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Review of LIC's Health Plan - Jeevan Arogya

Smitha Hari | 06 Nov, 2014  | Follow Author | Add to my Favourites 
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Executive Summary: The Jeevan Arogya plan of LIC offers health protection to the policy holder, which offers various benefits. Although the premium is competitive, the maximum sum assured option is limited, and there are some restrictions on the number of times one can claim various benefits. The decision to opt for this policy should be taken after analysing all relevant features and assessing its use for your individual requirements.

LIC’s Health Plan Jeevan Arogya is a non-participating and non linked plan which provides health insurance cover. There is an option to cover the entire family including parents and parents in law under the same plan. The plan provides benefits such as Hospital cash benefit (HCB), Major Surgical Benefit (MSB), Day Care Procedure Benefit, Other Surgical Benefit, Ambulance Benefit and Premium waiver Benefit (PWB). There are also options to take riders along with the main plan. The following are the salient features of this plan:


Self, Spouse, Children, Parents, Parents of Spouse

Minimum age of entry

Self / Spouse: 18 years; Parents / Parents in law: 18 years; Children: 91 days

Maximum age of entry

Self / Spouse: 65 years; Parents / Parents in law: 75 years; Children: 17 years

Age up to which coverage available

80 years; Children are covered up to 25 years

Major Surgical Benefit Sum Assured Options

Rs. 1 lakh, Rs. 2 lakhs, Rs. 3 lakhs, Rs. 4 lakhs

Daily Hospital Cash Benefit options

Rs.1000, Rs. 2000, Rs. 3000, Rs. 4000 (per day) (according to this choice, the sum assured for Major Surgical Benefit will be chosen, which is 100 times the HCB)

No Claim Benefit

Available - 5% of Initial Daily Benefit for each insured person

Amount of Daily Benefit applicable

1st year: Amount opted for under HCB

2nd year onwards: Addition of 5% of the benefit of the previous year, upto a maximum of 1.5 times the initial HCB

Day Care Procedure Benefit available

Lumpsum amount equal to 5 times the applicable daily benefit

Other Surgical Benefit available

For any other surgery not listed under Major Surgical Benefit or Day Care Procedure, a daily benefit equal to 2 times the applicable daily benefit is available for every day of stay in the hospital

Ambulance Benefit

Rs. 1000

Premium Waiver Benefit

Available in the event of a major surgical benefit payable

Rebate in premium

Available if the Hospital Cash Benefit amount is above Rs. 1000

Riders available

Term Assurance Rider and Accident Benefit Rider

Other facilities

·         Option to migrate: Children in this plan can migrate to a new health policy at the end of the specified exit age and get credit for pre-existing diseases covered under this policy

·         Quick Cash facility: In case of emergency surgery, in any of the listed network hospitals, 50% of the eligible MSB amount would be made available during the hospitalization period itself

·         Lapsed policy can be revived within a period of 2 years, subject to conditions

Conditions / Restrictions

·         Each benefit has a maximum annual benefit and a maximum lifetime benefit. This means the benefit you can claim cannot exceed this upper limit in terms of number of occurrences

·         Claims will be met under each benefit depending on the underlying conditions. Please refer policy document for details.

·         Specific Waiting Period and exclusions for certain diseases/conditions

Given below are the indicative annual premium rates (exclusive of service tax), payable yearly for health benefits corresponding to an Initial Daily benefit of Rs. 1,000 per day.

Age at Entry

Premium for Principal Insured (Male) (Rs.)

Premium for Spouse (Female) / Parent of Principal Insured/Spouse (Rs.)

Premium for Child (Rs.)

































The plan offers many benefits at a competitive premium. It also allows one to include parents and parents in law, the latter not being very common under existing policies. Another advantage is that the maximum renewal age at 80 years is quite high, although some plans alike ICICI Lombard have no limit on this feature.

On the downside, the maximum Sum Assured option is quite limited at Rs. 4 lakhs. Also, the other ancillary benefits are all linked to the Initial Daily Benefit; so in absolute terms, this may not be a large amount. Additionally, there is a limit on the maximum number of occurrences of claims under the various Benefit categories, both annually and during the lifetime of the insured. 

The decision of whether or not to opt for this policy depends on your individual requirements. It is recommended to analyse the requirements based on your family size and health situation, compare this with the policy features and then make your choice.

About Smitha Hari

Smitha is an MBA in Finance and has over 7 years experience in the fields of investment banking, equity research, consulting and banking. She is the Co-Founder of a Financial Consulting Firm & a freelance writer. At GettingYouRich, Smitha writes and edits the Personal Finance articles on the blog. She has co-authored two books on Personal Finance.


For more information please write in to [email protected]


Disclaimer: The author has taken due care and caution to compile and analyse the data. The opinions expressed above are only the views of the author, and not a recommendation to buy or sell. Neither the author nor accept any liability whatsoever arising from the use of any of the above contents.

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