Personal Accident Insurance
What is Personal Accident Insurance?
While health insurance covers your medical bills, Personal Accident Insurance covers the financial
fallout of an unexpected accident. It is a specialized policy that provides a lump-sum compensation in
the event of accidental death, permanent total disability, or permanent partial disability resulting
from a sudden, external, and visible accident.
Accidents don't just affect your health; they can impact your ability to earn a living. DigiAssure's
Personal Accident plans are designed to act as a robust safety net, ensuring that you and your family
are financially protected regardless of where the accident occurs—at home, at work, or while traveling
anywhere in the world. With benefits like weekly allowances for temporary disability and education
support for children, we ensure that an accident doesn't derail your life's goals.
Core Policy Benefits
1. Accidental Death Benefit
In the unfortunate event of the insured's death due to an accident, 100% of the sum insured is paid to the nominee, providing immediate financial relief to the family.
2. Permanent Total Disability (PTD)
If an accident results in permanent loss of both eyes, both limbs, or total paralysis, the policy pays out up to 100% of the sum insured, helping the individual manage lifelong care and lost income.
3. Permanent Partial Disability (PPD)
Covers specific losses like the loss of a finger, hearing in one ear, or sight in one eye. The payout is a pre-defined percentage of the sum insured based on the severity of the disability.
4. Temporary Total Disability (TTD)
If you are temporarily unable to work due to an accident (e.g., bedridden with fractures), the policy provides a weekly allowance to replace your lost earnings during the recovery period.
Key Features of Our Plans
Worldwide Coverage
Get protected 24/7, anywhere in the world, whether you are at home, in the office, or on an international holiday.
Education Benefit
Provides additional financial support for your children's education in case of accidental death or permanent disability.
Family Transportation
Covers the travel expenses for one immediate family member to reach the insured person if they are hospitalized far from home.
Loan Protector
Option to cover outstanding loans (like home or car loans) so that the debt doesn't fall on your family's shoulders.
Medical Expenses
Covers hospitalization and medical bills arising directly from the accident, over and above the disability payout.
Cumulative Bonus
Your sum insured increases by a fixed percentage for every claim-free year, at no extra premium cost.
Personal Accident vs Health Insurance
Understand why you need both for complete financial protection.
| Feature | Personal Accident Plan | Standard Health Insurance |
|---|---|---|
| Primary Purpose | Income Replacement & Disability Cover | Hospitalization & Medical Bills |
| Accidental Death | High Payout (Lump Sum) | Usually Not Covered |
| Disability (Total/Partial) | Comprehensive Payout | Not Covered |
| Weekly Allowance | Yes (for TTD) | No |
| Disease Coverage | No | Yes (Infections, Surgeries, etc.) |
| Global Protection | Usually Worldwide | Mostly Domestic Only |
| Premium Basis | Occupation & Risk Profile | Age & Health Status |
Coverage Breakdown
Clear understanding of what's included and excluded in your policy.
What is Covered
Accidental injuries resulting from:
- Road, Rail, or Air accidents
- Slips, trips, and falls at home/work
- Accidental burns or drowning
- Electrical shocks or gas explosions
- Natural calamities (Earthquake, Floods)
- Animal attacks or insect bites
What is NOT Covered
Standard policy exclusions:
- Natural death or death due to illness
- Suicide or self-inflicted injuries
- Injuries under influence of alcohol/drugs
- Participation in extreme sports (un-added)
- Breach of law or criminal acts
- War, nuclear perils, or radiation
Boost Your Protection
Optional covers to make your policy even more comprehensive.
Adventure Sports Cover
Standard policies exclude extreme sports. This add-on provides coverage for injuries sustained during activities like trekking, bungee jumping, or scuba diving.
Hospital Daily Cash
Provides a fixed daily amount for every day of hospitalization due to an accident, helping cover non-medical costs like food and transport for family.
Modification Benefit
In case of permanent disability, this add-on covers the cost of modifying your house or vehicle (e.g., wheelchair ramps) to suit your new needs.
Burn Coverage
Provides a lump sum payout specifically for accidental second or third-degree burns, which require expensive long-term specialized care.
Factors Affecting Your Premium
How your lifestyle and profession determine the cost of your cover.
1. Occupation (Risk Category)
The primary factor. Professions are categorized by risk—desk jobs (low risk) have lower premiums than factory workers or pilots (high risk).
2. Sum Insured
The higher the payout amount you choose for accidental death or disability, the higher your annual premium will be.
3. Coverage Type
Choosing a plan that includes only death benefit is cheaper than a comprehensive plan covering PTD, PPD, and TTD.
4. Age & Family size
While age is less critical than in health insurance, adding family members (spouse/children) to a single policy will increase the premium.
5. Choice of Add-ons
Each additional cover (like Adventure Sports or Loan Protector) adds a specific cost to your base policy premium.
Documents Required
Simplified documentation for a hassle-free policy issuance.
Identity Proof
- Aadhar Card
- PAN Card
- Passport / Voter ID
- Recent Passport size photographs
Address Proof
- Driving License
- Utility Bills (Electricity/Gas)
- Bank Statement / Passbook
- Rent Agreement
Income Proof (Required for High Sum Insured)
- Last 3 months' Salary Slips
- Latest Form 16 / ITR Copy
- Bank Statement showing salary credit
Nominee Details
- Nominee Name and Relationship
- Nominee Date of Birth
- Identity Proof of the Nominee
Accident Claim Process
Quick and compassionate support when you need it most.
Immediate Intimation
Inform DigiAssure or the insurer within 24-48 hours of the accident via our helpline or app.
Medical Treatment
Prioritize treatment. Keep all original medical reports, prescriptions, and discharge summaries safely.
FIR/Police Report
For major accidents or death, a First Information Report (FIR) and Panchnama are mandatory documents.
Document Submission
Submit the completed claim form along with medical certificates, disability proofs, or death certificate.
Verification
The insurance company's investigation team may verify the circumstances of the accident and medical reports.
Claim Approval
Once verified, the insurer calculates the payout based on the policy terms (100% for death, % for disability).
Fund Transfer
The settlement amount is transferred directly to the insured's bank account (or the nominee's in case of death).
Ongoing Support
For Temporary Disability (TTD), we facilitate weekly payouts to ensure your monthly expenses are met.
Frequently Asked Questions
Common queries about Personal Accident coverage answered.
Why do I need Personal Accident cover if I have Health Insurance?
Health insurance only pays for hospital bills. It does not compensate for the loss of income or permanent disabilities. Personal Accident insurance provides a lump sum payout that can be used for home modifications, debt repayment, or income replacement, which health insurance doesn't cover.
Does it cover accidents occurring while traveling abroad?
Yes, DigiAssure's Personal Accident plans offer worldwide 24/7 coverage. Whether you are on a business trip in London or a vacation in Tokyo, you are protected against accidents.
Is a medical check-up required to buy this policy?
Usually, no medical check-up is required for Personal Accident insurance, regardless of your age, as the coverage is for external accidents rather than internal illnesses.
How is the 'Weekly Allowance' for temporary disability calculated?
The weekly allowance is typically 1% of the sum insured, up to a maximum limit (e.g., ₹50,000 per week), for a maximum duration of 100 weeks, provided you are certified as completely unable to work by a doctor.
Are adventure sports like skiing or paragliding covered?
Standard plans exclude adventure sports due to the high risk involved. However, you can opt for an 'Adventure Sports Add-on' which will cover you for specific high-risk activities during your policy period.
Can I buy this policy for my family members?
Yes, you can opt for a 'Family Package' plan where you, your spouse, and dependent children are all covered under a single policy with customized sum insureds for each member.