se s sections 1 basic benefits · [email protected]. page 43 of 54 ssection.11...
TRANSCRIPT
RELHLIP20089V021920
Se S Sections 1 – Basic Benefits:
a)
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i)
iii)
c)
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d)
Domiciliary Hospitalisation
.
e)
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iii)
g)
Pre-Hospitalisation Medical Expenses
h)
Post-Hospitalisation Medical Expenses
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Ambulance
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Section 2- more Options Benefits
Policy Period 1 Year 2 Year 3 Year
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Section. 3 Voluntary Co-payment
b)
Section. 3 Renewal Benefit: MoreResults Discount:
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Policy
Period
Discount applicable
per adult for the
Policy Period for an
Individual Sum
Insured Policy
Discount applicable
per adult for the
Policy Period for a
Family Floater Sum
Insured Policy with
2 adults
Discount applicable per adult
for the Policy Period for a
Family Floater Sum Insured
Policy with 1 adult
Section. 3 Exclusions
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Pre-existing Disease
means any condition, ailment , Injury or disease:
i) That is/are diagnosed by a physician within 48 months prior to the effective date of
the policy issued by the insurer or
ii) For which medical advice or treatment was recommended by, or received from, a
physician within 48 months prior to the effective date of the policy or its
reinstatement
ii) A conditio for which any symptoms and or signs if presented and have resulted
within three months of the issuance of the policy in a diagnostic illness or medical
condition
a)
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ii.
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Section.6 General Conditions
b)
c)
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Treatment, Consultation or Procedure: We must be notified:
Treatment,
Consultation or
Procedure:
Treatment,
Consultation
or
Procedure
Taken at:
Cashless Facility
is Available:
We must be given
notice that the
Insured Person
wishes to take
advantage of the
Cashless Facility
accompanied by
full particulars:
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i)
ii)
i)
ii)
iii)
iv)
v)
vi)
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xiv)
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iv)
i)
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ii)
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Section. 7 Schedule of Benefits
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Section. 7 Interpretations & Definitions
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.
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ii)
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Section. 7 Service related Information:
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Claims Servicing
Section. 10Claim Related Information & Claim Procedure
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SSection.11 Grievance Redressal Procedure
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Ombudsman Office
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Annexure I: List of excluded expenses (Non-medical)
S. No. List of expenses generally excluded ("Non-Medical") in Hospital Indemnity Policy
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OTHERS