, cochlear implant, uterine artery embolization, etc
Domiciliary Hospitalisation
Hospitalisation at Home due to unavailability of hospitals or condition of the patient: Covered as defined in GHI Policy wordings
What’s new this year?
Adfox Digital Pvt Ltd
has truly boosted your health benefits and is investing a lot to keep you healthy!
24*7 Claims Support
Our team will help you from admission to discharge
Easy E-Card Access
Quickly access your E-Card anytime through the Loop App
Unlimited Doctor Consultations
Free virtual consultations with dermatologists, women's wellness experts, mental health experts, nutritionists, pediatricians, and general physicians.
Book Lab Tests
Exclusive discounts on booking lab tests and medicines through the Loop App
Dedicated Medical Advisor
Get your health questions & concerns addressed in minutes, 24/7.
Let’s go on a wellness adventure!
In collaboration with wellness experts, we are curating some incredible wellness sessions for you. It’s holistic and a lot of fun!
Your Cashless process
If you need help with initiating cashless admission, please have a quick chat with your Medical Advisor in the Loop app anytime!
more
You can avail cashless admission in the network hospitals of
Care Health Insurance
Make sure you have everything you need: Download the document checklist here.
Your Reimbursement Claim process
In case of emergency admission in non-network hospitals, make sure to inform us at the earliest.
You will need to submit your claim form and all the documents enlisted in the checklist.
Download document checklist
Post the discharge, you need to send your medical file to the TPA within 30 days.
The TPA with authorize your claim within 15 days and it would be paid within 3-5 weeks
FAQs
What is a pre-existing condition?
A pre-existing condition is a medical condition that occurred before the mediclaim insurance program became effective. Most policies exclude pre-existing diseases cover but your mediclaim Insurance Policy provides this coverage.
What are network hospitals?
These are hospitals with which the TPA has a tie up for cashless hospitalization. The updated list of hospitals can be found on the insurance website. Please note that listed hospitals can be unlisted during the policy period due to various reasons.
What are the claim submission deadlines?
Submiting pre-hospitalization and hospitalization claims within 15 days from the date of discharge. Submit post-hospitalisation bills within 7 days from the end of the post-hospitalization period (60 days + 30 days), but not more than 30 days from the end of this period (60 days + 30 days) to avoid delays in submission and subsequent delays in settlement of your claim. Do factor the couriering time. If you have any problem due to which your claim submission will be delayed.
What is Ayush treatment?
The medical expenses incurred for in-patient treatment taken under Ayurveda, Yoga, Naturopathy, Unani, Siddha and Homeopathy will be covered in the policy up to 5 Cases in registered hospitals to get coverage under AYUSH treatment, it is necessary that the treatment must take place in a government hospital accredited by Quality Council of India or National Accreditation Board.
Are room taxes payable?
Room taxes (service taxes only, and not luxury taxes or surcharges) are ordinarily not payable.
Caution: Some hospitals do not inform the patient about the applicability of luxury taxes and surcharges until the time of discharge. Please ask your hospital about any hidden charges prior to the admission to avoid unplanned expenses.
What is meant by Pre-hospitalisation and Post-hospitalisation expenses?
Medical expenses incurred during the 30 days prior to hospitalization and 60 days after hospitalization, and which are related to the illness/accident for which hospitalization takes place, are known as Pre-hospitalisation expenses. These are reimbursable by the insurer.
What expenses are payable as a part of pre-hospitalization and post-hospitalization expenses?
Consultation charges, prescribed medicines, prescribed investigations, rehabilitation therapy related to the hospitalization.
What is a E-Card?
It is an identification card, which will entitle you to credit towards hospitalization and day care procedures and any other negotiated benefits at hospitals on the panel of TPA on pre-authorization. Please remember that the Health Card is not a credit card.The card does not entitle you to credit towards out patient treatment. To avoid any misuse of your card, the hospitals may ask you to furnish some identification card (like Voter ID, Photo Credit card, etc.)
