What is a Mediclaim or Health Insurance policy ? Mediclaim or Health Insurance policy can be used to protect the insured party against expenses incurred for hospitalisation for illness/ injury/ diseases as well as domiciliary hospitalisation. It also includes hospital room and operation theatre charges, diagnostic tests, cost of medicines, blood transfusions, oxygen cylinders as well as cost of appliances like pacemakers, artificial limbs, etc.
Suitable for
This insurance policy is ideally suited for
- Each and every person aged between 5 and 75 years of age. Children aged between 3 months and 5 years have to be insured along with their parents.
- Government or private institutions for their employees.
- Clubs or associations for their bona-fide members.
Risks covered
This insurance policy protects the insured from the risks of illness or disease or accidental injury sustained.
Compensation offered
This insurance policy will provide compensation for
- Hospitalisation expenses based on actuals and subject to the sum insured.
- Domiciliary hospitalisation charges based on actuals and subject to the sum insured
Exclusions
This insurance policy will not pay any claims arising from
- Pre or post hospitalisation treatment of asthma, chronic nephritis, gastroenteritis, diabetes, epilepsy, hypertension, influenza, cough or cold, psychiatric or psychosomatic disorders, pyrexia, tonsilitis, arthritis, rheumatism or any treatment relating to any illness/ disease already in existence at the time of treatment.
- Any disease or injury within 30 days of commencement of policy except accidental injury.
- Cataract, benign prostatic hypertrophy, hysterectomy for menorrhagia on fibromyoma, hernia, hydrocele, congenital internal disease, fistula in anus, sinusitis and related disorders in the first year of cover under the contract.
- Vaccination, inoculation, circumcision, change of life, cosmetic or aesthetic treatment, plastic surgery unless the treatment necessitating hospitalisation is necessary.
- Costs of spectacles or contact lenses or hearing aids.
- Convalescence, general debility, sterility, venereal diseases, intentional self-injury or use of intoxicants.
- Any variation of AIDS.
- Hospital/ nursing charges inconsistent or non-incidental to the diagnosis or treatment.
- Vitamins or tonics not forming part of the treatment.
- Any treatment related to pregnancy, child birth or voluntary termination of pregnancy during the first 12 months after pregnancy.
- Nuclear or war perils.
- Naturopathy treatment
This Policy is Offered By*
National Insurance Company* United India Insurance* The Oriental Insurance Company Ltd. (OIC)* The New India Assurance Company Ltd. (NIAC)And private Insurance companies like
* Reliance General Insurance* Bajaj Allianz General Insurance* Apollo DKV General Insurance* ICICI Lombard General Insurance* Cholamandalam General Insurance etcTax Deduction - 80 CThere is a Tax deduction for an amount of Rs. 15,000 under Section 80 C of Income tax act for the Health Insurance Policy premium taken for self and dependents
