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HOW TO CLAIM UNDER MEDICLAIM

HOW TO CLAIM UNDER MEDICLAIM Intimate your Insurance Company/ T.P.A (Service Provider) at the earliest possible, preferably in writing or email about the policy holder getting hospitalized in advance. Go to the hospital where the policy holder is to be admitted, fill in the pre authorisation form your part and the rest by the Doctor concerned. Take your identity proof along any of the following so as to prove your identity, i.e Card provided by the insurance co, pan card, election card or passport. Please note CARD ISSUED BY THE INSURANCE CO or T.P.A IS MERELY AN PROOF OF IDENTITY & INSURANCE. IT DOESN’T ALLOW CASHFREE TREATMENT. Ask the hospital to communicate in advance the PRE AUTHORISATION FORM to the relevant T.P.A, wait for the authorisation. For REMIBURSEMENT CLAIMS Inform and intimate the Insurance co & the T.P. A about the admission in the hospital at the earliest without any  delay  preferably in writing or email. Once discharged fill in ...

TEN TIPS

TEN TIPS 1)      Always Have a Nominee or An Assignee in your Policy Document. 2)      SAVE TOLL FREE NUMBER OF YOUR SERVICE PROVIDER/TPA. 3)      UPDATE YOUR ADVISOR FOR ANY CHANGE IN MOBILE NUMBER OR COMMUNICATION ADDRESS . 4)      Check your Personal Data on the Policy Document once you receive it. 5)      Check your Sum insured & Cumulative Bonus if any. 6)      Inform your family about the policy document where you place it. 7)      Keep a copy of your Medi Card in your wallet. 8)      Do Not Destroy your Old Mediclaim/ Health Policy. 9)      PAY YOUR PREMIUMS AT LEAST 20 DAYS IN ADVANCE SO AS TO AVOID LAPSATION OF YOUR POLICY. 10)    REVIEW YOUR HEALTH / MEDICLAIM POLICY ONCE IN 3 YEARS. AS YOU MAY NEED ENHANCEMENT IN SUM INSURED DUE TO INFLATION, OR MAY HAVE...

HOSPITAL CASH POLICY

HOSPITAL CASH PLAN In event of hospitalization this plan helps you cover up additional hospitalization expenses like attendant food & accommodation which are not covered under the standard Mediclaim /health plan. Under this plan you are paid Daily Cash Component for each continuous and completed period of 24 hours of hospitalization due to Sickness or Accident. Maximum up to 90/180 days per policy year, depending on the plan taken . The Benefit is DOUBLED in case of I C U admission for each continuous and completed period of 24 hours of hospitalization due to Sickness or Accident. Maximum up to 15 days per policy year. NO MEDICAL TEST NEEDED BENEFITS: - One can take this policy along with or over and above the existing mediclaim/health policy. The CONITION OF SUB LIMIT ON ROOM RENT DOESN’T APPLY. It is paid irrespective of the ROOM RENT PAID. Premium paid under this plan is eligible for 80 D benefit . ILLUSTRATION TYPE OF ADMISSION PER DAY ...

Individual Or Floater Mediclaim ?????

Which one to chose Individual or Floater Mediclaim? Many of us wish to have a Mediclaim / Health Plan but are not sure which one to take. As such let me elaborate on the two types of plans Individual Mediclaim as the name suggests is a plan where in each member of the family is covered up to the individual specified sum insured limit. Illustration if a family of four take a policy of 3 Lakhs each then every person under the policy will be covered for Rs. 3 Lakhs. In case of a claim, the hospitalization expenses will be settled to the maximum of 3 lakhs. In case an amount of Rs. 3, 50,000 lakhs the policy holder will have to pay Rs.50,000 from his own pocket, as his sum insured liability is restricted to Rs. 3,00,000. Advantages of Individual Mediclaim :- ¨       No claim bonus is given under most of the individual plans ranging from 5% to 10 % varying from Company to Company. ¨       Family Discount is given for m...

OFFICE PACKAGE INSURANCE

OFFICE PACKAGE INSURANCE. THE TOTAL PACKAGE SOLUTION’S FOR YOUR OFFICE. In Order to safeguard your business interest from the place you work in it is advisable to have an Office Package Insurance. Coverage at a glance. ¨        Standard Fire & Allied Perils :- One can insure society buildings / property against damage due to Fire , Lighting, Explosion/ Implosion, Aircraft damage, Riot, Strike Malicious damage, Impact damage, Bursting of Overhead water tanks & Missile testing operations. ¨       Add On Covers :- Earthquake, Terrorism, Storm, Flood, and Tempest, Inundation can be covered by paying additional premium. ¨       Some Common Covers Available Under This Package :- 1.      Burglary : - Covers all contents covered under standard fire and allied perils section against buglary / housebreaking / theft following violent & forcible entry or exit fro...

BUILDING INSURANCE

BUILDING'S INSURANCE FOR  SOCIETIES . We all live in a society comprising of various residential units / flats. Being a co-operative housing society there are various risk involved as such getting protected should be of foremost importance. Therefore the law has made it mandatory under BYE LAWS OF THE CO-OPERATIVE HOUSING SOCITEY,  MAHARASHTRA   STATE  U/s. XVII / 161 STATES “ THE SOCIETY SHALL INSURE IT’S BUILDING/BUILDING’S NECESSARILY AGAINST RISK OF FIRE & EARTHQUAKE”. Coverage at a glance. ¨        Standard Fire & Allied Perils  :-  One can insure society buildings / property against damage due to Fire , Lighting, Explosion/ Implosion, Aircraft damage, Riot, Strike Malicious damage, Impact damage, Bursting of Overhead water tanks & Missile testing operations. ¨        Add On Covers  :- Earthquake, Terrorism, Storm, Flood, Tempest & Inundation can be covered by paying ad...

Overseas Travel Policy

OVERSEAS TRAVEL POLICY . Whilst travelling abroad, looking to the exorbitant cost of treatments abroad Indian Insurance Companies are securing you through Overseas Travel Policy. We need to be insured for against any Accidental, Medical calamity which may arise. Type Of Plans Including U.S.A & CANADA ,   EXCLUDING U.S.A & CANADA. Business & Holiday.  Students.  Corporate Frequent Traveller’s. /Multi Trip. Coverage : - Coverage is in U. S $, Ranges from $ 50,000 to $ 5,00,000. Validity : - Maximum tenure you can be insured for is 180 days. Scope Of Cover Some Common Sections. ¨       Medical Expenses :- It mainly covers Medical expenses incurred abroad by insured person’s as a result of bodily injuries caused or sickness or diseases. ¨       Emergency Medical Evacuation. ¨       Repatriation of Remains. ¨       Loss of C...