kFeel_PolicySchedule_GHI
Aicie!Eronbard
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GROUP HEALTH (FLOATER) INSURANCE,
speciied rupee amount in ease of indermity
policies and for a spectiod numberof daysshours
in case of hospital cash policies, which wal apply
before eny benefits are payable by tho insurer
“This o lary that a deductible does not reduce
the sum ingured, Deductible shall be applcable
‘er your, per Ife or per event as sated in Part of
tho Polity and specific deductible to be applied
shall be 8 Pat lof the Poly.
Domiciliary —hosptakzation means medical
tuestment for an inssidiseasasnjury which nthe
normal course would require caro and treatment
at a hospital bute actualy taken wile confined at
home under any the fllowing circumstances:
) the condion of the patent is such that
hishe fs rot In a condition to be removed
twahospta or
1b) the patient takes treatment at home on
‘account of non availabilty of room in 2
hospi
Dental treatment is treatment carried out by a
ental practioner including examinations, ings
where’ appropriate), crowns, extractions and
surgery excluding any form of cosmetic
surgery/implats.
Disclosure to information norm means the Policy
habe void anal premium pala hereon shall be
forteted. to the Company, in the event of
rmistepresentation, mis-description of not
aclomure of any matvial fact.
Emergency Care means management for a severe
ines or jury which results i symptoms which
‘occur suddonly and unexpectedly, and requires
Immediate care by @ modical practioner to
‘prevent death or serious long term impairment of
‘the insured person’ heath,
Grace Period means the specified porod of time
immediatly folowing the premium due date
during which a payment can be made to renew of
fontinue 2 policy in force without loss of
Continuity benefte such ae waiting pariods and
Coverage of pre exiting diseases. Coverage is nt
fvalabe fr the pariod for which no premium i
received
HosptalNursing home means any instution
established for in- patient care and day care
treatment of iness andr injuries and which has
‘been registered 9 @ hospital with the local
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‘uthorias under the Clini! Establishments
(Registration and Regulations) Act 2010 or under
‘enactments specfied. under the Schedule of
Section 561) of the sid Act OR comply with al
‘minimum eter 28 under:
4) Has at least 10 in-patient beds, in those
towne having 2 population of less than
10,0,000 and 15 inpatont bods i all other
ploces:
1b) Has qualified nursing staff under its
‘emmployment round the elock
Hes qualified medical practitioners) in
charge round the cock:
4), Has a fully equipped operation theatre of it
‘own wire surgical procedures are caried
(2) Maintains dally records of patients and will
make these accessible 10 the Insuronce
Compeny's authorized personne.
Hospitalization means sdmission in a Hospital for
4 minimum period of 28 In patient Care
Consecutive hours except for specified
Procedures/restments, where such admission
‘ould be for a period of less than 24 consecutive
hour.
Inpatient care means weatrent for which the
insured person has to stayin a hospital for more
than 24 hours for 9 covered event
Mipess meant a sickness or disease or
pathological condition lesding to the impsirment
‘6F normal physiological funtion which manifests
isa during) the Policy Poriod and requires
‘medical reatment.
1) Acute canton is «disease, iiness or injury
that is Bkely to respond qucky to treatment
‘which airs to retuen the parson to his or her
‘ate of heath immediately before suffering
the disoaseflngssfnjury which loads to ful
Chronic condition is defined as a diseaeo
Ines, or injury that hes one or more of the
folowing characterstics:-
‘tneade ongoing o long tem monitoring
‘through coneuations, examinations,
check ups, and or tats
‘+ needs ongoing of long-arm control or
rele of symptoms
9/9/2016