my:health Koti Suraksha
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1800 2666 400
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SPID :
VLE ID :
RMID :
Unique id :
Plan Type
*
:
Individual Sum Insured
Exclusive Sum Insured for every member
Family Floater
Common Sum Insured for every member
Is Proposer Same as Insured
*
:
Yes
No
Total Deductibles (
Rs
)
*
:
Deductible means a cost-sharing requirement under a health insurance policy that provides that insurer will not be liable for a specified amount (as opted and mentioned in Policy Schedule,on Individual basis in case of Individual Policy and on Family Floater basis in case of Family Floater Policy) of the covered expenses, which will apply before any benefits are payable by Us. A Deductible does not reduce the Sum Insured.
Adult 1 Date of Birth
*
:
Entry age-18 years and above
Years
Adult 2 Date of Birth
:
Entry age-18 years and above
Years
Child 1 Date of Birth
:
Entry age-91 days to 25 years
Years
Child 2 Date of Birth
:
Entry age-91 days to 25 years
Years
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
ANDAMAN and NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHATTISGARH
DADRA AND NAGAR HAVELI
DAMAN AND DIU
GOA
GUJARAT
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
LADAKH
LAKSHDWEEP
MADHYA PRADESH
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
ORISSA
PONDICHERRY
RAJASTHAN
SIKKIM
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARAKHAND
UTTARANCHAL
City
*
:
--Select--
Select the health cover option (Sum Insured) (
Rs
)
*
:
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Name
:
Mobile Number
:
Email
:
City
:
Query
:
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