Janata Mediclaim Policy 

The cover will be on the lines of Medidaim policy (2007) except the following:

Sum Insured: There are only two slabs available under this Policy for Sum Insured i.e. Rs. 50,000/- and Rs. 75,000/-.

Premium Schedule:

Sum
Insured
3
months
to
5 yrs
Over
5 yrs
to
35 yrs
Over
35 yrs to
40 yrs
Over
40 yrs to
45 yrs
Over
45 yrs to
50 yrs
Over
50 yrs to
55 yrs
Over
55 yrs to
60 yrs
Over
60 yrs to
65 yrs
Over
65 yrs to
70 yrs
50,000 750 700 800 1100 1400 1550 1800 2050 2300
75,000 1125 1050 1200 1650 2100 2350 2700 3050 3450

Loading for pre-existing condition is applicable.

The expenses are reimbursable as per schedule given below:

JANTA MEDIClAIM POLICY – SCHEDULE OF PAYMENT (In Rupees)

Name of Illness/Operation Maximum Charges Inclusive of Room / ICU / OT Charges / Surgeons. Anesthetist, doctors fees, medicines, internal appliances and other charges incurred during hospitalization period
Cataract with imported foldable lens 10,000/-
Hysterectoray 22,000/-
Appendicectimy 16,000/-
Cholecystectomy 18,000/-
Prostate 18,000/-
Hernia – Ventral / Incisional 16,000/-
Septoplasty 20,000/-
Haemarrhoidcctomy 9,000/-
Fissurectomy 8,000/-
Fistulectomy 9,000/-
Angiography 10,000/-
Tonsillectomy 12,000/-
Tympanoplasty 7,000/-
Kidney Stone / Lithotripsy 13,000/-
Arthoscopy 13,000/-
PID – Disectomy 10,000/-
Mastectomy (Radical) 31,000/-
Exploratory Laprotomy 36,000/-
18,000/-

Other surgeries hospitalization expenses
 

PER DAY CHARGES

Rupees

Room rent
(Inclusive of nursing / treatment charges)
450/-
Minor surgery / Day care room rent per day 450/-
Operation Theatre Charges 1250/-
Anesthesia Fees 650/-
Anesthetists Fees 950/-
Surgeon fees 3150/-
INTERMIDIATE SURGERY
Room rent 450/-
Operation Theatre Charges 1800/-
Anesthetists Fees 1500/-
Surgeon fees 4500/-
MAJOR SURGERY
Room rent 450/-
Operation Theatre Charges 2500/-
Anesthetists Fees 2000/-
Surgeon fees 6500/-
SUPRA MAJOR SURGERY
Room rent 450/-
Operation Theatre Charges 5000/-
Anesthetists Fees 4000/-
Surgeon fees 12000/-
ICU Charges (per day with all intensive care infrastructure & facility) 1800/-
Ventilator Charges (Per day) 450/-
Visit Charges (Per day irrespective of number of visits) 350/-

Note: Any Charges which are not mentioned in the schedule of payment will be considered as per Central Government Health Scheme (CGHS) rates prevalent at the time of claims.

Back to Mediclaim Index Forms: MEDICLAIM POLICY JANATA l PRE INSURANCE HEALTH CHECKUP

Submit Your Review

Submit your review
1
2
3
4
5
Submit
     
Cancel

Create your own review

Average rating:  
 0 reviews