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United India Family Medicare 2014 Policy

What is the Plan all About?

Family Medicare 2014 covers all members, including self, spouse and dependent children under one single policy.It is a comprehensive health insurance plan for you and your family, which will offer multiple benefits to shield you from the big hospital bills and other allied costs.

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Key Benefits

  • Single Policy for your family
  • Sum insured can be opted upto 10 lacs
  • Cashless facility in 7000 hospitals PAN India
  • Free Medical check-up once in 3 claim free years
  • Lifetime Renewability under this plan
  • Ayurvedic treatment covered

Policy Benefits

  • Room, Boarding, Nursing expenses, ICU expenses,etc. are covered as per the specified policy limits underin patient hospitalization which requires minimum 24 hours of stay.
  • Pre Hospitalization expenses are covered upto 30 days before hospitalization.
  • Post Hospitalization expenses are covered upto 60 days after discharge from the hospital.
  • Day Care Procedures which require less that 24 hours of hospitalization are covered.
  • Ayurvedic Treatment is covered if taken in Govt. Hospital or Govt. approved facility.

Value Added Benefits

  • No Claim bonus of 3% after 3 continuous claim free years and subsequent claim free years subject to maximum 15% of sum insured.
  • Cashless Hospitalization in more than 7000 hospitals across India.
  • Add on Covers such as Ambulance service expenses reimbursement and Daily Hospital Cash are available.
  • Avail Tax benefits for the premium paid towards this policy under section 80D of IT Act.
  • Free Medical check-up once in a block of 3 claim free years.
  • Option to avail second opinion.

Sub Limits

  • Room, Boarding and Nursing expenses are covered upto 1% of the Sum Insured or actual bill amount whichever is less.
  • ICU expenses covered upto2% of the Sum Insured or actual whichever is less.
  • Pre & Post Hospitalization expenses are covered subject to the maximum limit of 10% of the Sum Insured.
  • 10% of admissible claim amount of each claim as co-payment in respect of persons above 60 years.

Waiting Period Clause

  • Initial Waiting Period: Any diseases contracted during first 30 days of the policy start date, except those arising out of accidents.
  • Specific Waiting Period: Some treatments such as Cataract, Fistula in anus, Piles, hernia, etc. are covered after 2 or 4 consecutive policy years.
  • Pre existing Disease Waiting Period: This plan has a waiting period of 4 years to cover pre existing diseases.

Who can Buy the Plan?

Factor Minimum Maximum
Age (as on last birthday) Child: 3 Months, Adult: 18 Years Child: 18 Years, Adult 80 Years
Sum Assured 1 Lac 10 Lacs
Cover Type Family Floater -
Policy Tenure 1 Year 1 Year
Grace Period 30 Days -
Free Look Period 15 Days -
Riders Ambulance Cover & Daily Hospital Cash -

Exclusions

  • Domiciliary Treatment
  • Expenses attributable to self inflicted injury
  • Naturopathy
  • Dental Treatments
  • Maternity related expenses
  • Convalescence and Rehabilitation Benefits, etc.
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