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Yes, Air Ambulance Service in India is covered as a part of Domestic Emergency Assistance Services.
Yes, if he has avail a sum insured of 5lacs or more, then he can avail the optional cover of Any Room upgradation.
Yes, there are SI slab based room category limits as given below.
Yes, we do cover Pre & Post hospitalization expenses under Day Care treatment in our Diamond product.
No, we do not cover pre and post hospitalization expenses under AYUSH treatment.
Yes, Upgradation to any room in case of non-availability of single pvt room, is available for reimbursement claims as well.
Yes, Pre and Post hospitalization cover is applicable when a claim is accepted under domiciliary hospitalization treatment.
No, it is applicable only for IPD and Day care claims.
Ayush Treatment refers to the medical and / or hospitalization treatments given under ‘Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy systems.
The institution should be a government Hospital or any institute recognized by the government and/or accredited by the Quality Council of India or National Accreditation Board on Health.
There is age-based co-payment of 20% for age at entry 61 yrs. and above.
No, we do not have waiver of co-payment for the age 61yrs and above.
No, we do not have any sub limits for any treatment.
Maternity benefit is not available under Diamond plan.
No, it is available for 15 listed illnesses. Provided as part of Policy Wordings.
No, this benefit is available only for Insured Person up to 18 years and also when the Sum Insured is 1Cr and above.
No Claim Bonus which is accrued during the claim free Policy Year will only be available to those Insured Persons who were insured in such claim free Policy Year and continue to be Insured Persons in the subsequent Policy Year.
All insured persons. There are separate set of tests as per age and SI slabs.
Calculation of No Claim Bonus and Super NCB will be on base sum insured.
No. When he renews his policy, his SI will be Rs 10 Lakhs. If the reload of Sum Insured is not utilised in a Policy Year, it will not be carried forward to any subsequent Policy Year.
Reload is applicable for subsequent claims in case of unrelated illness. It doesn’t require the SI+NCB to be exhausted completely. It is not applicable for 1st claim. Please refer to policy wordings for complete details.
(UIN: ADIHLIP21376V022021)
(UIN: ADIHLIP21250V032021)
Presenting Comprehensive Health Plan by Aditya Birla Health Insurance.
A plan that provides you & your family health coverage at an affordable premium.
(UIN: ADIHLIP21376V022021)
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