my: health Women Suraksha
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VLE ID :
Please provide insured details to calculate the premium.
Occupation
*
:
Salaried
Self Employed
Others
Annual Income (
Rs
)
*
:
"We will offer you a maximum sum insured of INR 24 lakhs or 6 times of your annual income whichever is less."
Date of Birth
*
:
Years
Having Pre Existing Disease?
*
:
Yes
No
Important note :
Please tick 'Yes' in case the insured member has any of the below condition:
- Any health complaints
- Met with an accident
- History of hospitalisation
- History of any surgery
- Any regular medication or therapy for any illness prior to taking this policy
Note :
Please select “No”, if you had minor injuries, viral fever 3 months before or you have no health disorder prior to taking this policy
Please provide your contact details to complete the premium calculation.
Name
*
:
(First Name Middle Name Last Name)
Mobile No.
*
:
Email Id
*
:
Pincode
*
:
State
*
:
--Select--
MAHARASHTRA
TAMIL NADU
KERALA
KARNATAKA
DELHI
PUNJAB
WEST BENGAL
HARYANA
DADRA AND NAGAR HAVELI AND DAMAN AND DIU
LADAKH
LAKSHDWEEP
UTTAR PRADESH
GOA
UTTARANCHAL
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ORISSA
PONDICHERRY
SIKKIM
TRIPURA
UTTARAKHAND
TELANGANA
ODISHA
HIMACHAL PRADESH
ASSAM
GUJARAT
ANDHRA PRADESH
ANDAMAN and NICOBAR ISLANDS
ARUNACHAL PRADESH
BIHAR
CHANDIGARH
RAJASTHAN
MADHYA PRADESH
CHATTISGARH
DADRA AND NAGAR HAVELI
DAMAN AND DIU
JAMMU AND KASHMIR
JHARKHAND
City
*
:
--Select--
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Query
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Benefits
Option to cover Individual or entire Family
Cashless Treatment at 5000 + network hospitals
Cost of Health Check up after 4 claim free years
FAQ
related to Health Suraksha