| |
|
Schedule of benefits - Chola Family Insurance
Plan |
|
|
|
General Limit (per Family per year)
Applicable Sections 1a,1b,1c,1d,1e,1f
and Room Rent |
Rs 5,00,000 |
Rs 4,00,000 |
Rs 3,00,000 |
Rs 2,00,000 |
|
Co-Insurance (per Family per year) Applicable on eligible expenses
caused by Non-network provider subject
to being pre-authorised |
10% |
10% |
10% |
10% |
|
Room Rent per day |
upto Rs 3,000 |
upto Rs 2,500 |
upto Rs 2,000 |
upto Rs 1,500 |
|
Section 1a Basic Hospitalisation |
Covered |
Covered |
Covered |
Covered |
|
Section 1b Post- Hospitalisation |
90 days after Hospitalisation |
90 days after Hospitalisation |
90 days after Hospitalisation |
90 days after Hospitalisation |
|
Section 1c Pre- Hospitalisation |
60 days prior to Hospitalisation |
60 days prior to Hospitalisation |
60 days prior to Hospitalisation |
60 days prior to Hospitalisation |
|
Section 1d Day Care Services only
within Network; subject to Pre-authorisation;
otherwise it is not covered |
Covered |
Covered |
Covered |
Covered |
|
Section 1e Local Ambulance Services
(per Family per policy year) |
Rs 1,000 |
Rs 1,000 |
Rs 1,000 |
Rs 1,000 |
|
Section 1f Hospital Daily Allowance
Daily benefit Maximum days covered per
Family per policy year |
Rs 500
14 Days |
Rs 400
10 Days |
Rs 300
7 Days |
Rs 200
7 Days |
|
Section 1g External Aids and
Appliance |
Rs 1,000 |
Rs 1,000 |
Rs 1,000 |
Rs 1,000 |
|
Section 1h Home Nursing Care
Allowance Daily benefit Maximum days
covered per Family per policy year |
Rs 300
10 Days |
Rs 300
10 Days |
Rs 200
7 Days |
Rs 200
7 Days |
|
