: 12/2005 (VI)

: EST-6/04/INS/1010



07.
2016.04.29

2005
2005.05.18 12/2005
.
02.

2016.03.30
.
03.

.125/-

.300/- . 600/-

. 01
02
3.1

3.2

03

.

3.3

03
.

3.4

04.

.200/-

04
.
4.1

2016.01.01

.

4.2

2016.01.01
.

4.3

.
4.4

70 .

4.5

.
2

4.6

05.

.
06.

2016.05.01 .

 01

/
. . 300/-
.

01

01

. 50000.00
(

. 5000 )

02

.60000.00

03

. 35000.00

04

. 30000.00
(
)

05 01 04
(

. 160000.00
()

.)

06 01 04
()

. 160000.00

()

. 250000.00

07

. 3500.00

08

I.

.10000.00
( .1000
)

II.

.60000.00

( )
III.

.30000.00
( )

09

. 10000.00
.1000

10 /
(

. 1500.00
( )

05)

11 ( )

. 25000.00

12 (

. 60000.00

13

02

. 150000.00

.800000.00

.800000.00

.800000.00

RF Ablation ( )

350000.00

.400000.00

.150000.00

.150000.00

. 75000.00

:
:-

21 21

:-

70
6

 03

1.
1.1

. 1000000.00 .

1.2

. 1000000.00 .

01

100%

.
02

100%

.
03

100%

03

.
04

50%

05

50%

1. (01) (05)

.

.

2.

.
( 90 .)
2.1

2.2

- .

- . 400000.00

- . 100000.00 ( )

 02

/
. . 600/-
.
01

01

.80000.00
(

.8000 )

02

03

04

.80000.00
(
)

.50000.00
(
)

.40000.00
(
)

05 01 04
(

.200000.00
()

06 01 04
()

.200000.00

()

.350000.00

07

5000.00

08

I.

.30000.00
( .3000
)

II.

.80000.00

( )

III.

.40000.00
( )

09

. 30000.00
( .3000
)

10

10 /
(

.3000

05)

11 ( )

. 50000.00

12 (

.100000.00

13

02

.200000.00

.1200000.00

.1200000.00

.1000000.00

RF Ablation

.500000.00

.600000.00

.250000.00

.250000.00

. 100000.00

11

 :
:-

21 21

:-

70

03
1.

1.1

.2000000.00 .

1.2

. 1500000.00 .

01

100%

02

100%

03

100%

04

50%

05

50%

03

1. 01 05

.

.
12

2.

.
( 90 .)
2.1

- . - . 700000.00

2.2

- . 200000.00 ( )

13

 03
122200 (VI)

01.

: .............................................................................................

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02.

: .........................................................................................................

...................................................................................................................................................
03.

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04.

05.

: :...........................

06.

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:.............................

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07.

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08.

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14

 04

01

.30000.00

( .3000/-
)
02

. 50 000.00

03

. 20000.00

04.

. 20000.00

01 04
05

. 120000.00
()

.)

06

01 04
()
()

. 120000.00
. 150000.00

15

07

I.

.5000.00
( .500 )

II.

( )

. 50000.00

III. . 20000.00
( )
08

09

I.

.5000.00
( . 500 )

.500000.00

()
1. Heart Attack (Myocardial Refraction)
2.

Coronary Artery Disease (Coronary bypass

Surgery)

3. Stroke (Cerebra Vascular accident)

4. Double (Mitral & Aortic) Value Replacement
5. Atrial Septal Defect
6. Percutancous Transluminial Cororany Angioplast
(PTC)
7. Fallot Tetrology
8. Bruganda Syndrome
9. Implanting Pacemaker Single
10. Implanting Pacemaker Double
11. Mitral Valve Replacement
II. RF Ablation ()

.225000.00

III. () ()
1.
Cancer

. 200000.00

2.

Kidney Transplant

16

()

10

11

3.

Reanal Failure

4.

Major Organ Transplant, such as lung or

bone marrow, However this benefit will
not be paid to a donor of a major organ

5.

Paralysis

6.

Multiple Sclerosis

7.

Primary pulmonary Arterial Hypertension

8.

Fulminate Hepatitis

.150000.00

.50000.00

. 150000.00

. 600000.00

17