This product is designed, in-line with IRDAI‘s direction, to provide health insurance cover to persons with disabilities (including mental illness) and persons afflicted with HIV / AIDS.
KEY FEATURES
Sum Insured Options: 4 Lacs and 5 Lacs
Coverage of Basis: Individual
Cataract Treatment: Up to Rs. 40000
AYUSH & Modern Treatment: Up to 50% of Sum Insured each.
Emergency Ground Ambulance: up to Rs. 2000 per hospitalization.
ELIGIBILITY
Persons with disability: All Persons with disability who have at least one of the disabilities as defined under specified disability under The Rights of Persons with Disabilities Act, 2016 with valid disability certificate are eligible to enroll this product.
Individuals with HIV/AIDS: Any person suffering from HIV/AIDS, with a diagnostic test report confirming the evidence of HIV/AIDS would be covered on indemnity basis for In-patient hospitalization.
AGE ELIGIBILITY |
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Minimum age at entry |
Adult |
18 Years |
Child |
Newborn |
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Maximum age at entry |
Adult |
65 Years |
Child |
17 Years |
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Maximum renewal age |
Life long |
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Expenses of hospitalization for a minimum period of 24 consecutive hours
For 30 days prior to the date of Hospitalization and For 60 days from the date of discharge from the Hospital
Up to Rs. 40,000 per eye in one Policy Year.
Covered for listed procedures up to 50% of sum insured available for Inpatient Hospitalization Care.
Expenses covered up to Rs. 2000 per hospitalization
Covered up to 50% of sum insured, during each policy year.
Room Rent, Boarding, and Nursing Expenses all-inclusive as provided by the Hospital / Nursing Home up to maximum of 1% of the sum per day.Intensive Care Unit (ICU) Charges / Intensive Cardiac Care Unit (ICCU) Charges all-inclusive as provided by the Hospital / Nursing home up to maximum of 2% of the sum insured per day.
Waiting period
• Initial Waiting Period - 30 days for all claims, except resulting from Accident.
• Pre-Existing Diseases - 48 months (other than the pre-existing disability and HIV/AIDS).
• Specific Disease/Illness - 24 months.
• HIV AIDS Waiting period - 30 days.
• Disability Waiting period - 24 months.
Any medical treatment taken outside India.
Suicide, Intentional self-injury (including but not limited to the use or misuse of any intoxicating drugs or alcohol) and any violation of law or participation in an event / activity that is against law with a criminal intent.
Vaccination/ inoculation except as post bite treatment for animal bite.
Venereal /Sexually Transmitted disease other than HIV/AIDS
Stem Cell storage.
Disclaimer: For complete detail on coverages, waiting periods and exclusions, kindly refer to the policy wordings / prospectus.
UIN: FGIHLIP23198V012223
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