Benefit/Premium Illustration

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 A of Yuvaan Health Insurance Policy.

ILLUSTRATIONS

Illustration 1: Self, Spouse and 2 Dependent Children

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:

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:

A.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.

1.In-patient Hospitalisation Expenses Cover

A.Standard Definitions

1.Accident

means a sudden, unforeseen, and involuntary event caused by external, visible and violent means.

2.Cashless Facility

Cashless facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured in accordance with the policy terms and conditions, are directly made to the network provider by the insurer to the extent pre-authorization is approved.

3.Condition Precedent

Base Cover

Room Eligibility

Shared Accommodation

ICU/ICCU

Actuals

Day Care Treatments

All Day Care Treatments as per the definition in the policy wordings are covered

Pre-Hospitalisation

60 Days

Post-Hospitalisation

90 Days

Road Ambulance

Covered

Modern Treatment MATs

Covered

Cumulative Bonus