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Personal Accident Insurance Plans

Accidents are unexpected events that can have a profound impact on our lives, leading to physical, emotional, and financial repercussions. Accidents can happen anywhere – on the road or at home. In a world where uncertainties prevail, having a safety net to protect yourself and your loved ones from the aftermath of accidents is essential. While health insurance takes care of the cost of medical treatment incurred due to accidents, accidental disability, and deaths do not fall under the purview of health insurance this is where Personal Accident Insurance (PA) comes into play. The following article is a comprehensive guide, as we strive to help you understand the intricacies of Personal Accident Insurance, its benefits, coverage, types, eligibility, costs, and much more.

What is Personal Accident Insurance?

Personal Accident Insurance is a specialised type of insurance that provides financial protection to individuals in the event of accidental injuries, disabilities, or even death. It is designed to alleviate the financial burden that may arise due to medical expenses, loss of income, or other unforeseen costs resulting from accidents.

Latest Statistics about Accidents in India

Accidents are uncertain. According to government data, the number of road accidents in India has been steadily increasing over the years. As per the research on Road Accidents in India carried out by Smt. Indu Sharma, In India road accidents, are the leading cause of hospitalisation, deaths, and disabilities. During the year 2021, a total number of 4,12,432 road accidents were reported in India, out of which 1,53,972 were fatalities and 3,84,448 injuries. These statistics reiterate the importance of having adequate insurance coverage to safeguard oneself against the potentially devastating consequences of accidents.

How Can a Personal Accident Policy Help You?

A Personal Accident policy can offer a comprehensive safety net by covering a wide range of accident-related expenses. Buying a Personal Accident Policy can help in the following ways:

  1. Accidents are unpredictable and can occur at the most unexpected time. Having a PA policy will help you cover the medical expenses incurred due to accidental injuries. This includes hospitalization, surgery, ambulance charges, and other related costs.
  2. The premium of a Personal Accident Policy is low thereby making it one of the most sought insurance tools that is both affordable and accessible.
  3. In the event of the death of the policyholder due to an accident, the nominee receives a lump sum pay thereby offering financial support to your family in your absence.
  4. You are entitled to receive compensation in the event of loss of income occurring due to disability caused by an accident.
  5. You can avail of tax benefits on the premium paid towards availing a Personal Accident Insurance. 

Thus, the above reasons make the Personal Accident Insurance plan a must-buy insurance product in your investment basket.

Benefits and Advantages of Having a Personal Accident Plan

Buying Personal Accident Insurance is the need of the hour. If you have not yet purchased here are some of the most important benefits that the Personal Accident Insurance plan offers:

  1. Financial Security: Buying Personal Accident insurance ensures that you and your family are financially secure even in the face of unexpected accidents.
  2. Peace of Mind: Knowing that you have coverage for accident-related expenses provides peace of mind and reduces stress during challenging times.
  3. Customisable Coverage: Personal Accident policies often come with customizable options, allowing you to customize the sum insured as per your specific needs and circumstances.
  4. Affordability: Personal Accident Insurance is relatively affordable compared to other types of insurance, making it accessible to a wide range of individuals.
  5. Global Coverage: Some Personal Accident policies offer worldwide coverage, ensuring protection irrespective of the region or place.
  6. Easy Claim Process: The claims process for Personal Accident Insurance is straightforward, allowing you to focus on recovery rather than paperwork.

Types of Personal Accident Policies Available in India

Personal Accident Policies are available in India in two types namely:

Individual Personal Accident Plan
Individual Personal Accident Plan:

Under this plan, one person is covered. This can be taken for yourself or someone in your family.

Group Personal Accident Plan
Group Personal Accident Plan:

This plan is designed for a group of people. Under this plan, a company avails group insurance for their employees to offer them insurance coverage. The group personal accident plan can be purchased by an employer for their employees, banks can purchase it for their account holders, clubs can purchase it for their club members, etc. Under a Group Personal Accident Plan a single policy is issued to cover all the named members within the group.

Eligibility and Who Can Buy

Eligibility criteria for Personal Accident Insurance can vary between insurance providers and policy types. Generally, individuals between the ages of 18 and 70 can purchase Personal Accident Insurance policies. The insurance companies have the right to decide the eligibility criteria related to age restrictions depending upon the type of policy and coverage.

Why do You Need Personal Accident Insurance?

The need for Personal Accident Insurance is evident as India is witnessing a surge in accidents. Any accident can leave a dent in the emotional as well as financial well-being of an individual and his/her family. Therefore buying personal accident insurance is the need of the hour as it offers a safety net against the cost of medical expenses occurring due to accidents. Apart from covering the cost of medical expenses the Personal Accident Insurance Policy also covers loss of income occurred due to death or disability caused due to an accident. Thus having a PA policy in place ensures that you and your family are protected against these uncertainties.

Coverage and Exclusions

Personal Accident Insurance provides coverage for a range of accidental events, including:

Accidental Death: The policy pays a lump sum amount to the nominee in case of the insured’s accidental death.
Permanent Total Disability: Compensation is provided if the insured becomes permanently and totally disabled due to an accident.

  1. Permanent Partial Disability: If the accident results in a specific loss or impairment, such as the loss of a limb, the policy offers a percentage of the sum insured as compensation.
  2. Temporary Total Disability: Coverage is extended for temporary disabilities that prevent the insured from working for a certain period.
  3. Transportation of Mortal Remains: The policy may cover the expenses associated with transporting the insured’s mortal remains in case of accidental death.

While coverage under the Personal Accident Insurance policy is not offered in the following cases:

  1. Self-inflicted injuries
  2. Injuries due to intoxication
  3. Participation in hazardous activities, and
  4. Pre-existing disabilities.

Thus, above are the exclusions of a Personal Accident Insurance Policy.

Top Personal Accident Health Insurance Plans

Several insurance companies in India offer comprehensive Personal Accident Insurance plans, each with its unique features and benefits. Some of the top Personal Accident health insurance plans include

Name of the Personal Accident Insurance PlanBenefits
1. Navi Health Insurance PA Policy
  • Coverage: up to 1 Crore
  • Fitness Status Bonus
  • No Claim Bonus Reward
  • Minimum Premium approx. 235 per month
2. Aditya Birla Capital PA Plan- Activ Secure
  • Coverage: up to 20 crores
  • Education Benefit
  • Compassionate visit
  • Minimum Premium approx. 212 per year
3. Bajaj Allianz PA Plan- Premium Personal Guard Plan
  • Coverage: up to 25 Lakhs
  • Extensive cover that offers 100% in case of death and 125% in case of permanent disability
  • Child Education Benefit in case of permanent disability or death due to accident
  • Minimum premium approx. 1300 per year
4. Bharti AXA PA Plan- Insurance Smart Individual Personal Accident
  • Coverage up to 30 Lakhs
  • High Coverage wherein the policy pays up to 125% of the sum insured in case of permanent disability
5. ICICI Lombard PA Plan- Personal Protect Personal Accidental Policy
  • Coverage: up to 25 Lakhs
  • Tenure: up to 5 years
  • Minimum approx. premium Rs 366.00

Standalone Personal Accident Policy vs. Personal Accident Add-on

Standalone Personal Accident policies provide dedicated coverage solely for accidents and their related consequences. On the other hand, a Personal Accident add-on as the name suggests is an additional benefit wherein when purchased it can be attached to an existing health or life insurance policy thereby enhancing the coverage to include accidents.

Personal Accident Coverage in Car Insurance Policies

Car insurance policies in India typically include a mandatory Personal Accident (PA) cover for the owner-driver. This cover provides compensation in case of accidental death or disability of the owner-driver while driving the insured vehicle. The coverage amount is usually a specified limit, often Rs. 15 lakhs.

So, if you have a standalone personal accident plan, you do not need to opt for separate coverage along with your car insurance plan, as long as you have Rs 15 lakhs of PA coverage.

Difference between accidental insurance and life insurance:

A personal accident insurance plan is offered by a general insurance company while a life insurance plan is offered by a life insurance company. So, there is a fundamental difference between the two as a PA plan is a low-cost survival plan in the healthcare industry, while life insurance is a protection plan in the life insurance space.

ParticularsAccidental InsuranceLife Insurance
PurposeOffers insurance safety net in the event of an accident onlyOffers insurance safety net throughout life and also in the event of death 
CoverageLimited to accidental injuries and deathEncompasses natural and accidental death
PremiumUsually Lower PremiumPremiums can be higher, depending upon various factors like age, gender, etc.
Policy StructureStandalone Policy or add-onStandalone policy or endowment or term plan
Benefit PayoutLump sum payment in case of accidentsLump Sum or Periodic payments as per the policy document

Difference between Accidental Insurance and Critical Illness Insurance:

Both PA and CI plans are in the same healthcare industry and are fixed-benefit health insurance plans but the basic purpose of both plans is quite different as one caters to the risk of meeting an accident while the other protects you financially in case of any critical ailment.

Particulars

Accidental Insurance

Critical Illness Insurance

Coverage

Accidental injuries and disabilities        

Specific critical illnesses specified in policy

Benefit Payout

Lump sum payment upon qualifying events   

Lump sum payment upon diagnosis of illness

Scope

Covers accidents only                      

Covers specified critical illnesses           

Premium

Generally lower cost                        

Premiums may vary based on coverage            

Policy Structure Riders

Standalone policy or add-on                  

Standalone policy or as part of riders 

How to Buy a Personal Accident Policy: Online vs. Offline?

You can purchase a Personal Accident policy through both online and offline channels:

  1. Online: Many insurance companies offer the option to buy Personal Accident policies online. This method is convenient and allows you to compare policies, calculate premiums, and make payments from the comfort of your home.
  2. Offline: If you prefer a personal touch, you can visit the insurer’s branch office or get in touch with an insurance agent to discuss your requirements and purchase the policy.

Documents Required for Personal Accident Policy

When applying for a Personal Accident policy, you typically need to provide:

  1. Proof of Identity: Aadhar card, passport, PAN card, etc.
  2. Proof of Address: Utility bills, rental agreement, etc.
  3. Age Proof: Birth certificate, school/college certificate, etc.
  4. Passport-sized Photographs
  5. Proposal Form: Duly filled and signed.

Cost of Accident Insurance and Coverage Amount

The cost of Personal Accident Insurance varies based on factors like age, coverage amount, policy type, and additional riders. Generally, the premiums are affordable, making it a cost-effective way to ensure financial protection against accidents.
The coverage amount you choose should consider factors like medical expenses, income replacement, and other potential financial obligations. Usually, as a thumb rule try to buy the coverage amount of the Personal Accident Insurance 100 times your monthly income.

Filing an Accidental Insurance Claim

In the unfortunate event of an accident, follow these steps to file a claim:

  1. Intimate the Insurer: Inform the insurance company about the accident as soon as possible. You can do this by calling their helpline or visiting their website.
  2. Submit Required Documents: Provide all necessary documents, including the claim form, medical certificates, accident report, and any other relevant paperwork.
  3. Claim Processing: The insurance company will assess the claim and process it based on the provided information and documents.
  4. Settlement: If the claim is approved, the insurer will provide the agreed-upon compensation amount.

Documents Required for Accidental Death/Impairment Claim

For an accidental death or impairment claim, you typically need to submit:

  1. Death Certificate: In case of accidental death.
  2. Medical Reports: If the claim is related to injuries or disabilities.
  3. Police Report/FIR: If the accident was reported to the police.
  4. Claim Form: Duly filled and signed.
  5. Nominee’s Identity Proof: Aadhar card, passport, etc.
  6. Hospitalisation and Treatment Records: in case of accidental injuries and/or disabilities.

Tax Benefits under a Personal Accident Policy

Under Section 80D of the Income Tax Act, Tax benefits can be availed for the premium paid towards a Personal Accident policy. However, the exact benefits and eligibility criteria may vary based on the prevailing tax laws and regulations.

To Sum Up!

Personal Accident Insurance is a vital tool for protecting yourself and your loved ones from the uncertainties and financial setbacks that accidents can bring. By understanding the various aspects of Personal Accident Insurance, its benefits, coverage, types, and claims process, you can make an informed decision to secure your future and maintain peace of mind in the face of unforeseen events.

Frequently Asked Questions

No, Personal Accident Insurance specifically covers accidents, while Health Insurance provides coverage for medical expenses due to illnesses and injuries, including accidents.

Yes, you can purchase multiple Personal Accident policies from different insurers to enhance your coverage. However, you need to disclose all existing policies during the application process.

Most policies have a waiting period, usually 30 days, during which no claims are entertained. However, this waiting period may be waived in case of accidental injuries.

Typically, pre-existing disabilities are excluded from coverage under Personal Accident Insurance. The policy is designed to cover unforeseen accidents.

Many insurers offer Personal Accident policies without the need for extensive medical examinations. However, some policies may require a basic medical assessment.

The age limit for purchasing Personal Accident Insurance varies among insurers and policy types. Generally, individuals between 18 and 70 years of age are eligible.

Leading Health Insurance Companies

Manipal cigna health insurance
Aditya birla capital
STAR health insurance
NIVA HEALTH INSURANCE
care health insurance

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