| HOSPITALISATION BENEFITS |
| |
BENEFIT |
SILVER PLAN
(Limit of Reimbursement ) |
GOLD PLAN
(Limit of Reimbursement) |
| (a) |
Room, Boarding and Nursing Expenses as provided by the Hospital /Nursing Home. |
Not exceeding 1 % of the Sum Insured per day |
Not exceeding 1 % of the Sum Insured per day. |
| (b) |
Intensive Care(IC) Unit Expenses as provided by the Hospital /Nursing Home. |
Not exceeding 2% of the Sum Insured per day. |
Not exceeding 2% of the Sum Insured per day. |
| No of days of stay under a and b above should not exceed total number of days of admission in the hospital. |
| (c) |
Surgeon, Anaesthetist, Medical Practitioner, Consultants, Specialists Fees |
As per the limits of the sum insured. |
As per the limits of the sum insured. |
| (d) |
Anaesthesia, Blood, Oxygen, Operation Theatre Charges, Surgical Appliances, Medicines & Drugs, Diagnostic Material and X-Ray, Dialysis, Chemotherapy, Radiotherapy, Cost of Pacemaker, Artificial Limbs & and similar expenses. |
As per the limits of the sum insured. |
As per the limits of the sum insured. |
| (e) |
Ambulance services charges as defined hereinafter under |
Rs.1,000/- per illness andlimited to maximum 1% of the sum insured or Rs. 3,000/- whichever is less, for the entire policy period. |
Rs.2,000/- per illness and limited to maximum 1% of the sum insured or Rs. 6,000/- whichever is less, for the entire policy period. |
| (f) |
DAILY HOSPITAL CASH ALLOWANCE, AS DEFINED HEREINAFTER under |
NIL. |
0.1% of sum insured per day per illness subject to a maximum compensation for 10 days per illness. The overall liability of the Company during the policy period will be limited to 1.5% of the sum insured. |
| (g) |
Attendant allowance as hereinafter defined under |
NIL |
Rs.500/- per day of hospitalisation per illness and upto 10 days per illness. The overall liability of the Company during the policy period will be limited to compensation for 15 days of hospitalisation. |
