Policy Coverage
Basic Hospitalisation Cover:
- As an inpatient during hospitalisation for more than 24 hours, including room charges, doctor’s / surgeon’s fee, medicines, diagnostic tests, etc.
- 30 days prior to hospitalisation.
- 60 days post hospitalisation.
- Pre-existing diseases shall be covered after 2 years
Following technologically advanced treatments do not need 24-hour hospitalisation but are covered under this policy are:-
- Cataract (limited to Rs. 20,000 per eye)
- Lithotripsy (Kidney Stone Removal)
- Tonsillectomy
- Eye Surgery
- Dialysis
- Dilatation & Curettage
- Chemotherapy
- Radiotherapy
- Coronary Angiography
- Cardiac Catheterization
Outpatient Department (OPD)
The following OPD expenses are covered:
- Room, Boarding Expenses as charged by the Hospital
- Nursing Expenses
- Expenses related to Dental Treatment
- Surgeon, Anaesthetist, Medical Practitioner, Consultants, Specialist Fees
- Anaesthesia, Blood, Oxygen, Operation Theatre Charges, Surgical Consumables, Medicines and Drugs, Diagnostic Materials and X-ray, Dialysis, Chemotherapy, Radiotherapy, Cost of Pacemaker, Cost of Artificial Limbs External Medical Aids, Dental treatment charges, Ambulance charges
Note The OPD claims can be made only on a re-imbursement basis. You can lodge a claim only once during the Period of Insurance, i.e. 90 days after commencement of policy and 30 days after expiry of the Period of Insurance.