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Family Medicare Policy (UIN: UIIHLIP24090V052324)
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Illustration - Family Medicare Policy

Please note:

  1. Premium rates specified in the illustrations below are standard premium rates exclusive of any loadings and GST.
  2. Rates shown below are for Zone I of FMP which includes the following districts:
    • All districts in NCT of Delhi, Faridabad, Gurugram, Palwal, Rohtak, Jhajjar, Gautam Buddh Nagar, Ghaziabad, Bulandshahr
    • Mumbai City, Mumbai Suburban, Thane, Raigad, Palghar
    • Ahmedabad, Vadodara, Gandhinagar, Surat

ILLUSTRATIONS

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Exclusions - Revised Family Medicare Policy

  1. Waiting Periods

The Company shall not be liable to make any payment under the policy in connection with or in respect of the following expenses till the expiry of waiting period mentioned below:

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Claim Procedure - Revised Family Medicare Policy

  1. Notification of Claim
    Upon the happening of any event which may give rise to a claim under this Policy, the Insured Person/Insured Person’s representative shall notify the TPA (if claim is processed by TPA)/company (if claim is processed by the company) in writing providing all relevant information relating to claim including plan of treatment, policy number etc. within the prescribed time limit as under:
    • Within 24 hours from the date of emergency hospitalisation required or before the Insured Person’s discharge from Hospital, whichever is earlier.
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Coverage - Revised Family Medicare Policy

The coverages available under this Policy are described below.

  1. Base Covers

The Policy provides base coverage as described below in this section provided that the expenses are incurred on the written Medical Advice of a Medical Practitioner and are incurred on Medically Necessary Treatment of the Insured Person.

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Salient Features - Revised Family Medicare Policy

  1. Eligibility 
    Eligibility based on age:
    • Adults: 18 years and 65 years.
    • Dependent Children: 91 days to 17 years, provided either or both parents are covered concurrently. In case, where both the parents of the child(ren) are already deceased, the minor child(ren) can be covered by the guardian without covering himself/herself.
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Definitions - Revised Family Mediccare Policy

The terms defined below and at other junctures in the Policy have the meanings ascribed to them wherever they appear in this Policy and, where, the context so requires, references to the singular include references to the plural; references to the male includes the female and references to any statutory enactment includes subsequent changes to the same.

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Key Benefits - Revised Family Medicare Policy

  1. Indemnity-based health insurance product for you and your family that offers a wide cover.

  2. Choice of coverage based on requirement to cover whole family together under single Sum Insured or separate Sum Insured for   different members.      

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