-ookFeel_PolicySchedule_GHI seIC1C Lombard ONE see 18, a ‘ttp://10.24.153.25/Configurator/HTML ReportSource/zrhslb$Savnuuczy2hokfg4SUC_Loo... Page 15 of 21 GROUP HEALTH (FLOATER) INSURANCE, ‘Treatment Outside india (long with traveling cost 6 boarding & lodging of the stendart): This odd- fon covers the cost of medical treatment along with tho traveling ost and cost pertaining to boarding and lodging of we cost and cost peraining to boarding and lodging of the attendant in 9 country outside india when roquirod and prescribed by testing Medical Practitioner. CConvalescence Benefit The Company wil pay the Ingured upto a certain amount at stated in Part of the Polley I the Insured Ie hospitalized for a ‘minimum poriod of consecutive dye as epeciied In Par I of ho Policy, duo to any inary oF Hinges 8 covered under the Policy. This benefit ie ‘payable only once ta an Insured person ding the Poly period Loss of wagesisalary dua to hospitalization ‘Hospital Daly Cash Allowance); Tho Company wil pay the Insured a fxed amount for each day ‘of his hospitalization 10 compensate against the loss of wage/slary Incured by Insured on ‘account of hospkalaation- Cover for alte hospital charges: By way of this ‘2dd-on, Company will reimburse ether one or ‘combinations of the expenses incurrad on the ‘lied hospital charges such as ambulance ‘chargesadminictration charges, sorvieo chargos ‘and miseolaneoue charges, boardinglodging Charges, including wansponation costs of ‘machinalmedieal instruments of any spacial ‘medical team to the city of the insured or any ‘such other charges. wherever prescribed by ‘medical practioner. Limit on room rent, nursing charges, consutation fees, diagnostic charges, OT charges ete: This ‘add-on restricts the coverage for respective heads upto 2 spaced amount. In cates, where. the ‘claim amount excoods this amount, the entre ‘admissible claim amount which inckides various ‘hospital bil ete, wil be raducad in the proportion hich the eligible room rent limit beers to the ‘tua room rent. Wellness & Preventive Care: By way of this add- fn the ingured can avail any or all ofthe below ‘mentioned: ‘ Hoaith Risk Asessemant 1 Hoatth Checkup’ add-on of report evaluation ‘+ Medical Contre Management {Diet Nutrition Plane ‘© Online Doctor Chat Heath Camps - on campus Expert Sessions - on campus ‘+ Second Opinions: Domestic and Internationa markets ‘+ Discounted oferings -on heath and wellness eorvices (EQ Gyms, Diagnostic Centr, Medicines, Beauty lines ete) ‘+ Disease Management Programs: Eg Diabetes, Healthy Heart, Sress Management ete ‘= Liestyleellness Management Programs: Eg Maternity, Quit Smoking ‘+ PHR- Personalized Heslth Records ‘+ Heath Assistance Services : Opinions - Doctor con allhome - Ambulance: Heath tools ‘+ Heath & Wellness Reminder Services Healt Concierge Desk Others CLAIM ADMINISTRATION ‘The flfimont ofthe terme and condtions of this Policy (including payment of premium by the due datos ‘mentioned inthe Policy Schedule) insofar a they to anything to be done or complied with by each ofthe insured shall be eonctions precedent to admission of the Company’ lie Further, upon the discovery or happening of any Hess ‘or Injury that may give rs to 8 Claim under this Policy, then as a condition precedent to the admission of the Companys liability, the insured) shall undertake the following Claims Procedure For Cashless Setmant ‘cashless treatment is only avaliable at 2 Network Provider (Uist of Network Providers Is availabe ot ‘our wobsit). In ordar to aval of cashless Iwoatment, the folowing procedure must be followed by the insured Pre-suthorzation Prior to taking weatment andlor incuring Medial Expenses at @ Network Provider, the insured most contact the company ofthe TPA accompanied with ull paniculars namely,” Policy Number, ‘Name of the Insured, your relationship with Policy Holder, nature of ness oF Injury, name and address. of the Medical Practtoner! Hospital and any other information that ‘may be relevant to the less! Injury’ Hospitaiation. Request for pre- authorisation should be received at least 48 hours before plonned Hospitalization and in tase of an emergency situation, within 24 hours of Hospitalization. To avail of Cashlese Hospitalzation facity, the insured Is required to produce the health card, 3s provided to himiar with tis Poly, subject to the terms and conditions for the usage of the sad heath car. The request of insured shal be considered ster having obtained accurate and complete maton forthe ness o Injury for which cashless 9/9/2016