Schedule of Benefits - Individual & Family Floater |
Basic Sum Insured per Policy Year |
Rs. 200000, Rs. 300000, Rs. 400000, Rs. 500000 |
In-patient Treatment |
Hospitalization costs due to illness or accident are covered upto the Policy Sum Insured |
Pre-hospitalization |
Medical costs incurred during 60 days prior to hospitalization are reimbursed |
Post-hospitalization |
Medical costs incurred during 90 day period following discharge post hospitalization are reimbursed |
Day Care Procedures |
Expenses for 144 listed day care procedures that does not need 24 hours hospitalization on account of technological advancements are reimbursed |
Domiciliary Treatment |
The Medical Expenses incurred by an Insured Person for medical treatment taken at his home which would otherwise have required Hospitalization on the advice of the attending Medical Practitioner, if the Insured Person could not be transferred to a Hospital or a Hospital bed was unavailable are reimbursed |
Organ Donor |
Medical costs for harvesting an organ donated are reimbursed |
Emergency Ambulance (Limit per hospitalisation) |
Upto Rs. 2,000 reimbursed as ambulance expenseduring an emergency |
AYUSH Benefit |
Inpatient treatment medical expenses under Homeopathy, Siddha, Ayurveda or Unani are reimbursed. |
Cumulative Bonus |
Every claim free year increases the Sum Insured by 5%(of the basic sum insured); upto a Max. 50%(of the basic sum insured) increase. |
Medical checkups |
Reimburses 1% of Sum Insured or Rs. 5000 whichever is less. |