🌟 What is LIC Arogya Rakshak?
LIC’s Arogya Rakshak (Plan No. 906) is a Non-Linked, Non-Participating, Regular Premium, Individual Health Insurance Plan that provides fixed benefit health coverage for hospitalization and medical procedures.
It is not a reimbursement plan, but a fixed benefit plan — meaning LIC pays a predefined amount irrespective of the actual medical expense incurred. This plan is available for individual lives as well as in family floater mode for spouse, children, and parents.
🛡️ Key Features of LIC Arogya Rakshak
| Features | Details |
|---|---|
| Plan Type | Fixed Benefit Health Insurance Plan |
| Benefit Payable | Fixed Amount (Not based on actual bills) |
| Policy Coverage | Individual and family (Self, Spouse, Children, Parents) |
| Premium Payment | Regular (Yearly, Half-Yearly, Quarterly, Monthly via ECS/NACH) |
| Major Benefits | Hospital Cash Benefit, Major Surgical Benefit, Day Care Procedure, etc. |
| No Claim Benefit | Auto increase of HCB by 15% every 3 years |
| Renewal | Lifetime Renewable |
| Premium Waiver | On occurrence of major surgery under MSB (Major Surgical Benefit) |
| Tax Benefit | Premium eligible under Section 80D of Income Tax Act |
📋 Eligibility Criteria
| Criteria | Minimum | Maximum |
|---|---|---|
| Entry Age (Self & Spouse) | 18 years | 65 years |
| Entry Age (Children) | 91 days | 20 years |
| Entry Age (Parents) | 18 years | 65 years |
| Policy Term | Up to 80 years of age | |
| Hospital Cash Benefit (HCB) | ₹2,500/month | ₹10,000/month |
| Premium Paying Term | Same as Policy Term |
💡 Main Benefits
1. 🛏️ Hospital Cash Benefit (HCB)
LIC pays a fixed amount for each day of hospitalization, based on your chosen HCB (e.g., ₹5,000/day). Maximum of 30 days per year and 900 days in a lifetime.
2. 🔪 Major Surgical Benefit (MSB)
Provides 100x of HCB for specific major surgeries (like bypass surgery, kidney transplant, etc.)
For example, if HCB = ₹5,000 → MSB = ₹5,00,000
Covers up to 140 major surgeries, categorized into four groups (A to D) with different payout percentages (40% to 100%).
3. 🧵 Day Care Procedure Benefit
Covers specific short-duration procedures (e.g., cataract, dialysis). Payout is based on HCB (5x to 20x).
4. 🔁 Other Benefits
- Medical Management Benefit (for treatment of Dengue, Malaria, Pneumonia, etc.)
- Auto HCB Increase: HCB increases by 15% every 3 claim-free years (max 5 times)
- Premium Waiver Benefit: Premium is waived for 3 policy years if MSB claim is paid
📊 Example: LIC Arogya Rakshak – Mr. Ramesh (Self & Spouse)
| Details | Value |
|---|---|
| Policyholder Name | Mr. Ramesh |
| Age at Entry | 35 years |
| Spouse’s Age | 33 years |
| Hospital Cash Benefit (HCB) | ₹5,000/day |
| Policy Term | Up to 80 years |
| Premium Mode | Yearly |
🏥 Sample Benefits (Based on ₹5,000 HCB)
| Type of Claim | Benefit Calculation | Amount Payable |
|---|---|---|
| Hospitalization | 5 days hospitalization × ₹5,000 | ₹25,000 |
| Major Surgery (Group A) | 100 × ₹5,000 | ₹5,00,000 |
| Major Surgery (Group B) | 60 × ₹5,000 | ₹3,00,000 |
| Day Care Procedure | 10 × ₹5,000 (based on procedure type) | ₹50,000 |
| Medical Management | Fixed ₹25,000 (varies with illness) | ₹25,000 |
📅 Premium Illustration (Yearly Premium)
| Age | HCB ₹2,500 | HCB ₹5,000 | HCB ₹10,000 |
|---|---|---|---|
| 30 years | ₹2,220 | ₹4,390 | ₹8,770 |
| 40 years | ₹2,920 | ₹5,790 | ₹11,580 |
| 50 years | ₹4,310 | ₹8,550 | ₹17,100 |
| 60 years | ₹6,470 | ₹12,830 | ₹25,670 |
Note: Premium increases with age and HCB level.
📌 Additional Features
| Feature | Details |
|---|---|
| Grace Period | 30 days (yearly/half-yearly), 15 days (monthly) |
| Free-look Period | 15 days from policy receipt |
| Loans | Not available |
| Revival | Within 2 years from first unpaid premium |
| Waiting Periods | 90 days (general), 2 years (pre-existing illness) |
| No Claim Benefit | HCB increases 15% every 3 claim-free years |
| Maximum Increase in HCB | Up to 1.75x the initial HCB (max 5 increments) |
✅ Why Choose LIC Arogya Rakshak?
- Ideal for individuals and families looking for fixed cash health insurance
- Helps manage hospitalization and surgery expenses without bill-based claims
- Suitable for those who want non-reimbursement based, guaranteed payouts
- Offers long-term protection with loyalty and waiver benefits
📝 Conclusion
LIC Arogya Rakshak is a smart and flexible health protection plan that pays fixed cash benefits for hospitalization and surgery. With options to cover your entire family, auto benefit increase, and tax-saving advantages, this plan ensures peace of mind during medical emergencies — regardless of the actual hospital bill.
