Life Benefit : in case of death regardless of time, place or cause.
minimum
Accidental Death and Dismemberment Benefit :
Continental Scale (P.A.2)
Accidental death
Total Permanent and Disability from Accident
Public Accident
Both Hands or Both Feer or Sight of Both Eyes
One Hand and One Foot
One Hand and Sight of One Eye
One Hand or One Foot
One Arm from Shoulder
One Arm from Elbow
One Leg from Hip
One Leg from Knee
Sight of One Eye
Loss of Hearing or Speech
Loss of Hearing in one Ear
Loss of a Thumb (Both Joints)
Loss of a Thumb (One Joint)
Loss of an Index Finger (Two Joints)
Loss of an Index Finger (One Joint)
Loss of Two Joints of a Finger (not Thumb or Index)
One Great Toe
One Toe not less than One Joint
Remarks :
a)The above benefits (2.4-2.23) shall be doubled in case of Public Accident
b)Extended to include Motorcycling Risks
c)Extended to include Murder/Assult
d)Extended to include strike/riot/civil commotions
Total Permanent and Disability Benefit :
(Resulting from Sickness or Accident)
compensation will be made on the basis of 100% of Sum Insured
Health Insuranced Benefit :
In-patient Hospitalization and Surgical Benefits
A.Daily Room & Board (Max.31 days per disability)
Include ICU (Max.7 days per disability)
Include Service Charge
B.General Hospital Services (per disability)
Include Ambulance Service (per disability)
Include Nursing Service
Include Post-Hospitalization/surgical Treatment within 31 days from the day that out of hospital
C.Surgical Benefits (Subject to Non-Schedule)
D.Specialist's Comsultation Fee (Maximum) excluded B. or C.
E.Doctor's Visit (Max 31 days per disability)
F.Emergency Out-patient Treatment (Accident) excluded B. or C. (within 72 hours. Max per disability)
Out-patient or Clinical Benefit
per 1 visit per day / per 18 visits per policy year (214 days)
Diagnostic, X-Ray, Lab Test : Out-patient Benefits
1st Jun 2014 - 31st Dec 2014 = 214 days
Dental Benefit : extraction, filling, scaling
1st Jun 2014 - 31st Dec 2014 = 214 days