8/9/2019 Wellsurance Family Tariff Chart

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Sr No Benefits Classic Supreme Elite

1

agnose cr ca ness wa ng per o ays, surv va

period 30 days)

i> Cancer 200000 300000 400000

ii> irst !eart "ttac# 200000 300000 400000

iii> $tro#e 200000 300000 400000

iv> %idney ailure 200000 300000 400000

v> Co&a 200000 300000 400000

vi> Coronary "rtery 'ypass rating (C"') 200000 300000 400000

vii> *a+or rgan -ransplant 200000 300000 400000

viii> -otal 'lindness 200000 300000 400000

i.> /aralysis 200000 300000 400000

.> *ultiple $clerosis 200000 300000 400000

.i> *a+or 'urns 200000 300000 400000

2  !ospital cas upto 90 days (Per Day) 2000 3000 4000

deductile 1 day

3 "&ulance Carges 2000 2000 2000

wile ad&itting and wile discarging ro& te !ospital

4 IC 'eneit *a. 1 days per policy year (Per Day) 3000 400 5000

Convalescence 'eneit 100 200 4000

( payale ater continuous !ospitali6ation

or days)

5 7ducation 'eneit 0000 100000 200000

Note :

1> 8aiting period o 90 days or all $ic#ness !ospitalisation

2> o waiting period or "ccident related !ospitalisation

3> "ge roup or sel : spouse 1; to 5 years ,or Cildren 5 &onts to 1; yrs( 23 yrs incase o !iger education)

Wellsurance - FamilySum Insured(In upees)

8/9/2019 Wellsurance Family Tariff Chart

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Classic Supreme Elite Classic Supreme Elite

18 - 24 3,431  6,057  10,543  18 - 24 312  551  958 

25 - 29 3,907  6,763  11,480  25 - 29 355  615  1,044 

30 - 34 4,864  8,195  13,386  30 - 34 442  745  1,217 

35 - 39 6,409  10,489  16,429  35 - 39 583  954  1,494 

40 - 44 9,574  15,204  22,695  40 - 44 870  1,382  2,063 

45 - 49 11,078  17,453  25,688  45 - 49 1,007  1,587  2,335 

50 - 54 15,177  23,577  33,837  50 - 54 1,380  2,143  3,076 

55 - 59 19,707  30,293  42,740  55 - 59 1,792  2,754  3,885 

60 - 65 31,531  48,469  68,385  60 - 65 2,866  4,406  6,217 

66 - 70 47,296  72,704  1,02,577  66 - 70 4,300  6,609  9,325 

71 - 75 70,945  1,09,056  1,53,865  71 - 75 6,450  9,914  13,988 

76 - 80 1,06,417  1,63,584  2,30,798  76 - 80 9,674  14,871  20,982 

81-90 2,12,834  3,27,169  4,61,596  81-90 19,349  29,743  41,963 

>90 2,66,043  4,08,961  5,76,996  >90 24,186  37,178  52,454 

Classic Supreme Elite Classic Supreme Elite

18 - 24 2,834  5,003  8,709  18 - 24 258  455  792 

25 - 29 3,227  5,587  9,483  25 - 29 293  508  862 

30 - 34 4,018  6,770  11,058  30 - 34 365  615  1,005 

35 - 39 5,295  8,665  13,572  35 - 39 481  788  1,234 

40 - 44 7,909  12,560  18,748  40 - 44 719  1,142  1,704 

45 - 49 9,151  14,418  21,220  45 - 49 832  1,311  1,929 

50 - 54 12,537  19,476  27,953  50 - 54 1,140  1,771  2,541 

55 - 59 16,280  25,025  35,307  55 - 59 1,480  2,275  3,210 

60 - 65 26,047  40,040  56,492  60 - 65 2,368  3,640  5,136 

66 - 70 39,071  60,060  84,738  66 - 70 3,552  5,460  7,703 

71 - 75 58,606  90,090  1,27,106  71 - 75 5,328  8,190  11,555 

76 - 80 87,910  1,35,135  1,90,659  76 - 80 7,992  12,285  17,333 

81-90 1,75,819  2,70,270  3,81,319  81-90 15,984  24,570  34,665 

>90 2,19,774  3,37,837  4,76,649  >90 19,979  30,712  43,332 

Classic Supreme Elite Classic Supreme Elite

18 - 24 2,387  4,213  7,334  18 - 24 217  383  667 

25 - 29 2,718  4,705  7,986  25 - 29 247  428  726 

30 - 34 3,384  5,701  9,312  30 - 34 308  518  847 

35 - 39 4,459  7,297  11,429  35 - 39 405  663  1,039 

40 - 44 6,660  10,577  15,788  40 - 44 605  962  1,435 

45 - 49 7,707  12,141  17,870  45 - 49 701  1,104  1,625 

50 - 54 10,558  16,401  23,539  50 - 54 960  1,491  2,140 

55 - 59 13,709  21,074  29,732  55 - 59 1,246  1,916  2,703 

60 - 65 21,935  33,718  47,572  60 - 65 1,994  3,065  4,325 

66 - 70 32,902  50,577  71,358  66 - 70 2,991  4,598  6,487 

71 - 75 49,353  75,865  1,07,037  71 - 75 4,487  6,897  9,731 

76 - 80 74,029  1,13,798  1,60,555  76 - 80 6,730  10,345  14,596 

81-90 1,48,058  2,27,596  3,21,111  81-90 13,460  20,691  29,192 

>90 1,85,073  2,84,494  4,01,388  >90 16,825  25,863  36,490 

Family - Self +upto 2 childFamily - Self +upto 2 child

Family - Self + Spouse Family - Self + Spouse

Family - PRE TAX

Annual Monthly

Family - Self + Spouse + upto 2 children Family - Self + Spouse + upto 2 children

8/9/2019 Wellsurance Family Tariff Chart

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Classic Supreme Elite Classic Supreme Elite

18 - 24 3,855  6,805  11,846  18 - 24 350  619  1,077 

25 - 29 4,390  7,599  12,899  25 - 29 399  691  1,173 

30 - 34 5,465  9,208  15,040  30 - 34 497  837  1,367 

35 - 39 7,202  11,786  18,460  35 - 39 655  1,071  1,678 

40 - 44 10,757  17,084  25,501  40 - 44 978  1,553  2,318 

45 - 49 12,447  19,610  28,863  45 - 49 1,132  1,783  2,624 

50 - 54 17,052  26,491  38,020  50 - 54 1,550  2,408  3,456 

55 - 59 22,143  34,038  48,023  55 - 59 2,013  3,094  4,366 

60 - 65 35,428  54,460  76,837  60 - 65 3,221  4,951  6,985 

66 - 70 53,142  81,690  1,15,256  66 - 70 4,831  7,426  10,478 

71 - 75 79,713  1,22,536  1,72,883  71 - 75 7,247  11,140  15,717 

76 - 80 1,19,570  1,83,803  2,59,325  76 - 80 10,870  16,709  23,575 

81-90 2,39,140  3,67,607  5,18,650  81-90 21,740  33,419  47,150 

>90 2,98,925  4,59,508  6,48,312  >90 27,175  41,773  58,937 

Classic Supreme Elite Classic Supreme Elite

18 - 24 3,184  5,622  9,786  18 - 24 289  511  890 

25 - 29 3,626  6,277  10,655  25 - 29 330  571  969 

30 - 34 4,515  7,606  12,425  30 - 34 410  691  1,130 

35 - 39 5,949  9,736  15,250  35 - 39 541  885  1,386 

40 - 44 8,886  14,113  21,066  40 - 44 808  1,283  1,915 

45 - 49 10,283  16,200  23,843  45 - 49 935  1,473  2,168 

50 - 54 14,087  21,884  31,408  50 - 54 1,281  1,989  2,855 

55 - 59 18,292  28,118  39,671  55 - 59 1,663  2,556  3,606 

60 - 65 29,267  44,989  63,474  60 - 65 2,661  4,090  5,770 

66 - 70 43,900  67,483  95,211  66 - 70 3,991  6,135  8,656 

71 - 75 65,850  1,01,225  1,42,817  71 - 75 5,986  9,202  12,983 

76 - 80 98,775  1,51,838  2,14,225  76 - 80 8,980  13,803  19,475 

81-90 1,97,551  3,03,675  4,28,450  81-90 17,959  27,607  38,950 

>90 2,46,938  3,79,594  5,35,562  >90 22,449  34,509  48,687 

Classic Supreme Elite Classic Supreme Elite

18 - 24 2,682  4,734  8,241  18 - 24 244  430  749 

25 - 29 3,054  5,286  8,973  25 - 29 278  481  816 

30 - 34 3,802  6,405  10,463  30 - 34 346  582  951 

35 - 39 5,010  8,199  12,842  35 - 39 455  745  1,167 

40 - 44 7,483  11,884  17,740  40 - 44 680  1,080  1,613 

45 - 49 8,659  13,642  20,079  45 - 49 787  1,240  1,825 

50 - 54 11,862  18,428  26,449  50 - 54 1,078  1,675  2,404 

55 - 59 15,404  23,678  33,407  55 - 59 1,400  2,153  3,037 

60 - 65 24,646  37,885  53,452  60 - 65 2,241  3,444  4,859 

66 - 70 36,969  56,828  80,178  66 - 70 3,361  5,166  7,289 

71 - 75 55,453  85,242  1,20,267  71 - 75 5,041  7,749  10,933 

76 - 80 83,179  1,27,863  1,80,400  76 - 80 7,562  11,624  16,400 

81-90 1,66,358  2,55,726  3,60,800  81-90 15,123  23,248  32,800 

>90 2,07,948  3,19,658  4,51,000  >90 18,904  29,060  41,000 

Family - Self + Spouse Family - Self + Spouse

Family - Self +upto 2 child Family - Self +upto 2 child

Family - Post TAX (12.36%)

Annual Monthly

Family - Self + Spouse + upto 2 children Family - Self + Spouse + upto 2 children