Location Bangalore Health Insurance (Mediclaim) Renewal Policy details for 2020-2021 Current Insurer Bajaj Allianz General Insurance Co Ltd Period Of Insurance 12-Sep-20 to 11-Sep-21 Claims Exp 101% As on 30-Jul-21 Total claims INR 1103063/- Current TPA Bajaj Allianz - In house TPA Number of persons covered at inception(incl emp & dep) 62 employees + 155 dependents, Total live 217 Premium paid at inception INR 992000 + GST Premium after endorsement INR 1095103 + GST Details for renewal 2021-2022 Existing Policy coverage Total No Employee 66 Total No Dependents 164 Total Lives 230 FAMILY SIZE 1+5 FAMILY DEFINITION 1+5 (Self+Spouse+2 Children & 2 Dependent Parent) SUM INSURED Uniform Floater Sum Insured 5,00,000 FAMILY FLOATER / NON FLOATER Floater Sum Insured 1ST, 2ND AND 4TH YEAR EXCLUSION Waived for all 1ST 30 DAYS EXCLUSION Waived for all PRE-EXISTING DISEASE WAIVER Waived for all 9 MONTHS WAITING PERIOD Waived for all MATERNITY LIMITS INR 50000 for Normal and INR 75000 for C-Section BABY DAY 1 COVER Covered from Day One within Family Floater PRE-AND POST NATAL MATERNITY EXPENSES Covered INR 5000 within Maternity Limit in case of Hospitalisation only 1% of SI for Normal Hospitalisation and 2% of SI for ICU Hospitalisation. There will be proportionate deduction in case insured opt for higher room ROOM RENT OR ROOM TYPE RESTRICTION rent. PRE AND POST HOSPITALIZATION COVERAGE 30 days pre-hospitalization and 60 days post-hospitalization respectively. CONGENITAL INTERNAL DISEASE Covered for all AILMENT WISE CAPPING Cataract INR 30,000 per Eye CO-PAY No Co-Pay EMERGENCY AMBULANCE CHARGES INR 1000 per Event LASIK SUGERY Covered if power the power of eye is beyond +/- 7.5 Ayurveda Cover 20% of sum insured payable at NABH Ayurveda Hospitals TPA FACILITY FOR CASHLESS HOSPITALISATION Yes
ADDITION & DELETION ON PRODATA BASIS subject to availability of CD balance Yes
NO MID TERM INCLUSION OF DEPENDANTS EXCEPT NEWLY MARRIED SPOUSE
AND NEW BORN CHILD Yes AGE BAND Relation 0-18 19-25 26-30 31-35 36-40 41-45 46-50 51-55 56-60 61-65 66-70 71-75 76-80 >80 SELF 18 21 17 5 2 3 SPOUSE 4 7 6 3 2 CHILD1 12 1 CHILD2 3 FATHER 4 16 17 16 6 1 1 1 MOTHER 1 17 15 14 13 2 2 Grand Total 15 19 25 24 11 6 26 31 31 29 8 3 1 1 Grand Total 66 22 13 3 62 64 230