|
| EASY HEALTH FAMILY FLOATER INSURANCE PLAN |
|
| |
|
d) Daily Cash for Accompanying an Insured Child
Note: This benefit is optional and effective only if noted as such in the Schedule of Benefits: |
|
If the Insured Person Hospitalised is a child Aged 12 years or less, We will pay a daily cash amount for 1 accompanying adult for each complete period of 24 hours if Hospitalisation exceeds 72 hours, provided that: |
|
| |
- Our maximum liability shall be restricted to the amount mentioned in the Schedule of Benefits, and
- The days of admission and discharge shall not be counted, and
- We have accepted an inpatient Hospitalisation claim under Benefit 1a).
|
e) Newborn baby
Note: This benefit is optional and effective only if noted as such in the Schedule of Benefits: |
|
We will cover the Medical Expenses of any medically necessary treatment described at 1)a) while the Insured Person is Hospitalised during the Policy Period as an inpatient for a Newborn Baby provided that: |
|
| |
|
| Newborn Baby means those babies born to You and Your spouse during the Policy Period Aged between 1 day and 90 days. |
|
Section. 3 Additional Benefits not related to Sum Insured
Claims made in respect of any of the benefits below will not be subject to the Sum Insured and will not affect either the entitlement to a Cumulative bonus or a health check-up. |
|
| The benefits below are optional and each is only effective if shown in the Schedule to be effective. |
|
a) Maternity Expenses
We will pay the Medical Expenses for a delivery (including caesarean section) while Hospitalised or the lawful medical termination of pregnancy during the Policy Period limited to 2 deliveries or terminations or either during the lifetime of the Insured Person, provided that: |
|
| |
-
Our maximum liability per delivery or termination shall be limited to the amount specified in the Schedule of Benefits, and
-
We will pay the Medical Expenses of pre-natal and post-natal expenses per delivery or termination upto the amount stated in the Schedule of Benefits, and
-
We will cover the Medical Expenses incurred for the medically necessary treatment of the new born baby upto the amount stated in the Schedule of Benefits unless the new born baby is covered under 2e), and
-
This benefit is not available for Dependents other than Your spouse under a Family Floater, and
-
Pre- and post-hospitalisation expenses under 1)b) and 1)c) are not covered under this benefit, and
-
The Insured Person must have been an Insured Person under Our Policy for the period of time specified in the Schedule of Benefits, and
-
We will not cover ectopic pregnancy under this benefit (although it shall be covered under 1a)).
|
b) Outpatient Dental Treatment
If You renew this Policy with Us for 3 consecutive years without a break, then from the fourth year onwards We will pay 50% of the reasonable costs of any necessary dental treatment taken from a Network dentist by an Insured Person who has been covered under this policy benefit for the previous 3 Policy Years, provided that: |
|
| |
-
Our maximum liability shall be limited to the amount specified in the Schedule of Benefits, and
-
We will only pay for X-rays, extractions, amalgam or composite fillings, root canal treatments and prescribed drugs for the same, and
-
We will not pay for any dental treatment that comprises cosmetic surgery, dentures, dental prosthesis, dental implants, orthodontics, orthognathic surgery, jaw alignment or treatment for the temporomandibular (jaw) joint, or upper and lower jaw bone surgery and surgery related to the temporomandibular (jaw) unless necessitated by an acute traumatic injury or cancer.
|
