FAQ

1.Is there a limit to what the company will pay for hospitalization?

Yes. We will pay Hospitalization expenses up to a limit, known as Sum Insured. In cases where the Insured Person was Hospitalized more than once, the total of all amounts paid

  • for all cases of Hospitalization,
  • expenses paid for medical expenses prior to Hospitalization, and
  • expenses paid for medical expenses after discharge from Hospital shall not exceed the Sum Insured.

The Sum Insured under the policy is available for any or all the members covered for one or more claims during the tenure of the policy

2.How long is the policy valid?

The Policy is valid during the Period of Insurance stated in the Schedule attached to the Policy. It is usually valid for a period of one year from the date of beginning of insurance.

3. Can the policy be renewed when the present policy expires?

Yes. You can. To get all Continuity benefits under the Policy, you should renew the Policy before the expiry of the present policy.

  • Intimate TPA in writing on detection of any Illness/Injury being suffered immediately or forty eight hours before Hospitalisation.
  • Intimate within twenty four hours from the time of Hospitalisation in case of Hospitalisation due to medical emergency.
  • Submit following supporting documents TPA relating to the claim within seven days from the date of discharge from the Hospital: Bill, Receipt and Discharge certificate / card from the Hospital.
    Cash Memos from the Hospitals (s) / Chemists (s), supported by proper prescriptions.
    Receipt and Pathological test reports from Pathologist supported by the note from the attending Medical Practitioner / Surgeon recommending such Pathological tests / pathological.
    Surgeon's certificate stating nature of operation performed and Surgeons' bill and receipt.
    Attending Doctor's/ Consultant's/ Specialist's / Anesthetist's bill and receipt, and certificate regarding diagnosis.
  • In case of Post-Hospitalisation treatment (limited to sixty days), submit all claim documents within 7 days after completion of such treatment.
  • Provide TPA with authorization to obtain medical and other records from any Hospital, Laboratory or other agency.