| Benefit Description |
A |
B |
C |
D |
E |
F |
Suggested Eligibility Criteria
Hospital Care
Pays for expenses incurred during hospital stay up to the Per Annum Per Insured Limit |
CEO & Directors |
Departmental Heads |
Middle Management |
Clerical Staff |
Non-Clerical |
Support staff |
| • Overall Maximum Annual Limit Per Person |
150,000
|
100,000
|
75,000
|
50,000
|
35,000 |
25,000 |
| • Daily Room & Board Sub-Limit |
19,000
|
6,950
|
5,160
|
2,500
|
1,500 |
1,000 |
| • Intensive Care |
 |
| • Surgeon’s Fees |
| • Anaesthetist's Fee |
| • Operating Theatre Charges |
| • Prescribed Medicines Used During Hospital Stay |
| • Blood and Oxygen Supplies |
| • Ventilators and Allied Services |
| • Kidney Dialysis & Cancer Treatment |
| • Daycare Surgeries / Procedures (including Endoscopy, Angiography, Dialysis etc.) |
| • Diagnostic Investigations conducted during hospital stay |
| • MRI, CT Scan , Thallium Scan, PET Scan (specialized investigations covered as OPD) |
| • Organ Transplant |
| • In-Hospital Consultation |
| • Fractures and Lacerated Wounds |
| • Local Ambulance (in Emergency from home to hospital within the same city on reimbursement) |
• Pre & Post Hospitalization
(OP Expenses covering Consultations, Medicines and Diagnostic Tests 30 days before and after hospital confinement) |
| OPTIONAL BENEFITS |
| Major Medical Care |
|
|
|
|
|
|
| Additional Annual Limit Per Insured (Enhances the annual limit of Hospital Care for each insured) |
450,000 |
300,000 |
250,000 |
200,000 |
150,000 |
125,000 |
Maternity Care
Pays for medical expenses related to Pregnancy and Childbirth. All Maternity related expenses are payable from Maternity Limit |
|
|
|
|
|
|
|
|
|
|
|
|
| Normal Delivery |
130,400 |
83,500 |
59,500 |
30,000 |
20,000 |
15,000 |
| Caesarean Section /Multiple Births / Assisted Deliveries |
246,000 |
174,400 |
133,450 |
60,000 |
40,000 |
30,000 |
| Outpatient Care |
|
|
|
|
|
|
| Annual Limit Per Family |
25,000 |
20,000 |
15,000 |
10,000 |
7,500 |
5,000 |