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Parivar Mediclaim Policy

What is the Plan all About?

Parivar Mediclaim Policy provides health cover for your family against any medical emergencies. This health policy covers your entire family on a floater sum insured basis. This health plan assures you that your family can avail a proper and quality health care during hospitalization or other medical exigency.

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Key Features

  • Family health policy
  • Choose add-on covers to enhance protection
  • Lifetime renewability
  • Enjoy tax benefits

Policy Benefits

  • In-patient hospitalization expenses such as Room Rent, ICU, Surgeon Fees, Specialist Fees, etc are covered.
  • Pre hospitalization expenses are payable for 15 days.
  • Post hospitalization expenses are payable for a maximum of 30 days.
  • 140+ listed day care procedures/surgeries which need the insured to be hospitalized for less than 24 hours are covered.
  • Organ donor expenses incurred during the course of organ transplant are covered, as per limits applicable.

Value Added Benefits

  • Avail cashless facility through TPA.
  • Pre-existing Diabetes/Hypertension is covered an add-on cover. This benefit can be availed as mentioned in the Policy.
  • Avail tax benefits u/s 80D as per IT Act, 1961 for premium paid for this plan.

Sub Limits

  • Room rent is capped up to 1% of SI on per day basis.
  • ICU charges are capped up to 2% of SI on per day basis.
  • Anaesthesia, operation theater charges, blood, oxygen, & disposable surgical appliances are payable up to 10% of SI.
  • Expenses incurred for treatment of any one illness is capped up to 50% of SI.
  • 10/25% co-pay applies for Pre-existing diabetes/Hypertension.

Waiting Period Clause

  • Initial Waiting Period: A waiting period of 30 days from the inception date for all hospitalization claims except in case of accidents.
  • Specific Waiting Period: Specific illnesses such as Cataract, Hernia, Hydrocele, Sinusitis, etc are covered after 24 months of policy coverage.
  • Pre existing Disease Waiting Period: Any pre-existing ailment/injury that was diagnosed /acquired within 48 months from the issuance of the first policy.

Who can Buy the Plan?

Factor Minimum Maximum
Age (as on last birthday) Adult: 18 Years, Children: 3 Months Adult: 60 Years, Children: 25 Years
Sum Assured 2 Lacs 5 Lacs
Cover Type Individual/Family Floater -
Policy Tenure 1 Year 1 Year
Grace Period 30 Days -
Free Look Period 15 Days -
Riders Pre-existing Diabetes/Hypertension -

Exclusions

  • Dental treatment
  • Cost of spectacles, contact lens & hearing aids
  • Congenital external anomaly
  • Intentional self inflicted injury
  • HIV/AIDS & other related diseases
  • Maternity expenses
  • Non allopathic treatment,etc.
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