Who can be insured?
· - Self - Spouse - Dependent Children (unmarried children, between 91 days & 21 years) - Dependent Parents up to 50 years of age
Renewals will be accepted up to the age of 70 years for adults and up to the age of 21 years for dependent children.
Period of Insurance applicable for this plan
· One year and Two years
Sum Insured
· The hospitalization sum insured will be floater among all family members covered.
Benefits:-
· - Expenses incurred towards inpatient hospitalization for a period more than 24hrs, for the illness / diseases contracted or injury sustained by the insured person during the period of Insurance. - Pre hospitalization and Post hospitalization expenses for 30 days and 60 days respectively - Ambulance charges in an emergency subject to a limit of Rs.1000/- per claim - Master Health Check up charge reimbursement to a maximum of Rs1500/- per Insured person after each 4 consecutive claim free year. This benefit shall not be available even if any one individual insured person makes a claim during the 4 consecutive period of insurance.
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Maximum amount payable towards the treatment of following diseases is subject to a limit of:-
Diseases / Treatment
Limit per Person Per policy period
Cataract
8% of the Sum Insured
Piles, Fistula, Tonsities, Sinustis
10% of the Sum Insured
Benign prostatic, Hypertrophy, Hernia
20% of the Sum Insured
Joint Replacement
50% of the Sum Insured
Appendicitis and gall bladder stones and gynaec disorders including hysterectomy
20% of the Sum Insured
Dialysis, Chemotherapy and Radiotherapy
10% of the Sum Insured per month
· The limit is applicable in respect of all claims preferred by each Insured Person (for the ailments / diseases mentioned above) for the Period of Insurance.
Important Exclusion:-
· - All diseases/injuries existing at the time of proposing this insurance. However these shall be covered after insurance for 4 continuous years. - Any disease contracted by the Insured Person during the first 30 days from the Commencement Date of the cover for that Insured Person.
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