Parivar Mediclaim Policy

Entry Age

18 years - 60 years. Dependent children between the age of 3 months and 25 years can also be covered.

Policy Period

Issued for a period of 1 year.

Renewability

Renewable till the age of 65 years.

Basis

Family floater health insurance policy covers individual, spouse and up to 2 dependent children under a single floater sum insured.

Sum Insured

Rs.2 Lakhs - Rs.5 Lakhs.

Plan Benefits

1. Reimbursement of hospitalisation expenses:

1. Room rent, nursing expenses and other charges incurred at the hospital: Non ICU- 1% of the sum insured is provided per day. ICU - 2% of the sum insured in giver per day.
2. Expenses of surgeon, anaesthetist, medical practitioner, consultant, specialist's fees and nursing expenses are covered.

1. The following expenses are covered:

1. Anaesthesia
2. Blood
3. Oxygen
4. Operation theatre charges
5. Surgical appliances
6. Medicines and drugs
7. Diagnostic material
8. X-ray
9. Dialysis
10. Chemotherapy
11. Radiotherapy
12. Cost of pacemaker
13. Artificial limbs
14. Cost of organs, etc.

1. On paying extra premium, existing conditions like diabetes and hypertension can be covered.
2. Pre hospitalisation expenses incurred 15 days before hospitalisation are covered.
3. Post hospitalisation expenses incurred 30 days after hospitalisation are covered.
4. Cashless facility can be availed through Third Party Administrator.

Tax Benefit

The premiums paid up to Rs.15,000 is allowed as deductions every year under the Section 80D of the Income Tax Act. The exemption for senior citizen is Rs.20,000.

Exclusion

1. Total expenses payable to one illness is only 50% of the sum insured.
2. Pre-existing conditions are excluded for the first 4 years.
3. Except for hospitalisation due to accidents, other treatments within the first 30 days of buying the policy are excluded.
4. There is a 2 year exclusion on:

1. Cataract
2. Sinusitis
3. Piles
4. Hysterectomy
5. Hernia
6. Hydrocele
7. Benign prostatic hypertrophy
8. Stone removal
9. Joint replacement
10. Surgical treatment of tonsils, etc.

1. Expenses arising from intentional self-injury, drug and alcohol abuse are excluded.
2. Cost of vitamins unless they are a part of the treatment.
3. Diseases since birth are excluded.
4. Medical expenses arising from HIV, AIDS and related diseases are excluded.
5. Cost of contact lenses, spectacles and hearing aids are excluded.
6. Non allopathic treatment costs are excluded.
7. Conditions caused by war or nuclear weapons are excluded
8. Pregnancy, miscarriage, abortion or other child-birth related conditions are not covered.
9. Service charge, admission fee or surcharge levied by the hospital are not covered.