In the event of any claim/s becoming admissible under this scheme the company will pay through TPA to the Hospital / Nursing Home or the insured person the amount of such expenses as would fall under different heads mentioned below.
Hospitalisation Benefits | Limits | |
---|---|---|
A | i) Room Boarding Expenses as provided by the Hospital / nursing home.
ii) If admitted in IC Unit |
i) Up to 0.5% of Sum Insured per day
ii) Insured per da |
B | Surgeon Anasthetist Medical Practitioner Consultants Specialists Fees Nursing Expenses | Upto 15% of Sum Insured per illness / injury |
C | Anaesthesia Blood Oxygen Operation Theatre Charges Surgical appliances Medicines & Drugs Diagnostic Materials and X-ray Dialysis Chemotherapy Radiotherapy Cost of Peacemaker Artificial Limbs & Cost of organs and similar expenses. | Upto 15% of Sum Insured per illness / Injury |
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