Page 11 - Policy Handbook For DDU Employee -V-1

INDO-DDU-V1

FOR POLICY DETAIL YOU CAN GO THROUGH FOLLOWING DETAILS

Group Care
Name of Policy holder INDOVISION SERVICES PRIVATE LIMITED

Cover type Floater

Details of Members

Sr No. Basic Details Particulars
1 Family Structure Self Spouse and 2 Children upto 25 years

2 Relationship with Insured Employer- Employees

3 Age Band Upto 80 years

4 Health Card Physical

5 Claim Servicing In-House

Details of Benefit

Sr No. Benefit Details

1 In-patient Care Sum Insured as per Flat basis

Room Rent

SumInsured Maximum eligibility for normal room Maximum eligibility for ICU CO-PAY(%)

200000 1 % of SI per day 2 % SI per day NA

If the Insured Member is admitted in a room where the room rent incurred is higher than the room rent
limit specified above, then the Insured Member shall bear the ratable proportion of the total Medical
Expenses in the proportion of 'the room rent actually incurred-room rent limit'/'room rent actually
incurred'.

This shall be applicable to the total Medical Expenses (including surcharge or taxes there on)incurred
during the stay in the Hospital Room.

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