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Clear AllScope of Cover | |
Cashless facility | available at empanelled network of hospitals |
Re-imbursement | available if treatment taken in non network hospital |
Pre-hospitalization | covers medical expenses upto 30 days prior to the hospitalization |
Post-hospitalization | lump sum calculated at 7% of the hospitalization expenses (excluding room charges) subject to a maximum of Rs.5,000 per occurrence |
Section 1 | |
Inpatient hospitalization | covers sickness, illness, diseases and accidental injuries |
Room rent, boarding | 2% of Sum Insured subject to a maximum of Rs 4000 per day |
nursing expenses , surgeon's fees, consultant's fees, anesthetist's and specialists fees | covered |
Emergency ambulance | covered for Rs 750 per hospitalization upto maximum of Rs 1500 per policy period |
Cost of medicines and drugs | covered |
Non allopathic treatment | covered upto 25% of sum insured subject to a maximum of Rs 25000 per occurrence per policy period |
Section 2 | |
Life Insurance | covers policy proposer who is also an earning member; pays sum assured on demise of policyholder |
Surrender value | Nil |
Exclusions and Waiting Period | |
under Section 1 (Health Cover) | |
Pre-existing diseases | covered after a period of 48 months |
No claim period | Any disease contracted during the first 30 days of commencement of the policy |
Waiting Period | Certain diseases such as cataract, varicose veins etc. will be covered after a period of 2 years.Certain diseases such as hernia, piles, sinusitis etc. will be covered after a period of 1 year |
under Section 2 (Life Insurance) | Suicide within 1 year whether sane or insane from commencement/ reinstatement of the policy. |
Waiting Period | 90 days in case of section 2 (life cover) beginning from the inception of the policy (except for accidental death) |
General Exclusions | Naturopathy treatmentNon allopathic treatmentCosmetic, beauty, weight reduction and other likely treatments.War, participation in any criminal activity or any other related condition |
Annual Premium Option for those under Section 1 (Health Insurance) | ||||||||
Age (in years) | Sum Insured (in Rs) | |||||||
1 lakh | 1.50 lakh | 2 lakh | 2.50 lakh | 3 lakh | 3.50 lakh | 4 lakh | 5 lakh | |
5mths-35 | 1200 | 1800 | 2350 | 2800 | 3300 | 3750 | 4200 | 4900 |
36-45 | 1350 | 2000 | 2600 | 3150 | 3650 | 4150 | 4500 | 5400 |
46-55 | 2447 | 3400 | 4583 | 5548 | 6170 | 7408 | 8700 | 10700 |
56-60 | 3000 | 4200 | 5300 | 7200 | 8200 | 10196 | 11451 | 13958 |
Indicative premium; exclusive of service tax |
Annual Premium Option for those under Section 2 (Term Life Cover) | |||
Sum Insured (in Rs) | |||
Age (in years) | 1 lakh | 1 lakh | 1 lakh |
for those with standard age proof | |||
18-35 | 900 | 1300 | 1800 |
36-45 | 1100 | 1900 | 2700 |
46-50 | 1400 | 2400 | 3500 |
for those with non standard age proof | |||
18-35 | 1000 | 1600 | 2300 |
36-45 | 1400 | 2400 | 3500 |
46-50 | 1700 | 3100 | 4400 |
Indicative premium; exclusive of service tax |