WHO CAN BUY INDIVIDUAL / FAMILY FLOATER RENEWAL Life Long PRE-MEDICAL TEST Age 51 years & Above for All Sum Insured at Company's cost SI OPTIONS 5L, 7.5L, 10L, 15L, 20L, 25L Consultation OP in Network Hos Hospitalization Single Standard A/C ROOM every year Pre & Post Pre H-30 Days & Post H-60 Days without sub Hospitalization limits 5L - 1200 Day Care Procedures 405 Day Care without Limits 7.5L - 1500 SECTION-1 Domiciliary Hosp 3 Days & above Covered * 10L - 2100 HOSPITALIZ Ambulance Charges Per policy period Rs. 15L - 2400 ATION 2000/3000/3500/4000/4500/ 5000 (As per SI) AIR AMBULANCE 10% of SI (For SI 7.5 Lacs & Above only) 20L - 3000 No Claim Bonus For SI 5 Lacs 50% on 1st renewal 100% on 2nd renewal. For SI 7.5L & above 100% on 25L - 3300 1st renewal Note: Rs. 300 per consultation for regular OPD in network hospitals only SECTION 2 - Delivery & New Born Baby (Coverage includes congenital internal & external defects also) Waiting Period: 36 months for the first delivery. Between two deliveries 24 months waiting period is applicable SECTION-2 SUM INSURED Normal Delivery Caesarean MATERNITY 5L 10000 15000 & CHILD 7.5 L 20000 40000 COVER 10L To 25L 25000 40000 Coverage for New Born Child : 50000 for SI 5 Lacs & 100,000 for 7.5L & above Vaccination Expenses foe new born child : Upto Rs. 1000/- SECTION 3 - OP Dental & Ophthalmic Treatment Waiting period: 36 months. Once in every block of 3 years & other one is regular OPD irrespective of claim condition SECTION -3 OPD/DENTAL amount payable after every SUM INSURED NOTE OPD DENTAL 3 years & 5L 5000 Dental: Gingivectomy, Root Canal OPTHALMIC 7.5L 5000 Braces, Teeth Whitening, Cavity etc. TREATMENT 10L 10000 15L 10000 Ophthalmic: Eye check up, Contact 20L 10000 Lenses 25L 10000 & Spectacles etc SECTION 4 - HOSPITAL CASH BENEFIT Max 7 Days per hospitalization (Time excess one day) & 120 Days during the policy period SECTION - 4 SUM INSURED Limits per day HOSPITAL 5L 500 NOTE: The benefit is provided if there is CASH 7.5L - 10L 750 an admissible claim under SEC-1 only. 15L - 20L 1000 25L 1500 SECTION 5 - HEALTH CHECK UP - After continuous coverage of a block of 3 claim free years SECTION - 5 SUM INSURED Limits per day NOTE: The amount is reimbursed on HEALTH 5L 5000 submission of prescription, bills, report CHECK UP 7.5L - 10L 7500 copies, receipts 15L - 25L 12000 SECTION 6 - BARIATRIC SURGERY On Cashless Basis only SECTION - 6 Claim is payable for Bariatric surgeries after 36 months from the inception of the policy & will be a part of SI - under Section-1 BARIACTRIC Maximum Limit for surgery is 2.5Lacs per policy inclusive of Pre & Post Hospitalization, Opinion by 2 qualified SURGERY surgeons Age at the time of surgery should be more than 18 years & BMI above 40+ SECTION 7 - FREE PA COVER For Age Group 18 to 70 Years SECTION - 7 PA Cover is provided to one nominated member Proposer OR Spouse (Not for Dependent Children) PA COVER Equal to SI for Accidental Death or 11 named 100 % for Death Or Permanent Total Disability Disabilities SECTION 8 - OPTIONAL BENEFIT FOR SECOND MEDICAL OPINION FROM DOCTOR IN COMPANY'S SECTION - 8 NETWORK OF MEDICAL PRACTIONERS OPTION FOR This should be specifically requested for by the Insured Person SECOND This opinion is given without examining the patient, based only on the medical records submitted MEDICAL The second opinion should be only for medical reasons and not for medico-legal purposes OPINION Utilizing this facility alone will not amount to making a claim & will not affect NCB AUTOMATIC Available up to 100% for All S.I after exhaustion of Basic SI RESTORATION Not allowed for same person same reason DAY CARE List of 405 Named Day Care Treatments Premium Chart