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Individual Medishield
 
What does the policy cover?

In the unfortunate event of you or your family members meeting with an illness or accident resulting in hospitalisation, our Health Insurance gives you a cash free hospitalisation in more than 3000 hospitals across India. Our Health Insurance also reimburses the expenses during Pre - Hospitalisation and Post - Hospitalisation stages of treatment.

  • Pre-Hospitalisation:
    • Medical expense incurred 60 days prior to the hospitalization are reimbursed.
  • Hospitalisation:
    • All expenses including the following reimbursed:
    • Room and board, doctors' fee, intensive care unit charges, nursing expenses, surgical fees, operating theatre expenses,  anesthesia and oxygen administration expenses, Room, boarding & nursing expenses for normal room/ICU limited to 1% /2.5% of basic sum insured per day respectively.
  • Post-Hospitalisation: 
    • Once discharged from hospital, the policy shall pay for medical expenses related to the hospitalisation, for a period of 60 days after discharge.
  • Hospital Daily Allowance:
    • In addition to hospital expenses, a daily hospital allowance will be paid for the period of hospitalisation.
  • Emergency Assistance Service:
    • In the event of an emergency, assistance services like medical consultation, evaluation and referral, emergency medical evacuation, care for minor children etc are provided.
  • Local Ambulance Service:
    • In the event of an emergency, cover is provided for expenses incurred on ambulance services to the nearest hospital where Emergency Health facilities are available.
  • General Health Check-up:
    • You will be reimbursed the expenses incurred for general health examination (once in a block of 4 claims free years)
  • Cumulative bonus:
    • You will be provided with a 5% extra sum insured for every claims free year subject to a maximum of 50% of capital sum insured.
  • Benefits under Section - 80D:
    • Premium upto Rs. 35,000 is eligible for deductions under Section 80D of Income Tax Act, 1961. However there are sub-limits within this over-all limit. Premium upto Rs 15,000 is eligible for tax deduction for self, spouse and dependant children. Additionally, premium upto Rs 20,000 is eligible for tax relief or parents health cover if they are senior citizens (otherwise Rs 15,000 is eligible)
ITGI's Medishield policy ensures comprehensive coverage by offering value added features, at a nominal increase in premium, like:
  • Critical illness extension:
    • You will be covered for 10 named critical illness for double the basic cover sum insured at 40% of the basic cover premium
What does the policy not cover?
  • Diseases, which have been in existence at the inception of the policy
  • Illness that commenced during the first 30 days of inception of the first policy.
  • Cataracts, Benign Prostatic Hypertrophy, Hysterectomy for Menorrhagia or Fibromyoma, Hernia, Hydrocele, Fistula in anus, Piles, Sinusitis and related disorders, in the first year of insurance. However, on renewal, these exclusions shall not apply. For a complete list of exclusions, refer to the policy.
Medishield (Individual Plan) covers
  • Hospitalisation
  • Pre-hospitalisation
  • Post - Hospitalisation.
  • Emergency Assistance Service
  • Local Ambulance Service.
IMI Rates with Service Tax (without Critical Illness)
Sum Insured
(Overall Liability
)
Upto 25
Years  
26-35 
Years 

 36-45
 Years

 46-55
 Years

 56-65 
Years

 66-70 
Years

100,000 1716 2203 2709

4272

6434

13156

150,000

2109
2532 3084 5007 7335 14999

200,000

2503
2860 3459 5743 8236 16843

250,000

2997 3425 4136 6620 10008 18458

300,000

3492 3990 4812 7497 11780 20073

350,000

3925 4485 5409 8520 13350 21827

400,000

4357 4979 6005. 9544 14920 23582

450,000

4790 5473 6601 10567 16554 25015

500,000

5223 5968 7197 11590 18188 26449


IMI Rates with Service Tax (with Critical Illness)
Sum Insured
(Overall Liability)
Upto 25
Years  
26-35 
Years 

 36-45
 Years

 46-55
 Years

 56-65 
Years

 66-70 
Years

100,000 2231 2865 3521

5554

8364

17103

150,000

2742
3291 4009 6510 9536 19499

200,000

3253
3718 4497 7465 10708 21896

250,000

3897 4453 5377 8606 13011 23995

300,000

4540 5187 6256 9746 15314 26095

350,000

5102 5830 7031 11077 17355 28376

400,000

5665 6473 7806 12407 19397 30656

450,000

6227 7116 8582 13737 21521 32520

500,000

6790 7758 9357 15067 23645 34384

  • Family discount is available (5% for 2 people, 10% for 3 or more people).
  • Benefits / rates given in the leaflet are indicative Maximum
  • Entry Age: 5- 55 years (medical reports required above 45 years of age)
  • Rates inclusive of service tax.
Medishield (Individual Plan) covers
Premium upto Rs. 35,000 is eligible for deductions under Section 80D of Income Tax Act, 1961. However there are sub-limits within this over-all limit. Premium upto Rs 15,000 is eligible for tax deduction for self, spouse and dependant children. Additionally, premium upto Rs 20,000 is eligible for tax relief or parents health cover if they are senior citizens (otherwise Rs 15,000 is eligible)

 

 
 
 
 
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