फैमिली हेल्थ ऑप्टिमा प्लान

फ्लोटर के आधार पर, आपके बढ़ते परिवार के लिए सबसे लोकप्रिय इंश्योरेंस पॉलिसी.

विशेषताएं
  • Affordable Premium: Family floater policy at an affordable premium
  • Get Extra Sum Insured: Get extra sum insured (auto recharge) at no extra cost,
  • Health Checkup: Health Checkup benefit for every claim free year.
  • Automatic Restoration: 3 times Automatic restoration of Sum insured by 100% each time upon complete exhaustion
  • Assisted Reproductive Treatment: Cover for Assisted Reproductive Treatment
  • New-born Baby: New-born baby cover from 16th day.
  • Donor expenses cover: Donor expenses for organ transplantation.
  • No pre-acceptance medical screening: No pre-acceptance medical examination for above 3 lakhs sum insured.

लाभ
पॉलिसी के लाभ:
  • लिमिट के अनुसार कमरा, बोर्डिंग और नर्सिंग के सभी खर्चें शामिल हैं.
  • सर्जन, एनेस्थेटिस्ट, मेडिकल प्रैक्टिशनर, कंसलटेंट, स्पेशलिस्ट फीस, ऑक्सीजन, ऑपरेशन थिएटर, डायग्नोस्टिक्स, इमेजिंग मोडेलिटीस और दवाई तथा ड्रग्स, ऑक्सीजन, ब्लड, ऑपरेशन थिएटर, डायग्नोस्टिक और पेसमेकर की लागत.
  • आपातकालीन स्थिति में हॉस्पिटल में ट्रांसपोर्टेशन के लिए निर्धारित सीमा के अनुसार एम्बुलेंस शुल्क.
  • पूरी पॉलिसी अवधि के दौरान बेसिक सम इंश्योर्ड का 10% तक एयर एंबुलेंस शुल्क.
  • हॉस्पिटल में प्रवेश की तिथि से 60 दिन पहले तक का प्री-हॉस्पिटलाइज़ेशन खर्च.
  • हॉस्पिटल से डिस्चार्ज होने के बाद 90 दिनों तक पोस्ट-हॉस्पिटलाइज़ेशन खर्च.
  • Domiciliary hospitalization: Cover for medical treatment for a period exceeding three days.
  • Organ Donor Expenses: Cover upto 10% of the Sum Insured or Rupees One lakh, whichever is less.
  • Cost of Health Checkup: Expenses incurred towards cost of health check-up up to the limits
  • New Born Baby cover: Cover starts from 16th day after birth and subject to a limit of 10% of the Sum Insured or Rupees Fifty Thousand, whichever is less
नए लाभ:
  • Emergency Domestic Medical Evacuation: Company reimburse the expenses incurred towards transportation of the insured person from the treating hospital to another one upto the limits.
  • Compassionate Travel: The Company will reimburse the transportation expenses by air incurred upto Rs5000/- for one immediate family member (other than the travel companion) for travel towards the place where hospital is located.
  • Repatriation of Mortal Remains: the Company shall reimburse up to Rs.5,000/- towards the cost of repatriation of mortal remains of the insured person to the residence of the insured.
  • Lump-sum for Treatment in Preferred Network Hospital: In the event of a medical contingency requiring hospitalization, if the insured seeks advice from the Company, the Company may suggest an appropriate hospital from the network for treatment upto 1% of Basic Sum Insured subject to maximum of Rs.5000/- per policy is payable as lumpsum.
  • Shared Accommodation: Upto the limits.
  • AYUSH treatment: Upto the limits
  • Second Medical Opinion: The Insured Person can obtain a Medical Second Opinion from a Doctor in the Company’s network of Medical Practitioners
  • Assisted Reproductive Treatment: The Company will reimburse medical expenses incurred on Assisted Reproduction Treatment, where indicated, for sub-fertility
    • - Waiting period of 36 months from the date of first inception of this policy.
    • - Maximum liability of the Company for such treatment shall be limited to Rs.1 lakh for sum insured of Rs.5 lakh and Rs.2 lakhs for sum insured of Rs.10 lakhs and above for every block of 36 months.
  • Additional Sum Insured for RTA(Road Traffic Accident): If the insured person meets with a Road Traffic Accident resulting in in-patient hospitalization, then the Basic sum insured shall be increased by 25% subject to a maximum of Rs.5,00,000/- .This benefit is payable if the insured person was wearing a helmet and travelling in a two wheeler either as a rider or as a pillion rider
  • Automatic Restoration of Sum Insured: Available 3 times at 100% each time, during the policy period. Each restoration will operate only after the exhaustion of the earlier one.
  • Recharge Benefit: Available up to the limits.
  • Bonus: Following a claim free year bonus of 25% of the expiring basic sum insured in the second year and additional 10% for subsequent years (max.100%) would be allowed. Where there is a claim the Bonus would be reversed in the same order in which it was given.

  • * अधिक जानकारी के लिए नज़दीकी ब्रांच से संपर्क करें या यहां क्लिक करें प्रोडक्ट ब्रोशर देखने के लिए.

अंतिम अपडेट: 05-04-2024, 02:28:26 PM

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