rohitsar567 Claude Opus 4.7 (1M context) commited on
Commit
06bab12
Β·
1 Parent(s): 271442b

chore: drop legacy kb/policies/ MDs + gitignore backup folder

Browse files

- Remove 31 kb/policies/*.md files superseded by the chroma-vector
retrieval path. The bot's RAG reads from rag/vectors/ (built from
rag/extracted/ JSONs at ingest time), not these markdown summaries.
- Remove kb/premiums/INDEX.md β€” empty stub from the premiums-tabulation
pipeline iteration; data lives in data/premiums/illustrative_premiums.json.
- Gitignore rag/_hf_dataset_backup/ β€” the local mirror of the HF Dataset.
Keeps the 493 MB backup out of the code repo (also mirrored to the
companion repo rohitsar567/insurance-sales-bot-data via Git LFS).

No runtime / behavior change. Cleanup only.

Co-Authored-By: Claude Opus 4.7 (1M context) <noreply@anthropic.com>

Files changed (33) hide show
  1. .gitignore +3 -0
  2. kb/policies/acko__acko-health-iii-platinum-super-top-up__wordings.md +0 -254
  3. kb/policies/acko__acko-health-iii-platinum__brochure.md +0 -252
  4. kb/policies/acko__acko-health-iii__wordings.md +0 -254
  5. kb/policies/bajaj-allianz__extra-care-plus.md +0 -300
  6. kb/policies/bajaj-allianz__silver-health.md +0 -300
  7. kb/policies/care-health__care-supreme.md +0 -300
  8. kb/policies/care-health__ultimate-care.md +0 -300
  9. kb/policies/go-digit__arogya-sanjeevani__wordings.md +0 -254
  10. kb/policies/go-digit__digit-health-care-plus__wordings.md +0 -254
  11. kb/policies/go-digit__digit-supreme-care__wordings.md +0 -254
  12. kb/policies/hdfc-ergo__my-health-women-suraksha__brochure.md +0 -254
  13. kb/policies/hdfc-ergo__my-optima-secure-older-variant__wordings.md +0 -261
  14. kb/policies/hdfc-ergo__my-optima-secure__wordings.md +0 -260
  15. kb/policies/icici-lombard__complete-health-insurance-umbrella__wordings.md +0 -264
  16. kb/policies/icici-lombard__elevate__wordings.md +0 -254
  17. kb/policies/manipalcigna__prohealth-protect.md +0 -300
  18. kb/policies/national-insurance__national-critical-illness__cis.md +0 -254
  19. kb/policies/national-insurance__national-hospi-cash__prospectus.md +0 -254
  20. kb/policies/national-insurance__national-mediclaim__prospectus.md +0 -254
  21. kb/policies/national-insurance__national-surrogacy__cis.md +0 -254
  22. kb/policies/national-insurance__national-young-india-plus__wordings.md +0 -254
  23. kb/policies/niva-bupa__health-plus-top-up.md +0 -300
  24. kb/policies/niva-bupa__health-plus-top-up__wordings.md +0 -254
  25. kb/policies/niva-bupa__reassure-3-0__wordings.md +0 -262
  26. kb/policies/niva-bupa__saral-suraksha.md +0 -300
  27. kb/policies/oriental-insurance__happy-family-floater__brochure.md +0 -254
  28. kb/policies/sbi-general__arogya-top-up__wordings.md +0 -254
  29. kb/policies/star-health__health-premier.md +0 -300
  30. kb/policies/star-health__star-comprehensive__wordings.md +0 -254
  31. kb/policies/star-health__star-hospital-cash__brochure.md +0 -258
  32. kb/policies/tata-aig__medicare__wordings.md +0 -254
  33. kb/premiums/INDEX.md +0 -323
.gitignore CHANGED
@@ -74,3 +74,6 @@ logs/
74
 
75
  # OS
76
  Thumbs.db
 
 
 
 
74
 
75
  # OS
76
  Thumbs.db
77
+
78
+ # Local backup of HF dataset (not for git β€” too large)
79
+ rag/_hf_dataset_backup/
kb/policies/acko__acko-health-iii-platinum-super-top-up__wordings.md DELETED
@@ -1,254 +0,0 @@
1
- ---
2
- policy_id: acko__acko-health-iii-platinum-super-top-up__wordings
3
- insurer_slug: acko
4
- insurer_name: acko
5
- policy_name: "ACKO Health III (Platinum Super Top-up)"
6
- uin_code: ACKHLIP27040V012627
7
- ---
8
-
9
- # ACKO Health III (Platinum Super Top-up)
10
-
11
- **Insurer:** acko (`acko`)
12
- **Policy ID:** `acko__acko-health-iii-platinum-super-top-up__wordings`
13
- **UIN:** `ACKHLIP27040V012627`
14
-
15
- ## Identity
16
-
17
- ### UIN code
18
-
19
- **Value:** ACKHLIP27040V012627
20
-
21
- **Source quote:**
22
-
23
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
24
-
25
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
26
-
27
- ## Eligibility
28
-
29
- ### Minimum entry age
30
-
31
- **Value:** _not specified_
32
-
33
- **Source quote:**
34
-
35
- > not extracted from this PDF (field absent or LLM unable to infer)
36
-
37
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
38
-
39
- ### Maximum entry age
40
-
41
- **Value:** _not specified_
42
-
43
- **Source quote:**
44
-
45
- > not extracted from this PDF (field absent or LLM unable to infer)
46
-
47
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
48
-
49
- ### Maximum renewal age
50
-
51
- **Value:** _not specified_
52
-
53
- **Source quote:**
54
-
55
- > not extracted from this PDF (field absent or LLM unable to infer)
56
-
57
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
58
-
59
- ### Sum insured options
60
-
61
- **Value:** _not specified_
62
-
63
- **Source quote:**
64
-
65
- > not extracted from this PDF (field absent or LLM unable to infer)
66
-
67
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
68
-
69
- ## Waiting periods
70
-
71
- ### Initial waiting period (days)
72
-
73
- **Value:** 0
74
-
75
- **Source quote:**
76
-
77
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
78
-
79
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
80
-
81
- ### Pre-existing disease waiting (months)
82
-
83
- **Value:** _not specified_
84
-
85
- **Source quote:**
86
-
87
- > not extracted from this PDF (field absent or LLM unable to infer)
88
-
89
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
90
-
91
- ### Specific disease waiting (months)
92
-
93
- **Value:** _not specified_
94
-
95
- **Source quote:**
96
-
97
- > not extracted from this PDF (field absent or LLM unable to infer)
98
-
99
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
100
-
101
- ### Maternity waiting (months)
102
-
103
- **Value:** _not specified_
104
-
105
- **Source quote:**
106
-
107
- > not extracted from this PDF (field absent or LLM unable to infer)
108
-
109
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
110
-
111
- ## Coverage scope
112
-
113
- ### Pre-hospitalization (days)
114
-
115
- **Value:** 60
116
-
117
- **Source quote:**
118
-
119
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
120
-
121
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
122
-
123
- ### Post-hospitalization (days)
124
-
125
- **Value:** 180
126
-
127
- **Source quote:**
128
-
129
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
130
-
131
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
132
-
133
- ### Day-care treatments covered
134
-
135
- **Value:** _not specified_
136
-
137
- **Source quote:**
138
-
139
- > not extracted from this PDF (field absent or LLM unable to infer)
140
-
141
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
142
-
143
- ## Claims & service
144
-
145
- ### Network hospital count
146
-
147
- **Value:** _not specified_
148
-
149
- **Source quote:**
150
-
151
- > not extracted from this PDF (field absent or LLM unable to infer)
152
-
153
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
154
-
155
- ## Other fields
156
-
157
- ### Claim Settlement Ratio Pct
158
-
159
- **Value:** _not specified_
160
-
161
- **Source quote:**
162
-
163
- > not extracted from this PDF (field absent or LLM unable to infer)
164
-
165
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
166
-
167
- ### Co Payment Pct
168
-
169
- **Value:** _not specified_
170
-
171
- **Source quote:**
172
-
173
- > not extracted from this PDF (field absent or LLM unable to infer)
174
-
175
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
176
-
177
- ### Complaint Per 10K Claims
178
-
179
- **Value:** _not specified_
180
-
181
- **Source quote:**
182
-
183
- > not extracted from this PDF (field absent or LLM unable to infer)
184
-
185
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
186
-
187
- ### Free Look Period
188
-
189
- **Value:** _not specified_
190
-
191
- **Source quote:**
192
-
193
- > not extracted from this PDF (field absent or LLM unable to infer)
194
-
195
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
196
-
197
- ### Grace Period
198
-
199
- **Value:** 30 days
200
-
201
- **Source quote:**
202
-
203
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
204
-
205
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
206
-
207
- ### Incurred Claim Ratio Pct
208
-
209
- **Value:** _not specified_
210
-
211
- **Source quote:**
212
-
213
- > not extracted from this PDF (field absent or LLM unable to infer)
214
-
215
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
216
-
217
- ### Min Child Entry Age
218
-
219
- **Value:** _not specified_
220
-
221
- **Source quote:**
222
-
223
- > not extracted from this PDF (field absent or LLM unable to infer)
224
-
225
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
226
-
227
- ### Policy Term Options Years
228
-
229
- **Value:** _not specified_
230
-
231
- **Source quote:**
232
-
233
- > not extracted from this PDF (field absent or LLM unable to infer)
234
-
235
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
236
-
237
- ### Room Rent Capped At Pct Of Si
238
-
239
- **Value:** _not specified_
240
-
241
- **Source quote:**
242
-
243
- > not extracted from this PDF (field absent or LLM unable to infer)
244
-
245
- **Source:** `rag/corpus/acko/acko-health-iii-platinum-super-top-up__wordings.pdf`
246
-
247
- ### Source Pdf Path
248
-
249
- _no data_
250
-
251
-
252
- ---
253
-
254
- _Mirrored from `data/policy_facts/acko__acko-health-iii-platinum-super-top-up__wordings.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/acko__acko-health-iii-platinum__brochure.md DELETED
@@ -1,252 +0,0 @@
1
- ---
2
- policy_id: acko__acko-health-iii-platinum__brochure
3
- insurer_slug: acko
4
- insurer_name: acko
5
- policy_name: "ACKO Platinum"
6
- ---
7
-
8
- # ACKO Platinum
9
-
10
- **Insurer:** acko (`acko`)
11
- **Policy ID:** `acko__acko-health-iii-platinum__brochure`
12
-
13
- ## Identity
14
-
15
- ### UIN code
16
-
17
- **Value:** _not specified_
18
-
19
- **Source quote:**
20
-
21
- > not extracted from this PDF (field absent or LLM unable to infer)
22
-
23
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
24
-
25
- ## Eligibility
26
-
27
- ### Minimum entry age
28
-
29
- **Value:** _not specified_
30
-
31
- **Source quote:**
32
-
33
- > not extracted from this PDF (field absent or LLM unable to infer)
34
-
35
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
36
-
37
- ### Maximum entry age
38
-
39
- **Value:** _not specified_
40
-
41
- **Source quote:**
42
-
43
- > not extracted from this PDF (field absent or LLM unable to infer)
44
-
45
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
46
-
47
- ### Maximum renewal age
48
-
49
- **Value:** _not specified_
50
-
51
- **Source quote:**
52
-
53
- > not extracted from this PDF (field absent or LLM unable to infer)
54
-
55
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
56
-
57
- ### Sum insured options
58
-
59
- **Value:** _not specified_
60
-
61
- **Source quote:**
62
-
63
- > not extracted from this PDF (field absent or LLM unable to infer)
64
-
65
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
66
-
67
- ## Waiting periods
68
-
69
- ### Initial waiting period (days)
70
-
71
- **Value:** _not specified_
72
-
73
- **Source quote:**
74
-
75
- > not extracted from this PDF (field absent or LLM unable to infer)
76
-
77
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
78
-
79
- ### Pre-existing disease waiting (months)
80
-
81
- **Value:** _not specified_
82
-
83
- **Source quote:**
84
-
85
- > not extracted from this PDF (field absent or LLM unable to infer)
86
-
87
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
88
-
89
- ### Specific disease waiting (months)
90
-
91
- **Value:** _not specified_
92
-
93
- **Source quote:**
94
-
95
- > not extracted from this PDF (field absent or LLM unable to infer)
96
-
97
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
98
-
99
- ### Maternity waiting (months)
100
-
101
- **Value:** _not specified_
102
-
103
- **Source quote:**
104
-
105
- > not extracted from this PDF (field absent or LLM unable to infer)
106
-
107
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
108
-
109
- ## Coverage scope
110
-
111
- ### Pre-hospitalization (days)
112
-
113
- **Value:** _not specified_
114
-
115
- **Source quote:**
116
-
117
- > not extracted from this PDF (field absent or LLM unable to infer)
118
-
119
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
120
-
121
- ### Post-hospitalization (days)
122
-
123
- **Value:** _not specified_
124
-
125
- **Source quote:**
126
-
127
- > not extracted from this PDF (field absent or LLM unable to infer)
128
-
129
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
130
-
131
- ### Day-care treatments covered
132
-
133
- **Value:** _not specified_
134
-
135
- **Source quote:**
136
-
137
- > not extracted from this PDF (field absent or LLM unable to infer)
138
-
139
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
140
-
141
- ## Claims & service
142
-
143
- ### Network hospital count
144
-
145
- **Value:** _not specified_
146
-
147
- **Source quote:**
148
-
149
- > not extracted from this PDF (field absent or LLM unable to infer)
150
-
151
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
152
-
153
- ## Other fields
154
-
155
- ### Claim Settlement Ratio Pct
156
-
157
- **Value:** _not specified_
158
-
159
- **Source quote:**
160
-
161
- > not extracted from this PDF (field absent or LLM unable to infer)
162
-
163
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
164
-
165
- ### Co Payment Pct
166
-
167
- **Value:** _not specified_
168
-
169
- **Source quote:**
170
-
171
- > not extracted from this PDF (field absent or LLM unable to infer)
172
-
173
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
174
-
175
- ### Complaint Per 10K Claims
176
-
177
- **Value:** _not specified_
178
-
179
- **Source quote:**
180
-
181
- > not extracted from this PDF (field absent or LLM unable to infer)
182
-
183
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
184
-
185
- ### Free Look Period
186
-
187
- **Value:** _not specified_
188
-
189
- **Source quote:**
190
-
191
- > not extracted from this PDF (field absent or LLM unable to infer)
192
-
193
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
194
-
195
- ### Grace Period
196
-
197
- **Value:** 30 days
198
-
199
- **Source quote:**
200
-
201
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
202
-
203
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
204
-
205
- ### Incurred Claim Ratio Pct
206
-
207
- **Value:** _not specified_
208
-
209
- **Source quote:**
210
-
211
- > not extracted from this PDF (field absent or LLM unable to infer)
212
-
213
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
214
-
215
- ### Min Child Entry Age
216
-
217
- **Value:** _not specified_
218
-
219
- **Source quote:**
220
-
221
- > not extracted from this PDF (field absent or LLM unable to infer)
222
-
223
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
224
-
225
- ### Policy Term Options Years
226
-
227
- **Value:** _not specified_
228
-
229
- **Source quote:**
230
-
231
- > not extracted from this PDF (field absent or LLM unable to infer)
232
-
233
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
234
-
235
- ### Room Rent Capped At Pct Of Si
236
-
237
- **Value:** _not specified_
238
-
239
- **Source quote:**
240
-
241
- > not extracted from this PDF (field absent or LLM unable to infer)
242
-
243
- **Source:** `rag/corpus/acko/acko-health-iii-platinum__brochure.pdf`
244
-
245
- ### Source Pdf Path
246
-
247
- _no data_
248
-
249
-
250
- ---
251
-
252
- _Mirrored from `data/policy_facts/acko__acko-health-iii-platinum__brochure.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/acko__acko-health-iii__wordings.md DELETED
@@ -1,254 +0,0 @@
1
- ---
2
- policy_id: acko__acko-health-iii__wordings
3
- insurer_slug: acko
4
- insurer_name: acko
5
- policy_name: "Acko Health III"
6
- uin_code: ACKHLIP27040V012627
7
- ---
8
-
9
- # Acko Health III
10
-
11
- **Insurer:** acko (`acko`)
12
- **Policy ID:** `acko__acko-health-iii__wordings`
13
- **UIN:** `ACKHLIP27040V012627`
14
-
15
- ## Identity
16
-
17
- ### UIN code
18
-
19
- **Value:** ACKHLIP27040V012627
20
-
21
- **Source quote:**
22
-
23
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
24
-
25
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
26
-
27
- ## Eligibility
28
-
29
- ### Minimum entry age
30
-
31
- **Value:** _not specified_
32
-
33
- **Source quote:**
34
-
35
- > not extracted from this PDF (field absent or LLM unable to infer)
36
-
37
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
38
-
39
- ### Maximum entry age
40
-
41
- **Value:** _not specified_
42
-
43
- **Source quote:**
44
-
45
- > not extracted from this PDF (field absent or LLM unable to infer)
46
-
47
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
48
-
49
- ### Maximum renewal age
50
-
51
- **Value:** _not specified_
52
-
53
- **Source quote:**
54
-
55
- > not extracted from this PDF (field absent or LLM unable to infer)
56
-
57
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
58
-
59
- ### Sum insured options
60
-
61
- **Value:** _not specified_
62
-
63
- **Source quote:**
64
-
65
- > not extracted from this PDF (field absent or LLM unable to infer)
66
-
67
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
68
-
69
- ## Waiting periods
70
-
71
- ### Initial waiting period (days)
72
-
73
- **Value:** 30
74
-
75
- **Source quote:**
76
-
77
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
78
-
79
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
80
-
81
- ### Pre-existing disease waiting (months)
82
-
83
- **Value:** _not specified_
84
-
85
- **Source quote:**
86
-
87
- > not extracted from this PDF (field absent or LLM unable to infer)
88
-
89
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
90
-
91
- ### Specific disease waiting (months)
92
-
93
- **Value:** _not specified_
94
-
95
- **Source quote:**
96
-
97
- > not extracted from this PDF (field absent or LLM unable to infer)
98
-
99
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
100
-
101
- ### Maternity waiting (months)
102
-
103
- **Value:** _not specified_
104
-
105
- **Source quote:**
106
-
107
- > not extracted from this PDF (field absent or LLM unable to infer)
108
-
109
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
110
-
111
- ## Coverage scope
112
-
113
- ### Pre-hospitalization (days)
114
-
115
- **Value:** _not specified_
116
-
117
- **Source quote:**
118
-
119
- > not extracted from this PDF (field absent or LLM unable to infer)
120
-
121
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
122
-
123
- ### Post-hospitalization (days)
124
-
125
- **Value:** _not specified_
126
-
127
- **Source quote:**
128
-
129
- > not extracted from this PDF (field absent or LLM unable to infer)
130
-
131
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
132
-
133
- ### Day-care treatments covered
134
-
135
- **Value:** _not specified_
136
-
137
- **Source quote:**
138
-
139
- > not extracted from this PDF (field absent or LLM unable to infer)
140
-
141
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
142
-
143
- ## Claims & service
144
-
145
- ### Network hospital count
146
-
147
- **Value:** _not specified_
148
-
149
- **Source quote:**
150
-
151
- > not extracted from this PDF (field absent or LLM unable to infer)
152
-
153
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
154
-
155
- ## Other fields
156
-
157
- ### Claim Settlement Ratio Pct
158
-
159
- **Value:** _not specified_
160
-
161
- **Source quote:**
162
-
163
- > not extracted from this PDF (field absent or LLM unable to infer)
164
-
165
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
166
-
167
- ### Co Payment Pct
168
-
169
- **Value:** _not specified_
170
-
171
- **Source quote:**
172
-
173
- > not extracted from this PDF (field absent or LLM unable to infer)
174
-
175
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
176
-
177
- ### Complaint Per 10K Claims
178
-
179
- **Value:** _not specified_
180
-
181
- **Source quote:**
182
-
183
- > not extracted from this PDF (field absent or LLM unable to infer)
184
-
185
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
186
-
187
- ### Free Look Period
188
-
189
- **Value:** _not specified_
190
-
191
- **Source quote:**
192
-
193
- > not extracted from this PDF (field absent or LLM unable to infer)
194
-
195
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
196
-
197
- ### Grace Period
198
-
199
- **Value:** 30 days
200
-
201
- **Source quote:**
202
-
203
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
204
-
205
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
206
-
207
- ### Incurred Claim Ratio Pct
208
-
209
- **Value:** _not specified_
210
-
211
- **Source quote:**
212
-
213
- > not extracted from this PDF (field absent or LLM unable to infer)
214
-
215
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
216
-
217
- ### Min Child Entry Age
218
-
219
- **Value:** _not specified_
220
-
221
- **Source quote:**
222
-
223
- > not extracted from this PDF (field absent or LLM unable to infer)
224
-
225
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
226
-
227
- ### Policy Term Options Years
228
-
229
- **Value:** _not specified_
230
-
231
- **Source quote:**
232
-
233
- > not extracted from this PDF (field absent or LLM unable to infer)
234
-
235
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
236
-
237
- ### Room Rent Capped At Pct Of Si
238
-
239
- **Value:** _not specified_
240
-
241
- **Source quote:**
242
-
243
- > not extracted from this PDF (field absent or LLM unable to infer)
244
-
245
- **Source:** `rag/corpus/acko/acko-health-iii__wordings.pdf`
246
-
247
- ### Source Pdf Path
248
-
249
- _no data_
250
-
251
-
252
- ---
253
-
254
- _Mirrored from `data/policy_facts/acko__acko-health-iii__wordings.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/bajaj-allianz__extra-care-plus.md DELETED
@@ -1,300 +0,0 @@
1
- ---
2
- policy_id: bajaj-allianz__extra-care-plus
3
- insurer_slug: bajaj-allianz
4
- insurer_name: Bajaj Allianz General Insurance
5
- policy_name: "Bajaj Allianz Extra Care Plus (Super Top-up)"
6
- uin_code: BAJHLIP23069V032223
7
- source_pdf_path: rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf
8
- completeness_pct: 82
9
- curated_at: 2026-05-13
10
- ---
11
-
12
- # Bajaj Allianz Extra Care Plus (Super Top-up)
13
-
14
- **Insurer:** Bajaj Allianz General Insurance (`bajaj-allianz`)
15
- **Policy ID:** `bajaj-allianz__extra-care-plus`
16
- **UIN:** `BAJHLIP23069V032223`
17
- **Curation completeness:** 82%
18
- **Primary source PDF:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
19
- **Curated at:** 2026-05-13
20
-
21
- > _Curation note: Super top-up product; SI options and deductibles configured per Policy Schedule. CSR + network count are insurer-level._
22
-
23
- ## Identity
24
-
25
- ### UIN code
26
-
27
- **Value:** BAJHLIP23069V032223
28
-
29
- **Source quote:**
30
-
31
- > CIN:U66010PN2000PLC015329I UIN: BAJHLIP23069V032223
32
-
33
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
34
-
35
- ### Policy type
36
-
37
- **Value:** super_top_up
38
-
39
- **Source quote:**
40
-
41
- > Aggregate deductible ... applicable in aggregate towards hospitalization expenses incurred during the policy period (super top-up structure)
42
-
43
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
44
-
45
- ## Eligibility
46
-
47
- ### Minimum entry age
48
-
49
- **Value:** 3 months
50
-
51
- **Source quote:**
52
-
53
- > age of 3 months and is not older than 80years of age at the commencement of the Policy Period.
54
-
55
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
56
-
57
- ### Maximum entry age
58
-
59
- **Value:** 80 years
60
-
61
- **Source quote:**
62
-
63
- > age of 3 months and is not older than 80years of age at the commencement of the Policy Period.
64
-
65
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
66
-
67
- ### Maximum renewal age
68
-
69
- **Value:** _not specified_
70
-
71
- **Source quote:**
72
-
73
- > Renewal terms permit continuation; max renewal age not specified explicitly in wording
74
-
75
- **Source:** _(no source path on record)_
76
-
77
- ### Sum insured options
78
-
79
- **Value:** _not specified_
80
-
81
- **Source quote:**
82
-
83
- > Sum Insured selectable with Aggregate Deductible options (super top-up structure); option list specified in Policy Schedule
84
-
85
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
86
-
87
- ## Waiting periods
88
-
89
- ### Initial waiting period (days)
90
-
91
- **Value:** 30
92
-
93
- **Source quote:**
94
-
95
- > 3. 30-day waiting period (Excl03) a. Expenses related to the treatment of any illness within 30 days from the first Policy commencement date shall be excluded
96
-
97
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
98
-
99
- ### Pre-existing disease waiting (months)
100
-
101
- **Value:** 12
102
-
103
- **Source quote:**
104
-
105
- > 1. Pre-existing Diseases waiting period (Excl01) a. Expenses related to the treatment of a pre-existing Disease (PED) and its direct complications shall be excluded until the expiry of 12 months
106
-
107
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
108
-
109
- ### Specific disease waiting (months)
110
-
111
- **Value:** 12
112
-
113
- **Source quote:**
114
-
115
- > 2. Specified disease/procedure waiting period- (Excl02) a. Expenses related to the treatment of the listed Conditions, surgeries/treatments shall be excluded until the expiry of 12 months
116
-
117
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
118
-
119
- ### Maternity waiting (months)
120
-
121
- **Value:** 12
122
-
123
- **Source quote:**
124
-
125
- > Any treatment arising from or traceable to pregnancy ... until 12 months continuous period has elapsed since the inception of the first Extra Care Plus
126
-
127
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
128
-
129
- ## Coverage scope
130
-
131
- ### Pre-hospitalization (days)
132
-
133
- **Value:** 60
134
-
135
- **Source quote:**
136
-
137
- > The medical expenses incurred in the 60 days period immediately before you were hospitalised
138
-
139
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
140
-
141
- ### Post-hospitalization (days)
142
-
143
- **Value:** 90
144
-
145
- **Source quote:**
146
-
147
- > The medical expenses incurred in the 90 days period immediately after you were discharged
148
-
149
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
150
-
151
- ### Day-care treatments covered
152
-
153
- **Value:** _not specified_
154
-
155
- **Source quote:**
156
-
157
- > Day Care Treatment (defined per IRDAI; covered under hospitalization cover)
158
-
159
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
160
-
161
- ### AYUSH coverage
162
-
163
- **Value:** Yes
164
-
165
- **Source quote:**
166
-
167
- > AYUSH Day Care Centre / AYUSH Hospital defined (AYUSH In-patient hospitalization covered)
168
-
169
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
170
-
171
- ### Maternity coverage
172
-
173
- **Value:** Yes
174
-
175
- **Source quote:**
176
-
177
- > 2. Maternity Expenses ... We will cover the Medical expenses for maternity including complications of maternity over and above the aggregate deductible limit
178
-
179
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
180
-
181
- ### Newborn coverage
182
-
183
- **Value:** No
184
-
185
- **Source quote:**
186
-
187
- > 2. Any Medical Expenses of the new born baby (excluded)
188
-
189
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
190
-
191
- ### Organ donor expenses
192
-
193
- **Value:** Yes
194
-
195
- **Source quote:**
196
-
197
- > Organ Donor Expenses are covered under the policy (donor's hospitalization expenses for organ harvesting)
198
-
199
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
200
-
201
- ### Restoration benefit
202
-
203
- **Value:** _not specified_
204
-
205
- **Source quote:**
206
-
207
- > Restoration benefit not a base feature of Extra Care Plus super top-up (typical for top-up products)
208
-
209
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
210
-
211
- ### Room rent capping
212
-
213
- **Value:** No specific room rent capping in base (subject to Policy Schedule)
214
-
215
- **Source quote:**
216
-
217
- > Reasonable and Customary Medical Expenses ... subject to aggregate deductible (no explicit room rent sub-limit in benefit table)
218
-
219
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
220
-
221
- ## Cost-share
222
-
223
- ### Co-payment (%)
224
-
225
- **Value:** 0
226
-
227
- **Source quote:**
228
-
229
- > Co-payment ... A co-payment does not reduce the Sum Insured. (Defined but no mandatory base copay in Extra Care Plus)
230
-
231
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
232
-
233
- ### Deductible
234
-
235
- **Value:** Aggregate Deductible (selectable; per Policy Schedule)
236
-
237
- **Source quote:**
238
-
239
- > Aggregate deductible is a cost sharing requirement under this policy that provides the company will not be liable for a specified rupee amount
240
-
241
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
242
-
243
- ## Claims & service
244
-
245
- ### Network hospital count
246
-
247
- **Value:** _not specified_
248
-
249
- **Source quote:**
250
-
251
- > Insurer-level metric (Bajaj Allianz advertises 7,500+ network hospitals)
252
-
253
- **Source:** _(no source path on record)_
254
-
255
- ### Cashless treatment supported
256
-
257
- **Value:** Yes
258
-
259
- **Source quote:**
260
-
261
- > Cashless facility ... extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured (defined and operational)
262
-
263
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
264
-
265
- ### Claim settlement ratio
266
-
267
- **Value:** _not specified_
268
-
269
- **Source quote:**
270
-
271
- > Insurer-level metric (IRDAI Annual Report); not extracted
272
-
273
- **Source:** _(no source path on record)_
274
-
275
- ### Cashless TAT (hours)
276
-
277
- **Value:** _not specified_
278
-
279
- **Source quote:**
280
-
281
- > TAT not specified in policy wording; governed by IRDAI Master Circular
282
-
283
- **Source:** _(no source path on record)_
284
-
285
- ## Bonuses & loyalty
286
-
287
- ### No-claim bonus (%)
288
-
289
- **Value:** _not specified_
290
-
291
- **Source quote:**
292
-
293
- > Reference to 'No Claim Bonus' carry-over on renewal exists; explicit base NCB % for Extra Care Plus super-top-up varies by variant (not stated as fixed % in wording)
294
-
295
- **Source:** `rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf`
296
-
297
-
298
- ---
299
-
300
- _Mirrored from `data/policy_facts/bajaj-allianz__extra-care-plus.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/bajaj-allianz__silver-health.md DELETED
@@ -1,300 +0,0 @@
1
- ---
2
- policy_id: bajaj-allianz__silver-health
3
- insurer_slug: bajaj-allianz
4
- insurer_name: Bajaj Allianz General Insurance
5
- policy_name: "Bajaj Allianz Silver Health (Senior Citizen)"
6
- uin_code: BAJHLIP23213V052223
7
- source_pdf_path: rag/corpus/bajaj-allianz/silver-health__cis.pdf
8
- completeness_pct: 65
9
- curated_at: 2026-05-14
10
- ---
11
-
12
- # Bajaj Allianz Silver Health (Senior Citizen)
13
-
14
- **Insurer:** Bajaj Allianz General Insurance (`bajaj-allianz`)
15
- **Policy ID:** `bajaj-allianz__silver-health`
16
- **UIN:** `BAJHLIP23213V052223`
17
- **Curation completeness:** 65%
18
- **Primary source PDF:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
19
- **Curated at:** 2026-05-14
20
-
21
- > _Curation note: Pattern-based extraction from local PDF via pdfplumber. Insurer-level metrics (CSR, network count) left null pending downstream backfill._
22
-
23
- ## Identity
24
-
25
- ### UIN code
26
-
27
- **Value:** BAJHLIP23213V052223
28
-
29
- **Source quote:**
30
-
31
- > U66010PN2000PLC015329 β€’ UIN: BAJHLIP23213V052223 1 Bajaj Allianz General Insurance Co. Ltd. Bajaj Allianz House, Airport Road, Yerawada, Pune - 411 006. Reg. No.: 113 For more details, log on to: www.
32
-
33
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
34
-
35
- ### Policy type
36
-
37
- **Value:** indemnity
38
-
39
- **Source quote:**
40
-
41
- > Default indemnity (no explicit alternate type detected)
42
-
43
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
44
-
45
- ## Eligibility
46
-
47
- ### Minimum entry age
48
-
49
- **Value:** _not specified_
50
-
51
- **Source quote:**
52
-
53
- > Min entry age not found
54
-
55
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
56
-
57
- ### Maximum entry age
58
-
59
- **Value:** _not specified_
60
-
61
- **Source quote:**
62
-
63
- > Max entry age not explicitly stated; check Policy Schedule
64
-
65
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
66
-
67
- ### Maximum renewal age
68
-
69
- **Value:** _not specified_
70
-
71
- **Source quote:**
72
-
73
- > Max renewal age not specified; check Policy Schedule
74
-
75
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
76
-
77
- ### Sum insured options
78
-
79
- **Value:** _not specified_
80
-
81
- **Source quote:**
82
-
83
- > Sum Insured options not enumerated in extracted text; check Policy Schedule
84
-
85
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
86
-
87
- ## Waiting periods
88
-
89
- ### Initial waiting period (days)
90
-
91
- **Value:** 30
92
-
93
- **Source quote:**
94
-
95
- > Default IRDAI 30-day waiting period applies (not explicitly quoted in extracted snippet)
96
-
97
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
98
-
99
- ### Pre-existing disease waiting (months)
100
-
101
- **Value:** 12
102
-
103
- **Source quote:**
104
-
105
- > ariatric Surgery 13. Fistulae Pre-existing diseases waiting period: 12 months 36 months (plan A) & 24 Months (plan B) – for below procedure 1. Joint replacement surgery unless necessitated by accident
106
-
107
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
108
-
109
- ### Specific disease waiting (months)
110
-
111
- **Value:** 24
112
-
113
- **Source quote:**
114
-
115
- > Default IRDAI 24-month specific-disease waiting (not explicitly quoted)
116
-
117
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
118
-
119
- ### Maternity waiting (months)
120
-
121
- **Value:** _not specified_
122
-
123
- **Source quote:**
124
-
125
- > Maternity waiting not specified or maternity excluded
126
-
127
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
128
-
129
- ## Coverage scope
130
-
131
- ### Pre-hospitalization (days)
132
-
133
- **Value:** 30
134
-
135
- **Source quote:**
136
-
137
- > . Pre-Hospitalization - up to 30 days prior to date of admission in hospital Section C2 Post-Hospitalization- up to 60 days from date of discharge from the hospital Section C3 Road Ambulance - max. up
138
-
139
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
140
-
141
- ### Post-hospitalization (days)
142
-
143
- **Value:** _not specified_
144
-
145
- **Source quote:**
146
-
147
- > Post-hospitalization days not extracted
148
-
149
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
150
-
151
- ### Day-care treatments covered
152
-
153
- **Value:** _not specified_
154
-
155
- **Source quote:**
156
-
157
- > Day-care count not enumerated; covered per policy definition
158
-
159
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
160
-
161
- ### AYUSH coverage
162
-
163
- **Value:** No
164
-
165
- **Source quote:**
166
-
167
- > AYUSH coverage not found in extracted text
168
-
169
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
170
-
171
- ### Maternity coverage
172
-
173
- **Value:** No
174
-
175
- **Source quote:**
176
-
177
- > Maternity not explicitly mentioned; presumed excluded in base
178
-
179
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
180
-
181
- ### Newborn coverage
182
-
183
- **Value:** No
184
-
185
- **Source quote:**
186
-
187
- > Newborn cover not found; typically tied to maternity option
188
-
189
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
190
-
191
- ### Organ donor expenses
192
-
193
- **Value:** No
194
-
195
- **Source quote:**
196
-
197
- > Organ donor cover not extracted
198
-
199
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
200
-
201
- ### Restoration benefit
202
-
203
- **Value:** _not specified_
204
-
205
- **Source quote:**
206
-
207
- > Restoration benefit not found in extracted text
208
-
209
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
210
-
211
- ### Room rent capping
212
-
213
- **Value:** room rent limit of 1%
214
-
215
- **Source quote:**
216
-
217
- > room rent limit of 1%
218
-
219
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
220
-
221
- ## Cost-share
222
-
223
- ### Co-payment (%)
224
-
225
- **Value:** 10
226
-
227
- **Source quote:**
228
-
229
- > l Plan B Which will be claims 10% co-payment deducted from (Each and every admissible claim) total claim amount Co-payment on Non- 20% on each and every admissi
230
-
231
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
232
-
233
- ### Deductible
234
-
235
- **Value:** _not specified_
236
-
237
- **Source quote:**
238
-
239
- > No base deductible (or only optional voluntary deductible add-on)
240
-
241
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
242
-
243
- ## Claims & service
244
-
245
- ### Network hospital count
246
-
247
- **Value:** _not specified_
248
-
249
- **Source quote:**
250
-
251
- > Insurer-level metric; not extracted in this curation pass
252
-
253
- **Source:** _(no source path on record)_
254
-
255
- ### Cashless treatment supported
256
-
257
- **Value:** Yes
258
-
259
- **Source quote:**
260
-
261
- > ver is lower 10 Claims/claims Cashless Claim processCashless treatment is only available at Network Section E 21 procedure Hospitals A & B ο‚· You or Your representative must intimate Us 48 hours before
262
-
263
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
264
-
265
- ### Claim settlement ratio
266
-
267
- **Value:** _not specified_
268
-
269
- **Source quote:**
270
-
271
- > Insurer-level metric (IRDAI Annual Report); not extracted
272
-
273
- **Source:** _(no source path on record)_
274
-
275
- ### Cashless TAT (hours)
276
-
277
- **Value:** _not specified_
278
-
279
- **Source quote:**
280
-
281
- > TAT not specified in policy wording; governed by IRDAI Master Circular
282
-
283
- **Source:** _(no source path on record)_
284
-
285
- ## Bonuses & loyalty
286
-
287
- ### No-claim bonus (%)
288
-
289
- **Value:** _not specified_
290
-
291
- **Source quote:**
292
-
293
- > NCB % not extracted; product may use booster/recharge structure
294
-
295
- **Source:** `rag/corpus/bajaj-allianz/silver-health__cis.pdf`
296
-
297
-
298
- ---
299
-
300
- _Mirrored from `data/policy_facts/bajaj-allianz__silver-health.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/care-health__care-supreme.md DELETED
@@ -1,300 +0,0 @@
1
- ---
2
- policy_id: care-health__care-supreme
3
- insurer_slug: care-health
4
- insurer_name: Care Health Insurance
5
- policy_name: "Care Health Care Supreme"
6
- uin_code: CHIHLIP23128V012223
7
- source_pdf_path: rag/corpus/care-health/care-supreme__wordings.pdf
8
- completeness_pct: 82
9
- curated_at: 2026-05-13
10
- ---
11
-
12
- # Care Health Care Supreme
13
-
14
- **Insurer:** Care Health Insurance (`care-health`)
15
- **Policy ID:** `care-health__care-supreme`
16
- **UIN:** `CHIHLIP23128V012223`
17
- **Curation completeness:** 82%
18
- **Primary source PDF:** `rag/corpus/care-health/care-supreme__wordings.pdf`
19
- **Curated at:** 2026-05-13
20
-
21
- > _Curation note: Care Supreme base wordings; SI options/day-care count per Policy Schedule/Annexure. CSR + network count insurer-level._
22
-
23
- ## Identity
24
-
25
- ### UIN code
26
-
27
- **Value:** CHIHLIP23128V012223
28
-
29
- **Source quote:**
30
-
31
- > Care Supreme- CHIHLIP23128V012223
32
-
33
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
34
-
35
- ### Policy type
36
-
37
- **Value:** indemnity
38
-
39
- **Source quote:**
40
-
41
- > Hospitalization Expenses ... indemnify the Insured Person ... up to the Sum Insured (indemnity-based)
42
-
43
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
44
-
45
- ## Eligibility
46
-
47
- ### Minimum entry age
48
-
49
- **Value:** 91 days
50
-
51
- **Source quote:**
52
-
53
- > Newborn baby ... Policy Period and is aged up to 90 days. (Standard Care Supreme entry: 91 days for dependent children)
54
-
55
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
56
-
57
- ### Maximum entry age
58
-
59
- **Value:** _not specified_
60
-
61
- **Source quote:**
62
-
63
- > No maximum entry age cap in base wording β€” adult entry 18+; child 91 days to 25 years
64
-
65
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
66
-
67
- ### Maximum renewal age
68
-
69
- **Value:** _not specified_
70
-
71
- **Source quote:**
72
-
73
- > Lifelong renewability per Renewal clause
74
-
75
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
76
-
77
- ### Sum insured options
78
-
79
- **Value:** _not specified_
80
-
81
- **Source quote:**
82
-
83
- > Sum Insured options per Policy Schedule (Care Supreme commercial variants: 7L / 10L / 15L / 25L / 50L / 1Cr / 3Cr / 6Cr / Unlimited)
84
-
85
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
86
-
87
- ## Waiting periods
88
-
89
- ### Initial waiting period (days)
90
-
91
- **Value:** 30
92
-
93
- **Source quote:**
94
-
95
- > (iii) 30-day waiting period- Code- Excl03 ... any illness within 30 days
96
-
97
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
98
-
99
- ### Pre-existing disease waiting (months)
100
-
101
- **Value:** 36
102
-
103
- **Source quote:**
104
-
105
- > Pre-Existing Diseases ... shall be excluded until the expiry of 36 months of continuous coverage after the date of inception of the first policy with insurer.
106
-
107
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
108
-
109
- ### Specific disease waiting (months)
110
-
111
- **Value:** 24
112
-
113
- **Source quote:**
114
-
115
- > Named Ailment Waiting Period: Code- Excl02 ... excluded until the expiry of 24 months of continuous coverage
116
-
117
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
118
-
119
- ### Maternity waiting (months)
120
-
121
- **Value:** _not specified_
122
-
123
- **Source quote:**
124
-
125
- > Maternity expenses defined but NOT a base benefit in Care Supreme (optional cover or not offered in base policy)
126
-
127
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
128
-
129
- ## Coverage scope
130
-
131
- ### Pre-hospitalization (days)
132
-
133
- **Value:** 60
134
-
135
- **Source quote:**
136
-
137
- > (i) For a period of 60 days immediately prior to the Insured Person's date of in-patient admission
138
-
139
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
140
-
141
- ### Post-hospitalization (days)
142
-
143
- **Value:** 180
144
-
145
- **Source quote:**
146
-
147
- > i) For a period of 180 days immediately ... days after the completion of 180 days
148
-
149
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
150
-
151
- ### Day-care treatments covered
152
-
153
- **Value:** _not specified_
154
-
155
- **Source quote:**
156
-
157
- > Benefit: Day Care Treatment ... all Day Care Treatments through Cashless (no fixed count in wording; Care Supreme brochure cites 540+)
158
-
159
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
160
-
161
- ### AYUSH coverage
162
-
163
- **Value:** Yes
164
-
165
- **Source quote:**
166
-
167
- > AYUSH Day Care Centre means and includes Community Health Centre (CHC), Primary Health Centre (PHC) ... (AYUSH covered)
168
-
169
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
170
-
171
- ### Maternity coverage
172
-
173
- **Value:** No
174
-
175
- **Source quote:**
176
-
177
- > Maternity expenses defined but not included as a base benefit in Care Supreme wording (separately offered via 'Care Supreme Enhance' add-on)
178
-
179
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
180
-
181
- ### Newborn coverage
182
-
183
- **Value:** No
184
-
185
- **Source quote:**
186
-
187
- > Newborn baby ... aged up to 90 days (definition only; coverage tied to maternity which is not a base benefit)
188
-
189
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
190
-
191
- ### Organ donor expenses
192
-
193
- **Value:** Yes
194
-
195
- **Source quote:**
196
-
197
- > Organ Donor expenses covered for organ harvesting; pre/post hospitalization of donor excluded
198
-
199
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
200
-
201
- ### Restoration benefit
202
-
203
- **Value:** Unlimited Automatic Recharge of base Sum Insured (unlimited times per policy year)
204
-
205
- **Source quote:**
206
-
207
- > 3.1.4 Benefit : Unlimited Automatic Recharge ... automatically make the re-instatement of up to the base Sum Insured unlimited times in a policy year
208
-
209
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
210
-
211
- ### Room rent capping
212
-
213
- **Value:** No limit on Room Rent and ICU charges (base benefit)
214
-
215
- **Source quote:**
216
-
217
- > i. The eligible Room Rent or Room Category applicable for the Insured Person under the Policy is 'No limit' ... ii. Intensive Care Unit Charges (ICU Charges) ... 'No limit'
218
-
219
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
220
-
221
- ## Cost-share
222
-
223
- ### Co-payment (%)
224
-
225
- **Value:** 0
226
-
227
- **Source quote:**
228
-
229
- > co-payment does not reduce the sum insured (base copay 0% for under-61 entrants; additional copay only if treatment outside Annexure III hospitals)
230
-
231
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
232
-
233
- ### Deductible
234
-
235
- **Value:** _not specified_
236
-
237
- **Source quote:**
238
-
239
- > No base deductible in Care Supreme
240
-
241
- **Source:** _(no source path on record)_
242
-
243
- ## Claims & service
244
-
245
- ### Network hospital count
246
-
247
- **Value:** _not specified_
248
-
249
- **Source quote:**
250
-
251
- > Insurer-level metric; Care Health Insurance advertises 21,100+ network hospitals on its website (not extracted)
252
-
253
- **Source:** _(no source path on record)_
254
-
255
- ### Cashless treatment supported
256
-
257
- **Value:** Yes
258
-
259
- **Source quote:**
260
-
261
- > Cashless Facility provided through Network Provider (defined in Section 2.1.30)
262
-
263
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
264
-
265
- ### Claim settlement ratio
266
-
267
- **Value:** _not specified_
268
-
269
- **Source quote:**
270
-
271
- > Insurer-level metric (IRDAI Annual Report); not extracted
272
-
273
- **Source:** _(no source path on record)_
274
-
275
- ### Cashless TAT (hours)
276
-
277
- **Value:** _not specified_
278
-
279
- **Source quote:**
280
-
281
- > TAT governed by IRDAI Master Circular; not explicit in wording
282
-
283
- **Source:** _(no source path on record)_
284
-
285
- ## Bonuses & loyalty
286
-
287
- ### No-claim bonus (%)
288
-
289
- **Value:** 50
290
-
291
- **Source quote:**
292
-
293
- > At the end of each Policy Year, the Company will enhance the Sum Insured by 50% flat, on a cumulative basis, as a Cumulative Bonus ... accrued Cumulative Bonus, shall not exceed 100% of the Sum Insured
294
-
295
- **Source:** `rag/corpus/care-health/care-supreme__wordings.pdf`
296
-
297
-
298
- ---
299
-
300
- _Mirrored from `data/policy_facts/care-health__care-supreme.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/care-health__ultimate-care.md DELETED
@@ -1,300 +0,0 @@
1
- ---
2
- policy_id: care-health__ultimate-care
3
- insurer_slug: care-health
4
- insurer_name: Care Health Insurance
5
- policy_name: "Care Health Ultimate Care"
6
- uin_code: CHIHLIP25044V012425
7
- source_pdf_path: rag/corpus/care-health/ultimate-care__wordings.pdf
8
- completeness_pct: 60
9
- curated_at: 2026-05-14
10
- ---
11
-
12
- # Care Health Ultimate Care
13
-
14
- **Insurer:** Care Health Insurance (`care-health`)
15
- **Policy ID:** `care-health__ultimate-care`
16
- **UIN:** `CHIHLIP25044V012425`
17
- **Curation completeness:** 60%
18
- **Primary source PDF:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
19
- **Curated at:** 2026-05-14
20
-
21
- > _Curation note: Pattern-based extraction from local PDF via pdfplumber. Insurer-level metrics (CSR, network count) left null pending downstream backfill._
22
-
23
- ## Identity
24
-
25
- ### UIN code
26
-
27
- **Value:** CHIHLIP25044V012425
28
-
29
- **Source quote:**
30
-
31
- > ch 2025 Ultimate Care - UIN : CHIHLIP25044V012425 1. PREAMBLE: The proposal and declaration given by the proposer and other documents if any shall form the basis of this Contract and is deemed to be i
32
-
33
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
34
-
35
- ### Policy type
36
-
37
- **Value:** hospital-cash
38
-
39
- **Source quote:**
40
-
41
- > Hospital cash / daily benefit policy
42
-
43
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
44
-
45
- ## Eligibility
46
-
47
- ### Minimum entry age
48
-
49
- **Value:** _not specified_
50
-
51
- **Source quote:**
52
-
53
- > Min entry age not found
54
-
55
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
56
-
57
- ### Maximum entry age
58
-
59
- **Value:** _not specified_
60
-
61
- **Source quote:**
62
-
63
- > Max entry age not explicitly stated; check Policy Schedule
64
-
65
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
66
-
67
- ### Maximum renewal age
68
-
69
- **Value:** _not specified_
70
-
71
- **Source quote:**
72
-
73
- > Max renewal age not specified; check Policy Schedule
74
-
75
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
76
-
77
- ### Sum insured options
78
-
79
- **Value:** _not specified_
80
-
81
- **Source quote:**
82
-
83
- > Sum Insured options not enumerated in extracted text; check Policy Schedule
84
-
85
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
86
-
87
- ## Waiting periods
88
-
89
- ### Initial waiting period (days)
90
-
91
- **Value:** 30
92
-
93
- **Source quote:**
94
-
95
- > ancy, please inform us within 30 days from the date of receipt of the policy, failing which the details relating to the person/s covered would be taken as correct. So also the coverage details may als
96
-
97
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
98
-
99
- ### Pre-existing disease waiting (months)
100
-
101
- **Value:** _not specified_
102
-
103
- **Source quote:**
104
-
105
- > PED waiting period not extracted; check Section 5 / Excl01
106
-
107
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
108
-
109
- ### Specific disease waiting (months)
110
-
111
- **Value:** 24
112
-
113
- **Source quote:**
114
-
115
- > Default IRDAI 24-month specific-disease waiting (not explicitly quoted)
116
-
117
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
118
-
119
- ### Maternity waiting (months)
120
-
121
- **Value:** _not specified_
122
-
123
- **Source quote:**
124
-
125
- > Maternity waiting not specified or maternity excluded
126
-
127
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
128
-
129
- ## Coverage scope
130
-
131
- ### Pre-hospitalization (days)
132
-
133
- **Value:** _not specified_
134
-
135
- **Source quote:**
136
-
137
- > Pre-hospitalization days not extracted
138
-
139
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
140
-
141
- ### Post-hospitalization (days)
142
-
143
- **Value:** _not specified_
144
-
145
- **Source quote:**
146
-
147
- > Post-hospitalization days not extracted
148
-
149
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
150
-
151
- ### Day-care treatments covered
152
-
153
- **Value:** _not specified_
154
-
155
- **Source quote:**
156
-
157
- > Day-care count not enumerated; covered per policy definition
158
-
159
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
160
-
161
- ### AYUSH coverage
162
-
163
- **Value:** Yes
164
-
165
- **Source quote:**
166
-
167
- > ble and violent means. 2.1.2. AYUSH Hospital is a healthcare facility wherein medical/ surgical/ para-surgical treatment procedures and interventions are carried out by AYUSH Medical Practitioner(s) c
168
-
169
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
170
-
171
- ### Maternity coverage
172
-
173
- **Value:** No
174
-
175
- **Source quote:**
176
-
177
- > Maternity not explicitly mentioned; presumed excluded in base
178
-
179
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
180
-
181
- ### Newborn coverage
182
-
183
- **Value:** Yes
184
-
185
- **Source quote:**
186
-
187
- > Newborn baby means baby born during the Policy Period and is aged up to 90 days. 2.1.34. Non-Network Provider: Non-
188
-
189
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
190
-
191
- ### Organ donor expenses
192
-
193
- **Value:** Yes
194
-
195
- **Source quote:**
196
-
197
- > Organ Donor Cover, Ambulance Cover, Optional Benefit- Unlimited Care, Pre–Post Hospitalization Expenses Modification , Claim Shield, Durable Medical Equipment, and the event giving rise to a Claim und
198
-
199
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
200
-
201
- ### Restoration benefit
202
-
203
- **Value:** restore him to the
204
-
205
- **Source quote:**
206
-
207
- > restore him to the
208
-
209
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
210
-
211
- ### Room rent capping
212
-
213
- **Value:** Single Private AC Room means an air conditioned room in a
214
-
215
- **Source quote:**
216
-
217
- > Single Private AC Room means an air conditioned room in a
218
-
219
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
220
-
221
- ## Cost-share
222
-
223
- ### Co-payment (%)
224
-
225
- **Value:** 0
226
-
227
- **Source quote:**
228
-
229
- > No mandatory copay extracted; product may have age-based or zone-based optional copay
230
-
231
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
232
-
233
- ### Deductible
234
-
235
- **Value:** _not specified_
236
-
237
- **Source quote:**
238
-
239
- > No base deductible (or only optional voluntary deductible add-on)
240
-
241
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
242
-
243
- ## Claims & service
244
-
245
- ### Network hospital count
246
-
247
- **Value:** _not specified_
248
-
249
- **Source quote:**
250
-
251
- > Insurer-level metric; not extracted in this curation pass
252
-
253
- **Source:** _(no source path on record)_
254
-
255
- ### Cashless treatment supported
256
-
257
- **Value:** Yes
258
-
259
- **Source quote:**
260
-
261
- > CHIHLIP25044V012425 2 2.1.6. Cashless Facility means a facility extended by the insurer to the Insured where the payments, of the costs of treatment undergone by the insured in accordance with the Pol
262
-
263
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
264
-
265
- ### Claim settlement ratio
266
-
267
- **Value:** _not specified_
268
-
269
- **Source quote:**
270
-
271
- > Insurer-level metric (IRDAI Annual Report); not extracted
272
-
273
- **Source:** _(no source path on record)_
274
-
275
- ### Cashless TAT (hours)
276
-
277
- **Value:** _not specified_
278
-
279
- **Source quote:**
280
-
281
- > TAT not specified in policy wording; governed by IRDAI Master Circular
282
-
283
- **Source:** _(no source path on record)_
284
-
285
- ## Bonuses & loyalty
286
-
287
- ### No-claim bonus (%)
288
-
289
- **Value:** _not specified_
290
-
291
- **Source quote:**
292
-
293
- > NCB % not extracted; product may use booster/recharge structure
294
-
295
- **Source:** `rag/corpus/care-health/ultimate-care__wordings.pdf`
296
-
297
-
298
- ---
299
-
300
- _Mirrored from `data/policy_facts/care-health__ultimate-care.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/go-digit__arogya-sanjeevani__wordings.md DELETED
@@ -1,254 +0,0 @@
1
- ---
2
- policy_id: go-digit__arogya-sanjeevani__wordings
3
- insurer_slug: go-digit
4
- insurer_name: go-digit
5
- policy_name: "Arogya Sanjeevani Policy, Go Digit"
6
- uin_code: GODHLIP24179V022324
7
- ---
8
-
9
- # Arogya Sanjeevani Policy, Go Digit
10
-
11
- **Insurer:** go-digit (`go-digit`)
12
- **Policy ID:** `go-digit__arogya-sanjeevani__wordings`
13
- **UIN:** `GODHLIP24179V022324`
14
-
15
- ## Identity
16
-
17
- ### UIN code
18
-
19
- **Value:** GODHLIP24179V022324
20
-
21
- **Source quote:**
22
-
23
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
24
-
25
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
26
-
27
- ## Eligibility
28
-
29
- ### Minimum entry age
30
-
31
- **Value:** 18 years
32
-
33
- **Source quote:**
34
-
35
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
36
-
37
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
38
-
39
- ### Maximum entry age
40
-
41
- **Value:** 65 years
42
-
43
- **Source quote:**
44
-
45
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
46
-
47
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
48
-
49
- ### Maximum renewal age
50
-
51
- **Value:** 999 years
52
-
53
- **Source quote:**
54
-
55
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
56
-
57
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
58
-
59
- ### Sum insured options
60
-
61
- **Value:** 100000, 200000, 300000, 400000, 500000, 1000000
62
-
63
- **Source quote:**
64
-
65
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
66
-
67
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
68
-
69
- ## Waiting periods
70
-
71
- ### Initial waiting period (days)
72
-
73
- **Value:** 30
74
-
75
- **Source quote:**
76
-
77
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
78
-
79
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
80
-
81
- ### Pre-existing disease waiting (months)
82
-
83
- **Value:** 36
84
-
85
- **Source quote:**
86
-
87
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
88
-
89
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
90
-
91
- ### Specific disease waiting (months)
92
-
93
- **Value:** 24
94
-
95
- **Source quote:**
96
-
97
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
98
-
99
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
100
-
101
- ### Maternity waiting (months)
102
-
103
- **Value:** _not specified_
104
-
105
- **Source quote:**
106
-
107
- > not extracted from this PDF (field absent or LLM unable to infer)
108
-
109
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
110
-
111
- ## Coverage scope
112
-
113
- ### Pre-hospitalization (days)
114
-
115
- **Value:** 30
116
-
117
- **Source quote:**
118
-
119
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
120
-
121
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
122
-
123
- ### Post-hospitalization (days)
124
-
125
- **Value:** 60
126
-
127
- **Source quote:**
128
-
129
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
130
-
131
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
132
-
133
- ### Day-care treatments covered
134
-
135
- **Value:** _not specified_
136
-
137
- **Source quote:**
138
-
139
- > not extracted from this PDF (field absent or LLM unable to infer)
140
-
141
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
142
-
143
- ## Claims & service
144
-
145
- ### Network hospital count
146
-
147
- **Value:** _not specified_
148
-
149
- **Source quote:**
150
-
151
- > not extracted from this PDF (field absent or LLM unable to infer)
152
-
153
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
154
-
155
- ## Other fields
156
-
157
- ### Claim Settlement Ratio Pct
158
-
159
- **Value:** _not specified_
160
-
161
- **Source quote:**
162
-
163
- > not extracted from this PDF (field absent or LLM unable to infer)
164
-
165
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
166
-
167
- ### Co Payment Pct
168
-
169
- **Value:** _not specified_
170
-
171
- **Source quote:**
172
-
173
- > not extracted from this PDF (field absent or LLM unable to infer)
174
-
175
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
176
-
177
- ### Complaint Per 10K Claims
178
-
179
- **Value:** _not specified_
180
-
181
- **Source quote:**
182
-
183
- > not extracted from this PDF (field absent or LLM unable to infer)
184
-
185
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
186
-
187
- ### Free Look Period
188
-
189
- **Value:** 30 days
190
-
191
- **Source quote:**
192
-
193
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
194
-
195
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
196
-
197
- ### Grace Period
198
-
199
- **Value:** 30 days
200
-
201
- **Source quote:**
202
-
203
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
204
-
205
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
206
-
207
- ### Incurred Claim Ratio Pct
208
-
209
- **Value:** _not specified_
210
-
211
- **Source quote:**
212
-
213
- > not extracted from this PDF (field absent or LLM unable to infer)
214
-
215
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
216
-
217
- ### Min Child Entry Age
218
-
219
- **Value:** 91 days
220
-
221
- **Source quote:**
222
-
223
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
224
-
225
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
226
-
227
- ### Policy Term Options Years
228
-
229
- **Value:** _not specified_
230
-
231
- **Source quote:**
232
-
233
- > not extracted from this PDF (field absent or LLM unable to infer)
234
-
235
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
236
-
237
- ### Room Rent Capped At Pct Of Si
238
-
239
- **Value:** _not specified_
240
-
241
- **Source quote:**
242
-
243
- > not extracted from this PDF (field absent or LLM unable to infer)
244
-
245
- **Source:** `rag/corpus/go-digit/arogya-sanjeevani__wordings.pdf`
246
-
247
- ### Source Pdf Path
248
-
249
- _no data_
250
-
251
-
252
- ---
253
-
254
- _Mirrored from `data/policy_facts/go-digit__arogya-sanjeevani__wordings.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/go-digit__digit-health-care-plus__wordings.md DELETED
@@ -1,254 +0,0 @@
1
- ---
2
- policy_id: go-digit__digit-health-care-plus__wordings
3
- insurer_slug: go-digit
4
- insurer_name: go-digit
5
- policy_name: "Digit Health Care Plus Policy"
6
- uin_code: GODHLIP27048V052627
7
- ---
8
-
9
- # Digit Health Care Plus Policy
10
-
11
- **Insurer:** go-digit (`go-digit`)
12
- **Policy ID:** `go-digit__digit-health-care-plus__wordings`
13
- **UIN:** `GODHLIP27048V052627`
14
-
15
- ## Identity
16
-
17
- ### UIN code
18
-
19
- **Value:** GODHLIP27048V052627
20
-
21
- **Source quote:**
22
-
23
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
24
-
25
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
26
-
27
- ## Eligibility
28
-
29
- ### Minimum entry age
30
-
31
- **Value:** _not specified_
32
-
33
- **Source quote:**
34
-
35
- > not extracted from this PDF (field absent or LLM unable to infer)
36
-
37
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
38
-
39
- ### Maximum entry age
40
-
41
- **Value:** _not specified_
42
-
43
- **Source quote:**
44
-
45
- > not extracted from this PDF (field absent or LLM unable to infer)
46
-
47
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
48
-
49
- ### Maximum renewal age
50
-
51
- **Value:** 999 years
52
-
53
- **Source quote:**
54
-
55
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
56
-
57
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
58
-
59
- ### Sum insured options
60
-
61
- **Value:** _not specified_
62
-
63
- **Source quote:**
64
-
65
- > not extracted from this PDF (field absent or LLM unable to infer)
66
-
67
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
68
-
69
- ## Waiting periods
70
-
71
- ### Initial waiting period (days)
72
-
73
- **Value:** 30
74
-
75
- **Source quote:**
76
-
77
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
78
-
79
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
80
-
81
- ### Pre-existing disease waiting (months)
82
-
83
- **Value:** 36
84
-
85
- **Source quote:**
86
-
87
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
88
-
89
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
90
-
91
- ### Specific disease waiting (months)
92
-
93
- **Value:** 24
94
-
95
- **Source quote:**
96
-
97
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
98
-
99
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
100
-
101
- ### Maternity waiting (months)
102
-
103
- **Value:** 9
104
-
105
- **Source quote:**
106
-
107
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
108
-
109
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
110
-
111
- ## Coverage scope
112
-
113
- ### Pre-hospitalization (days)
114
-
115
- **Value:** 60
116
-
117
- **Source quote:**
118
-
119
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
120
-
121
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
122
-
123
- ### Post-hospitalization (days)
124
-
125
- **Value:** 180
126
-
127
- **Source quote:**
128
-
129
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
130
-
131
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
132
-
133
- ### Day-care treatments covered
134
-
135
- **Value:** _not specified_
136
-
137
- **Source quote:**
138
-
139
- > not extracted from this PDF (field absent or LLM unable to infer)
140
-
141
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
142
-
143
- ## Claims & service
144
-
145
- ### Network hospital count
146
-
147
- **Value:** _not specified_
148
-
149
- **Source quote:**
150
-
151
- > not extracted from this PDF (field absent or LLM unable to infer)
152
-
153
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
154
-
155
- ## Other fields
156
-
157
- ### Claim Settlement Ratio Pct
158
-
159
- **Value:** _not specified_
160
-
161
- **Source quote:**
162
-
163
- > not extracted from this PDF (field absent or LLM unable to infer)
164
-
165
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
166
-
167
- ### Co Payment Pct
168
-
169
- **Value:** _not specified_
170
-
171
- **Source quote:**
172
-
173
- > not extracted from this PDF (field absent or LLM unable to infer)
174
-
175
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
176
-
177
- ### Complaint Per 10K Claims
178
-
179
- **Value:** _not specified_
180
-
181
- **Source quote:**
182
-
183
- > not extracted from this PDF (field absent or LLM unable to infer)
184
-
185
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
186
-
187
- ### Free Look Period
188
-
189
- **Value:** 30 days
190
-
191
- **Source quote:**
192
-
193
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
194
-
195
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
196
-
197
- ### Grace Period
198
-
199
- **Value:** 30 days
200
-
201
- **Source quote:**
202
-
203
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
204
-
205
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
206
-
207
- ### Incurred Claim Ratio Pct
208
-
209
- **Value:** _not specified_
210
-
211
- **Source quote:**
212
-
213
- > not extracted from this PDF (field absent or LLM unable to infer)
214
-
215
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
216
-
217
- ### Min Child Entry Age
218
-
219
- **Value:** _not specified_
220
-
221
- **Source quote:**
222
-
223
- > not extracted from this PDF (field absent or LLM unable to infer)
224
-
225
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
226
-
227
- ### Policy Term Options Years
228
-
229
- **Value:** _not specified_
230
-
231
- **Source quote:**
232
-
233
- > not extracted from this PDF (field absent or LLM unable to infer)
234
-
235
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
236
-
237
- ### Room Rent Capped At Pct Of Si
238
-
239
- **Value:** _not specified_
240
-
241
- **Source quote:**
242
-
243
- > not extracted from this PDF (field absent or LLM unable to infer)
244
-
245
- **Source:** `rag/corpus/go-digit/digit-health-care-plus__wordings.pdf`
246
-
247
- ### Source Pdf Path
248
-
249
- _no data_
250
-
251
-
252
- ---
253
-
254
- _Mirrored from `data/policy_facts/go-digit__digit-health-care-plus__wordings.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/go-digit__digit-supreme-care__wordings.md DELETED
@@ -1,254 +0,0 @@
1
- ---
2
- policy_id: go-digit__digit-supreme-care__wordings
3
- insurer_slug: go-digit
4
- insurer_name: go-digit
5
- policy_name: "Digit Supreme Care Policy"
6
- uin_code: GODHLGP24055V012324
7
- ---
8
-
9
- # Digit Supreme Care Policy
10
-
11
- **Insurer:** go-digit (`go-digit`)
12
- **Policy ID:** `go-digit__digit-supreme-care__wordings`
13
- **UIN:** `GODHLGP24055V012324`
14
-
15
- ## Identity
16
-
17
- ### UIN code
18
-
19
- **Value:** GODHLGP24055V012324
20
-
21
- **Source quote:**
22
-
23
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
24
-
25
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
26
-
27
- ## Eligibility
28
-
29
- ### Minimum entry age
30
-
31
- **Value:** _not specified_
32
-
33
- **Source quote:**
34
-
35
- > not extracted from this PDF (field absent or LLM unable to infer)
36
-
37
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
38
-
39
- ### Maximum entry age
40
-
41
- **Value:** _not specified_
42
-
43
- **Source quote:**
44
-
45
- > not extracted from this PDF (field absent or LLM unable to infer)
46
-
47
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
48
-
49
- ### Maximum renewal age
50
-
51
- **Value:** _not specified_
52
-
53
- **Source quote:**
54
-
55
- > not extracted from this PDF (field absent or LLM unable to infer)
56
-
57
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
58
-
59
- ### Sum insured options
60
-
61
- **Value:** _not specified_
62
-
63
- **Source quote:**
64
-
65
- > not extracted from this PDF (field absent or LLM unable to infer)
66
-
67
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
68
-
69
- ## Waiting periods
70
-
71
- ### Initial waiting period (days)
72
-
73
- **Value:** 30
74
-
75
- **Source quote:**
76
-
77
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
78
-
79
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
80
-
81
- ### Pre-existing disease waiting (months)
82
-
83
- **Value:** 36
84
-
85
- **Source quote:**
86
-
87
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
88
-
89
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
90
-
91
- ### Specific disease waiting (months)
92
-
93
- **Value:** 24
94
-
95
- **Source quote:**
96
-
97
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
98
-
99
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
100
-
101
- ### Maternity waiting (months)
102
-
103
- **Value:** 9
104
-
105
- **Source quote:**
106
-
107
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
108
-
109
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
110
-
111
- ## Coverage scope
112
-
113
- ### Pre-hospitalization (days)
114
-
115
- **Value:** 60
116
-
117
- **Source quote:**
118
-
119
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
120
-
121
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
122
-
123
- ### Post-hospitalization (days)
124
-
125
- **Value:** 180
126
-
127
- **Source quote:**
128
-
129
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
130
-
131
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
132
-
133
- ### Day-care treatments covered
134
-
135
- **Value:** _not specified_
136
-
137
- **Source quote:**
138
-
139
- > not extracted from this PDF (field absent or LLM unable to infer)
140
-
141
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
142
-
143
- ## Claims & service
144
-
145
- ### Network hospital count
146
-
147
- **Value:** _not specified_
148
-
149
- **Source quote:**
150
-
151
- > not extracted from this PDF (field absent or LLM unable to infer)
152
-
153
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
154
-
155
- ## Other fields
156
-
157
- ### Claim Settlement Ratio Pct
158
-
159
- **Value:** _not specified_
160
-
161
- **Source quote:**
162
-
163
- > not extracted from this PDF (field absent or LLM unable to infer)
164
-
165
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
166
-
167
- ### Co Payment Pct
168
-
169
- **Value:** _not specified_
170
-
171
- **Source quote:**
172
-
173
- > not extracted from this PDF (field absent or LLM unable to infer)
174
-
175
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
176
-
177
- ### Complaint Per 10K Claims
178
-
179
- **Value:** _not specified_
180
-
181
- **Source quote:**
182
-
183
- > not extracted from this PDF (field absent or LLM unable to infer)
184
-
185
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
186
-
187
- ### Free Look Period
188
-
189
- **Value:** 30 days
190
-
191
- **Source quote:**
192
-
193
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
194
-
195
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
196
-
197
- ### Grace Period
198
-
199
- **Value:** 30 days
200
-
201
- **Source quote:**
202
-
203
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
204
-
205
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
206
-
207
- ### Incurred Claim Ratio Pct
208
-
209
- **Value:** _not specified_
210
-
211
- **Source quote:**
212
-
213
- > not extracted from this PDF (field absent or LLM unable to infer)
214
-
215
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
216
-
217
- ### Min Child Entry Age
218
-
219
- **Value:** _not specified_
220
-
221
- **Source quote:**
222
-
223
- > not extracted from this PDF (field absent or LLM unable to infer)
224
-
225
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
226
-
227
- ### Policy Term Options Years
228
-
229
- **Value:** _not specified_
230
-
231
- **Source quote:**
232
-
233
- > not extracted from this PDF (field absent or LLM unable to infer)
234
-
235
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
236
-
237
- ### Room Rent Capped At Pct Of Si
238
-
239
- **Value:** _not specified_
240
-
241
- **Source quote:**
242
-
243
- > not extracted from this PDF (field absent or LLM unable to infer)
244
-
245
- **Source:** `rag/corpus/go-digit/digit-supreme-care__wordings.pdf`
246
-
247
- ### Source Pdf Path
248
-
249
- _no data_
250
-
251
-
252
- ---
253
-
254
- _Mirrored from `data/policy_facts/go-digit__digit-supreme-care__wordings.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/hdfc-ergo__my-health-women-suraksha__brochure.md DELETED
@@ -1,254 +0,0 @@
1
- ---
2
- policy_id: hdfc-ergo__my-health-women-suraksha__brochure
3
- insurer_slug: hdfc-ergo
4
- insurer_name: HDFC ERGO General Insurance
5
- policy_name: "my:health Women Suraksha"
6
- uin_code: HDFHLIP22142V032122
7
- ---
8
-
9
- # my:health Women Suraksha
10
-
11
- **Insurer:** HDFC ERGO General Insurance (`hdfc-ergo`)
12
- **Policy ID:** `hdfc-ergo__my-health-women-suraksha__brochure`
13
- **UIN:** `HDFHLIP22142V032122`
14
-
15
- ## Identity
16
-
17
- ### UIN code
18
-
19
- **Value:** HDFHLIP22142V032122
20
-
21
- **Source quote:**
22
-
23
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
24
-
25
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
26
-
27
- ## Eligibility
28
-
29
- ### Minimum entry age
30
-
31
- **Value:** 18 years
32
-
33
- **Source quote:**
34
-
35
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
36
-
37
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
38
-
39
- ### Maximum entry age
40
-
41
- **Value:** 65 years
42
-
43
- **Source quote:**
44
-
45
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
46
-
47
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
48
-
49
- ### Maximum renewal age
50
-
51
- **Value:** 999 years
52
-
53
- **Source quote:**
54
-
55
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
56
-
57
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
58
-
59
- ### Sum insured options
60
-
61
- **Value:** 100000, 200000, 300000, 400000, 500000, 1000000, 2000000, 5000000, 10000000
62
-
63
- **Source quote:**
64
-
65
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
66
-
67
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
68
-
69
- ## Waiting periods
70
-
71
- ### Initial waiting period (days)
72
-
73
- **Value:** 90
74
-
75
- **Source quote:**
76
-
77
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
78
-
79
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
80
-
81
- ### Pre-existing disease waiting (months)
82
-
83
- **Value:** 36
84
-
85
- **Source quote:**
86
-
87
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
88
-
89
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
90
-
91
- ### Specific disease waiting (months)
92
-
93
- **Value:** 6
94
-
95
- **Source quote:**
96
-
97
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
98
-
99
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
100
-
101
- ### Maternity waiting (months)
102
-
103
- **Value:** _not specified_
104
-
105
- **Source quote:**
106
-
107
- > not extracted from this PDF (field absent or LLM unable to infer)
108
-
109
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
110
-
111
- ## Coverage scope
112
-
113
- ### Pre-hospitalization (days)
114
-
115
- **Value:** _not specified_
116
-
117
- **Source quote:**
118
-
119
- > not extracted from this PDF (field absent or LLM unable to infer)
120
-
121
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
122
-
123
- ### Post-hospitalization (days)
124
-
125
- **Value:** _not specified_
126
-
127
- **Source quote:**
128
-
129
- > not extracted from this PDF (field absent or LLM unable to infer)
130
-
131
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
132
-
133
- ### Day-care treatments covered
134
-
135
- **Value:** _not specified_
136
-
137
- **Source quote:**
138
-
139
- > not extracted from this PDF (field absent or LLM unable to infer)
140
-
141
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
142
-
143
- ## Claims & service
144
-
145
- ### Network hospital count
146
-
147
- **Value:** _not specified_
148
-
149
- **Source quote:**
150
-
151
- > not extracted from this PDF (field absent or LLM unable to infer)
152
-
153
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
154
-
155
- ## Other fields
156
-
157
- ### Claim Settlement Ratio Pct
158
-
159
- **Value:** _not specified_
160
-
161
- **Source quote:**
162
-
163
- > not extracted from this PDF (field absent or LLM unable to infer)
164
-
165
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
166
-
167
- ### Co Payment Pct
168
-
169
- **Value:** _not specified_
170
-
171
- **Source quote:**
172
-
173
- > not extracted from this PDF (field absent or LLM unable to infer)
174
-
175
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
176
-
177
- ### Complaint Per 10K Claims
178
-
179
- **Value:** _not specified_
180
-
181
- **Source quote:**
182
-
183
- > not extracted from this PDF (field absent or LLM unable to infer)
184
-
185
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
186
-
187
- ### Free Look Period
188
-
189
- **Value:** 30 days
190
-
191
- **Source quote:**
192
-
193
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
194
-
195
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
196
-
197
- ### Grace Period
198
-
199
- **Value:** 30 days
200
-
201
- **Source quote:**
202
-
203
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
204
-
205
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
206
-
207
- ### Incurred Claim Ratio Pct
208
-
209
- **Value:** _not specified_
210
-
211
- **Source quote:**
212
-
213
- > not extracted from this PDF (field absent or LLM unable to infer)
214
-
215
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
216
-
217
- ### Min Child Entry Age
218
-
219
- **Value:** _not specified_
220
-
221
- **Source quote:**
222
-
223
- > not extracted from this PDF (field absent or LLM unable to infer)
224
-
225
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
226
-
227
- ### Policy Term Options Years
228
-
229
- **Value:** _not specified_
230
-
231
- **Source quote:**
232
-
233
- > not extracted from this PDF (field absent or LLM unable to infer)
234
-
235
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
236
-
237
- ### Room Rent Capped At Pct Of Si
238
-
239
- **Value:** _not specified_
240
-
241
- **Source quote:**
242
-
243
- > not extracted from this PDF (field absent or LLM unable to infer)
244
-
245
- **Source:** `rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf`
246
-
247
- ### Source Pdf Path
248
-
249
- _no data_
250
-
251
-
252
- ---
253
-
254
- _Mirrored from `data/policy_facts/hdfc-ergo__my-health-women-suraksha__brochure.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/hdfc-ergo__my-optima-secure-older-variant__wordings.md DELETED
@@ -1,261 +0,0 @@
1
- ---
2
- policy_id: hdfc-ergo__my-optima-secure-older-variant__wordings
3
- insurer_slug: hdfc-ergo
4
- insurer_name: HDFC ERGO General Insurance
5
- policy_name: "My Optima Secure Older Variant"
6
- source_pdf_path: rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf
7
- completeness_pct: 36
8
- curated_at: 2026-05-14
9
- ---
10
-
11
- # My Optima Secure Older Variant
12
-
13
- **Insurer:** HDFC ERGO General Insurance (`hdfc-ergo`)
14
- **Policy ID:** `hdfc-ergo__my-optima-secure-older-variant__wordings`
15
- **Curation completeness:** 36%
16
- **Primary source PDF:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
17
- **Curated at:** 2026-05-14
18
-
19
- > _Curation note: Curated by tools/curate_remaining.py β€” pattern-based extraction from local PDF_
20
-
21
- ## Identity
22
-
23
- ### UIN code
24
-
25
- **Value:** _not specified_
26
-
27
- **Source quote:**
28
-
29
- > _(no verbatim quote on record)_
30
-
31
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
32
-
33
- ### Policy type
34
-
35
- **Value:** group
36
-
37
- **Source quote:**
38
-
39
- > classified as group from PDF heuristics
40
-
41
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
42
-
43
- ## Eligibility
44
-
45
- ### Minimum entry age
46
-
47
- **Value:** _not specified_
48
-
49
- **Source quote:**
50
-
51
- > _(no verbatim quote on record)_
52
-
53
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
54
-
55
- ### Maximum entry age
56
-
57
- **Value:** _not specified_
58
-
59
- **Source quote:**
60
-
61
- > _(no verbatim quote on record)_
62
-
63
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
64
-
65
- ### Maximum renewal age
66
-
67
- **Value:** 99
68
-
69
- **Source quote:**
70
-
71
- > Lifelong Renew
72
-
73
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
74
-
75
- ### Sum insured options
76
-
77
- **Value:** _not specified_
78
-
79
- **Source quote:**
80
-
81
- > _(no verbatim quote on record)_
82
-
83
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
84
-
85
- ## Waiting periods
86
-
87
- ### Initial waiting period (days)
88
-
89
- **Value:** _not specified_
90
-
91
- **Source quote:**
92
-
93
- > _(no verbatim quote on record)_
94
-
95
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
96
-
97
- ### Pre-existing disease waiting (months)
98
-
99
- **Value:** _not specified_
100
-
101
- **Source quote:**
102
-
103
- > _(no verbatim quote on record)_
104
-
105
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
106
-
107
- ### Maternity waiting (months)
108
-
109
- **Value:** _not specified_
110
-
111
- **Source quote:**
112
-
113
- > _(no verbatim quote on record)_
114
-
115
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
116
-
117
- ## Coverage scope
118
-
119
- ### Pre-hospitalization (days)
120
-
121
- **Value:** 60
122
-
123
- **Source quote:**
124
-
125
- > Pre-Hospitalization Medical expenses for 60 days
126
-
127
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
128
-
129
- ### Post-hospitalization (days)
130
-
131
- **Value:** 180
132
-
133
- **Source quote:**
134
-
135
- > Post Hospitalization Medical expenses incurred in 180 days
136
-
137
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
138
-
139
- ### Day-care treatments covered
140
-
141
- **Value:** _not specified_
142
-
143
- **Source quote:**
144
-
145
- > _(no verbatim quote on record)_
146
-
147
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
148
-
149
- ### AYUSH coverage
150
-
151
- **Value:** _not specified_
152
-
153
- **Source quote:**
154
-
155
- > _(no verbatim quote on record)_
156
-
157
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
158
-
159
- ### Maternity coverage
160
-
161
- **Value:** _not specified_
162
-
163
- **Source quote:**
164
-
165
- > _(no verbatim quote on record)_
166
-
167
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
168
-
169
- ### Restoration benefit
170
-
171
- **Value:** restoration under the Automatic
172
-
173
- **Source quote:**
174
-
175
- > restoration under the Automatic
176
-
177
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
178
-
179
- ### Room rent capping
180
-
181
- **Value:** Room Rent Section B-1.1
182
- iii. Road Ambulance up to
183
-
184
- **Source quote:**
185
-
186
- > Room Rent Section B-1.1
187
- iii. Road Ambulance up to
188
-
189
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
190
-
191
- ## Cost-share
192
-
193
- ### Co-payment (%)
194
-
195
- **Value:** _not specified_
196
-
197
- **Source quote:**
198
-
199
- > _(no verbatim quote on record)_
200
-
201
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
202
-
203
- ## Claims & service
204
-
205
- ### Network hospital count
206
-
207
- **Value:** _not specified_
208
-
209
- **Source quote:**
210
-
211
- > _(no verbatim quote on record)_
212
-
213
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
214
-
215
- ### Cashless treatment supported
216
-
217
- **Value:** Yes
218
-
219
- **Source quote:**
220
-
221
- > Cashless Facility
222
-
223
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
224
-
225
- ### Claim settlement ratio
226
-
227
- **Value:** _not specified_
228
-
229
- **Source quote:**
230
-
231
- > _(no verbatim quote on record)_
232
-
233
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
234
-
235
- ### Cashless TAT (hours)
236
-
237
- **Value:** _not specified_
238
-
239
- **Source quote:**
240
-
241
- > _(no verbatim quote on record)_
242
-
243
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
244
-
245
- ## Bonuses & loyalty
246
-
247
- ### No-claim bonus (%)
248
-
249
- **Value:** 10
250
-
251
- **Source quote:**
252
-
253
- > Cumulative Bonus (CB) 2. Optional Covers
254
- Cumulative Bonus (CB) will be applied/increased by 10%
255
-
256
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf`
257
-
258
-
259
- ---
260
-
261
- _Mirrored from `data/policy_facts/hdfc-ergo__my-optima-secure-older-variant__wordings.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/hdfc-ergo__my-optima-secure__wordings.md DELETED
@@ -1,260 +0,0 @@
1
- ---
2
- policy_id: hdfc-ergo__my-optima-secure__wordings
3
- insurer_slug: hdfc-ergo
4
- insurer_name: HDFC ERGO General Insurance
5
- policy_name: "My Optima Secure"
6
- source_pdf_path: rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf
7
- completeness_pct: 27
8
- curated_at: 2026-05-14
9
- ---
10
-
11
- # My Optima Secure
12
-
13
- **Insurer:** HDFC ERGO General Insurance (`hdfc-ergo`)
14
- **Policy ID:** `hdfc-ergo__my-optima-secure__wordings`
15
- **Curation completeness:** 27%
16
- **Primary source PDF:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
17
- **Curated at:** 2026-05-14
18
-
19
- > _Curation note: Curated by tools/curate_remaining.py β€” pattern-based extraction from local PDF_
20
-
21
- ## Identity
22
-
23
- ### UIN code
24
-
25
- **Value:** _not specified_
26
-
27
- **Source quote:**
28
-
29
- > _(no verbatim quote on record)_
30
-
31
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
32
-
33
- ### Policy type
34
-
35
- **Value:** hospital_cash
36
-
37
- **Source quote:**
38
-
39
- > classified as hospital_cash from PDF heuristics
40
-
41
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
42
-
43
- ## Eligibility
44
-
45
- ### Minimum entry age
46
-
47
- **Value:** _not specified_
48
-
49
- **Source quote:**
50
-
51
- > _(no verbatim quote on record)_
52
-
53
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
54
-
55
- ### Maximum entry age
56
-
57
- **Value:** _not specified_
58
-
59
- **Source quote:**
60
-
61
- > _(no verbatim quote on record)_
62
-
63
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
64
-
65
- ### Maximum renewal age
66
-
67
- **Value:** _not specified_
68
-
69
- **Source quote:**
70
-
71
- > _(no verbatim quote on record)_
72
-
73
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
74
-
75
- ### Sum insured options
76
-
77
- **Value:** _not specified_
78
-
79
- **Source quote:**
80
-
81
- > Sum Insured for this optional c
82
-
83
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
84
-
85
- ## Waiting periods
86
-
87
- ### Initial waiting period (days)
88
-
89
- **Value:** _not specified_
90
-
91
- **Source quote:**
92
-
93
- > _(no verbatim quote on record)_
94
-
95
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
96
-
97
- ### Pre-existing disease waiting (months)
98
-
99
- **Value:** _not specified_
100
-
101
- **Source quote:**
102
-
103
- > _(no verbatim quote on record)_
104
-
105
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
106
-
107
- ### Maternity waiting (months)
108
-
109
- **Value:** _not specified_
110
-
111
- **Source quote:**
112
-
113
- > _(no verbatim quote on record)_
114
-
115
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
116
-
117
- ## Coverage scope
118
-
119
- ### Pre-hospitalization (days)
120
-
121
- **Value:** 60
122
-
123
- **Source quote:**
124
-
125
- > Pre-Hospitalization expenses days from 60 days
126
-
127
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
128
-
129
- ### Post-hospitalization (days)
130
-
131
- **Value:** 180
132
-
133
- **Source quote:**
134
-
135
- > Post-Hospitalization expenses days from 180 days
136
-
137
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
138
-
139
- ### Day-care treatments covered
140
-
141
- **Value:** _not specified_
142
-
143
- **Source quote:**
144
-
145
- > _(no verbatim quote on record)_
146
-
147
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
148
-
149
- ### AYUSH coverage
150
-
151
- **Value:** _not specified_
152
-
153
- **Source quote:**
154
-
155
- > _(no verbatim quote on record)_
156
-
157
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
158
-
159
- ### Maternity coverage
160
-
161
- **Value:** _not specified_
162
-
163
- **Source quote:**
164
-
165
- > _(no verbatim quote on record)_
166
-
167
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
168
-
169
- ### Restoration benefit
170
-
171
- **Value:** _not specified_
172
-
173
- **Source quote:**
174
-
175
- > _(no verbatim quote on record)_
176
-
177
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
178
-
179
- ### Room rent capping
180
-
181
- **Value:** Room rent expenses shall be covered
182
- upto 1%
183
-
184
- **Source quote:**
185
-
186
- > Room rent expenses shall be covered
187
- upto 1%
188
-
189
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
190
-
191
- ## Cost-share
192
-
193
- ### Co-payment (%)
194
-
195
- **Value:** _not specified_
196
-
197
- **Source quote:**
198
-
199
- > _(no verbatim quote on record)_
200
-
201
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
202
-
203
- ## Claims & service
204
-
205
- ### Network hospital count
206
-
207
- **Value:** _not specified_
208
-
209
- **Source quote:**
210
-
211
- > _(no verbatim quote on record)_
212
-
213
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
214
-
215
- ### Cashless treatment supported
216
-
217
- **Value:** Yes
218
-
219
- **Source quote:**
220
-
221
- > Cashless facility
222
-
223
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
224
-
225
- ### Claim settlement ratio
226
-
227
- **Value:** _not specified_
228
-
229
- **Source quote:**
230
-
231
- > _(no verbatim quote on record)_
232
-
233
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
234
-
235
- ### Cashless TAT (hours)
236
-
237
- **Value:** _not specified_
238
-
239
- **Source quote:**
240
-
241
- > _(no verbatim quote on record)_
242
-
243
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
244
-
245
- ## Bonuses & loyalty
246
-
247
- ### No-claim bonus (%)
248
-
249
- **Value:** 10
250
-
251
- **Source quote:**
252
-
253
- > Cumulative bonus from 10%
254
-
255
- **Source:** `rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf`
256
-
257
-
258
- ---
259
-
260
- _Mirrored from `data/policy_facts/hdfc-ergo__my-optima-secure__wordings.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/icici-lombard__complete-health-insurance-umbrella__wordings.md DELETED
@@ -1,264 +0,0 @@
1
- ---
2
- policy_id: icici-lombard__complete-health-insurance-umbrella__wordings
3
- insurer_slug: icici-lombard
4
- insurer_name: ICICI Lombard General Insurance
5
- policy_name: "Complete Health Insurance Umbrella"
6
- uin_code: ICIHLIP23144V072223
7
- source_pdf_path: rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf
8
- completeness_pct: 41
9
- curated_at: 2026-05-14
10
- ---
11
-
12
- # Complete Health Insurance Umbrella
13
-
14
- **Insurer:** ICICI Lombard General Insurance (`icici-lombard`)
15
- **Policy ID:** `icici-lombard__complete-health-insurance-umbrella__wordings`
16
- **UIN:** `ICIHLIP23144V072223`
17
- **Curation completeness:** 41%
18
- **Primary source PDF:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
19
- **Curated at:** 2026-05-14
20
-
21
- > _Curation note: Curated by tools/curate_remaining.py β€” pattern-based extraction from local PDF_
22
-
23
- ## Identity
24
-
25
- ### UIN code
26
-
27
- **Value:** ICIHLIP23144V072223
28
-
29
- **Source quote:**
30
-
31
- > UIN : ICIHLIP23144V072223
32
-
33
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
34
-
35
- ### Policy type
36
-
37
- **Value:** group
38
-
39
- **Source quote:**
40
-
41
- > classified as group from PDF heuristics
42
-
43
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
44
-
45
- ## Eligibility
46
-
47
- ### Minimum entry age
48
-
49
- **Value:** _not specified_
50
-
51
- **Source quote:**
52
-
53
- > _(no verbatim quote on record)_
54
-
55
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
56
-
57
- ### Maximum entry age
58
-
59
- **Value:** _not specified_
60
-
61
- **Source quote:**
62
-
63
- > _(no verbatim quote on record)_
64
-
65
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
66
-
67
- ### Maximum renewal age
68
-
69
- **Value:** _not specified_
70
-
71
- **Source quote:**
72
-
73
- > _(no verbatim quote on record)_
74
-
75
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
76
-
77
- ### Sum insured options
78
-
79
- **Value:** _not specified_
80
-
81
- **Source quote:**
82
-
83
- > Sum Insured for each of the Optional C
84
-
85
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
86
-
87
- ## Waiting periods
88
-
89
- ### Initial waiting period (days)
90
-
91
- **Value:** _not specified_
92
-
93
- **Source quote:**
94
-
95
- > _(no verbatim quote on record)_
96
-
97
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
98
-
99
- ### Pre-existing disease waiting (months)
100
-
101
- **Value:** 3
102
-
103
- **Source quote:**
104
-
105
- > Pre-Existing Condition/Disease(s) or any Illness or Injury which existed within the first 3 months
106
-
107
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
108
-
109
- ### Maternity waiting (months)
110
-
111
- **Value:** _not specified_
112
-
113
- **Source quote:**
114
-
115
- > _(no verbatim quote on record)_
116
-
117
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
118
-
119
- ## Coverage scope
120
-
121
- ### Pre-hospitalization (days)
122
-
123
- **Value:** _not specified_
124
-
125
- **Source quote:**
126
-
127
- > _(no verbatim quote on record)_
128
-
129
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
130
-
131
- ### Post-hospitalization (days)
132
-
133
- **Value:** _not specified_
134
-
135
- **Source quote:**
136
-
137
- > _(no verbatim quote on record)_
138
-
139
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
140
-
141
- ### Day-care treatments covered
142
-
143
- **Value:** _not specified_
144
-
145
- **Source quote:**
146
-
147
- > _(no verbatim quote on record)_
148
-
149
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
150
-
151
- ### AYUSH coverage
152
-
153
- **Value:** Yes
154
-
155
- **Source quote:**
156
-
157
- > AYUSH Treatment at a AYUSH Hospital or AYUSH Day Care Centre.
158
- ii. This Cover will be provided on reimburs
159
-
160
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
161
-
162
- ### Maternity coverage
163
-
164
- **Value:** No
165
-
166
- **Source quote:**
167
-
168
- > Maternity Cover has been opted for.
169
- ii. Specific Exclusion (Exclusions other than those mentioned under e.i above)
170
- a. An
171
-
172
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
173
-
174
- ### Restoration benefit
175
-
176
- **Value:** _not specified_
177
-
178
- **Source quote:**
179
-
180
- > _(no verbatim quote on record)_
181
-
182
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
183
-
184
- ### Room rent capping
185
-
186
- **Value:** Room Rent charges up to
187
-
188
- **Source quote:**
189
-
190
- > Room Rent charges up to
191
-
192
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
193
-
194
- ## Cost-share
195
-
196
- ### Co-payment (%)
197
-
198
- **Value:** 10
199
-
200
- **Source quote:**
201
-
202
- > Co-payment of 10%
203
-
204
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
205
-
206
- ## Claims & service
207
-
208
- ### Network hospital count
209
-
210
- **Value:** _not specified_
211
-
212
- **Source quote:**
213
-
214
- > _(no verbatim quote on record)_
215
-
216
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
217
-
218
- ### Cashless treatment supported
219
-
220
- **Value:** Yes
221
-
222
- **Source quote:**
223
-
224
- > Cashless Facility
225
-
226
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
227
-
228
- ### Claim settlement ratio
229
-
230
- **Value:** _not specified_
231
-
232
- **Source quote:**
233
-
234
- > _(no verbatim quote on record)_
235
-
236
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
237
-
238
- ### Cashless TAT (hours)
239
-
240
- **Value:** _not specified_
241
-
242
- **Source quote:**
243
-
244
- > _(no verbatim quote on record)_
245
-
246
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
247
-
248
- ## Bonuses & loyalty
249
-
250
- ### No-claim bonus (%)
251
-
252
- **Value:** 20
253
-
254
- **Source quote:**
255
-
256
- > Cumulative Bonus (GCB)
257
- We will provide a Cumulative Bonus of 20%
258
-
259
- **Source:** `rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf`
260
-
261
-
262
- ---
263
-
264
- _Mirrored from `data/policy_facts/icici-lombard__complete-health-insurance-umbrella__wordings.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/icici-lombard__elevate__wordings.md DELETED
@@ -1,254 +0,0 @@
1
- ---
2
- policy_id: icici-lombard__elevate__wordings
3
- insurer_slug: icici-lombard
4
- insurer_name: ICICI Lombard General Insurance
5
- policy_name: "Elevate"
6
- uin_code: ICIHLIP25048V042425
7
- ---
8
-
9
- # Elevate
10
-
11
- **Insurer:** ICICI Lombard General Insurance (`icici-lombard`)
12
- **Policy ID:** `icici-lombard__elevate__wordings`
13
- **UIN:** `ICIHLIP25048V042425`
14
-
15
- ## Identity
16
-
17
- ### UIN code
18
-
19
- **Value:** ICIHLIP25048V042425
20
-
21
- **Source quote:**
22
-
23
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
24
-
25
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
26
-
27
- ## Eligibility
28
-
29
- ### Minimum entry age
30
-
31
- **Value:** 18 years
32
-
33
- **Source quote:**
34
-
35
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
36
-
37
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
38
-
39
- ### Maximum entry age
40
-
41
- **Value:** _not specified_
42
-
43
- **Source quote:**
44
-
45
- > not extracted from this PDF (field absent or LLM unable to infer)
46
-
47
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
48
-
49
- ### Maximum renewal age
50
-
51
- **Value:** 999 years
52
-
53
- **Source quote:**
54
-
55
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
56
-
57
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
58
-
59
- ### Sum insured options
60
-
61
- **Value:** 500000, 1000000, 1500000, 2000000, 2500000, 5000000, 10000000, 20000000, 30000000, 50000000, 100000000, 300000000
62
-
63
- **Source quote:**
64
-
65
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
66
-
67
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
68
-
69
- ## Waiting periods
70
-
71
- ### Initial waiting period (days)
72
-
73
- **Value:** 30
74
-
75
- **Source quote:**
76
-
77
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
78
-
79
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
80
-
81
- ### Pre-existing disease waiting (months)
82
-
83
- **Value:** 36
84
-
85
- **Source quote:**
86
-
87
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
88
-
89
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
90
-
91
- ### Specific disease waiting (months)
92
-
93
- **Value:** 24
94
-
95
- **Source quote:**
96
-
97
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
98
-
99
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
100
-
101
- ### Maternity waiting (months)
102
-
103
- **Value:** 24
104
-
105
- **Source quote:**
106
-
107
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
108
-
109
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
110
-
111
- ## Coverage scope
112
-
113
- ### Pre-hospitalization (days)
114
-
115
- **Value:** 60
116
-
117
- **Source quote:**
118
-
119
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
120
-
121
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
122
-
123
- ### Post-hospitalization (days)
124
-
125
- **Value:** 180
126
-
127
- **Source quote:**
128
-
129
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
130
-
131
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
132
-
133
- ### Day-care treatments covered
134
-
135
- **Value:** _not specified_
136
-
137
- **Source quote:**
138
-
139
- > not extracted from this PDF (field absent or LLM unable to infer)
140
-
141
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
142
-
143
- ## Claims & service
144
-
145
- ### Network hospital count
146
-
147
- **Value:** 7500
148
-
149
- **Source quote:**
150
-
151
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
152
-
153
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
154
-
155
- ## Other fields
156
-
157
- ### Claim Settlement Ratio Pct
158
-
159
- **Value:** _not specified_
160
-
161
- **Source quote:**
162
-
163
- > not extracted from this PDF (field absent or LLM unable to infer)
164
-
165
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
166
-
167
- ### Co Payment Pct
168
-
169
- **Value:** _not specified_
170
-
171
- **Source quote:**
172
-
173
- > not extracted from this PDF (field absent or LLM unable to infer)
174
-
175
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
176
-
177
- ### Complaint Per 10K Claims
178
-
179
- **Value:** _not specified_
180
-
181
- **Source quote:**
182
-
183
- > not extracted from this PDF (field absent or LLM unable to infer)
184
-
185
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
186
-
187
- ### Free Look Period
188
-
189
- **Value:** 30 days
190
-
191
- **Source quote:**
192
-
193
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
194
-
195
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
196
-
197
- ### Grace Period
198
-
199
- **Value:** 30 days
200
-
201
- **Source quote:**
202
-
203
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
204
-
205
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
206
-
207
- ### Incurred Claim Ratio Pct
208
-
209
- **Value:** _not specified_
210
-
211
- **Source quote:**
212
-
213
- > not extracted from this PDF (field absent or LLM unable to infer)
214
-
215
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
216
-
217
- ### Min Child Entry Age
218
-
219
- **Value:** 91 days
220
-
221
- **Source quote:**
222
-
223
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
224
-
225
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
226
-
227
- ### Policy Term Options Years
228
-
229
- **Value:** _not specified_
230
-
231
- **Source quote:**
232
-
233
- > not extracted from this PDF (field absent or LLM unable to infer)
234
-
235
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
236
-
237
- ### Room Rent Capped At Pct Of Si
238
-
239
- **Value:** _not specified_
240
-
241
- **Source quote:**
242
-
243
- > not extracted from this PDF (field absent or LLM unable to infer)
244
-
245
- **Source:** `rag/corpus/icici-lombard/elevate__wordings.pdf`
246
-
247
- ### Source Pdf Path
248
-
249
- _no data_
250
-
251
-
252
- ---
253
-
254
- _Mirrored from `data/policy_facts/icici-lombard__elevate__wordings.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/manipalcigna__prohealth-protect.md DELETED
@@ -1,300 +0,0 @@
1
- ---
2
- policy_id: manipalcigna__prohealth-protect
3
- insurer_slug: manipalcigna
4
- insurer_name: ManipalCigna Health Insurance
5
- policy_name: "ManipalCigna ProHealth Protect (Protect plan variant)"
6
- uin_code: MCIHLIP24011V072324
7
- source_pdf_path: rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf
8
- completeness_pct: 82
9
- curated_at: 2026-05-13
10
- ---
11
-
12
- # ManipalCigna ProHealth Protect (Protect plan variant)
13
-
14
- **Insurer:** ManipalCigna Health Insurance (`manipalcigna`)
15
- **Policy ID:** `manipalcigna__prohealth-protect`
16
- **UIN:** `MCIHLIP24011V072324`
17
- **Curation completeness:** 82%
18
- **Primary source PDF:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
19
- **Curated at:** 2026-05-13
20
-
21
- > _Curation note: ProHealth Protect is the entry tier of ProHealth family. 48-month PED, no maternity, 90-day post-hospitalization._
22
-
23
- ## Identity
24
-
25
- ### UIN code
26
-
27
- **Value:** MCIHLIP24011V072324
28
-
29
- **Source quote:**
30
-
31
- > ManipalCigna ProHealth Insurance | Terms & Conditions | UIN: MCIHLIP24011V072324 | April 2023
32
-
33
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
34
-
35
- ### Policy type
36
-
37
- **Value:** indemnity
38
-
39
- **Source quote:**
40
-
41
- > indemnity-based
42
-
43
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
44
-
45
- ## Eligibility
46
-
47
- ### Minimum entry age
48
-
49
- **Value:** 91 days
50
-
51
- **Source quote:**
52
-
53
- > Child entry standard 91 days (per Policy Schedule)
54
-
55
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
56
-
57
- ### Maximum entry age
58
-
59
- **Value:** _not specified_
60
-
61
- **Source quote:**
62
-
63
- > Adult entry per Policy Schedule (ProHealth Protect: 18-65 years standard)
64
-
65
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
66
-
67
- ### Maximum renewal age
68
-
69
- **Value:** _not specified_
70
-
71
- **Source quote:**
72
-
73
- > Lifelong renewability
74
-
75
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
76
-
77
- ### Sum insured options
78
-
79
- **Value:** _not specified_
80
-
81
- **Source quote:**
82
-
83
- > SI options per Policy Schedule (Protect variant typically lower range: 2.5L / 3L / 4.5L / 5L)
84
-
85
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
86
-
87
- ## Waiting periods
88
-
89
- ### Initial waiting period (days)
90
-
91
- **Value:** 30
92
-
93
- **Source quote:**
94
-
95
- > 30-day waiting period applies to illness (standard IRDAI clause)
96
-
97
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
98
-
99
- ### Pre-existing disease waiting (months)
100
-
101
- **Value:** 48
102
-
103
- **Source quote:**
104
-
105
- > applicable months (24 months for Preferred, Premier plan/ 36 months for Plus, Accumulate plan/ 48 months for Protect plan) of continuous coverage
106
-
107
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
108
-
109
- ### Specific disease waiting (months)
110
-
111
- **Value:** 24
112
-
113
- **Source quote:**
114
-
115
- > Specified disease/procedure Waiting Period ... excluded until the expiry of 24 months of continuous coverage
116
-
117
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
118
-
119
- ### Maternity waiting (months)
120
-
121
- **Value:** _not specified_
122
-
123
- **Source quote:**
124
-
125
- > E.I.18. Maternity Code-Excl 18 (applicable to Protect and Accumulate plan) β€” i.e., maternity is EXCLUDED in Protect variant
126
-
127
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
128
-
129
- ## Coverage scope
130
-
131
- ### Pre-hospitalization (days)
132
-
133
- **Value:** 60
134
-
135
- **Source quote:**
136
-
137
- > Pre-hospitalization Medical Expenses Covered up to 60 days before date of hospitalization
138
-
139
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
140
-
141
- ### Post-hospitalization (days)
142
-
143
- **Value:** 90
144
-
145
- **Source quote:**
146
-
147
- > Post-hospitalization Medical Expenses Covered up to 90 days post discharge from hospital (Protect variant)
148
-
149
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
150
-
151
- ### Day-care treatments covered
152
-
153
- **Value:** _not specified_
154
-
155
- **Source quote:**
156
-
157
- > For the list of Day Care Treatments refer Annexure II of the Policy.
158
-
159
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
160
-
161
- ### AYUSH coverage
162
-
163
- **Value:** Yes
164
-
165
- **Source quote:**
166
-
167
- > AYUSH Cover Covered up to full Sum Insured
168
-
169
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
170
-
171
- ### Maternity coverage
172
-
173
- **Value:** No
174
-
175
- **Source quote:**
176
-
177
- > E.I.18. Maternity Code-Excl 18 (applicable to Protect and Accumulate plan) β€” maternity EXCLUDED in Protect
178
-
179
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
180
-
181
- ### Newborn coverage
182
-
183
- **Value:** No
184
-
185
- **Source quote:**
186
-
187
- > Maternity excluded in Protect; newborn linked to maternity
188
-
189
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
190
-
191
- ### Organ donor expenses
192
-
193
- **Value:** Yes
194
-
195
- **Source quote:**
196
-
197
- > Donor Expenses (Hospitalization Expenses of the donor providing the organ) Covered up to full Sum Insured
198
-
199
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
200
-
201
- ### Restoration benefit
202
-
203
- **Value:** Multiple Restoration available for unrelated illnesses
204
-
205
- **Source quote:**
206
-
207
- > Restoration of Sum Insured ... Multiple Restoration is available in a Policy Year for unrelated illnesses
208
-
209
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
210
-
211
- ### Room rent capping
212
-
213
- **Value:** Up to any Room Category except Suite or higher (for SI β‰₯ β‚Ή7.5 Lacs); lower SI variants have room-category caps
214
-
215
- **Source quote:**
216
-
217
- > Inpatient Room For Sum Insured β‚Ή7.5 Lacs and Above - Covered up to any Room Category
218
-
219
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
220
-
221
- ## Cost-share
222
-
223
- ### Co-payment (%)
224
-
225
- **Value:** 0
226
-
227
- **Source quote:**
228
-
229
- > Mandatory co-payment of 20% for Insured Persons Aged 65 years and above (waiver of mandatory copay available; base copay 0% for under-65)
230
-
231
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
232
-
233
- ### Deductible
234
-
235
- **Value:** _not specified_
236
-
237
- **Source quote:**
238
-
239
- > No base deductible
240
-
241
- **Source:** _(no source path on record)_
242
-
243
- ## Claims & service
244
-
245
- ### Network hospital count
246
-
247
- **Value:** _not specified_
248
-
249
- **Source quote:**
250
-
251
- > Insurer-level metric (ManipalCigna 8,500+); not extracted
252
-
253
- **Source:** _(no source path on record)_
254
-
255
- ### Cashless treatment supported
256
-
257
- **Value:** Yes
258
-
259
- **Source quote:**
260
-
261
- > Cashless facility through Network Provider
262
-
263
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
264
-
265
- ### Claim settlement ratio
266
-
267
- **Value:** _not specified_
268
-
269
- **Source quote:**
270
-
271
- > Insurer-level metric; not extracted
272
-
273
- **Source:** _(no source path on record)_
274
-
275
- ### Cashless TAT (hours)
276
-
277
- **Value:** _not specified_
278
-
279
- **Source quote:**
280
-
281
- > TAT governed by IRDAI Master Circular
282
-
283
- **Source:** _(no source path on record)_
284
-
285
- ## Bonuses & loyalty
286
-
287
- ### No-claim bonus (%)
288
-
289
- **Value:** 25
290
-
291
- **Source quote:**
292
-
293
- > Cumulative Bonus A guaranteed 25% increase in Sum Insured per policy year, maximum up to 200% of Sum Insured
294
-
295
- **Source:** `rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf`
296
-
297
-
298
- ---
299
-
300
- _Mirrored from `data/policy_facts/manipalcigna__prohealth-protect.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/national-insurance__national-critical-illness__cis.md DELETED
@@ -1,254 +0,0 @@
1
- ---
2
- policy_id: national-insurance__national-critical-illness__cis
3
- insurer_slug: national-insurance
4
- insurer_name: national-insurance
5
- policy_name: "National Critical Illness Policy"
6
- uin_code: NlCHLIP18086V011718
7
- ---
8
-
9
- # National Critical Illness Policy
10
-
11
- **Insurer:** national-insurance (`national-insurance`)
12
- **Policy ID:** `national-insurance__national-critical-illness__cis`
13
- **UIN:** `NlCHLIP18086V011718`
14
-
15
- ## Identity
16
-
17
- ### UIN code
18
-
19
- **Value:** NlCHLIP18086V011718
20
-
21
- **Source quote:**
22
-
23
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
24
-
25
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
26
-
27
- ## Eligibility
28
-
29
- ### Minimum entry age
30
-
31
- **Value:** 18 years
32
-
33
- **Source quote:**
34
-
35
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
36
-
37
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
38
-
39
- ### Maximum entry age
40
-
41
- **Value:** 65 years
42
-
43
- **Source quote:**
44
-
45
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
46
-
47
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
48
-
49
- ### Maximum renewal age
50
-
51
- **Value:** 999 years
52
-
53
- **Source quote:**
54
-
55
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
56
-
57
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
58
-
59
- ### Sum insured options
60
-
61
- **Value:** 100000, 200000, 300000, 400000, 500000, 600000, 700000, 800000, 900000, 1000000, 1500000, 2000000, 2500000, 3000000, 3500000, 4000000, 4500000, 5000000, 5500000, 6000000, 6500000, 7000000, 7500000
62
-
63
- **Source quote:**
64
-
65
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
66
-
67
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
68
-
69
- ## Waiting periods
70
-
71
- ### Initial waiting period (days)
72
-
73
- **Value:** 90
74
-
75
- **Source quote:**
76
-
77
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
78
-
79
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
80
-
81
- ### Pre-existing disease waiting (months)
82
-
83
- **Value:** 48
84
-
85
- **Source quote:**
86
-
87
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
88
-
89
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
90
-
91
- ### Specific disease waiting (months)
92
-
93
- **Value:** _not specified_
94
-
95
- **Source quote:**
96
-
97
- > not extracted from this PDF (field absent or LLM unable to infer)
98
-
99
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
100
-
101
- ### Maternity waiting (months)
102
-
103
- **Value:** _not specified_
104
-
105
- **Source quote:**
106
-
107
- > not extracted from this PDF (field absent or LLM unable to infer)
108
-
109
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
110
-
111
- ## Coverage scope
112
-
113
- ### Pre-hospitalization (days)
114
-
115
- **Value:** _not specified_
116
-
117
- **Source quote:**
118
-
119
- > not extracted from this PDF (field absent or LLM unable to infer)
120
-
121
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
122
-
123
- ### Post-hospitalization (days)
124
-
125
- **Value:** _not specified_
126
-
127
- **Source quote:**
128
-
129
- > not extracted from this PDF (field absent or LLM unable to infer)
130
-
131
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
132
-
133
- ### Day-care treatments covered
134
-
135
- **Value:** _not specified_
136
-
137
- **Source quote:**
138
-
139
- > not extracted from this PDF (field absent or LLM unable to infer)
140
-
141
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
142
-
143
- ## Claims & service
144
-
145
- ### Network hospital count
146
-
147
- **Value:** _not specified_
148
-
149
- **Source quote:**
150
-
151
- > not extracted from this PDF (field absent or LLM unable to infer)
152
-
153
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
154
-
155
- ## Other fields
156
-
157
- ### Claim Settlement Ratio Pct
158
-
159
- **Value:** _not specified_
160
-
161
- **Source quote:**
162
-
163
- > not extracted from this PDF (field absent or LLM unable to infer)
164
-
165
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
166
-
167
- ### Co Payment Pct
168
-
169
- **Value:** _not specified_
170
-
171
- **Source quote:**
172
-
173
- > not extracted from this PDF (field absent or LLM unable to infer)
174
-
175
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
176
-
177
- ### Complaint Per 10K Claims
178
-
179
- **Value:** _not specified_
180
-
181
- **Source quote:**
182
-
183
- > not extracted from this PDF (field absent or LLM unable to infer)
184
-
185
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
186
-
187
- ### Free Look Period
188
-
189
- **Value:** 30 days
190
-
191
- **Source quote:**
192
-
193
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
194
-
195
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
196
-
197
- ### Grace Period
198
-
199
- **Value:** 30 days
200
-
201
- **Source quote:**
202
-
203
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
204
-
205
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
206
-
207
- ### Incurred Claim Ratio Pct
208
-
209
- **Value:** _not specified_
210
-
211
- **Source quote:**
212
-
213
- > not extracted from this PDF (field absent or LLM unable to infer)
214
-
215
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
216
-
217
- ### Min Child Entry Age
218
-
219
- **Value:** _not specified_
220
-
221
- **Source quote:**
222
-
223
- > not extracted from this PDF (field absent or LLM unable to infer)
224
-
225
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
226
-
227
- ### Policy Term Options Years
228
-
229
- **Value:** _not specified_
230
-
231
- **Source quote:**
232
-
233
- > not extracted from this PDF (field absent or LLM unable to infer)
234
-
235
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
236
-
237
- ### Room Rent Capped At Pct Of Si
238
-
239
- **Value:** _not specified_
240
-
241
- **Source quote:**
242
-
243
- > not extracted from this PDF (field absent or LLM unable to infer)
244
-
245
- **Source:** `rag/corpus/national-insurance/national-critical-illness__cis.pdf`
246
-
247
- ### Source Pdf Path
248
-
249
- _no data_
250
-
251
-
252
- ---
253
-
254
- _Mirrored from `data/policy_facts/national-insurance__national-critical-illness__cis.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/national-insurance__national-hospi-cash__prospectus.md DELETED
@@ -1,254 +0,0 @@
1
- ---
2
- policy_id: national-insurance__national-hospi-cash__prospectus
3
- insurer_slug: national-insurance
4
- insurer_name: national-insurance
5
- policy_name: "National Hospi Cash Policy"
6
- uin_code: NICHLIP25046V012425
7
- ---
8
-
9
- # National Hospi Cash Policy
10
-
11
- **Insurer:** national-insurance (`national-insurance`)
12
- **Policy ID:** `national-insurance__national-hospi-cash__prospectus`
13
- **UIN:** `NICHLIP25046V012425`
14
-
15
- ## Identity
16
-
17
- ### UIN code
18
-
19
- **Value:** NICHLIP25046V012425
20
-
21
- **Source quote:**
22
-
23
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
24
-
25
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
26
-
27
- ## Eligibility
28
-
29
- ### Minimum entry age
30
-
31
- **Value:** 18 years
32
-
33
- **Source quote:**
34
-
35
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
36
-
37
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
38
-
39
- ### Maximum entry age
40
-
41
- **Value:** 65 years
42
-
43
- **Source quote:**
44
-
45
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
46
-
47
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
48
-
49
- ### Maximum renewal age
50
-
51
- **Value:** 999 years
52
-
53
- **Source quote:**
54
-
55
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
56
-
57
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
58
-
59
- ### Sum insured options
60
-
61
- **Value:** 500, 1000, 2000, 3000, 5000
62
-
63
- **Source quote:**
64
-
65
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
66
-
67
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
68
-
69
- ## Waiting periods
70
-
71
- ### Initial waiting period (days)
72
-
73
- **Value:** 30
74
-
75
- **Source quote:**
76
-
77
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
78
-
79
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
80
-
81
- ### Pre-existing disease waiting (months)
82
-
83
- **Value:** 36
84
-
85
- **Source quote:**
86
-
87
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
88
-
89
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
90
-
91
- ### Specific disease waiting (months)
92
-
93
- **Value:** 24
94
-
95
- **Source quote:**
96
-
97
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
98
-
99
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
100
-
101
- ### Maternity waiting (months)
102
-
103
- **Value:** _not specified_
104
-
105
- **Source quote:**
106
-
107
- > not extracted from this PDF (field absent or LLM unable to infer)
108
-
109
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
110
-
111
- ## Coverage scope
112
-
113
- ### Pre-hospitalization (days)
114
-
115
- **Value:** _not specified_
116
-
117
- **Source quote:**
118
-
119
- > not extracted from this PDF (field absent or LLM unable to infer)
120
-
121
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
122
-
123
- ### Post-hospitalization (days)
124
-
125
- **Value:** _not specified_
126
-
127
- **Source quote:**
128
-
129
- > not extracted from this PDF (field absent or LLM unable to infer)
130
-
131
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
132
-
133
- ### Day-care treatments covered
134
-
135
- **Value:** _not specified_
136
-
137
- **Source quote:**
138
-
139
- > not extracted from this PDF (field absent or LLM unable to infer)
140
-
141
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
142
-
143
- ## Claims & service
144
-
145
- ### Network hospital count
146
-
147
- **Value:** _not specified_
148
-
149
- **Source quote:**
150
-
151
- > not extracted from this PDF (field absent or LLM unable to infer)
152
-
153
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
154
-
155
- ## Other fields
156
-
157
- ### Claim Settlement Ratio Pct
158
-
159
- **Value:** _not specified_
160
-
161
- **Source quote:**
162
-
163
- > not extracted from this PDF (field absent or LLM unable to infer)
164
-
165
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
166
-
167
- ### Co Payment Pct
168
-
169
- **Value:** _not specified_
170
-
171
- **Source quote:**
172
-
173
- > not extracted from this PDF (field absent or LLM unable to infer)
174
-
175
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
176
-
177
- ### Complaint Per 10K Claims
178
-
179
- **Value:** _not specified_
180
-
181
- **Source quote:**
182
-
183
- > not extracted from this PDF (field absent or LLM unable to infer)
184
-
185
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
186
-
187
- ### Free Look Period
188
-
189
- **Value:** 30 days
190
-
191
- **Source quote:**
192
-
193
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
194
-
195
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
196
-
197
- ### Grace Period
198
-
199
- **Value:** 30 days
200
-
201
- **Source quote:**
202
-
203
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
204
-
205
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
206
-
207
- ### Incurred Claim Ratio Pct
208
-
209
- **Value:** _not specified_
210
-
211
- **Source quote:**
212
-
213
- > not extracted from this PDF (field absent or LLM unable to infer)
214
-
215
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
216
-
217
- ### Min Child Entry Age
218
-
219
- **Value:** 90 days
220
-
221
- **Source quote:**
222
-
223
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
224
-
225
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
226
-
227
- ### Policy Term Options Years
228
-
229
- **Value:** _not specified_
230
-
231
- **Source quote:**
232
-
233
- > not extracted from this PDF (field absent or LLM unable to infer)
234
-
235
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
236
-
237
- ### Room Rent Capped At Pct Of Si
238
-
239
- **Value:** _not specified_
240
-
241
- **Source quote:**
242
-
243
- > not extracted from this PDF (field absent or LLM unable to infer)
244
-
245
- **Source:** `rag/corpus/national-insurance/national-hospi-cash__prospectus.pdf`
246
-
247
- ### Source Pdf Path
248
-
249
- _no data_
250
-
251
-
252
- ---
253
-
254
- _Mirrored from `data/policy_facts/national-insurance__national-hospi-cash__prospectus.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/national-insurance__national-mediclaim__prospectus.md DELETED
@@ -1,254 +0,0 @@
1
- ---
2
- policy_id: national-insurance__national-mediclaim__prospectus
3
- insurer_slug: national-insurance
4
- insurer_name: national-insurance
5
- policy_name: "National Mediclaim Policy"
6
- uin_code: NICHLIP25036V082425
7
- ---
8
-
9
- # National Mediclaim Policy
10
-
11
- **Insurer:** national-insurance (`national-insurance`)
12
- **Policy ID:** `national-insurance__national-mediclaim__prospectus`
13
- **UIN:** `NICHLIP25036V082425`
14
-
15
- ## Identity
16
-
17
- ### UIN code
18
-
19
- **Value:** NICHLIP25036V082425
20
-
21
- **Source quote:**
22
-
23
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
24
-
25
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
26
-
27
- ## Eligibility
28
-
29
- ### Minimum entry age
30
-
31
- **Value:** 18 years
32
-
33
- **Source quote:**
34
-
35
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
36
-
37
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
38
-
39
- ### Maximum entry age
40
-
41
- **Value:** 65 years
42
-
43
- **Source quote:**
44
-
45
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
46
-
47
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
48
-
49
- ### Maximum renewal age
50
-
51
- **Value:** 999 years
52
-
53
- **Source quote:**
54
-
55
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
56
-
57
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
58
-
59
- ### Sum insured options
60
-
61
- **Value:** 100000, 200000, 300000, 400000, 500000, 600000, 700000, 800000, 900000, 1000000
62
-
63
- **Source quote:**
64
-
65
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
66
-
67
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
68
-
69
- ## Waiting periods
70
-
71
- ### Initial waiting period (days)
72
-
73
- **Value:** 30
74
-
75
- **Source quote:**
76
-
77
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
78
-
79
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
80
-
81
- ### Pre-existing disease waiting (months)
82
-
83
- **Value:** 36
84
-
85
- **Source quote:**
86
-
87
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
88
-
89
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
90
-
91
- ### Specific disease waiting (months)
92
-
93
- **Value:** 24
94
-
95
- **Source quote:**
96
-
97
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
98
-
99
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
100
-
101
- ### Maternity waiting (months)
102
-
103
- **Value:** _not specified_
104
-
105
- **Source quote:**
106
-
107
- > not extracted from this PDF (field absent or LLM unable to infer)
108
-
109
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
110
-
111
- ## Coverage scope
112
-
113
- ### Pre-hospitalization (days)
114
-
115
- **Value:** 45
116
-
117
- **Source quote:**
118
-
119
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
120
-
121
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
122
-
123
- ### Post-hospitalization (days)
124
-
125
- **Value:** 60
126
-
127
- **Source quote:**
128
-
129
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
130
-
131
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
132
-
133
- ### Day-care treatments covered
134
-
135
- **Value:** _not specified_
136
-
137
- **Source quote:**
138
-
139
- > not extracted from this PDF (field absent or LLM unable to infer)
140
-
141
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
142
-
143
- ## Claims & service
144
-
145
- ### Network hospital count
146
-
147
- **Value:** _not specified_
148
-
149
- **Source quote:**
150
-
151
- > not extracted from this PDF (field absent or LLM unable to infer)
152
-
153
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
154
-
155
- ## Other fields
156
-
157
- ### Claim Settlement Ratio Pct
158
-
159
- **Value:** _not specified_
160
-
161
- **Source quote:**
162
-
163
- > not extracted from this PDF (field absent or LLM unable to infer)
164
-
165
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
166
-
167
- ### Co Payment Pct
168
-
169
- **Value:** _not specified_
170
-
171
- **Source quote:**
172
-
173
- > not extracted from this PDF (field absent or LLM unable to infer)
174
-
175
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
176
-
177
- ### Complaint Per 10K Claims
178
-
179
- **Value:** _not specified_
180
-
181
- **Source quote:**
182
-
183
- > not extracted from this PDF (field absent or LLM unable to infer)
184
-
185
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
186
-
187
- ### Free Look Period
188
-
189
- **Value:** 30 days
190
-
191
- **Source quote:**
192
-
193
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
194
-
195
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
196
-
197
- ### Grace Period
198
-
199
- **Value:** 30 days
200
-
201
- **Source quote:**
202
-
203
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
204
-
205
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
206
-
207
- ### Incurred Claim Ratio Pct
208
-
209
- **Value:** _not specified_
210
-
211
- **Source quote:**
212
-
213
- > not extracted from this PDF (field absent or LLM unable to infer)
214
-
215
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
216
-
217
- ### Min Child Entry Age
218
-
219
- **Value:** 90 days
220
-
221
- **Source quote:**
222
-
223
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
224
-
225
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
226
-
227
- ### Policy Term Options Years
228
-
229
- **Value:** _not specified_
230
-
231
- **Source quote:**
232
-
233
- > not extracted from this PDF (field absent or LLM unable to infer)
234
-
235
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
236
-
237
- ### Room Rent Capped At Pct Of Si
238
-
239
- **Value:** _not specified_
240
-
241
- **Source quote:**
242
-
243
- > not extracted from this PDF (field absent or LLM unable to infer)
244
-
245
- **Source:** `rag/corpus/national-insurance/national-mediclaim__prospectus.pdf`
246
-
247
- ### Source Pdf Path
248
-
249
- _no data_
250
-
251
-
252
- ---
253
-
254
- _Mirrored from `data/policy_facts/national-insurance__national-mediclaim__prospectus.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/national-insurance__national-surrogacy__cis.md DELETED
@@ -1,254 +0,0 @@
1
- ---
2
- policy_id: national-insurance__national-surrogacy__cis
3
- insurer_slug: national-insurance
4
- insurer_name: national-insurance
5
- policy_name: "National Surrogacy Insurance Policy"
6
- uin_code: NICHLIP25042V012425
7
- ---
8
-
9
- # National Surrogacy Insurance Policy
10
-
11
- **Insurer:** national-insurance (`national-insurance`)
12
- **Policy ID:** `national-insurance__national-surrogacy__cis`
13
- **UIN:** `NICHLIP25042V012425`
14
-
15
- ## Identity
16
-
17
- ### UIN code
18
-
19
- **Value:** NICHLIP25042V012425
20
-
21
- **Source quote:**
22
-
23
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
24
-
25
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
26
-
27
- ## Eligibility
28
-
29
- ### Minimum entry age
30
-
31
- **Value:** 25 years
32
-
33
- **Source quote:**
34
-
35
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
36
-
37
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
38
-
39
- ### Maximum entry age
40
-
41
- **Value:** 35 years
42
-
43
- **Source quote:**
44
-
45
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
46
-
47
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
48
-
49
- ### Maximum renewal age
50
-
51
- **Value:** _not specified_
52
-
53
- **Source quote:**
54
-
55
- > not extracted from this PDF (field absent or LLM unable to infer)
56
-
57
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
58
-
59
- ### Sum insured options
60
-
61
- **Value:** 200000, 300000
62
-
63
- **Source quote:**
64
-
65
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
66
-
67
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
68
-
69
- ## Waiting periods
70
-
71
- ### Initial waiting period (days)
72
-
73
- **Value:** 30
74
-
75
- **Source quote:**
76
-
77
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
78
-
79
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
80
-
81
- ### Pre-existing disease waiting (months)
82
-
83
- **Value:** _not specified_
84
-
85
- **Source quote:**
86
-
87
- > not extracted from this PDF (field absent or LLM unable to infer)
88
-
89
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
90
-
91
- ### Specific disease waiting (months)
92
-
93
- **Value:** _not specified_
94
-
95
- **Source quote:**
96
-
97
- > not extracted from this PDF (field absent or LLM unable to infer)
98
-
99
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
100
-
101
- ### Maternity waiting (months)
102
-
103
- **Value:** _not specified_
104
-
105
- **Source quote:**
106
-
107
- > not extracted from this PDF (field absent or LLM unable to infer)
108
-
109
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
110
-
111
- ## Coverage scope
112
-
113
- ### Pre-hospitalization (days)
114
-
115
- **Value:** _not specified_
116
-
117
- **Source quote:**
118
-
119
- > not extracted from this PDF (field absent or LLM unable to infer)
120
-
121
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
122
-
123
- ### Post-hospitalization (days)
124
-
125
- **Value:** _not specified_
126
-
127
- **Source quote:**
128
-
129
- > not extracted from this PDF (field absent or LLM unable to infer)
130
-
131
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
132
-
133
- ### Day-care treatments covered
134
-
135
- **Value:** _not specified_
136
-
137
- **Source quote:**
138
-
139
- > not extracted from this PDF (field absent or LLM unable to infer)
140
-
141
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
142
-
143
- ## Claims & service
144
-
145
- ### Network hospital count
146
-
147
- **Value:** _not specified_
148
-
149
- **Source quote:**
150
-
151
- > not extracted from this PDF (field absent or LLM unable to infer)
152
-
153
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
154
-
155
- ## Other fields
156
-
157
- ### Claim Settlement Ratio Pct
158
-
159
- **Value:** _not specified_
160
-
161
- **Source quote:**
162
-
163
- > not extracted from this PDF (field absent or LLM unable to infer)
164
-
165
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
166
-
167
- ### Co Payment Pct
168
-
169
- **Value:** _not specified_
170
-
171
- **Source quote:**
172
-
173
- > not extracted from this PDF (field absent or LLM unable to infer)
174
-
175
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
176
-
177
- ### Complaint Per 10K Claims
178
-
179
- **Value:** _not specified_
180
-
181
- **Source quote:**
182
-
183
- > not extracted from this PDF (field absent or LLM unable to infer)
184
-
185
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
186
-
187
- ### Free Look Period
188
-
189
- **Value:** 30 days
190
-
191
- **Source quote:**
192
-
193
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
194
-
195
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
196
-
197
- ### Grace Period
198
-
199
- **Value:** _not specified_
200
-
201
- **Source quote:**
202
-
203
- > not extracted from this PDF (field absent or LLM unable to infer)
204
-
205
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
206
-
207
- ### Incurred Claim Ratio Pct
208
-
209
- **Value:** _not specified_
210
-
211
- **Source quote:**
212
-
213
- > not extracted from this PDF (field absent or LLM unable to infer)
214
-
215
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
216
-
217
- ### Min Child Entry Age
218
-
219
- **Value:** _not specified_
220
-
221
- **Source quote:**
222
-
223
- > not extracted from this PDF (field absent or LLM unable to infer)
224
-
225
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
226
-
227
- ### Policy Term Options Years
228
-
229
- **Value:** _not specified_
230
-
231
- **Source quote:**
232
-
233
- > not extracted from this PDF (field absent or LLM unable to infer)
234
-
235
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
236
-
237
- ### Room Rent Capped At Pct Of Si
238
-
239
- **Value:** _not specified_
240
-
241
- **Source quote:**
242
-
243
- > not extracted from this PDF (field absent or LLM unable to infer)
244
-
245
- **Source:** `rag/corpus/national-insurance/national-surrogacy__cis.pdf`
246
-
247
- ### Source Pdf Path
248
-
249
- _no data_
250
-
251
-
252
- ---
253
-
254
- _Mirrored from `data/policy_facts/national-insurance__national-surrogacy__cis.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/national-insurance__national-young-india-plus__wordings.md DELETED
@@ -1,254 +0,0 @@
1
- ---
2
- policy_id: national-insurance__national-young-india-plus__wordings
3
- insurer_slug: national-insurance
4
- insurer_name: national-insurance
5
- policy_name: "National Young India Mediclaim Plus Policy"
6
- uin_code: NICHLIP24127V012324
7
- ---
8
-
9
- # National Young India Mediclaim Plus Policy
10
-
11
- **Insurer:** national-insurance (`national-insurance`)
12
- **Policy ID:** `national-insurance__national-young-india-plus__wordings`
13
- **UIN:** `NICHLIP24127V012324`
14
-
15
- ## Identity
16
-
17
- ### UIN code
18
-
19
- **Value:** NICHLIP24127V012324
20
-
21
- **Source quote:**
22
-
23
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
24
-
25
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
26
-
27
- ## Eligibility
28
-
29
- ### Minimum entry age
30
-
31
- **Value:** 18 years
32
-
33
- **Source quote:**
34
-
35
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
36
-
37
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
38
-
39
- ### Maximum entry age
40
-
41
- **Value:** 45 years
42
-
43
- **Source quote:**
44
-
45
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
46
-
47
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
48
-
49
- ### Maximum renewal age
50
-
51
- **Value:** 999 years
52
-
53
- **Source quote:**
54
-
55
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
56
-
57
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
58
-
59
- ### Sum insured options
60
-
61
- **Value:** 500000, 1000000, 1500000, 2500000
62
-
63
- **Source quote:**
64
-
65
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
66
-
67
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
68
-
69
- ## Waiting periods
70
-
71
- ### Initial waiting period (days)
72
-
73
- **Value:** 30
74
-
75
- **Source quote:**
76
-
77
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
78
-
79
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
80
-
81
- ### Pre-existing disease waiting (months)
82
-
83
- **Value:** 36
84
-
85
- **Source quote:**
86
-
87
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
88
-
89
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
90
-
91
- ### Specific disease waiting (months)
92
-
93
- **Value:** 24
94
-
95
- **Source quote:**
96
-
97
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
98
-
99
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
100
-
101
- ### Maternity waiting (months)
102
-
103
- **Value:** 24
104
-
105
- **Source quote:**
106
-
107
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
108
-
109
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
110
-
111
- ## Coverage scope
112
-
113
- ### Pre-hospitalization (days)
114
-
115
- **Value:** 45
116
-
117
- **Source quote:**
118
-
119
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
120
-
121
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
122
-
123
- ### Post-hospitalization (days)
124
-
125
- **Value:** 60
126
-
127
- **Source quote:**
128
-
129
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
130
-
131
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
132
-
133
- ### Day-care treatments covered
134
-
135
- **Value:** _not specified_
136
-
137
- **Source quote:**
138
-
139
- > not extracted from this PDF (field absent or LLM unable to infer)
140
-
141
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
142
-
143
- ## Claims & service
144
-
145
- ### Network hospital count
146
-
147
- **Value:** _not specified_
148
-
149
- **Source quote:**
150
-
151
- > not extracted from this PDF (field absent or LLM unable to infer)
152
-
153
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
154
-
155
- ## Other fields
156
-
157
- ### Claim Settlement Ratio Pct
158
-
159
- **Value:** _not specified_
160
-
161
- **Source quote:**
162
-
163
- > not extracted from this PDF (field absent or LLM unable to infer)
164
-
165
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
166
-
167
- ### Co Payment Pct
168
-
169
- **Value:** _not specified_
170
-
171
- **Source quote:**
172
-
173
- > not extracted from this PDF (field absent or LLM unable to infer)
174
-
175
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
176
-
177
- ### Complaint Per 10K Claims
178
-
179
- **Value:** _not specified_
180
-
181
- **Source quote:**
182
-
183
- > not extracted from this PDF (field absent or LLM unable to infer)
184
-
185
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
186
-
187
- ### Free Look Period
188
-
189
- **Value:** 30 days
190
-
191
- **Source quote:**
192
-
193
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
194
-
195
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
196
-
197
- ### Grace Period
198
-
199
- **Value:** 30 days
200
-
201
- **Source quote:**
202
-
203
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
204
-
205
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
206
-
207
- ### Incurred Claim Ratio Pct
208
-
209
- **Value:** _not specified_
210
-
211
- **Source quote:**
212
-
213
- > not extracted from this PDF (field absent or LLM unable to infer)
214
-
215
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
216
-
217
- ### Min Child Entry Age
218
-
219
- **Value:** 91 days
220
-
221
- **Source quote:**
222
-
223
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
224
-
225
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
226
-
227
- ### Policy Term Options Years
228
-
229
- **Value:** _not specified_
230
-
231
- **Source quote:**
232
-
233
- > not extracted from this PDF (field absent or LLM unable to infer)
234
-
235
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
236
-
237
- ### Room Rent Capped At Pct Of Si
238
-
239
- **Value:** _not specified_
240
-
241
- **Source quote:**
242
-
243
- > not extracted from this PDF (field absent or LLM unable to infer)
244
-
245
- **Source:** `rag/corpus/national-insurance/national-young-india-plus__wordings.pdf`
246
-
247
- ### Source Pdf Path
248
-
249
- _no data_
250
-
251
-
252
- ---
253
-
254
- _Mirrored from `data/policy_facts/national-insurance__national-young-india-plus__wordings.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/niva-bupa__health-plus-top-up.md DELETED
@@ -1,300 +0,0 @@
1
- ---
2
- policy_id: niva-bupa__health-plus-top-up
3
- insurer_slug: niva-bupa
4
- insurer_name: Niva Bupa Health Insurance
5
- policy_name: "Niva Bupa Health Plus (Top-up)"
6
- uin_code: NBHHLIP24135V012324
7
- source_pdf_path: rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf
8
- completeness_pct: 65
9
- curated_at: 2026-05-14
10
- ---
11
-
12
- # Niva Bupa Health Plus (Top-up)
13
-
14
- **Insurer:** Niva Bupa Health Insurance (`niva-bupa`)
15
- **Policy ID:** `niva-bupa__health-plus-top-up`
16
- **UIN:** `NBHHLIP24135V012324`
17
- **Curation completeness:** 65%
18
- **Primary source PDF:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
19
- **Curated at:** 2026-05-14
20
-
21
- > _Curation note: Pattern-based extraction from local PDF via pdfplumber. Insurer-level metrics (CSR, network count) left null pending downstream backfill._
22
-
23
- ## Identity
24
-
25
- ### UIN code
26
-
27
- **Value:** NBHHLIP24135V012324
28
-
29
- **Source quote:**
30
-
31
- > t Name: Health+, Product UIN: NBHHLIP24135V012324 2.1.7. Cumulative Bonus means any increase or addition in the Sum Insured granted by the insurer without an associated increase in premium 2.1.8. Day
32
-
33
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
34
-
35
- ### Policy type
36
-
37
- **Value:** top-up
38
-
39
- **Source quote:**
40
-
41
- > Top-up / super top-up policy (per product name)
42
-
43
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
44
-
45
- ## Eligibility
46
-
47
- ### Minimum entry age
48
-
49
- **Value:** _not specified_
50
-
51
- **Source quote:**
52
-
53
- > Min entry age not found
54
-
55
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
56
-
57
- ### Maximum entry age
58
-
59
- **Value:** _not specified_
60
-
61
- **Source quote:**
62
-
63
- > Max entry age not explicitly stated; check Policy Schedule
64
-
65
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
66
-
67
- ### Maximum renewal age
68
-
69
- **Value:** _not specified_
70
-
71
- **Source quote:**
72
-
73
- > Max renewal age not specified; check Policy Schedule
74
-
75
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
76
-
77
- ### Sum insured options
78
-
79
- **Value:** _not specified_
80
-
81
- **Source quote:**
82
-
83
- > Sum Insured options not enumerated in extracted text; check Policy Schedule
84
-
85
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
86
-
87
- ## Waiting periods
88
-
89
- ### Initial waiting period (days)
90
-
91
- **Value:** 30
92
-
93
- **Source quote:**
94
-
95
- > eatment of any Illness within 30 days from the first Policy commencement date shall be excluded except claims arising due to an Accident, provided the same are covered. b. This exclusion shall not, ho
96
-
97
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
98
-
99
- ### Pre-existing disease waiting (months)
100
-
101
- **Value:** _not specified_
102
-
103
- **Source quote:**
104
-
105
- > PED waiting period not extracted; check Section 5 / Excl01
106
-
107
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
108
-
109
- ### Specific disease waiting (months)
110
-
111
- **Value:** 24
112
-
113
- **Source quote:**
114
-
115
- > Default IRDAI 24-month specific-disease waiting (not explicitly quoted)
116
-
117
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
118
-
119
- ### Maternity waiting (months)
120
-
121
- **Value:** _not specified_
122
-
123
- **Source quote:**
124
-
125
- > Maternity waiting not specified or maternity excluded
126
-
127
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
128
-
129
- ## Coverage scope
130
-
131
- ### Pre-hospitalization (days)
132
-
133
- **Value:** 30
134
-
135
- **Source quote:**
136
-
137
- > therapy, diagnostic tests for 30 days before the date of admission and 60 days after date of discharge IF these are related to the condition for which in-patient claim is paid. Conditions: a. We have
138
-
139
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
140
-
141
- ### Post-hospitalization (days)
142
-
143
- **Value:** 60
144
-
145
- **Source quote:**
146
-
147
- > ore the date of admission and 60 days after date of discharge IF these are related to the condition for which in-patient claim is paid. Conditions: a. We have accepted a claim under Section 3.1 (Inpat
148
-
149
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
150
-
151
- ### Day-care treatments covered
152
-
153
- **Value:** _not specified_
154
-
155
- **Source quote:**
156
-
157
- > Day-care count not enumerated; covered per policy definition
158
-
159
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
160
-
161
- ### AYUSH coverage
162
-
163
- **Value:** Yes
164
-
165
- **Source quote:**
166
-
167
- > Policy covers Allopathic and AYUSH treatments taken in India ONLY. 2. Definitions It is IMPORTANT You should go through the definition of some words used in the policy. Definition of these may vary fr
168
-
169
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
170
-
171
- ### Maternity coverage
172
-
173
- **Value:** No
174
-
175
- **Source quote:**
176
-
177
- > .17. Maternity Expenses (Code-Excl18) a. Medical treatment expenses traceable to childbirth (including complicated deliveries and caesarean sections incurred during Hospitalization) except ectopic
178
-
179
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
180
-
181
- ### Newborn coverage
182
-
183
- **Value:** No
184
-
185
- **Source quote:**
186
-
187
- > Newborn cover not found; typically tied to maternity option
188
-
189
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
190
-
191
- ### Organ donor expenses
192
-
193
- **Value:** Yes
194
-
195
- **Source quote:**
196
-
197
- > organ donor’s Inpatient treatment for the harvesting of the organ donated during the Policy Period. Conditions: b. The donation conforms to The Transplantation of Human Organs Act 1994 and amendments
198
-
199
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
200
-
201
- ### Restoration benefit
202
-
203
- **Value:** _not specified_
204
-
205
- **Source quote:**
206
-
207
- > Restoration benefit not found in extracted text
208
-
209
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
210
-
211
- ### Room rent capping
212
-
213
- **Value:** room category opted or Room Rent incurred is higher
214
-
215
- **Source quote:**
216
-
217
- > room category opted or Room Rent incurred is higher
218
-
219
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
220
-
221
- ## Cost-share
222
-
223
- ### Co-payment (%)
224
-
225
- **Value:** 0
226
-
227
- **Source quote:**
228
-
229
- > No mandatory copay extracted; product may have age-based or zone-based optional copay
230
-
231
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
232
-
233
- ### Deductible
234
-
235
- **Value:** _not specified_
236
-
237
- **Source quote:**
238
-
239
- > No base deductible (or only optional voluntary deductible add-on)
240
-
241
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
242
-
243
- ## Claims & service
244
-
245
- ### Network hospital count
246
-
247
- **Value:** _not specified_
248
-
249
- **Source quote:**
250
-
251
- > Insurer-level metric; not extracted in this curation pass
252
-
253
- **Source:** _(no source path on record)_
254
-
255
- ### Cashless treatment supported
256
-
257
- **Value:** Yes
258
-
259
- **Source quote:**
260
-
261
- > nd Homeopathy systems. 2.1.4. Cashless Facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured in accordance with the po
262
-
263
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
264
-
265
- ### Claim settlement ratio
266
-
267
- **Value:** _not specified_
268
-
269
- **Source quote:**
270
-
271
- > Insurer-level metric (IRDAI Annual Report); not extracted
272
-
273
- **Source:** _(no source path on record)_
274
-
275
- ### Cashless TAT (hours)
276
-
277
- **Value:** _not specified_
278
-
279
- **Source quote:**
280
-
281
- > TAT not specified in policy wording; governed by IRDAI Master Circular
282
-
283
- **Source:** _(no source path on record)_
284
-
285
- ## Bonuses & loyalty
286
-
287
- ### No-claim bonus (%)
288
-
289
- **Value:** _not specified_
290
-
291
- **Source quote:**
292
-
293
- > NCB % not extracted; product may use booster/recharge structure
294
-
295
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
296
-
297
-
298
- ---
299
-
300
- _Mirrored from `data/policy_facts/niva-bupa__health-plus-top-up.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/niva-bupa__health-plus-top-up__wordings.md DELETED
@@ -1,254 +0,0 @@
1
- ---
2
- policy_id: niva-bupa__health-plus-top-up__wordings
3
- insurer_slug: niva-bupa
4
- insurer_name: Niva Bupa Health Insurance
5
- policy_name: "Health+ (Super Top-Up)"
6
- uin_code: NBHHLIP24135V012324
7
- ---
8
-
9
- # Health+ (Super Top-Up)
10
-
11
- **Insurer:** Niva Bupa Health Insurance (`niva-bupa`)
12
- **Policy ID:** `niva-bupa__health-plus-top-up__wordings`
13
- **UIN:** `NBHHLIP24135V012324`
14
-
15
- ## Identity
16
-
17
- ### UIN code
18
-
19
- **Value:** NBHHLIP24135V012324
20
-
21
- **Source quote:**
22
-
23
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
24
-
25
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
26
-
27
- ## Eligibility
28
-
29
- ### Minimum entry age
30
-
31
- **Value:** _not specified_
32
-
33
- **Source quote:**
34
-
35
- > not extracted from this PDF (field absent or LLM unable to infer)
36
-
37
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
38
-
39
- ### Maximum entry age
40
-
41
- **Value:** _not specified_
42
-
43
- **Source quote:**
44
-
45
- > not extracted from this PDF (field absent or LLM unable to infer)
46
-
47
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
48
-
49
- ### Maximum renewal age
50
-
51
- **Value:** 999 years
52
-
53
- **Source quote:**
54
-
55
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
56
-
57
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
58
-
59
- ### Sum insured options
60
-
61
- **Value:** _not specified_
62
-
63
- **Source quote:**
64
-
65
- > not extracted from this PDF (field absent or LLM unable to infer)
66
-
67
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
68
-
69
- ## Waiting periods
70
-
71
- ### Initial waiting period (days)
72
-
73
- **Value:** 30
74
-
75
- **Source quote:**
76
-
77
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
78
-
79
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
80
-
81
- ### Pre-existing disease waiting (months)
82
-
83
- **Value:** 36
84
-
85
- **Source quote:**
86
-
87
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
88
-
89
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
90
-
91
- ### Specific disease waiting (months)
92
-
93
- **Value:** 36
94
-
95
- **Source quote:**
96
-
97
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
98
-
99
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
100
-
101
- ### Maternity waiting (months)
102
-
103
- **Value:** _not specified_
104
-
105
- **Source quote:**
106
-
107
- > not extracted from this PDF (field absent or LLM unable to infer)
108
-
109
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
110
-
111
- ## Coverage scope
112
-
113
- ### Pre-hospitalization (days)
114
-
115
- **Value:** 30
116
-
117
- **Source quote:**
118
-
119
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
120
-
121
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
122
-
123
- ### Post-hospitalization (days)
124
-
125
- **Value:** 60
126
-
127
- **Source quote:**
128
-
129
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
130
-
131
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
132
-
133
- ### Day-care treatments covered
134
-
135
- **Value:** _not specified_
136
-
137
- **Source quote:**
138
-
139
- > not extracted from this PDF (field absent or LLM unable to infer)
140
-
141
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
142
-
143
- ## Claims & service
144
-
145
- ### Network hospital count
146
-
147
- **Value:** _not specified_
148
-
149
- **Source quote:**
150
-
151
- > not extracted from this PDF (field absent or LLM unable to infer)
152
-
153
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
154
-
155
- ## Other fields
156
-
157
- ### Claim Settlement Ratio Pct
158
-
159
- **Value:** _not specified_
160
-
161
- **Source quote:**
162
-
163
- > not extracted from this PDF (field absent or LLM unable to infer)
164
-
165
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
166
-
167
- ### Co Payment Pct
168
-
169
- **Value:** _not specified_
170
-
171
- **Source quote:**
172
-
173
- > not extracted from this PDF (field absent or LLM unable to infer)
174
-
175
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
176
-
177
- ### Complaint Per 10K Claims
178
-
179
- **Value:** _not specified_
180
-
181
- **Source quote:**
182
-
183
- > not extracted from this PDF (field absent or LLM unable to infer)
184
-
185
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
186
-
187
- ### Free Look Period
188
-
189
- **Value:** 30 days
190
-
191
- **Source quote:**
192
-
193
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
194
-
195
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
196
-
197
- ### Grace Period
198
-
199
- **Value:** 30 days
200
-
201
- **Source quote:**
202
-
203
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
204
-
205
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
206
-
207
- ### Incurred Claim Ratio Pct
208
-
209
- **Value:** _not specified_
210
-
211
- **Source quote:**
212
-
213
- > not extracted from this PDF (field absent or LLM unable to infer)
214
-
215
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
216
-
217
- ### Min Child Entry Age
218
-
219
- **Value:** 90 days
220
-
221
- **Source quote:**
222
-
223
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
224
-
225
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
226
-
227
- ### Policy Term Options Years
228
-
229
- **Value:** _not specified_
230
-
231
- **Source quote:**
232
-
233
- > not extracted from this PDF (field absent or LLM unable to infer)
234
-
235
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
236
-
237
- ### Room Rent Capped At Pct Of Si
238
-
239
- **Value:** _not specified_
240
-
241
- **Source quote:**
242
-
243
- > not extracted from this PDF (field absent or LLM unable to infer)
244
-
245
- **Source:** `rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf`
246
-
247
- ### Source Pdf Path
248
-
249
- _no data_
250
-
251
-
252
- ---
253
-
254
- _Mirrored from `data/policy_facts/niva-bupa__health-plus-top-up__wordings.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/niva-bupa__reassure-3-0__wordings.md DELETED
@@ -1,262 +0,0 @@
1
- ---
2
- policy_id: niva-bupa__reassure-3-0__wordings
3
- insurer_slug: niva-bupa
4
- insurer_name: Niva Bupa Health Insurance
5
- policy_name: "Reassure 3 0"
6
- uin_code: NBHHLIP26047V012526
7
- source_pdf_path: rag/corpus/niva-bupa/reassure-3-0__wordings.pdf
8
- completeness_pct: 23
9
- curated_at: 2026-05-14
10
- ---
11
-
12
- # Reassure 3 0
13
-
14
- **Insurer:** Niva Bupa Health Insurance (`niva-bupa`)
15
- **Policy ID:** `niva-bupa__reassure-3-0__wordings`
16
- **UIN:** `NBHHLIP26047V012526`
17
- **Curation completeness:** 23%
18
- **Primary source PDF:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
19
- **Curated at:** 2026-05-14
20
-
21
- > _Curation note: Curated by tools/curate_remaining.py β€” pattern-based extraction from local PDF_
22
-
23
- ## Identity
24
-
25
- ### UIN code
26
-
27
- **Value:** NBHHLIP26047V012526
28
-
29
- **Source quote:**
30
-
31
- > UIN: NBHHLIP26047V012526
32
-
33
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
34
-
35
- ### Policy type
36
-
37
- **Value:** hospital_cash
38
-
39
- **Source quote:**
40
-
41
- > classified as hospital_cash from PDF heuristics
42
-
43
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
44
-
45
- ## Eligibility
46
-
47
- ### Minimum entry age
48
-
49
- **Value:** _not specified_
50
-
51
- **Source quote:**
52
-
53
- > _(no verbatim quote on record)_
54
-
55
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
56
-
57
- ### Maximum entry age
58
-
59
- **Value:** _not specified_
60
-
61
- **Source quote:**
62
-
63
- > _(no verbatim quote on record)_
64
-
65
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
66
-
67
- ### Maximum renewal age
68
-
69
- **Value:** _not specified_
70
-
71
- **Source quote:**
72
-
73
- > _(no verbatim quote on record)_
74
-
75
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
76
-
77
- ### Sum insured options
78
-
79
- **Value:** _not specified_
80
-
81
- **Source quote:**
82
-
83
- > Sum Insured” option
84
-
85
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
86
-
87
- ## Waiting periods
88
-
89
- ### Initial waiting period (days)
90
-
91
- **Value:** _not specified_
92
-
93
- **Source quote:**
94
-
95
- > _(no verbatim quote on record)_
96
-
97
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
98
-
99
- ### Pre-existing disease waiting (months)
100
-
101
- **Value:** _not specified_
102
-
103
- **Source quote:**
104
-
105
- > _(no verbatim quote on record)_
106
-
107
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
108
-
109
- ### Maternity waiting (months)
110
-
111
- **Value:** _not specified_
112
-
113
- **Source quote:**
114
-
115
- > _(no verbatim quote on record)_
116
-
117
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
118
-
119
- ## Coverage scope
120
-
121
- ### Pre-hospitalization (days)
122
-
123
- **Value:** _not specified_
124
-
125
- **Source quote:**
126
-
127
- > _(no verbatim quote on record)_
128
-
129
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
130
-
131
- ### Post-hospitalization (days)
132
-
133
- **Value:** 60
134
-
135
- **Source quote:**
136
-
137
- > Post hospitalization)
138
- We will pay expenses incurred on consultations, medicines, physiotherapy, diagnostic tests for 60
139
-
140
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
141
-
142
- ### Day-care treatments covered
143
-
144
- **Value:** _not specified_
145
-
146
- **Source quote:**
147
-
148
- > _(no verbatim quote on record)_
149
-
150
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
151
-
152
- ### AYUSH coverage
153
-
154
- **Value:** _not specified_
155
-
156
- **Source quote:**
157
-
158
- > _(no verbatim quote on record)_
159
-
160
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
161
-
162
- ### Maternity coverage
163
-
164
- **Value:** _not specified_
165
-
166
- **Source quote:**
167
-
168
- > _(no verbatim quote on record)_
169
-
170
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
171
-
172
- ### Restoration benefit
173
-
174
- **Value:** _not specified_
175
-
176
- **Source quote:**
177
-
178
- > _(no verbatim quote on record)_
179
-
180
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
181
-
182
- ### Room rent capping
183
-
184
- **Value:** _not specified_
185
-
186
- **Source quote:**
187
-
188
- > _(no verbatim quote on record)_
189
-
190
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
191
-
192
- ## Cost-share
193
-
194
- ### Co-payment (%)
195
-
196
- **Value:** 0
197
-
198
- **Source quote:**
199
-
200
- > co-payments
201
- options 0%
202
-
203
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
204
-
205
- ## Claims & service
206
-
207
- ### Network hospital count
208
-
209
- **Value:** _not specified_
210
-
211
- **Source quote:**
212
-
213
- > _(no verbatim quote on record)_
214
-
215
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
216
-
217
- ### Cashless treatment supported
218
-
219
- **Value:** Yes
220
-
221
- **Source quote:**
222
-
223
- > Cashless Facility
224
-
225
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
226
-
227
- ### Claim settlement ratio
228
-
229
- **Value:** _not specified_
230
-
231
- **Source quote:**
232
-
233
- > _(no verbatim quote on record)_
234
-
235
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
236
-
237
- ### Cashless TAT (hours)
238
-
239
- **Value:** _not specified_
240
-
241
- **Source quote:**
242
-
243
- > _(no verbatim quote on record)_
244
-
245
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
246
-
247
- ## Bonuses & loyalty
248
-
249
- ### No-claim bonus (%)
250
-
251
- **Value:** _not specified_
252
-
253
- **Source quote:**
254
-
255
- > _(no verbatim quote on record)_
256
-
257
- **Source:** `rag/corpus/niva-bupa/reassure-3-0__wordings.pdf`
258
-
259
-
260
- ---
261
-
262
- _Mirrored from `data/policy_facts/niva-bupa__reassure-3-0__wordings.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/niva-bupa__saral-suraksha.md DELETED
@@ -1,300 +0,0 @@
1
- ---
2
- policy_id: niva-bupa__saral-suraksha
3
- insurer_slug: niva-bupa
4
- insurer_name: Niva Bupa Health Insurance
5
- policy_name: "Niva Bupa Saral Suraksha Bima (Standard)"
6
- uin_code: NBHPAIP22153V012122
7
- source_pdf_path: rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf
8
- completeness_pct: 55
9
- curated_at: 2026-05-14
10
- ---
11
-
12
- # Niva Bupa Saral Suraksha Bima (Standard)
13
-
14
- **Insurer:** Niva Bupa Health Insurance (`niva-bupa`)
15
- **Policy ID:** `niva-bupa__saral-suraksha`
16
- **UIN:** `NBHPAIP22153V012122`
17
- **Curation completeness:** 55%
18
- **Primary source PDF:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
19
- **Curated at:** 2026-05-14
20
-
21
- > _Curation note: Pattern-based extraction from local PDF via pdfplumber. Insurer-level metrics (CSR, network count) left null pending downstream backfill._
22
-
23
- ## Identity
24
-
25
- ### UIN code
26
-
27
- **Value:** NBHPAIP22153V012122
28
-
29
- **Source quote:**
30
-
31
- > surance Co. Ltd, Product UIN: NBHPAIP22153V012122. authorized personnel. 2.9. Hospitalisation means admission in a hospital for a minimum period of twenty-four (24) consecutive 'In-patient care' hours
32
-
33
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
34
-
35
- ### Policy type
36
-
37
- **Value:** indemnity
38
-
39
- **Source quote:**
40
-
41
- > o Accident: The Company shall indemnify medical expenses incurred for hospitalisation arising due to accident during the policy period, up to the limit of 10% of the base sum insured, specified in t
42
-
43
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
44
-
45
- ## Eligibility
46
-
47
- ### Minimum entry age
48
-
49
- **Value:** _not specified_
50
-
51
- **Source quote:**
52
-
53
- > Min entry age not found
54
-
55
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
56
-
57
- ### Maximum entry age
58
-
59
- **Value:** _not specified_
60
-
61
- **Source quote:**
62
-
63
- > Max entry age not explicitly stated; check Policy Schedule
64
-
65
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
66
-
67
- ### Maximum renewal age
68
-
69
- **Value:** _not specified_
70
-
71
- **Source quote:**
72
-
73
- > Max renewal age not specified; check Policy Schedule
74
-
75
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
76
-
77
- ### Sum insured options
78
-
79
- **Value:** _not specified_
80
-
81
- **Source quote:**
82
-
83
- > Sum Insured options not enumerated in extracted text; check Policy Schedule
84
-
85
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
86
-
87
- ## Waiting periods
88
-
89
- ### Initial waiting period (days)
90
-
91
- **Value:** 30
92
-
93
- **Source quote:**
94
-
95
- > oner to have commenced within 30 days from the date of the Accident. (iv) The compensation shall be paid by the company at quarterly intervals, after ascertaining the amount payable. If the period of
96
-
97
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
98
-
99
- ### Pre-existing disease waiting (months)
100
-
101
- **Value:** _not specified_
102
-
103
- **Source quote:**
104
-
105
- > PED waiting period not extracted; check Section 5 / Excl01
106
-
107
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
108
-
109
- ### Specific disease waiting (months)
110
-
111
- **Value:** 24
112
-
113
- **Source quote:**
114
-
115
- > Default IRDAI 24-month specific-disease waiting (not explicitly quoted)
116
-
117
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
118
-
119
- ### Maternity waiting (months)
120
-
121
- **Value:** _not specified_
122
-
123
- **Source quote:**
124
-
125
- > Maternity waiting not specified or maternity excluded
126
-
127
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
128
-
129
- ## Coverage scope
130
-
131
- ### Pre-hospitalization (days)
132
-
133
- **Value:** _not specified_
134
-
135
- **Source quote:**
136
-
137
- > Pre-hospitalization days not extracted
138
-
139
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
140
-
141
- ### Post-hospitalization (days)
142
-
143
- **Value:** _not specified_
144
-
145
- **Source quote:**
146
-
147
- > Post-hospitalization days not extracted
148
-
149
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
150
-
151
- ### Day-care treatments covered
152
-
153
- **Value:** _not specified_
154
-
155
- **Source quote:**
156
-
157
- > Day-care count not enumerated; covered per policy definition
158
-
159
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
160
-
161
- ### AYUSH coverage
162
-
163
- **Value:** Yes
164
-
165
- **Source quote:**
166
-
167
- > zation due to accident, under AYUSH (as defined in IRDAI (Health Insurance) Regulations, 2016) systems of medicine shall be covered without any sub- Product Name: Saral Suraksha Bima, Niva Bupa Health
168
-
169
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
170
-
171
- ### Maternity coverage
172
-
173
- **Value:** No
174
-
175
- **Source quote:**
176
-
177
- > Maternity not explicitly mentioned; presumed excluded in base
178
-
179
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
180
-
181
- ### Newborn coverage
182
-
183
- **Value:** No
184
-
185
- **Source quote:**
186
-
187
- > Newborn cover not found; typically tied to maternity option
188
-
189
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
190
-
191
- ### Organ donor expenses
192
-
193
- **Value:** No
194
-
195
- **Source quote:**
196
-
197
- > Organ donor cover not extracted
198
-
199
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
200
-
201
- ### Restoration benefit
202
-
203
- **Value:** _not specified_
204
-
205
- **Source quote:**
206
-
207
- > Restoration benefit not found in extracted text
208
-
209
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
210
-
211
- ### Room rent capping
212
-
213
- **Value:** _not specified_
214
-
215
- **Source quote:**
216
-
217
- > Room rent capping not extracted (only definition found, no explicit cap)
218
-
219
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
220
-
221
- ## Cost-share
222
-
223
- ### Co-payment (%)
224
-
225
- **Value:** 0
226
-
227
- **Source quote:**
228
-
229
- > No mandatory copay extracted; product may have age-based or zone-based optional copay
230
-
231
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
232
-
233
- ### Deductible
234
-
235
- **Value:** _not specified_
236
-
237
- **Source quote:**
238
-
239
- > No base deductible (or only optional voluntary deductible add-on)
240
-
241
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
242
-
243
- ## Claims & service
244
-
245
- ### Network hospital count
246
-
247
- **Value:** _not specified_
248
-
249
- **Source quote:**
250
-
251
- > Insurer-level metric; not extracted in this curation pass
252
-
253
- **Source:** _(no source path on record)_
254
-
255
- ### Cashless treatment supported
256
-
257
- **Value:** Yes
258
-
259
- **Source quote:**
260
-
261
- > sible and violent means. 2.2. Cashless Facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured person in accordance with
262
-
263
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
264
-
265
- ### Claim settlement ratio
266
-
267
- **Value:** _not specified_
268
-
269
- **Source quote:**
270
-
271
- > Insurer-level metric (IRDAI Annual Report); not extracted
272
-
273
- **Source:** _(no source path on record)_
274
-
275
- ### Cashless TAT (hours)
276
-
277
- **Value:** _not specified_
278
-
279
- **Source quote:**
280
-
281
- > TAT not specified in policy wording; governed by IRDAI Master Circular
282
-
283
- **Source:** _(no source path on record)_
284
-
285
- ## Bonuses & loyalty
286
-
287
- ### No-claim bonus (%)
288
-
289
- **Value:** 5
290
-
291
- **Source quote:**
292
-
293
- > cumulative bonus) shall be increased by 5% in respect of each claim free policy year, provid
294
-
295
- **Source:** `rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf`
296
-
297
-
298
- ---
299
-
300
- _Mirrored from `data/policy_facts/niva-bupa__saral-suraksha.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/oriental-insurance__happy-family-floater__brochure.md DELETED
@@ -1,254 +0,0 @@
1
- ---
2
- policy_id: oriental-insurance__happy-family-floater__brochure
3
- insurer_slug: oriental-insurance
4
- insurer_name: oriental-insurance
5
- policy_name: "Happy Family Floater Policy - 2021"
6
- uin_code: OICHLIP22010V042223
7
- ---
8
-
9
- # Happy Family Floater Policy - 2021
10
-
11
- **Insurer:** oriental-insurance (`oriental-insurance`)
12
- **Policy ID:** `oriental-insurance__happy-family-floater__brochure`
13
- **UIN:** `OICHLIP22010V042223`
14
-
15
- ## Identity
16
-
17
- ### UIN code
18
-
19
- **Value:** OICHLIP22010V042223
20
-
21
- **Source quote:**
22
-
23
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
24
-
25
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
26
-
27
- ## Eligibility
28
-
29
- ### Minimum entry age
30
-
31
- **Value:** 18 years
32
-
33
- **Source quote:**
34
-
35
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
36
-
37
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
38
-
39
- ### Maximum entry age
40
-
41
- **Value:** 65 years
42
-
43
- **Source quote:**
44
-
45
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
46
-
47
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
48
-
49
- ### Maximum renewal age
50
-
51
- **Value:** 999 years
52
-
53
- **Source quote:**
54
-
55
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
56
-
57
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
58
-
59
- ### Sum insured options
60
-
61
- **Value:** 100000, 200000, 300000, 400000, 500000, 750000, 1000000, 1500000, 2000000, 2500000, 3000000, 4000000, 5000000
62
-
63
- **Source quote:**
64
-
65
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
66
-
67
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
68
-
69
- ## Waiting periods
70
-
71
- ### Initial waiting period (days)
72
-
73
- **Value:** 30
74
-
75
- **Source quote:**
76
-
77
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
78
-
79
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
80
-
81
- ### Pre-existing disease waiting (months)
82
-
83
- **Value:** 48
84
-
85
- **Source quote:**
86
-
87
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
88
-
89
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
90
-
91
- ### Specific disease waiting (months)
92
-
93
- **Value:** 24
94
-
95
- **Source quote:**
96
-
97
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
98
-
99
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
100
-
101
- ### Maternity waiting (months)
102
-
103
- **Value:** _not specified_
104
-
105
- **Source quote:**
106
-
107
- > not extracted from this PDF (field absent or LLM unable to infer)
108
-
109
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
110
-
111
- ## Coverage scope
112
-
113
- ### Pre-hospitalization (days)
114
-
115
- **Value:** 30
116
-
117
- **Source quote:**
118
-
119
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
120
-
121
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
122
-
123
- ### Post-hospitalization (days)
124
-
125
- **Value:** 60
126
-
127
- **Source quote:**
128
-
129
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
130
-
131
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
132
-
133
- ### Day-care treatments covered
134
-
135
- **Value:** _not specified_
136
-
137
- **Source quote:**
138
-
139
- > not extracted from this PDF (field absent or LLM unable to infer)
140
-
141
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
142
-
143
- ## Claims & service
144
-
145
- ### Network hospital count
146
-
147
- **Value:** _not specified_
148
-
149
- **Source quote:**
150
-
151
- > not extracted from this PDF (field absent or LLM unable to infer)
152
-
153
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
154
-
155
- ## Other fields
156
-
157
- ### Claim Settlement Ratio Pct
158
-
159
- **Value:** _not specified_
160
-
161
- **Source quote:**
162
-
163
- > not extracted from this PDF (field absent or LLM unable to infer)
164
-
165
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
166
-
167
- ### Co Payment Pct
168
-
169
- **Value:** _not specified_
170
-
171
- **Source quote:**
172
-
173
- > not extracted from this PDF (field absent or LLM unable to infer)
174
-
175
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
176
-
177
- ### Complaint Per 10K Claims
178
-
179
- **Value:** _not specified_
180
-
181
- **Source quote:**
182
-
183
- > not extracted from this PDF (field absent or LLM unable to infer)
184
-
185
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
186
-
187
- ### Free Look Period
188
-
189
- **Value:** 15 days
190
-
191
- **Source quote:**
192
-
193
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
194
-
195
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
196
-
197
- ### Grace Period
198
-
199
- **Value:** 30 days
200
-
201
- **Source quote:**
202
-
203
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
204
-
205
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
206
-
207
- ### Incurred Claim Ratio Pct
208
-
209
- **Value:** _not specified_
210
-
211
- **Source quote:**
212
-
213
- > not extracted from this PDF (field absent or LLM unable to infer)
214
-
215
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
216
-
217
- ### Min Child Entry Age
218
-
219
- **Value:** 91 days
220
-
221
- **Source quote:**
222
-
223
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
224
-
225
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
226
-
227
- ### Policy Term Options Years
228
-
229
- **Value:** _not specified_
230
-
231
- **Source quote:**
232
-
233
- > not extracted from this PDF (field absent or LLM unable to infer)
234
-
235
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
236
-
237
- ### Room Rent Capped At Pct Of Si
238
-
239
- **Value:** _not specified_
240
-
241
- **Source quote:**
242
-
243
- > not extracted from this PDF (field absent or LLM unable to infer)
244
-
245
- **Source:** `rag/corpus/oriental-insurance/happy-family-floater__brochure.pdf`
246
-
247
- ### Source Pdf Path
248
-
249
- _no data_
250
-
251
-
252
- ---
253
-
254
- _Mirrored from `data/policy_facts/oriental-insurance__happy-family-floater__brochure.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/sbi-general__arogya-top-up__wordings.md DELETED
@@ -1,254 +0,0 @@
1
- ---
2
- policy_id: sbi-general__arogya-top-up__wordings
3
- insurer_slug: sbi-general
4
- insurer_name: sbi-general
5
- policy_name: "Arogya Top-Up Policy"
6
- uin_code: SBIHLIP22137V032122
7
- ---
8
-
9
- # Arogya Top-Up Policy
10
-
11
- **Insurer:** sbi-general (`sbi-general`)
12
- **Policy ID:** `sbi-general__arogya-top-up__wordings`
13
- **UIN:** `SBIHLIP22137V032122`
14
-
15
- ## Identity
16
-
17
- ### UIN code
18
-
19
- **Value:** SBIHLIP22137V032122
20
-
21
- **Source quote:**
22
-
23
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
24
-
25
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
26
-
27
- ## Eligibility
28
-
29
- ### Minimum entry age
30
-
31
- **Value:** 18 years
32
-
33
- **Source quote:**
34
-
35
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
36
-
37
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
38
-
39
- ### Maximum entry age
40
-
41
- **Value:** 65 years
42
-
43
- **Source quote:**
44
-
45
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
46
-
47
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
48
-
49
- ### Maximum renewal age
50
-
51
- **Value:** 999 years
52
-
53
- **Source quote:**
54
-
55
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
56
-
57
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
58
-
59
- ### Sum insured options
60
-
61
- **Value:** _not specified_
62
-
63
- **Source quote:**
64
-
65
- > not extracted from this PDF (field absent or LLM unable to infer)
66
-
67
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
68
-
69
- ## Waiting periods
70
-
71
- ### Initial waiting period (days)
72
-
73
- **Value:** 30
74
-
75
- **Source quote:**
76
-
77
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
78
-
79
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
80
-
81
- ### Pre-existing disease waiting (months)
82
-
83
- **Value:** 36
84
-
85
- **Source quote:**
86
-
87
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
88
-
89
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
90
-
91
- ### Specific disease waiting (months)
92
-
93
- **Value:** 12
94
-
95
- **Source quote:**
96
-
97
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
98
-
99
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
100
-
101
- ### Maternity waiting (months)
102
-
103
- **Value:** _not specified_
104
-
105
- **Source quote:**
106
-
107
- > not extracted from this PDF (field absent or LLM unable to infer)
108
-
109
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
110
-
111
- ## Coverage scope
112
-
113
- ### Pre-hospitalization (days)
114
-
115
- **Value:** 60
116
-
117
- **Source quote:**
118
-
119
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
120
-
121
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
122
-
123
- ### Post-hospitalization (days)
124
-
125
- **Value:** 90
126
-
127
- **Source quote:**
128
-
129
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
130
-
131
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
132
-
133
- ### Day-care treatments covered
134
-
135
- **Value:** _not specified_
136
-
137
- **Source quote:**
138
-
139
- > not extracted from this PDF (field absent or LLM unable to infer)
140
-
141
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
142
-
143
- ## Claims & service
144
-
145
- ### Network hospital count
146
-
147
- **Value:** _not specified_
148
-
149
- **Source quote:**
150
-
151
- > not extracted from this PDF (field absent or LLM unable to infer)
152
-
153
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
154
-
155
- ## Other fields
156
-
157
- ### Claim Settlement Ratio Pct
158
-
159
- **Value:** _not specified_
160
-
161
- **Source quote:**
162
-
163
- > not extracted from this PDF (field absent or LLM unable to infer)
164
-
165
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
166
-
167
- ### Co Payment Pct
168
-
169
- **Value:** _not specified_
170
-
171
- **Source quote:**
172
-
173
- > not extracted from this PDF (field absent or LLM unable to infer)
174
-
175
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
176
-
177
- ### Complaint Per 10K Claims
178
-
179
- **Value:** _not specified_
180
-
181
- **Source quote:**
182
-
183
- > not extracted from this PDF (field absent or LLM unable to infer)
184
-
185
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
186
-
187
- ### Free Look Period
188
-
189
- **Value:** 30 days
190
-
191
- **Source quote:**
192
-
193
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
194
-
195
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
196
-
197
- ### Grace Period
198
-
199
- **Value:** 30 days
200
-
201
- **Source quote:**
202
-
203
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
204
-
205
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
206
-
207
- ### Incurred Claim Ratio Pct
208
-
209
- **Value:** _not specified_
210
-
211
- **Source quote:**
212
-
213
- > not extracted from this PDF (field absent or LLM unable to infer)
214
-
215
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
216
-
217
- ### Min Child Entry Age
218
-
219
- **Value:** 91 days
220
-
221
- **Source quote:**
222
-
223
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
224
-
225
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
226
-
227
- ### Policy Term Options Years
228
-
229
- **Value:** _not specified_
230
-
231
- **Source quote:**
232
-
233
- > not extracted from this PDF (field absent or LLM unable to infer)
234
-
235
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
236
-
237
- ### Room Rent Capped At Pct Of Si
238
-
239
- **Value:** _not specified_
240
-
241
- **Source quote:**
242
-
243
- > not extracted from this PDF (field absent or LLM unable to infer)
244
-
245
- **Source:** `rag/corpus/sbi-general/arogya-top-up__wordings.pdf`
246
-
247
- ### Source Pdf Path
248
-
249
- _no data_
250
-
251
-
252
- ---
253
-
254
- _Mirrored from `data/policy_facts/sbi-general__arogya-top-up__wordings.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/star-health__health-premier.md DELETED
@@ -1,300 +0,0 @@
1
- ---
2
- policy_id: star-health__health-premier
3
- insurer_slug: star-health
4
- insurer_name: Star Health and Allied Insurance
5
- policy_name: "Star Health Premier"
6
- uin_code: SHAHLIP22226V012122
7
- source_pdf_path: rag/corpus/star-health/health-premier__wordings.pdf
8
- completeness_pct: 60
9
- curated_at: 2026-05-14
10
- ---
11
-
12
- # Star Health Premier
13
-
14
- **Insurer:** Star Health and Allied Insurance (`star-health`)
15
- **Policy ID:** `star-health__health-premier`
16
- **UIN:** `SHAHLIP22226V012122`
17
- **Curation completeness:** 60%
18
- **Primary source PDF:** `rag/corpus/star-health/health-premier__wordings.pdf`
19
- **Curated at:** 2026-05-14
20
-
21
- > _Curation note: Pattern-based extraction from local PDF via pdfplumber. Insurer-level metrics (CSR, network count) left null pending downstream backfill._
22
-
23
- ## Identity
24
-
25
- ### UIN code
26
-
27
- **Value:** SHAHLIP22226V012122
28
-
29
- **Source quote:**
30
-
31
- > CY Unique Identification No.: SHAHLIP22226V012122 PREAMBLE Insured granted by the insurer without an associated increase in premium. The proposal, declaration and other documents given by the proposer
32
-
33
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
34
-
35
- ### Policy type
36
-
37
- **Value:** indemnity
38
-
39
- **Source quote:**
40
-
41
- > bove 20 lakhs 5,00,000/- will indemnify the Insured Person such expenses as are reasonably and necessarily incurred under the heads given below but not exceeding the Limit of Coverage stated in the
42
-
43
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
44
-
45
- ## Eligibility
46
-
47
- ### Minimum entry age
48
-
49
- **Value:** _not specified_
50
-
51
- **Source quote:**
52
-
53
- > Min entry age not found
54
-
55
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
56
-
57
- ### Maximum entry age
58
-
59
- **Value:** _not specified_
60
-
61
- **Source quote:**
62
-
63
- > Max entry age not explicitly stated; check Policy Schedule
64
-
65
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
66
-
67
- ### Maximum renewal age
68
-
69
- **Value:** _not specified_
70
-
71
- **Source quote:**
72
-
73
- > Max renewal age not specified; check Policy Schedule
74
-
75
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
76
-
77
- ### Sum insured options
78
-
79
- **Value:** _not specified_
80
-
81
- **Source quote:**
82
-
83
- > Sum Insured options not enumerated in extracted text; check Policy Schedule
84
-
85
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
86
-
87
- ## Waiting periods
88
-
89
- ### Initial waiting period (days)
90
-
91
- **Value:** 30
92
-
93
- **Source quote:**
94
-
95
- > the treatment of any illness within 30 days from the first 16 Outpatient Expenses In addition to Sum Insured policy commencement date shall be excluded except claims arising due to an accident, provid
96
-
97
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
98
-
99
- ### Pre-existing disease waiting (months)
100
-
101
- **Value:** _not specified_
102
-
103
- **Source quote:**
104
-
105
- > PED waiting period not extracted; check Section 5 / Excl01
106
-
107
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
108
-
109
- ### Specific disease waiting (months)
110
-
111
- **Value:** 24
112
-
113
- **Source quote:**
114
-
115
- > Default IRDAI 24-month specific-disease waiting (not explicitly quoted)
116
-
117
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
118
-
119
- ### Maternity waiting (months)
120
-
121
- **Value:** _not specified_
122
-
123
- **Source quote:**
124
-
125
- > Maternity waiting not specified or maternity excluded
126
-
127
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
128
-
129
- ## Coverage scope
130
-
131
- ### Pre-hospitalization (days)
132
-
133
- **Value:** _not specified_
134
-
135
- **Source quote:**
136
-
137
- > Pre-hospitalization days not extracted
138
-
139
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
140
-
141
- ### Post-hospitalization (days)
142
-
143
- **Value:** _not specified_
144
-
145
- **Source quote:**
146
-
147
- > Post-hospitalization days not extracted
148
-
149
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
150
-
151
- ### Day-care treatments covered
152
-
153
- **Value:** _not specified_
154
-
155
- **Source quote:**
156
-
157
- > Day-care count not enumerated; covered per policy definition
158
-
159
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
160
-
161
- ### AYUSH coverage
162
-
163
- **Value:** Yes
164
-
165
- **Source quote:**
166
-
167
- > mpany's authorized personnel. AYUSH Day Care Centre: AYUSH Day Care Centre means and includes Community Day Care Treatment: Day care treatment means medical treatment, and/or surgical Health Centre (C
168
-
169
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
170
-
171
- ### Maternity coverage
172
-
173
- **Value:** No
174
-
175
- **Source quote:**
176
-
177
- > Maternity not explicitly mentioned; presumed excluded in base
178
-
179
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
180
-
181
- ### Newborn coverage
182
-
183
- **Value:** No
184
-
185
- **Source quote:**
186
-
187
- > Newborn cover not found; typically tied to maternity option
188
-
189
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
190
-
191
- ### Organ donor expenses
192
-
193
- **Value:** Yes
194
-
195
- **Source quote:**
196
-
197
- > Organ Donor Expenses: In patient hospitalization expenses incurred for organ date specified in the schedule. transplantation from the Donor to the Recipient Insured Person are payable provided the cla
198
-
199
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
200
-
201
- ### Restoration benefit
202
-
203
- **Value:** Restoration of Sum Insured: There shall be automatic restoration of the
204
-
205
- **Source quote:**
206
-
207
- > Restoration of Sum Insured: There shall be automatic restoration of the
208
-
209
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
210
-
211
- ### Room rent capping
212
-
213
- **Value:** room category occupied by the insured person whilst undergoing treatment in some of the
214
-
215
- **Source quote:**
216
-
217
- > room category occupied by the insured person whilst undergoing treatment in some of the
218
-
219
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
220
-
221
- ## Cost-share
222
-
223
- ### Co-payment (%)
224
-
225
- **Value:** 20
226
-
227
- **Source quote:**
228
-
229
- > Policy shall be subject to a Copayment of 20% applicable to claim amount admissible and payable as per the terms and 7. Medical Concierge Services: The Insured can a
230
-
231
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
232
-
233
- ### Deductible
234
-
235
- **Value:** _not specified_
236
-
237
- **Source quote:**
238
-
239
- > No base deductible (or only optional voluntary deductible add-on)
240
-
241
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
242
-
243
- ## Claims & service
244
-
245
- ### Network hospital count
246
-
247
- **Value:** _not specified_
248
-
249
- **Source quote:**
250
-
251
- > Insurer-level metric; not extracted in this curation pass
252
-
253
- **Source:** _(no source path on record)_
254
-
255
- ### Cashless treatment supported
256
-
257
- **Value:** Yes
258
-
259
- **Source quote:**
260
-
261
- > on of less than 10,00,000 and Cashless facility: Cashless facility means a facility extended by the insurer to the insured at least 15 in-patient beds in all other places; where the payments, of the c
262
-
263
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
264
-
265
- ### Claim settlement ratio
266
-
267
- **Value:** _not specified_
268
-
269
- **Source quote:**
270
-
271
- > Insurer-level metric (IRDAI Annual Report); not extracted
272
-
273
- **Source:** _(no source path on record)_
274
-
275
- ### Cashless TAT (hours)
276
-
277
- **Value:** _not specified_
278
-
279
- **Source quote:**
280
-
281
- > TAT not specified in policy wording; governed by IRDAI Master Circular
282
-
283
- **Source:** _(no source path on record)_
284
-
285
- ## Bonuses & loyalty
286
-
287
- ### No-claim bonus (%)
288
-
289
- **Value:** _not specified_
290
-
291
- **Source quote:**
292
-
293
- > NCB % not extracted; product may use booster/recharge structure
294
-
295
- **Source:** `rag/corpus/star-health/health-premier__wordings.pdf`
296
-
297
-
298
- ---
299
-
300
- _Mirrored from `data/policy_facts/star-health__health-premier.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/star-health__star-comprehensive__wordings.md DELETED
@@ -1,254 +0,0 @@
1
- ---
2
- policy_id: star-health__star-comprehensive__wordings
3
- insurer_slug: star-health
4
- insurer_name: Star Health and Allied Insurance
5
- policy_name: "Star Comprehensive Insurance Policy"
6
- uin_code: SHAHLIP26044V092526
7
- ---
8
-
9
- # Star Comprehensive Insurance Policy
10
-
11
- **Insurer:** Star Health and Allied Insurance (`star-health`)
12
- **Policy ID:** `star-health__star-comprehensive__wordings`
13
- **UIN:** `SHAHLIP26044V092526`
14
-
15
- ## Identity
16
-
17
- ### UIN code
18
-
19
- **Value:** SHAHLIP26044V092526
20
-
21
- **Source quote:**
22
-
23
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
24
-
25
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
26
-
27
- ## Eligibility
28
-
29
- ### Minimum entry age
30
-
31
- **Value:** 18 years
32
-
33
- **Source quote:**
34
-
35
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
36
-
37
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
38
-
39
- ### Maximum entry age
40
-
41
- **Value:** 65 years
42
-
43
- **Source quote:**
44
-
45
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
46
-
47
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
48
-
49
- ### Maximum renewal age
50
-
51
- **Value:** 999 years
52
-
53
- **Source quote:**
54
-
55
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
56
-
57
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
58
-
59
- ### Sum insured options
60
-
61
- **Value:** 500000, 750000, 1000000, 1500000, 2000000, 2500000, 5000000, 7500000, 10000000
62
-
63
- **Source quote:**
64
-
65
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
66
-
67
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
68
-
69
- ## Waiting periods
70
-
71
- ### Initial waiting period (days)
72
-
73
- **Value:** 30
74
-
75
- **Source quote:**
76
-
77
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
78
-
79
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
80
-
81
- ### Pre-existing disease waiting (months)
82
-
83
- **Value:** 36
84
-
85
- **Source quote:**
86
-
87
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
88
-
89
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
90
-
91
- ### Specific disease waiting (months)
92
-
93
- **Value:** 36
94
-
95
- **Source quote:**
96
-
97
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
98
-
99
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
100
-
101
- ### Maternity waiting (months)
102
-
103
- **Value:** _not specified_
104
-
105
- **Source quote:**
106
-
107
- > not extracted from this PDF (field absent or LLM unable to infer)
108
-
109
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
110
-
111
- ## Coverage scope
112
-
113
- ### Pre-hospitalization (days)
114
-
115
- **Value:** 60
116
-
117
- **Source quote:**
118
-
119
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
120
-
121
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
122
-
123
- ### Post-hospitalization (days)
124
-
125
- **Value:** 90
126
-
127
- **Source quote:**
128
-
129
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
130
-
131
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
132
-
133
- ### Day-care treatments covered
134
-
135
- **Value:** _not specified_
136
-
137
- **Source quote:**
138
-
139
- > not extracted from this PDF (field absent or LLM unable to infer)
140
-
141
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
142
-
143
- ## Claims & service
144
-
145
- ### Network hospital count
146
-
147
- **Value:** 14000
148
-
149
- **Source quote:**
150
-
151
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
152
-
153
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
154
-
155
- ## Other fields
156
-
157
- ### Claim Settlement Ratio Pct
158
-
159
- **Value:** _not specified_
160
-
161
- **Source quote:**
162
-
163
- > not extracted from this PDF (field absent or LLM unable to infer)
164
-
165
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
166
-
167
- ### Co Payment Pct
168
-
169
- **Value:** _not specified_
170
-
171
- **Source quote:**
172
-
173
- > not extracted from this PDF (field absent or LLM unable to infer)
174
-
175
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
176
-
177
- ### Complaint Per 10K Claims
178
-
179
- **Value:** _not specified_
180
-
181
- **Source quote:**
182
-
183
- > not extracted from this PDF (field absent or LLM unable to infer)
184
-
185
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
186
-
187
- ### Free Look Period
188
-
189
- **Value:** 30 days
190
-
191
- **Source quote:**
192
-
193
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
194
-
195
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
196
-
197
- ### Grace Period
198
-
199
- **Value:** 30 days
200
-
201
- **Source quote:**
202
-
203
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
204
-
205
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
206
-
207
- ### Incurred Claim Ratio Pct
208
-
209
- **Value:** _not specified_
210
-
211
- **Source quote:**
212
-
213
- > not extracted from this PDF (field absent or LLM unable to infer)
214
-
215
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
216
-
217
- ### Min Child Entry Age
218
-
219
- **Value:** 91 days
220
-
221
- **Source quote:**
222
-
223
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
224
-
225
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
226
-
227
- ### Policy Term Options Years
228
-
229
- **Value:** _not specified_
230
-
231
- **Source quote:**
232
-
233
- > not extracted from this PDF (field absent or LLM unable to infer)
234
-
235
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
236
-
237
- ### Room Rent Capped At Pct Of Si
238
-
239
- **Value:** _not specified_
240
-
241
- **Source quote:**
242
-
243
- > not extracted from this PDF (field absent or LLM unable to infer)
244
-
245
- **Source:** `rag/corpus/star-health/star-comprehensive__wordings.pdf`
246
-
247
- ### Source Pdf Path
248
-
249
- _no data_
250
-
251
-
252
- ---
253
-
254
- _Mirrored from `data/policy_facts/star-health__star-comprehensive__wordings.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/star-health__star-hospital-cash__brochure.md DELETED
@@ -1,258 +0,0 @@
1
- ---
2
- policy_id: star-health__star-hospital-cash__brochure
3
- insurer_slug: star-health
4
- insurer_name: Star Health and Allied Insurance
5
- policy_name: "Star Hospital Cash"
6
- source_pdf_path: rag/corpus/star-health/star-hospital-cash__brochure.pdf
7
- completeness_pct: 14
8
- curated_at: 2026-05-14
9
- ---
10
-
11
- # Star Hospital Cash
12
-
13
- **Insurer:** Star Health and Allied Insurance (`star-health`)
14
- **Policy ID:** `star-health__star-hospital-cash__brochure`
15
- **Curation completeness:** 14%
16
- **Primary source PDF:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
17
- **Curated at:** 2026-05-14
18
-
19
- > _Curation note: Curated by tools/curate_remaining.py β€” pattern-based extraction from local PDF_
20
-
21
- ## Identity
22
-
23
- ### UIN code
24
-
25
- **Value:** _not specified_
26
-
27
- **Source quote:**
28
-
29
- > _(no verbatim quote on record)_
30
-
31
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
32
-
33
- ### Policy type
34
-
35
- **Value:** hospital_cash
36
-
37
- **Source quote:**
38
-
39
- > classified as hospital_cash from PDF heuristics
40
-
41
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
42
-
43
- ## Eligibility
44
-
45
- ### Minimum entry age
46
-
47
- **Value:** _not specified_
48
-
49
- **Source quote:**
50
-
51
- > _(no verbatim quote on record)_
52
-
53
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
54
-
55
- ### Maximum entry age
56
-
57
- **Value:** _not specified_
58
-
59
- **Source quote:**
60
-
61
- > _(no verbatim quote on record)_
62
-
63
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
64
-
65
- ### Maximum renewal age
66
-
67
- **Value:** _not specified_
68
-
69
- **Source quote:**
70
-
71
- > _(no verbatim quote on record)_
72
-
73
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
74
-
75
- ### Sum insured options
76
-
77
- **Value:** _not specified_
78
-
79
- **Source quote:**
80
-
81
- > _(no verbatim quote on record)_
82
-
83
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
84
-
85
- ## Waiting periods
86
-
87
- ### Initial waiting period (days)
88
-
89
- **Value:** _not specified_
90
-
91
- **Source quote:**
92
-
93
- > _(no verbatim quote on record)_
94
-
95
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
96
-
97
- ### Pre-existing disease waiting (months)
98
-
99
- **Value:** 24
100
-
101
- **Source quote:**
102
-
103
- > pre-existing diseases. 24 months
104
-
105
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
106
-
107
- ### Maternity waiting (months)
108
-
109
- **Value:** _not specified_
110
-
111
- **Source quote:**
112
-
113
- > _(no verbatim quote on record)_
114
-
115
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
116
-
117
- ## Coverage scope
118
-
119
- ### Pre-hospitalization (days)
120
-
121
- **Value:** _not specified_
122
-
123
- **Source quote:**
124
-
125
- > _(no verbatim quote on record)_
126
-
127
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
128
-
129
- ### Post-hospitalization (days)
130
-
131
- **Value:** _not specified_
132
-
133
- **Source quote:**
134
-
135
- > _(no verbatim quote on record)_
136
-
137
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
138
-
139
- ### Day-care treatments covered
140
-
141
- **Value:** _not specified_
142
-
143
- **Source quote:**
144
-
145
- > _(no verbatim quote on record)_
146
-
147
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
148
-
149
- ### AYUSH coverage
150
-
151
- **Value:** _not specified_
152
-
153
- **Source quote:**
154
-
155
- > _(no verbatim quote on record)_
156
-
157
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
158
-
159
- ### Maternity coverage
160
-
161
- **Value:** _not specified_
162
-
163
- **Source quote:**
164
-
165
- > _(no verbatim quote on record)_
166
-
167
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
168
-
169
- ### Restoration benefit
170
-
171
- **Value:** _not specified_
172
-
173
- **Source quote:**
174
-
175
- > _(no verbatim quote on record)_
176
-
177
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
178
-
179
- ### Room rent capping
180
-
181
- **Value:** _not specified_
182
-
183
- **Source quote:**
184
-
185
- > _(no verbatim quote on record)_
186
-
187
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
188
-
189
- ## Cost-share
190
-
191
- ### Co-payment (%)
192
-
193
- **Value:** _not specified_
194
-
195
- **Source quote:**
196
-
197
- > _(no verbatim quote on record)_
198
-
199
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
200
-
201
- ## Claims & service
202
-
203
- ### Network hospital count
204
-
205
- **Value:** _not specified_
206
-
207
- **Source quote:**
208
-
209
- > _(no verbatim quote on record)_
210
-
211
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
212
-
213
- ### Cashless treatment supported
214
-
215
- **Value:** Yes
216
-
217
- **Source quote:**
218
-
219
- > Cashless facility
220
-
221
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
222
-
223
- ### Claim settlement ratio
224
-
225
- **Value:** _not specified_
226
-
227
- **Source quote:**
228
-
229
- > _(no verbatim quote on record)_
230
-
231
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
232
-
233
- ### Cashless TAT (hours)
234
-
235
- **Value:** _not specified_
236
-
237
- **Source quote:**
238
-
239
- > _(no verbatim quote on record)_
240
-
241
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
242
-
243
- ## Bonuses & loyalty
244
-
245
- ### No-claim bonus (%)
246
-
247
- **Value:** _not specified_
248
-
249
- **Source quote:**
250
-
251
- > _(no verbatim quote on record)_
252
-
253
- **Source:** `rag/corpus/star-health/star-hospital-cash__brochure.pdf`
254
-
255
-
256
- ---
257
-
258
- _Mirrored from `data/policy_facts/star-health__star-hospital-cash__brochure.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/policies/tata-aig__medicare__wordings.md DELETED
@@ -1,254 +0,0 @@
1
- ---
2
- policy_id: tata-aig__medicare__wordings
3
- insurer_slug: tata-aig
4
- insurer_name: Tata AIG General Insurance
5
- policy_name: "TATA AIG MediCare"
6
- uin_code: TATHLIP21224V022021
7
- ---
8
-
9
- # TATA AIG MediCare
10
-
11
- **Insurer:** Tata AIG General Insurance (`tata-aig`)
12
- **Policy ID:** `tata-aig__medicare__wordings`
13
- **UIN:** `TATHLIP21224V022021`
14
-
15
- ## Identity
16
-
17
- ### UIN code
18
-
19
- **Value:** TATHLIP21224V022021
20
-
21
- **Source quote:**
22
-
23
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
24
-
25
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
26
-
27
- ## Eligibility
28
-
29
- ### Minimum entry age
30
-
31
- **Value:** 18 years
32
-
33
- **Source quote:**
34
-
35
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
36
-
37
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
38
-
39
- ### Maximum entry age
40
-
41
- **Value:** _not specified_
42
-
43
- **Source quote:**
44
-
45
- > not extracted from this PDF (field absent or LLM unable to infer)
46
-
47
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
48
-
49
- ### Maximum renewal age
50
-
51
- **Value:** 999 years
52
-
53
- **Source quote:**
54
-
55
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
56
-
57
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
58
-
59
- ### Sum insured options
60
-
61
- **Value:** 500000, 1000000, 2000000, 5000000, 10000000
62
-
63
- **Source quote:**
64
-
65
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
66
-
67
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
68
-
69
- ## Waiting periods
70
-
71
- ### Initial waiting period (days)
72
-
73
- **Value:** 30
74
-
75
- **Source quote:**
76
-
77
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
78
-
79
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
80
-
81
- ### Pre-existing disease waiting (months)
82
-
83
- **Value:** 36
84
-
85
- **Source quote:**
86
-
87
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
88
-
89
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
90
-
91
- ### Specific disease waiting (months)
92
-
93
- **Value:** 24
94
-
95
- **Source quote:**
96
-
97
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
98
-
99
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
100
-
101
- ### Maternity waiting (months)
102
-
103
- **Value:** 36
104
-
105
- **Source quote:**
106
-
107
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
108
-
109
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
110
-
111
- ## Coverage scope
112
-
113
- ### Pre-hospitalization (days)
114
-
115
- **Value:** 60
116
-
117
- **Source quote:**
118
-
119
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
120
-
121
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
122
-
123
- ### Post-hospitalization (days)
124
-
125
- **Value:** 90
126
-
127
- **Source quote:**
128
-
129
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
130
-
131
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
132
-
133
- ### Day-care treatments covered
134
-
135
- **Value:** _not specified_
136
-
137
- **Source quote:**
138
-
139
- > not extracted from this PDF (field absent or LLM unable to infer)
140
-
141
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
142
-
143
- ## Claims & service
144
-
145
- ### Network hospital count
146
-
147
- **Value:** _not specified_
148
-
149
- **Source quote:**
150
-
151
- > not extracted from this PDF (field absent or LLM unable to infer)
152
-
153
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
154
-
155
- ## Other fields
156
-
157
- ### Claim Settlement Ratio Pct
158
-
159
- **Value:** _not specified_
160
-
161
- **Source quote:**
162
-
163
- > not extracted from this PDF (field absent or LLM unable to infer)
164
-
165
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
166
-
167
- ### Co Payment Pct
168
-
169
- **Value:** _not specified_
170
-
171
- **Source quote:**
172
-
173
- > not extracted from this PDF (field absent or LLM unable to infer)
174
-
175
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
176
-
177
- ### Complaint Per 10K Claims
178
-
179
- **Value:** _not specified_
180
-
181
- **Source quote:**
182
-
183
- > not extracted from this PDF (field absent or LLM unable to infer)
184
-
185
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
186
-
187
- ### Free Look Period
188
-
189
- **Value:** 30 days
190
-
191
- **Source quote:**
192
-
193
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
194
-
195
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
196
-
197
- ### Grace Period
198
-
199
- **Value:** 30 days
200
-
201
- **Source quote:**
202
-
203
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
204
-
205
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
206
-
207
- ### Incurred Claim Ratio Pct
208
-
209
- **Value:** _not specified_
210
-
211
- **Source quote:**
212
-
213
- > not extracted from this PDF (field absent or LLM unable to infer)
214
-
215
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
216
-
217
- ### Min Child Entry Age
218
-
219
- **Value:** 91 days
220
-
221
- **Source quote:**
222
-
223
- > extracted from PDF policy document by NIM DeepSeek-V4 (D-019); see source PDF for verbatim
224
-
225
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
226
-
227
- ### Policy Term Options Years
228
-
229
- **Value:** _not specified_
230
-
231
- **Source quote:**
232
-
233
- > not extracted from this PDF (field absent or LLM unable to infer)
234
-
235
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
236
-
237
- ### Room Rent Capped At Pct Of Si
238
-
239
- **Value:** _not specified_
240
-
241
- **Source quote:**
242
-
243
- > not extracted from this PDF (field absent or LLM unable to infer)
244
-
245
- **Source:** `rag/corpus/tata-aig/medicare__wordings.pdf`
246
-
247
- ### Source Pdf Path
248
-
249
- _no data_
250
-
251
-
252
- ---
253
-
254
- _Mirrored from `data/policy_facts/tata-aig__medicare__wordings.json`. Provenance β€” every field's verbatim quote and source PDF path is preserved exactly as curated. Do not hand-edit; regenerate via `tools/build_kb_mirror.py`._
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
kb/premiums/INDEX.md DELETED
@@ -1,323 +0,0 @@
1
- # Premiums β€” Illustrative Pricing Data
2
-
3
- _Auto-generated from `data/premiums/illustrative_premiums.json`. Real PolicyBazaar / InsuranceDekho / rate-chart anchors plus derived scaling factors. NEVER a binding quote._
4
-
5
- ## Methodology
6
-
7
- Premium samples pulled from public quote pages on PolicyBazaar, JoinDitto, Beshak, and insurer rate cards (Tata AIG MediCare Premier official rate chart, Star Family Health Optima Annexure-2, Niva Bupa ReAssure 2.0 rate card) on 2026-05-13. Single quotes are illustrative starting premiums for healthy non-smoking lives in Delhi (metro / Zone 1 / Zone A); actual premium varies with underwriting, pin code, family composition, and add-ons. Where a specific (insurer, policy, age, SI) combination did not surface a public number, the closest comparable insurer band was used and the gap was filled with the scaling factors below (derived from the 2-3 anchor points that ARE real). Scaling factors are calibrated against the IRDAI bandings used by most Indian health insurers and are consistent with the visible deltas in the JoinDitto / Beshak premium charts.
8
-
9
- ### Sources consulted
10
-
11
- - [https://www.policybazaar.com/insurance-companies/hdfc-ergo-health-insurance/optima-secure-plan/](https://www.policybazaar.com/insurance-companies/hdfc-ergo-health-insurance/optima-secure-plan/)
12
- - [https://www.policybazaar.com/insurance-companies/religare-health-insurance/care-supreme/](https://www.policybazaar.com/insurance-companies/religare-health-insurance/care-supreme/)
13
- - [https://www.policybazaar.com/insurance-companies/aditya-birla-health-insurance/activ-assure-diamond-](https://www.policybazaar.com/insurance-companies/aditya-birla-health-insurance/activ-assure-diamond-plan/)
14
- - [https://www.policybazaar.com/insurance-companies/bajaj-allianz-health-insurance/individual-health-gu](https://www.policybazaar.com/insurance-companies/bajaj-allianz-health-insurance/individual-health-guard-plan/)
15
- - [https://www.policybazaar.com/insurance-companies/star-health-insurance/family-health-optima-insuranc](https://www.policybazaar.com/insurance-companies/star-health-insurance/family-health-optima-insurance-plan/)
16
- - [https://www.policybazaar.com/insurance-companies/star-health-insurance/senior-citizens-red-carpet-he](https://www.policybazaar.com/insurance-companies/star-health-insurance/senior-citizens-red-carpet-health-insurance-policy/)
17
- - [https://www.policybazaar.com/insurance-companies/icici-lombard-health-insurance/elevate-plan/](https://www.policybazaar.com/insurance-companies/icici-lombard-health-insurance/elevate-plan/)
18
- - [https://www.policybazaar.com/insurance-companies/tata-aig-health-insurance/medicare-premier/](https://www.policybazaar.com/insurance-companies/tata-aig-health-insurance/medicare-premier/)
19
- - [https://www.policybazaar.com/insurance-companies/manipalcigna-health-insurance/prohealth-prime/](https://www.policybazaar.com/insurance-companies/manipalcigna-health-insurance/prohealth-prime/)
20
- - [https://www.policybazaar.com/insurance-companies/max-bupa-health-insurance/premium-calculator/](https://www.policybazaar.com/insurance-companies/max-bupa-health-insurance/premium-calculator/)
21
-
22
- ## Per-policy anchor samples
23
-
24
- _26 policies indexed._
25
-
26
- ### Aditya Birla Activ Assure Diamond
27
- `policy_id`: `aditya-birla__activ-assure-diamond`
28
-
29
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
30
- | --- | --- | --- | --- | --- | --- | --- |
31
- | 30 | 500000 | metro | N | 1 | **8,215** | [link](https://www.adityabirlacapital.com/healthinsurance/activ-assure-diamond) |
32
- | 30 | 1000000 | metro | N | 1 | **11,100** | derived |
33
- | 40 | 1000000 | metro | N | 1 | **15,500** | derived |
34
- | 50 | 1000000 | metro | N | 2 | **35,500** | derived |
35
- | 35 | 2500000 | metro | N | 4 | **41,000** | derived |
36
-
37
- ### Aditya Birla Group Activ Health
38
- `policy_id`: `aditya-birla__group-activ-health`
39
-
40
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
41
- | --- | --- | --- | --- | --- | --- | --- |
42
- | 35 | 500000 | metro | N | 1 | **7,500** | callback only |
43
-
44
- ### Bajaj Allianz Health Guard / Comprehensive Care Plan
45
- `policy_id`: `bajaj-allianz__health-guard`
46
-
47
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
48
- | --- | --- | --- | --- | --- | --- | --- |
49
- | 30 | 350000 | metro | N | 1 | **6,962** | [link](https://www.bajajfinserv.in/insurance/bajaj-general-health-guard-insurance-plan) |
50
- | 30 | 500000 | metro | N | 1 | **8,200** | derived |
51
- | 30 | 1000000 | metro | N | 1 | **11,500** | derived |
52
- | 40 | 1000000 | metro | N | 2 | **26,500** | derived |
53
- | 35 | 2500000 | metro | N | 4 | **39,000** | derived |
54
-
55
- ### Bajaj Allianz Silver Health (Senior 46-80)
56
- `policy_id`: `bajaj-allianz__silver-health`
57
-
58
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
59
- | --- | --- | --- | --- | --- | --- | --- |
60
- | 60 | 500000 | metro | N | 1 | **19,800** | [link](https://www.policybazaar.com/insurance-companies/bajaj-allianz-health-insurance/silver-health-plan/) |
61
- | 65 | 500000 | metro | N | 1 | **24,500** | derived |
62
- | 70 | 500000 | metro | N | 1 | **32,000** | derived |
63
-
64
- ### Bajaj Allianz Tax Gain
65
- `policy_id`: `bajaj-allianz__tax-gain`
66
-
67
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
68
- | --- | --- | --- | --- | --- | --- | --- |
69
- | 35 | 500000 | metro | N | 4 | **11,500** | [link](https://www.bajajgeneralinsurance.com/health-insurance-plans/) |
70
-
71
- ### Care Health Care Advantage
72
- `policy_id`: `care-health__care-advantage`
73
-
74
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
75
- | --- | --- | --- | --- | --- | --- | --- |
76
- | 30 | 500000 | metro | N | 1 | **5,100** | [link](https://www.careinsurance.com/product/care-supreme) |
77
-
78
- ### Care Health Care Classic
79
- `policy_id`: `care-health__care-classic`
80
-
81
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
82
- | --- | --- | --- | --- | --- | --- | --- |
83
- | 30 | 500000 | metro | N | 1 | **5,400** | [link](https://www.policybazaar.com/insurance-companies/religare-health-insurance/) |
84
- | 30 | 1000000 | metro | N | 1 | **7,300** | derived |
85
-
86
- ### Care Health Care Senior
87
- `policy_id`: `care-health__care-senior`
88
-
89
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
90
- | --- | --- | --- | --- | --- | --- | --- |
91
- | 65 | 500000 | metro | N | 1 | **22,500** | [link](https://www.policybazaar.com/insurance-companies/religare-health-insurance/care-senior/) |
92
- | 65 | 1000000 | metro | N | 1 | **32,500** | derived |
93
- | 70 | 500000 | metro | N | 1 | **31,000** | derived |
94
-
95
- ### Care Health Care Supreme
96
- `policy_id`: `care-health__care-supreme`
97
-
98
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
99
- | --- | --- | --- | --- | --- | --- | --- |
100
- | 30 | 500000 | metro | N | 1 | **4,800** | [link](https://www.policybazaar.com/insurance-companies/religare-health-insurance/care-supreme/) |
101
- | 30 | 1000000 | metro | N | 1 | **6,492** | [link](https://www.policybazaar.com/insurance-companies/religare-health-insurance/care-supreme/) |
102
- | 40 | 1000000 | metro | N | 1 | **9,089** | derived |
103
- | 35 | 2500000 | metro | N | 4 | **33,800** | derived |
104
- | 50 | 2500000 | metro | N | 2 | **49,500** | derived |
105
-
106
- ### HDFC ERGO Energy (Diabetes/Hypertension focused)
107
- `policy_id`: `hdfc-ergo__energy`
108
-
109
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
110
- | --- | --- | --- | --- | --- | --- | --- |
111
- | 40 | 500000 | metro | N | 1 | **12,500** | callback only |
112
-
113
- ### HDFC ERGO Optima Plus
114
- `policy_id`: `hdfc-ergo__optima-plus`
115
-
116
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
117
- | --- | --- | --- | --- | --- | --- | --- |
118
- | 30 | 500000 | metro | N | 1 | **7,200** | [link](https://www.policybazaar.com/insurance-companies/hdfc-ergo-health-insurance/optima-plus-insurance-plan/) |
119
- | 35 | 1000000 | metro | N | 2 | **16,000** | derived |
120
-
121
- ### HDFC ERGO Optima Restore
122
- `policy_id`: `hdfc-ergo__optima-restore`
123
-
124
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
125
- | --- | --- | --- | --- | --- | --- | --- |
126
- | 30 | 500000 | metro | N | 1 | **6,800** | derived |
127
- | 30 | 1000000 | metro | N | 1 | **9,100** | derived |
128
- | 40 | 1000000 | metro | N | 2 | **21,000** | derived |
129
-
130
- ### HDFC ERGO my:Optima Secure
131
- `policy_id`: `hdfc-ergo__optima-secure`
132
-
133
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
134
- | --- | --- | --- | --- | --- | --- | --- |
135
- | 30 | 500000 | metro | N | 1 | **4,800** | [link](https://www.policybazaar.com/insurance-companies/hdfc-ergo-health-insurance/optima-secure-plan/) |
136
- | 30 | 1000000 | metro | N | 1 | **6,492** | [link](https://www.policybazaar.com/insurance-companies/hdfc-ergo-health-insurance/optima-secure-plan/) |
137
- | 40 | 1000000 | metro | N | 1 | **9,089** | derived |
138
- | 50 | 1000000 | metro | N | 2 | **22,500** | derived |
139
- | 35 | 2500000 | metro | N | 4 | **35,200** | derived |
140
-
141
- ### ICICI Lombard Elevate
142
- `policy_id`: `icici-lombard__elevate`
143
-
144
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
145
- | --- | --- | --- | --- | --- | --- | --- |
146
- | 30 | 1000000 | metro | N | 1 | **9,500** | [link](https://www.icicilombard.com/health-insurance/elevate-health-policy) |
147
- | 30 | 500000 | metro | N | 1 | **7,000** | derived |
148
- | 40 | 1000000 | metro | N | 2 | **22,500** | derived |
149
- | 35 | 2500000 | metro | N | 4 | **36,500** | derived |
150
-
151
- ### ICICI Lombard Health AdvantEdge
152
- `policy_id`: `icici-lombard__health-advantedge`
153
-
154
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
155
- | --- | --- | --- | --- | --- | --- | --- |
156
- | 30 | 500000 | metro | N | 1 | **6,500** | [link](https://www.policybazaar.com/insurance-companies/icici-lombard-health-insurance/) |
157
- | 30 | 1000000 | metro | N | 1 | **8,800** | derived |
158
-
159
- ### ManipalCigna ProHealth Prime Active
160
- `policy_id`: `manipalcigna__prohealth-prime-active`
161
-
162
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
163
- | --- | --- | --- | --- | --- | --- | --- |
164
- | 30 | 500000 | metro | N | 1 | **6,200** | [link](https://www.manipalcigna.com/hospitalization-cover/prohealth-insurance/prohealthprime-active) |
165
- | 30 | 1000000 | metro | N | 1 | **8,400** | derived |
166
- | 40 | 1000000 | metro | N | 2 | **19,500** | derived |
167
-
168
- ### New India Assurance Asha Kiran Policy
169
- `policy_id`: `new-india__asha-kiran`
170
-
171
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
172
- | --- | --- | --- | --- | --- | --- | --- |
173
- | 30 | 300000 | metro | N | 1 | **3,650** | [link](https://www.newindia.co.in/portal/readMore/Pages/Asha-Kiran-Policy) |
174
- | 30 | 500000 | metro | N | 3 | **6,800** | derived |
175
-
176
- ### New India Mediclaim
177
- `policy_id`: `new-india__mediclaim`
178
-
179
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
180
- | --- | --- | --- | --- | --- | --- | --- |
181
- | 30 | 500000 | metro | N | 1 | **5,400** | [link](https://www.newindia.co.in/portal/readMore/Pages/Mediclaim-Policy) |
182
- | 30 | 1000000 | metro | N | 1 | **7,300** | derived |
183
- | 50 | 500000 | metro | N | 2 | **18,500** | derived |
184
-
185
- ### Niva Bupa Aspire
186
- `policy_id`: `niva-bupa__aspire`
187
-
188
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
189
- | --- | --- | --- | --- | --- | --- | --- |
190
- | 30 | 500000 | metro | N | 1 | **7,200** | [link](https://www.nivabupa.com/family-health-insurance-plans/aspire.html) |
191
- | 30 | 1000000 | metro | N | 1 | **9,700** | derived |
192
- | 35 | 1000000 | metro | N | 2 | **16,500** | derived |
193
-
194
- ### Niva Bupa Health Premia
195
- `policy_id`: `niva-bupa__health-premia`
196
-
197
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
198
- | --- | --- | --- | --- | --- | --- | --- |
199
- | 30 | 500000 | metro | N | 3 | **14,000** | [link](https://www.nivabupa.com/health-insurance-plan/health-premia) |
200
- | 35 | 1000000 | metro | N | 4 | **24,500** | derived |
201
- | 45 | 2500000 | metro | N | 4 | **52,000** | derived |
202
-
203
- ### Niva Bupa ReAssure 2.0
204
- `policy_id`: `niva-bupa__reassure`
205
-
206
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
207
- | --- | --- | --- | --- | --- | --- | --- |
208
- | 30 | 500000 | metro | N | 1 | **21,047** | [link](https://joinditto.in/articles/health-insurance/niva-bupa-reassure-2-0-premium-chart/) |
209
- | 30 | 500000 | metro | N | 1 | **21,560** | [link](https://joinditto.in/articles/health-insurance/niva-bupa-reassure-2-0-premium-chart/) |
210
- | 30 | 1000000 | metro | N | 1 | **26,500** | derived |
211
- | 40 | 1000000 | metro | N | 2 | **58,000** | derived |
212
-
213
- ### Star Comprehensive Health Insurance
214
- `policy_id`: `star-health__comprehensive`
215
-
216
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
217
- | --- | --- | --- | --- | --- | --- | --- |
218
- | 30 | 500000 | metro | N | 1 | **8,500** | [link](https://www.policybazaar.com/insurance-companies/star-health-insurance/star-comprehensive-insurance-policy/) |
219
- | 30 | 1000000 | metro | N | 1 | **11,200** | derived |
220
- | 45 | 1000000 | metro | N | 2 | **27,800** | derived |
221
-
222
- ### Star Family Health Optima
223
- `policy_id`: `star-health__family-health-optima`
224
-
225
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
226
- | --- | --- | --- | --- | --- | --- | --- |
227
- | 30 | 500000 | metro | N | 3 | **7,968** | [link](https://www.scribd.com/document/667873826/Annexure-2-Premium-Chart-Family-Health-Optima-Insurance-Plan-Revised) |
228
- | 40 | 500000 | metro | N | 4 | **10,046** | [link](https://www.scribd.com/document/667873826/Annexure-2-Premium-Chart-Family-Health-Optima-Insurance-Plan-Revised) |
229
- | 48 | 500000 | metro | N | 4 | **13,669** | [link](https://www.scribd.com/document/667873826/Annexure-2-Premium-Chart-Family-Health-Optima-Insurance-Plan-Revised) |
230
- | 35 | 1000000 | metro | N | 4 | **14,500** | derived |
231
- | 35 | 2500000 | metro | N | 4 | **26,800** | derived |
232
-
233
- ### Star Senior Citizens Red Carpet
234
- `policy_id`: `star-health__senior-citizens-red-carpet`
235
-
236
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
237
- | --- | --- | --- | --- | --- | --- | --- |
238
- | 60 | 100000 | metro | N | 1 | **6,710** | [link](https://www.starhealth.in/health-insurance/health-insurance-for-senior-citizens/) |
239
- | 60 | 500000 | metro | N | 1 | **18,900** | derived |
240
- | 65 | 500000 | metro | N | 1 | **24,500** | derived |
241
- | 70 | 500000 | metro | N | 1 | **31,200** | derived |
242
- | 75 | 1000000 | metro | N | 1 | **55,000** | derived |
243
-
244
- ### Tata AIG MediCare
245
- `policy_id`: `tata-aig__medicare`
246
-
247
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
248
- | --- | --- | --- | --- | --- | --- | --- |
249
- | 30 | 500000 | metro | N | 1 | **7,100** | [link](https://www.axisbank.com/docs/default-source/default-document-library/medicare-rate-chart-06-12-22.pdf) |
250
- | 30 | 1000000 | metro | N | 1 | **8,800** | [link](https://www.axisbank.com/docs/default-source/default-document-library/medicare-rate-chart-06-12-22.pdf) |
251
- | 40 | 1000000 | metro | N | 1 | **10,300** | derived |
252
-
253
- ### Tata AIG MediCare Premier
254
- `policy_id`: `tata-aig__medicare-premier`
255
-
256
- | Age | SI (β‚Ή) | City | Smoker | Family | Premium β‚Ή/yr | Source |
257
- | --- | --- | --- | --- | --- | --- | --- |
258
- | 30 | 500000 | metro | N | 1 | **8,362** | [link](https://www.axisbank.com/docs/default-source/default-document-library/tata-aig-medicare-premier-rate-chart.pdf) |
259
- | 30 | 1000000 | metro | N | 1 | **10,319** | [link](https://www.axisbank.com/docs/default-source/default-document-library/tata-aig-medicare-premier-rate-chart.pdf) |
260
- | 40 | 500000 | metro | N | 1 | **9,868** | [link](https://www.axisbank.com/docs/default-source/default-document-library/tata-aig-medicare-premier-rate-chart.pdf) |
261
- | 40 | 1000000 | metro | N | 1 | **12,266** | [link](https://www.axisbank.com/docs/default-source/default-document-library/tata-aig-medicare-premier-rate-chart.pdf) |
262
- | 35 | 2500000 | metro | N | 4 | **38,500** | derived |
263
-
264
- ## Scaling factors
265
-
266
- These are derived from comparing real anchor points across age, SI, city, smoker, family-floater dimensions.
267
-
268
- ### age_multipliers
269
- ```
270
- {
271
- "18-25": 0.85,
272
- "26-35": 1.0,
273
- "36-45": 1.4,
274
- "46-55": 2.1,
275
- "56-65": 3.2,
276
- "66-75": 4.5,
277
- "75+": 5.8
278
- }
279
- ```
280
-
281
- ### sum_insured_multipliers
282
- ```
283
- {
284
- "300000": 0.82,
285
- "500000": 1.0,
286
- "1000000": 1.35,
287
- "1500000": 1.65,
288
- "2500000": 2.25,
289
- "5000000": 3.2,
290
- "10000000": 4.8
291
- }
292
- ```
293
-
294
- ### city_tier_multipliers
295
- ```
296
- {
297
- "metro": 1.0,
298
- "tier1": 0.92,
299
- "tier2": 0.82
300
- }
301
- ```
302
-
303
- ### smoker_multiplier
304
- ```
305
- 1.25
306
- ```
307
-
308
- ### family_floater_multipliers
309
- ```
310
- {
311
- "1": 1.0,
312
- "2": 1.65,
313
- "3": 2.0,
314
- "4": 2.4,
315
- "5": 2.7,
316
- "6": 2.95
317
- }
318
- ```
319
-
320
- ### rounding
321
- ```
322
- "All computed premiums should be rounded to nearest Rs 100 when surfaced to the user. Use these as a soft estimate; always nudge the user toward a formal quote on the insurer's portal."
323
- ```