Fixed Benefit Health Plans

A Fixed Benefit Health Plan pays a predetermined lump sum on diagnosis of a covered illness or event — regardless of your actual treatment cost — giving you cash to spend as you need, on treatment, income loss, or recovery expenses. CoreLink Finance helps you compare fixed benefit plans from leading insurers.

Why Fixed Benefit Plans Make Sense

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Lump Sum Payout

Receive the full benefit amount on diagnosis, irrespective of your actual hospital bill.

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No Bills to Submit

Since it's not a reimbursement plan, you don't need to submit treatment bills to receive the payout.

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Use the Money Your Way

Spend the payout on treatment, loss of income, travel for care, or any other need — your choice.

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Protected by Fixed Benefit Health Plans
The Basics

What Is a Fixed Benefit Health Plan?

A Fixed Benefit Health Plan is different from a traditional Mediclaim policy. Instead of reimbursing your actual hospital bills, it pays a fixed, pre-agreed lump sum as soon as a covered condition — such as a listed critical illness — is diagnosed, confirmed through required medical tests, as per policy terms.

Because the payout isn't tied to your treatment expenses, you're free to use the money however you need: for expensive treatment not fully covered elsewhere, to replace lost income while you recover, to support your family, or even to pay off existing loans.

Fixed benefit plans work well alongside a regular Mediclaim policy, adding an extra layer of financial support for major health events, without reducing the benefits of your existing health cover.

What You Get

Core Features of Fixed Benefit Plans

Guaranteed Lump Sum

A fixed payout on diagnosis of a covered condition, regardless of actual treatment cost.

Wide Illness Coverage

Plans typically cover a defined list of major illnesses — cancer, heart conditions, kidney failure, and more.

Survival Period Clause

Payout is made if you survive a specified period after diagnosis, as per standard policy conditions.

Works Alongside Mediclaim

Complements your existing health insurance without reducing those benefits.

Family protected under Fixed Benefit Health Plans

No Bill Submission Needed

A simple diagnosis-based claim — no need to submit hospital bills for this payout.

Flexible Use of Funds

Use the payout for treatment, income replacement, travel, or any other need.

Affordable Premiums

Relatively low premiums for the significant financial support the plan can provide.

Tax Benefits

Premiums paid may qualify for tax deduction under prevailing tax laws, subject to conditions.

Worked Example

How a Fixed Benefit Plan Supports Recovery

Arjun Mehta
Meet Arjun Mehta, 42 years old
Self-employed, has a critical illness fixed benefit plan
Arjun Pays
Annual premium of approx. ₹8,500 for a critical illness benefit of ₹10 Lakhs.
When Arjun is diagnosed with a covered critical illness He receives the full ₹10 Lakh payout as a lump sum, once diagnosis is confirmed as per policy conditions — no bills needed.
How Arjun uses the payout He uses part of it for specialised treatment, and the rest to cover household expenses while he is unable to work — his choice entirely.

Illustrative Critical Illness Benefit Premiums

Benefit AmountAge 30Age 40Age 50
5 Lakhs₹2,200 – 3,000₹4,000 – 5,500₹8,500 – 11,500
10 Lakhs₹4,200 – 5,800₹7,800 – 10,500₹16,500 – 22,000
25 Lakhs₹9,800 – 13,500₹18,000 – 24,000₹38,000 – 50,000

*Indicative figures for a sample profile, non-smoker, standard health. Actual premiums depend on age, benefit amount, health, lifestyle, and insurer. GST applicable as per prevailing rates.

We Stay With You

Dedicated Claim Support with CoreLink Finance

At CoreLink Finance, we don't just help you buy a policy — we actively support you through the claim process by coordinating with the insurer, guiding documentation, and following up for a smooth experience.

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Expert Policy Guidance from Day One

We help you choose the right insurer and policy based on claim settlement ratio, reliability, and your profile.

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Complete Profile Verification

Before policy issuance, we ensure all your personal, financial, and medical details are accurate and properly declared.

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100% Transparency in Documentation

We guide you in filling out proposal forms correctly, so no hidden or incorrect information gets submitted.

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Dedicated Claim Manager

In case of a claim, you get a personal claim expert who handles the process — from documentation to settlement.

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Strong Follow-Up with Insurers

We actively coordinate and follow up with insurers to ensure quick and smooth claim processing.

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Error-Free Claim Filing Support

Our team checks all documents before submission to avoid technical errors that often lead to delays or rejection.

How to Avoid Claim Rejection in a Fixed Benefit Plan?

Follow these steps to ensure your claim is settled smoothly when it matters most.

1

Disclose Medical History Clearly

Share accurate health and family medical history at the time of purchase.

2

Understand the Covered Conditions List

Know exactly which illnesses and their defined severity levels are covered under your plan.

3

Complete Required Diagnostic Tests

Ensure diagnosis is confirmed through the specific tests and criteria the policy requires.

4

Meet the Survival Period

Be aware of any survival period clause that must be met before the claim is payable.

5

Submit Claims Within the Time Limit

Notify the insurer and submit required medical documents within the specified claim window.

6

Keep Nominee Details Updated

Ensure nominee details are current in case the plan includes a death benefit component.

Who Should Buy a Fixed Benefit Plan?

Fixed benefit plans suit anyone wanting extra financial cushioning for major illnesses. Consider this if you are:

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Self-employed, with no employer cover to fall back on during illness

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A family's primary earner wanting income protection during treatment

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Having a family history of critical illnesses like cancer or heart disease

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Already covered by Mediclaim but wanting an extra layer of support

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Looking for a lump sum to cover expenses beyond hospital bills

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Wanting a plan with flexible, bill-free payout for peace of mind

Ready for extra financial protection?

Talk to CoreLink Finance for honest, no-obligation guidance on the right fixed benefit plan for you.

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