Individual
Mediclaim Insurance Policy
This policy covers hospitalisation and domiciliary
hospitalisation expenses incurred by the Insured
(including family members) for illness / disease
or accidental injury and shall include hospital
charges (room & boarding and operation theatre),
fees of surgeon, anesthetist, nurses, cost of
medicine, oxygen, blood, cost of appliances
like pacemaker, artificial limbs and cost of
organs.
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The Policy covers individuals
aged between 5 and 75 years.( However, children
aged between 3 months and 5 years can be covered
if one or both parents are covered concurrently).
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Exemption under section
80 (D) of the Income Tax Act, 1961 is presently
available for premium paid by cheque.
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The Policy offers the feature
of Third Party Administrator services.
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The Policy covers illness
/ disease or accidental injury leading to
expenses of various types referred to above.
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Hospitalization expenses
and domiciliary hospitalisation expenses referred
to above shall be subject to a maximum of
the sum insured at inception of the policy.
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The Insured is entitled
to reimbursement of the cost of medical check-up
once at the end of a block of every four underwriting
years provided there were no claims reported
during the block. The cost so reimbursable
shall not exceed an amount equal to 1% of
the average sum insured during the block of
four underwriting years.
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The sum insured under the
policy shall be progressively increased by
5% in respect of each claim free year of insurance
subject to a maximum accumulation of 10 claim
free years of insurance. In the event of a
claim under the policy in respect of an Insured
Person who has earned any cumulative bonus,
the increased sum insured will be reduced
by 10 % at the time of renewal. However, the
basic sum insured will be maintained at all
times.