Senior Citizen Mediclaim
*Expenses on Medical Consultations as an Out Patient* incurred in a Network Hospital up to the limits mentioned in the table given below
with a limit of Rs.200/- per consultation. Payment under this benefit will not reduce the sum insured and is payable only when the policy is inforce.
Note: Payment of expenses towards cost of health check up will not prejudice the company's right to deal with a claim in case of non disclosure of material fact and / or Pre-Existing Diseases in terms of the policy
In Individual Policy,
for Sum Insured Rs.3,00,000 Limit per person per policy period for policy with Sum Insured on Individual Basis Rs.600
Rs. 800 for Rs.4,00,000, Rs.1,000 for Rs.5,00,000, Rs.1,200 for Rs.7,50,000, Rs.1,400 for Rs.10,00,000, Rs.1,800 for Rs.15,00,000, Rs.2,200 for Rs.20,00,000. Rs.2,600 for Rs.25,00,000 Sum Insured
In Floater Policy,
for Sum Insured Rs. 10,00,000 Limit pr Person Rs.1400, Limit per Policy Period Rs. 2,400
for Sum Insured Rs. 15,00,000 Limit pr Person Rs.1800, Limit per Policy Period Rs. 3,000
for Sum Insured Rs. 20,00,000 Limit pr Person Rs.2,200, Limit per Policy Period Rs.3,800
for Sum Insured Rs. 25,00,000 Limit pr Person Rs.2,600, Limit per Policy Period Rs. 4,400
Note; Applicable for Policy with sum insured on Floater Basis: If a claim is made by any of the insured persons, the health check upbenefits will not be available under the policy.
*Cost of Health Checkup* : Expenses incurred towards cost of health check-up up to the limits mentioned in the table given below for every claim free year provided the health check-up is done at network hospitals and the policy is in force.
for Individual Policies
Rs.1,000 Limit per person per policy period for policy with Sum Insured of 5 lakh and 7.5 lakh, Rs. 2,000 for 10 lakh and 15 lakh sum insured, Rs. 2,500 for 20 lakh and 25 lakh sum insured Polices
For Floater Polices
Rs.2,000 Limit Per Person, Rs.3,500 Limit Per Policy Period for a sum Insured of 10 lakh and 15 lakh sum insured Polices, Rs. 2,500 limit Per Person, Rs.4,500 Limit Per Policy Period for a sum Insured of 20 lakh and 25 lakh sum insured Polices
This Senior Citizen Red Carpet policy is subject to *Co-payment* mentioned below;
For Sum Insured of Rs.1,00,000/- to 10,00,000/- 50% of each and every admissible claim arising out of PreExisting Diseases and 30% of each and every admissible claim for all other claims
For Sum Insured of Rs.15,00,000/- to 25,00,000/- 30% of each and every admissible claim