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Paramount Health Services & Insurance TPA Pvt. Ltd.
IRDA License No: 006
Validity : From 21-03-2023 To 20-03-2026
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Standard Mediclaim Products |
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Recommended For |
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Any one in the age of 5 to 65 years can opt for this policy. Children can also be covered in this policy. This plan is |
suitable for people of any nationality but treatment should be taken within India and the claim is paid in Indian currency. |
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Scope Of Cover |
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Any one in the age of 5 to 65 years can opt for this policy. Children can also be covered in this policy. This plan is |
suitable for people of any nationality but treatment should be taken within India and the claim is paid in Indian currency. |
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This policy provides for the Hospitalisation / Domiciliary Hospitalisation expenses for illness, diseases or injuries sustained. |
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1. |
Expenses incurred before 30 days of Hospitalisation and after 60 days of Hospitalisation are covered in this plan. |
2. |
Expenses on Hospitalization are payable when the policyholder is admitted in hospital for a minimum period of 24 hours. |
3. |
On payment of additional premium this policy covers boarding and lodging expenses for one of the family members who |
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accompanies the policyholder during the Hospitalization. |
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Reasonable expenses incurred for ambulance within the city limits at the time of admission and discharge from the |
hospital is also covered. |
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Exclusions |
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1. |
This facility is not available if any illness is incurred within the first 30 days from the commencement of policy except in |
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case of accidents. |
2. |
Expense incurred for treatment of cataracts, benign prostatic hypertophy, hydrocele, congenital internal diseases, |
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fistula, pile, sinusitis and related disorders are not payable for 1st year of the policy. |
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All the expenses incurred in respect of any treatment relating to pregnancy or childbirth. |
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AIDS or conditions of similar types. |
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Diseases directly or indirectly connected with war or nuclear waste. |
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Benefits |
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1. |
Reimbursement of Hospitalisation / Domiciliary Hospitalisation expense as mentioned above. |
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Family discount - A discount of 10% in the total premium is available if the policyholder is opting cover under the policy |
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for any one of the following: Spouse, Dependent children, Dependent parents. |
3. |
Cost of health checkups- This cost is payable to insured at the end of the every four years block provided there is no |
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claim reported during the block. The cost reimburse will be the amount equal 1% of the average sum insured during the block. |
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Cumulative bonus - The sum insured under the policy increases by 5% every year if there is no claim during the period |
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of the policy, maximum up to 10 claims free years of insurance. If there is a claim reported by Policyholder who has |
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earned cumulative bonus, the increased percentage will be reduced by 10% of amount of Insurance at the time of next renewal. |
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Premium of Rs.15000 is exempted under Income Tax section 80D, if paid by cheque. |
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