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Customer education series

What you can claim from family health policy
(sample of a reputed company)
Family Health Optima is the product name


It varies from product to product and company to
company
What is given to you…

Room, boarding expenses: 2% of SI subject to a maximum of…

For class A cities
2% of insured amount or subjected to a maximum `1500/- per day

For class B cities
2% of insured amount or subjected to a maximum ` 750/- per day

For class C cities
2% of insured amount or subjected to a maximum ` 500/- per day



       09448366424 <myfamilyneedshealthinsurance@gmail.com>
What is given to you…

Nursing expenses
Surgeon, Anesthetic, Medical practitioner, Consultants, Specialist Fees:
Actual
Anesthesia, Blood, Oxygen, Theatre charges, Surgical Appliances,
Medicines and Drugs, Diagnostic Materials and X-ray, diagnostic
imaging modalities Dialysis, Chemotherapy, cost of Pacemaker and
similar expenses
Emergency ambulance charges up-to a sum of ` 750/- per
hospitalization and overall limit of `1500/- per policy period



       09448366424 <myfamilyneedshealthinsurance@gmail.com>
What is given to you…

Pre-hospitalization medical expenses incurred for a period not exceeding
30 days prior to hospitalization following an admissible claim under the
policy

A sum equivalent to 7% of the hospitalization expenses incurred
comprising of Nursing charges, Surgeon charges/Consultation fee
Diagnostic charges Medicines and Drugs only subjected to a maximum
of `5000/- per occurrence towards Post Hospitalization medical
expenses wherever recommended by the attending Medical Practitioner




       09448366424 <myfamilyneedshealthinsurance@gmail.com>
What is given to you…

Expenses on Hospitalization for a minimum period of 24 hrs are
required.
However this limit will not apply for Dialysis, Chemotherapy,
Radiotherapy, Cataract surgery , Lithotripsy (Kidney stone removal)
Tonsillectomy, cutting and Draining of Abscess, Liver Aspiration, Pleural
Effusion Aspiration, Colonoscopy, Sclerotherapy taken in the Hospital
and the insured is discharged on the same day.

Expenses for Cataract is limited to `12000/- in the entire policy period




       09448366424 <myfamilyneedshealthinsurance@gmail.com>
Customer education series


                09448366424
                <myfamilyneedshealthinsurance@gmail.com>

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Sudha fho benefits working

  • 1. Customer education series What you can claim from family health policy (sample of a reputed company) Family Health Optima is the product name It varies from product to product and company to company
  • 2. What is given to you… Room, boarding expenses: 2% of SI subject to a maximum of… For class A cities 2% of insured amount or subjected to a maximum `1500/- per day For class B cities 2% of insured amount or subjected to a maximum ` 750/- per day For class C cities 2% of insured amount or subjected to a maximum ` 500/- per day 09448366424 <myfamilyneedshealthinsurance@gmail.com>
  • 3. What is given to you… Nursing expenses Surgeon, Anesthetic, Medical practitioner, Consultants, Specialist Fees: Actual Anesthesia, Blood, Oxygen, Theatre charges, Surgical Appliances, Medicines and Drugs, Diagnostic Materials and X-ray, diagnostic imaging modalities Dialysis, Chemotherapy, cost of Pacemaker and similar expenses Emergency ambulance charges up-to a sum of ` 750/- per hospitalization and overall limit of `1500/- per policy period 09448366424 <myfamilyneedshealthinsurance@gmail.com>
  • 4. What is given to you… Pre-hospitalization medical expenses incurred for a period not exceeding 30 days prior to hospitalization following an admissible claim under the policy A sum equivalent to 7% of the hospitalization expenses incurred comprising of Nursing charges, Surgeon charges/Consultation fee Diagnostic charges Medicines and Drugs only subjected to a maximum of `5000/- per occurrence towards Post Hospitalization medical expenses wherever recommended by the attending Medical Practitioner 09448366424 <myfamilyneedshealthinsurance@gmail.com>
  • 5. What is given to you… Expenses on Hospitalization for a minimum period of 24 hrs are required. However this limit will not apply for Dialysis, Chemotherapy, Radiotherapy, Cataract surgery , Lithotripsy (Kidney stone removal) Tonsillectomy, cutting and Draining of Abscess, Liver Aspiration, Pleural Effusion Aspiration, Colonoscopy, Sclerotherapy taken in the Hospital and the insured is discharged on the same day. Expenses for Cataract is limited to `12000/- in the entire policy period 09448366424 <myfamilyneedshealthinsurance@gmail.com>
  • 6. Customer education series 09448366424 <myfamilyneedshealthinsurance@gmail.com>