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Cardiac Care Plan

For those who have already undergone CABG / Bypass / Cardiac Medical Management

This policy is for persons between the age of 10 yrs and 65 yrs who have undergone

1.    Percutaneous Transluminal Coronary Angioplasty  (PTCA) / Coronary Artery Bypass Graft (CABG) within 7 years period prior to the commencement of the first policy under this insurance OR


2.    Atrial Septal Defect (ASD) or Ventricular Septal Defect (VSD) that has been corrected


3.    Patent Ductus Arteriosus (PDA) that has been treated


4.    RF Ablation or RF Ablation done to correct the underlying cardiac condition


5.    Had an Angiogram done but no intervention was medically found necessary

 

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Can be utilized for treatment of heart diseases

(Sec 2) or any other health conditions (Sec 1)

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ENTRY AGE : minimum 10 years
ENTRY AGE : maximum 65 years

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Section 1- Hospitalization expenses for Accident and

Non-Cardiac Ailments

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Section 2- Available for cardiac ailments &

complications Cover available both for surgical

intervention & medical management.

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Section 3- Outpatient expenses

Section 4 - Personal accident - death cover equal to sum insured

Mediclaim for Cardiac Survivors...

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Hospital Staff

SECTION I

Accident & Non-Cardiac Ailment

In-patient Hospitalisation
Hospitalisation expenses incurred for a period of more than 24 hours on account of  illness, injury or accidents are covered. 

Pre-Hospitalisation
In addition to in-patient hospitalisation, the medical expenses incurred up to 30 days before the date of admission to the hospital are also covered.

Post-Hospitalisation
Post-hospitalisation medical expenses incurred up to 60 days from the date of discharge from the hospital are covered up to 7% of the hospitalisation expenses subject to the maximum of Rs. 5000/- per hospitalisation.

Room Rent
Room, boarding and nursing expenses incurred during in-patient hospitalisation are covered up to 2% of the Sum Insured subject to the maximum of Rs. 5000/- per day.

Road Ambulance
Ambulance charges are covered up to Rs. 750/- per hospitalisation and Rs. 1500/- per policy period for transportation of the insured person to the hospital by private ambulance service.

Day Care Procedures
Medical treatments and surgical procedures that require less than 24 hours of hospitalisation due to technological advancements are covered.

Modern Treatment
Expenses incurred for modern treatments such as Oral Chemotherapy, Intra Vitreal injections, Robotic Surgeries, etc. are covered up to the limits mentioned in the policy clause.

Cataract Treatment
Expenses incurred for Cataract treatment are payable up to the limits mentioned in the policy clause.

Co-Payment
If the insured person purchases or renews the policy at 61 years of age or above, then he/she is subjected to the co-payment of 10% for each and every claim amount.

Surgical Scissors

SECTION II

Cardiac Ailments

Cardiac Ailments (Surgical /Interventional Management, Medical Management)
All the features mentioned in Section I will be covered along with cardiac related complications that requires in-patient hospitalisation in Gold Plan under this policy.

Cardiac Ailments (Only Surgical /Interventional Management)
All the features mentioned in Section I will be covered along with cardiac related complications that requires surgery or intervention in Silver Plan under this policy.

SECTION III

Out Patient Benefits

Out Patient Expenses
Reasonably and necessarily incurred outpatient expenses at Network Hospitals in India are covered up to Rs. 500/- per event subject to a maximum of Rs. 1500/- per policy period.

SECTION IV

Personal Accident Benefit for Death

Personal Accident Cover
Worldwide personal accident cover is provided in the event of unfortunate death of the insured person due to accidents during the policy period.

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