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Page 1: Se S Sections 1 Basic Benefits · rgicl.rcarehealth@relianceada.com. Page 43 of 54 SSection.11 Grievance Redressal Procedure . Page 44 of 54 Ombudsman Office . Page 45 of 54. Page

RELHLIP20089V021920

Se S Sections 1 – Basic Benefits:

a)

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i)

iii)

c)

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d)

Domiciliary Hospitalisation

.

e)

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iii)

g)

Pre-Hospitalisation Medical Expenses

h)

Post-Hospitalisation Medical Expenses

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Ambulance

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Section 2- more Options Benefits

Policy Period 1 Year 2 Year 3 Year

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Section. 3 Voluntary Co-payment

b)

Section. 3 Renewal Benefit: MoreResults Discount:

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Policy

Period

Discount applicable

per adult for the

Policy Period for an

Individual Sum

Insured Policy

Discount applicable

per adult for the

Policy Period for a

Family Floater Sum

Insured Policy with

2 adults

Discount applicable per adult

for the Policy Period for a

Family Floater Sum Insured

Policy with 1 adult

Section. 3 Exclusions

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Pre-existing Disease

means any condition, ailment , Injury or disease:

i) That is/are diagnosed by a physician within 48 months prior to the effective date of

the policy issued by the insurer or

ii) For which medical advice or treatment was recommended by, or received from, a

physician within 48 months prior to the effective date of the policy or its

reinstatement

ii) A conditio for which any symptoms and or signs if presented and have resulted

within three months of the issuance of the policy in a diagnostic illness or medical

condition

a)

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ii.

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Section.6 General Conditions

b)

c)

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Treatment, Consultation or Procedure: We must be notified:

Treatment,

Consultation or

Procedure:

Treatment,

Consultation

or

Procedure

Taken at:

Cashless Facility

is Available:

We must be given

notice that the

Insured Person

wishes to take

advantage of the

Cashless Facility

accompanied by

full particulars:

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i)

ii)

i)

ii)

iii)

iv)

v)

vi)

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xiv)

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iv)

i)

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ii)

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Section. 7 Schedule of Benefits

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Section. 7 Interpretations & Definitions

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.

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ii)

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Section. 7 Service related Information:

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Claims Servicing

Section. 10Claim Related Information & Claim Procedure

[email protected]

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SSection.11 Grievance Redressal Procedure

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Annexure I: List of excluded expenses (Non-medical)

S. No. List of expenses generally excluded ("Non-Medical") in Hospital Indemnity Policy

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OTHERS