“LookFeel_PolicySchedule_ GHI @picicr@rombars Page 14 of 21 GROUP HEALTH (FLOATER) INSURANCE, |ADD-ONS/ EXTENSIONS Insured may algo avail the following adatonal coversiedeone under the policy. Risk Premium would bbe chargod as por the covar provided in Part | of the Poly 1. Cover for Pre-Exsting Diseases: By way of this ‘26d-0n, Proexising Diseases shal be covered ‘tor 1 yoat (ras stated in Prof the Psi.) For the purpose of avoidance of doubt itis to bo clariied that, the term Pro-exsing Disease ‘means any condition almant or injury oF ines. for related conciton (s) for which Insured had ‘developed signs oF symptoms, andlor wore ‘dagnosed and/or recolved medal advicehreatment, within 48 months prior to the first Policy with the Company. 2. Maternity Expenses: This add-on provides cover ‘or medical expenses incurred for delvery, during hospitalization or lawful medica! termination of pregnancy during the Policy Period Ths coverage ‘may be offered with or witout any walting period ‘The cover also exands to provide child birth ‘elated expenses upto 3 spected limit and pre ost natal expenses as specfialy stated in Part | ofthe Policy. Provided that a) The cover under this addon hall be availabe ater 9 months (or a stated in Part Of the Policy) of continuous coverage have ‘lapsed since the inception ofthe frst Policy ‘withthe Company 1) Expenses incurred in connection with | voluntary medical termination of pregnancy uring the fest 12 weeks from the date of | conception ae not covered 3. Out Patient Department (OPO) Expenses: Tho ‘Company wil reimburse mediest expenses Incuted by the Insured a an Outpatient. For the purpose of this adcon, Outpatient means the Insured person wo is not hospitalized for mote than 24 consecutive hours but who visits @ hospital lnc or associated faity for diagnosis for treatment. However, any Insured person Undergoing any nomed day care procedure) treatment will not be considered as an Outpatient 4. Gost of Prescribed External Medical Aid: The Company wil reimburse Insured forthe charges Imcured by insured during the Policy Period on faecount of procuring medically” necessary Prosthetic or artificial devices or any medial equipment including, but not lites to hearing aids, spectacles, contact lone et. | 5 Baby Dey One Cover: This addon wil cover | te Scie es http://10.24.153.25/Configurator/HTML ReportSource/zrhsIbSSavnuuczy2hokfg45UC_Loo... 1%. n 2 13 4 baby? only a an in-patient in hospital for a ‘maximum period up 10 31 days. tial teases Cover: The Company wil pay the sm insured for this add-on, in case Insured is diagnose as sufering from one or more of the Cita! Hnesses forthe fst ime in fe, ring the Policy Period, ‘This benefit can be availed only by the Insured ‘only once during his Met. Travel Expenses for Medics! Treatment: The Company. wit reimburse the wavel expense Incurred outside the city of residence at @ nearest place as prescribed by weating Medical rocttioner wherein the tratment is not possible ‘inhi pace. DDontal Expenses: The Company will eimburse the medical expenses related to dental veatment incurred by the insured during the Policy Period. Of this ad6-on, the Company will reimburse the Insured for medieal expenses incutred on homeopathic, Ayurvedic, Siddha, Unni, seupressure, acupunctur, yoga and naturopathy tweatment provided that such weatment is ‘administored by medical practtione. ‘Donor Exponses: The Company wil indemnity the Insured for the medical expenses incurred in Fespect of donor for any of the organ trnsplant surgery during the Policy Period, provided the ‘organ donated is for insureds use andthe claim is considered admissible by the Company. ‘Ambulance Cherges: Ambulance charges would Include transportation cost to the nearest hospital incase of fe threatening emergency conditions. Pre and Post Hospitalization: By way of this adé- fon, the Company will pay medical expenses Incurted 30 deys prior 19 hospitalization and 60 days stir hospitalization or as stated in Part | ot the Policy. ‘est ChecktUp: The company by way of this ‘add-on, will cover the cost of health check un Incured by the Insured for medical examinetion undergone being 2 requirement from employer. ‘Such medical examination i generally conducted tw understand heath status of the employee. Disease-Wise Sub-Limit: By way of this adk-on, the company ean introduce sub-imits on certain sdseases hosed on the claim experience and the equiremont ofthe Insured Domiciliary Hospitalization: The Company wil feimburse’ the Insured. for medical expenses Incurred by the Insured during domiclinry hospitalization. 9/9/2016