Parivar Mediclaim


Our Parivar Mediclaim policy provides protection to families against the financial burden of treatment in hospitals for illness/ disease/ accidental injury. It is a floater policy wherein the entire family consisting of self, spouse & two dependent children are covered under a single floater sum insured.

Key Benifits
Our Parivar Mediclaim policy provides protection to families against the financial burden of treatment in hospitals for illness/ disease/ accidental injury. It is a floater policy wherein the entire family consisting of self, spouse & two dependent children are covered under a single floater sum insured.

Salient Feautures
The policy is available to persons between age of 18 and 60 years. Dependent children between the age of 3 months and 25 years can be covered. Sum insured range is between `2 Lakh and 5 lakh, in multiples of ` 50,000/-. Renewal is allowed upto the age of 65 years.

Covered
Our Parivar Mediclaim policy provides the following benefits :-
  • Reimbursement of hospitalization expenses which are reasonably and necessarily incurred, under the following heads:
    • Room, boarding, nursing expenses and RMO charges as provided by the hospital/nursing home – 1% of sum insured per day (normal) & 2% of sum insured per day (ICU)
    • Expenses incurred for Surgeon, Anaesthetist, Medical Practitioner, Consultant, Specialist’s Fees, Nursing Expenses
  • Expenses incurred on account of anaesthesia, blood, oxygen, operation theatre charges, surgical appliances, medicines and drugs, diagnostic material, X-ray, dialysis, chemotherapy, radiotherapy, cost of pacemaker, artificial limbs & cost of organs and similar expenses.
  • Diabetes and Hypertension can be covered from inception by paying extra premium
  • Pre & post hospitalization expenses for 15 & 30 days respectively
  • Cashless facility can be availed through TPA.
  • NB – Total expenses payable for any one illness is restricted to 50% of the sum insured

Not Covered
  • The most important exclusion relates to pre-existing illness. Pre-existing diseases can be covered after four (4) years of continuous coverage under a health policy.All diseases/ injuries and related conditions which are pre-existing at the time of inception of the policy, will be covered after four (4) continuous claim free policy years.
  • No claim other than accidental injuries, is payable within the first 30 days of the policy
  • Exclusion of certain named diseases upto first 2 years of the policy.
  • Congenital diseases, sterility, venereal disease, intentional self-injury, use of drugs, alcohol, rest cure etc.
  • AIDS and other HIV related treatment
  • Expenses incurred primarily for diagnostic, laboratory examinations not related to or consistent with the diagnosis for which insured is hospitalized. So also for vitamins and tonics unless forming a part of the main treatment.
  • Dental treatment other than necessitated by accidental injury and requires hospitalization.
  • Treatment arising from or traceable to pregnancy, childbirth (including caesarean).
  • All treatment other than allopathic stream of medicine.
  • War, invasion and nuclear perils.
For any queries please mail us at nandainsurance9@gmail.com

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