LIC Jeevan Arogya Plan 903 Calculator

LIC Jeevan Arogya Plan 903 is a withdrawn health insurance plan from Life Insurance Corporation of India. The LIC Jeevan Arogya Plan 903 Calculator helps existing policyholders estimate Hospital Cash, surgery, day care and other eligible benefits.

Plan 903 was issued under UIN 512N266V01. According to IRDAI records, this version was open from 23 May 2011 to 11 October 2013. Later versions were issued as Plan 904, so Plan 904 details should not be used for a Plan 903 policy.

Also Check:

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What Is the LIC Jeevan Arogya Plan 903 Calculator?

This calculator is mainly for people who already hold Plan 903. Unlike regular mediclaim, this policy does not mainly repay the actual hospital bill. It pays fixed benefits according to the Applicable Daily Benefit, type of hospital stay, surgery category and policy limits.

It can calculate the Applicable Daily Benefit and estimate normal ward, ICU, major surgery, day care, other surgery and ambulance benefits.

It may also show an indicative premium if official premium data is available. The policy schedule or latest LIC premium notice should be used for the actual premium.

Calculator Highlights

• Uses Plan 903 benefit rules.
• Calculates benefits for members already covered in the policy.
• Applies yearly and eligible No Claim Benefit increases.
• Calculates normal ward and ICU days separately.
• Supports all four major surgery categories.
• Shows the calculation and applicable benefit limits.

Details Required for Calculation

Keep the policy schedule and claim details ready. Enter:

• Initial Daily Benefit shown in the policy;
• policy year in which hospitalisation or surgery took place;
• eligible No Claim Benefit blocks;
• normal ward days;
• ICU days;
• surgery type and category;
• day care procedure, if applicable;
• ambulance expense, if eligible.

Family members or riders should not be added as new cover through the calculator. Only the benefits already included in the original policy should be selected.

How to Use the Calculator

1. Select Plan 903 and confirm UIN 512N266V01.
2. Enter the Initial Daily Benefit from the policy schedule.
3. Enter the policy year of the claim.
4. Add the number of eligible claim-free renewal blocks.
5. Enter normal ward and ICU days.
6. Select the major surgery category, day care procedure or other surgery, if applicable.
7. Select ambulance benefit only when the conditions are met.
8. Press Calculate.
9. Check the benefit breakdown and policy-limit notes.

The calculator result is an estimate. LIC decides the final claim after checking the policy status, treatment, hospital records, waiting period and exclusions.

Formula Used in the Calculator

Applicable Daily Benefit

In the first policy year, the Applicable Daily Benefit is equal to the Initial Daily Benefit. From the second policy year, it increases by 5% of the Initial Daily Benefit every year. This normal increase stops when it reaches 1.5 times the Initial Daily Benefit.

Yearly Increase = Initial Daily Benefit x 5%

Applicable Daily Benefit =
Initial Daily Benefit + Yearly Increases + Eligible No Claim Benefit

The No Claim Benefit is another 5% of the Initial Daily Benefit after an eligible three-year claim-free renewal block. It applies only when no claim was made for any insured member during that block. The normal 1.5-times limit does not apply to the No Claim Benefit part.

Hospital Cash Benefit

Normal Ward Benefit = Applicable Daily Benefit x Payable Ward Days

ICU Benefit = Applicable Daily Benefit x 2 x Payable ICU Days

For a hospital stay of less than seven continuous days, the first 24 hours are not payable. If the stay continues for seven days or more, the first 24 hours also become payable.

Major Surgical Benefit

Major Surgical Benefit Sum Assured = Applicable Daily Benefit x 100

Major Surgical Benefit =
Major Surgical Benefit Sum Assured x Category Percentage

Day Care Procedure Benefit

Day Care Procedure Benefit = Applicable Daily Benefit x 5

Hospital Cash Benefit is not paid for the same listed day care procedure.

Other Surgical Benefit

Other Surgical Benefit =
Applicable Daily Benefit x 2 x Payable Hospital Days

This benefit applies to an eligible surgery that is not listed under Major Surgical Benefit or Day Care Procedure Benefit and requires hospitalisation of more than 24 hours.

Benefits Calculated by the Calculator

Hospital Cash and ICU Benefit

Normal ward stay pays one Applicable Daily Benefit for each payable day. ICU stay pays twice this amount. When a 24-hour period includes both stays, ICU benefit may apply if the ICU stay lasted at least four continuous hours.

Major Surgery, Ambulance and Premium Waiver

Plan 903 lists 140 major surgeries. The benefit depends on the surgery category, not the hospital bill. For an eligible Category 1 or Category 2 surgery, LIC may also pay ₹1,000 for ambulance expense and waive one annualised policy premium.

Day Care and Other Surgery

A listed day care procedure pays five times the Applicable Daily Benefit. An eligible surgery outside the Major Surgery and Day Care lists may pay twice the Applicable Daily Benefit for each payable hospital day.

Benefit Limits Used in the Calculator

Major Surgical Benefit is limited to 100% of the applicable Major Surgical Benefit Sum Assured in one policy year and 800% during the full cover period. The same major surgery cannot be claimed more than once. These limits apply separately to each insured member.

Real Calculation Example

Assume the following details:

• Initial Daily Benefit: ₹2,000
• Policy year: 6
• Eligible No Claim Benefit blocks: 0
• Normal ward stay: 5 days
• ICU stay: 1 day
• Major surgery: Category 2
• Eligible ambulance expense: Yes

Five policy anniversaries have passed by policy year 6.

Yearly Increase = ₹2,000 x 5% = ₹100

Increase for 5 completed years = ₹100 x 5 = ₹500

Applicable Daily Benefit = ₹2,000 + ₹500 = ₹2,500

The total hospital stay is six days, so the first 24 hours are not payable. For this example, the first 24 hours are treated as a normal-ward day. This leaves four payable ward days and one payable ICU day.

Normal Ward Benefit = ₹2,500 x 4 = ₹10,000

ICU Benefit = ₹2,500 x 2 x 1 = ₹5,000

Total Hospital Cash Benefit = ₹15,000

For Category 2 surgery:

Major Surgical Benefit Sum Assured = ₹2,500 x 100 = ₹2,50,000

Category 2 Benefit = ₹2,50,000 x 60% = ₹1,50,000

After adding the eligible ambulance benefit:

Hospital Cash Benefit     = ₹15,000
Major Surgical Benefit    = ₹1,50,000
Ambulance Benefit         = ₹1,000
Estimated Total Benefit   = ₹1,66,000

The first non-payable day can change with the actual hospital timings. Claim eligibility and remaining limits also affect the final amount.

Waiting Period and Claim Conditions

There is no general waiting period when hospitalisation or surgery is caused by an accidental bodily injury. A sickness claim normally has a 90-day waiting period from the start of cover. Listed treatments, including cataract, hernia, piles, gallbladder stones and kidney stones, generally have a two-year waiting period.

Benefits are payable only for eligible treatment received in India and subject to the policy exclusions. Claim notice should normally be given to LIC within 30 days from discharge, along with the required medical and hospital records.

Important Calculator Limitations

The calculator cannot approve a claim. Its result may differ from LIC’s amount because it may not know:

• the exact cover and exclusions shown in the policy schedule;
• previous claims and remaining benefit limits;
• actual admission, discharge and ICU timings;
• policy lapse or revival history;
• whether the surgery or procedure appears in the official list; and
• whether waiting-period and claim conditions have been met.

There is no maturity benefit, surrender value or loan under Plan 903. The basic plan also has no death benefit. A death benefit is available only when an eligible rider was already included in the policy.

Frequently Asked Questions

Is LIC Jeevan Arogya Plan 903 still available?

No. Plan 903, UIN 512N266V01, was withdrawn on 11 October 2013. It is not available for new purchase.

What benefits can the calculator estimate?

It can estimate Applicable Daily Benefit, normal ward benefit, ICU benefit, Major Surgical Benefit, Day Care Procedure Benefit, Other Surgical Benefit and eligible ambulance benefit.

How does the Daily Benefit increase?

It normally increases by 5% of the Initial Daily Benefit on each policy anniversary until the normal benefit reaches 1.5 times the Initial Daily Benefit. Eligible No Claim Benefit increases are added separately.

Is the premium shown by the calculator exact?

No. Basic-plan premiums could be reviewed at three-year Automatic Renewal Dates. The latest LIC premium notice or policy record should be used for the actual payable premium.

Does Plan 903 provide maturity or surrender value?

No. The plan does not provide a maturity benefit or surrender value. A policy loan is also not available.

Conclusion

The LIC Jeevan Arogya Plan 903 Calculator helps existing policyholders estimate fixed benefits for hospitalisation, ICU stay, major surgery, day care procedures and other surgery. It also explains how the Applicable Daily Benefit grows and how annual and lifetime limits affect the result.

The calculator is useful for understanding a possible claim amount, but it cannot replace LIC’s claim assessment. The policy schedule, official Plan 903 document and LIC records decide the final benefit.

Amit Kushwaha

Amit Kushwaha is a financial content creator and SaaS tool developer based in Lucknow, Uttar Pradesh. He has more than seven years of experience creating insurance-related content, online calculators, and practical digital tools for LIC policyholders, insurance buyers, and LIC agents.

Through LICPolicyCalculator.com, he focuses on simplifying complex LIC policy information into easy-to-understand guides and calculators. His work covers LIC premium estimates, maturity calculations, surrender value tools, policy return calculations, term insurance planning, and plan-specific calculator pages.