S.No Sum Insured 5 Lacs 7.5 Lacs 10 Lacs 15 Lacs 20 Lacs 25 Lacs
1. Room, Boarding and Nursing Charge Single Standard A/C Single Standard A/C Single Standard A/C Single Standard A/C Single Standard A/C Single Standard A/C
2. ICU/ Opeartion Theatre Charges Actual Actual Actual Actual Actual Actual
3. Ambulance Charges- By Road (per policy period) Up to 2,000/- Up to 3,000/- Up to 3,500/- Up to 4,000/- Up to 4,500/- Up to 5,000/-
4. Air Ambulance (per policy period) Not available Up to 10% of sum insured Up to 10% of sum insured Up to 10% of sum insured Up to 10% of sum insured Up to 10% of sum insured
5. Pre Hospitalisation Expenses incurred Up to 30 days Up to 30 days Up to 30 days Up to 30 days Up to 30 days Up to 30 days
6. Post Hospitalisation Expenses incurred Up to 60 days Up to 60 days Up to 60 days Up to 60 days Up to 60 days Up to 60 days
7a. Delivery Charges- Normal Delivery 10,000/- 20,000/- 25,000/- 25,000/- 25,000/- 25,000/-
7b. Delivery Charges- Caesarean Delivery 15,000/- 40,000/- 40,000/- 40,000/- 40,000/- 40,000/-
8. Waiting Period for Delivery 36 Months for first delivery 36 Months for first delivery 36 Months for first delivery 36 Months for first delivery 36 Months for first delivery 36 Months for first delivery
24 Months after a delivery claim under this policy 24 Months after a delivery claim under this policy 24 Months after a delivery claim under this policy 24 Months after a delivery claim under this policy 24 Months after a delivery claim under this policy 24 Months after a delivery claim under this policy
9. Coverage for New Born Child (Subject to a valid claim under 7a or 7b above) Up to 50,000/- Up to 1,00,000/- Up to 1,00,000/- Up to 1,00,000/- Up to 1,00,000/- Up to 1,00,000/-
10. Vaccination Expenses for New born (Subject to a valid claim under 7a or 7b above) Up to 1,000/- Up to 1,000/- Up to 1,000/- Up to 1,000/- Up to 1,000/- Up to 1,000/-
11. Out Patient Dental/ Ophthal Coverage-once in a block of every 3 years of continuous renewal Up to 5,000/- Up to 5,000/- Up to 10,000/- Up to 10,000/- Up to 10,000/- Up to 10,000/-
12. Out Patient Medical Consulation Coverage other than out patient Dental /Ophthal Up to 1,200/- (per consulation limit Rs.300/-) Up to 1,500/- (per consulation limit Rs.300/-) Up to 2,100/- (per consulation limit Rs.300/-) Up to 2,400/- (per consulation limit Rs.300/-) Up to 3,000/- (per consulation limit Rs.300/-) Up to 3,300/- (per consulation limit Rs.300/-)
13. Hospital Cash upto 7 days per occurrence & upto 120 days per policy period.(1 day time excess) 500/- per day 750/- per day 750/- per day 1000/- per day 1000/- per day 1500/- per day
14. Health Check up once in a block of every 3 claim free years of continuous renewal Up to 5,000/- Up to 7,500/- Up to 7,500/- Up to 12,000/- Up to 12,000/- Up to 12,000/-
15. Restoration benefit after exhaustion of sum insured (once during policy period) 100% 100% 100% 100% 100% 100%
16. Bariatric Surgery (per policy period) 2,50,000/- 2,50,000/- 2,50,000/- 2,50,000/- 2,50,000/- 2,50,000/-
17. Cover for Accidental Death and permanent Total Disablement 5,00,000/- 7,50,000/- 10,00,000/- 15,00,000/- 20,00,000/- 25,00,000/-