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GROUP HEALTH INSURANCE
 
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Our Health insurance is designed to provide round the clock medical assistance due to an accident or illness. It provides comprehensive coverage for in and out patient, surgical, medical and other related benefits.

Currently we offer Group / Corporate Health Insurance.

There are several plans available under this cover, which, if required can be adjusted to suite your needs.

Benefits provided

1. Daily Authorized Medical Centre Room and board: pays for the actual room & board charges incurred, up to a maximum daily benefit selected but not exceeding 90 days per disability

2. Intensive Care Unit : pays for the actual intensive care ward charges insured, up to a maximum daily benefit selected but not exceeding 30 days per disability

3. Surgical Benefit : pays for the actual expenses incurred for any surgical procedures performed subject to the Surgical Schedule and the maximum benefit selected

4. Miscellaneous Services : pays for the actual expenses incurred for the following items:
o Use of Operating Room
o Drugs and Medicines
o Dressings, Ordinary splints and Plaster Casts
o Laboratory Examinations, X-ray Examinations
o Electrocardiograms, Basal Metabolism Tests
o Physical therapy, X-ray therapy, radium therapy, radium and isotopes
o Intravenous infusions, Administration and the cost of Blood or Blood Plasma
o Anesthesia and Oxygen and their administration

5. In-Hospital Physician's Visit: pays for the reasonable and customary charges incurred for daily services rendered by a registered Physician in the hospital, subject to a limit of one visit per day of hospital confinement up to a maximum daily benefit selected.

6. Post Hospital Benefits: pays for the actual expenses incurred for the follow-up treatment provided or recommended by the same physician within 31 days from the hospital discharge, subject to the maximum benefit selected.

7. Specialists Consultation: pays for the reasonable and customary charges incurred for medical specialist consultation recommended by a registered Physician up to the maximum benefit selected. However, no payment shall be made if after the specialist consultation, hospitalization or surgical treatment is not required.

8. Diagnostic Services: pays for the actual expenses incurred for examination or laboratory tests ordered by a registered Physician and performed during hospitalization or in the diagnosis of a condition resulting in hospitalization or surgery within 30 days of the consultation or the test, subject to the maximum benefit selected.

9. Ambulance Services: pays for the actual expenses incurred for necessary medical ambulance transportation to a local hospital, subject to the maximum benefit selected.

10. Out-patient Kidney Dialysis: pays for the actual expenses incurred for kidney dialysis performed at a legally registered dialysis centre or unit, subject to the maximum benefit selected.

11. Out-patient Cancer Treatment: pays for the actual expenses incurred for out-patient cancer treatment provided by the out-patient department of a hospital or a registered cancer treatment centre including examination and tests ordered by a Physician, subject to the maximum benefit selected.

12. Out-patient Treatment: pays for the actual expenses incurred for treatment of bodily injury arising or illness as an out- patient.

13. Expenses incurred as a result of follow-up visits made within 30 days of the accident shall also be payable but the total benefit payable shall not exceed the maximum benefit selecte

 

» Download the Proposal Form.
» Go to Claims page to report health claims.
» Download the Recommendation Form .
» Download the Rates & Benefits form .
» After filling in the form, you can send it to us directly through the website main page.
» You can also fax it directly to +(960) 3325035