Common use of Ambulance Cover Clause in Contracts

Ambulance Cover. a. We will provide for reimbursement of Reasonable and Customary expenses up to limits specified in the Schedule that are incurred towards transportation of an Insured Person by a registered healthcare or Ambulance service provider to a Hospital for treatment of an Illness or Injury in case of an Emergency, necessitating the Insured Person’s admission to the Hospital . The necessity of use of an Ambulance must be certified by the treating Medical Practitioner. b. Reasonable and Customary expenses shall include: (i) Costs towards transferring the Insured Person from one Hospital to another Hospital or diagnostic centre for advanced diagnostic treatment where such facility is not available at the existing Hospital; or (ii) When the Insured Person requires to be moved to a better Hospital facility due to lack of super speciality treatment in the existing Hospital. All Claims under this benefit can be made as per the process defined under Section VII 4 & 5.

Ambulance Cover. a. We will provide for reimbursement of Reasonable and Customary expenses up to limits Rs 2000 per hospitalization event as specified in the Schedule that are incurred Policy Schedule, towards transportation of an Insured Person by a registered healthcare or Ambulance service provider to a Hospital for treatment of an Illness or Injury in case of an Emergency, necessitating the Insured Person’s admission to the Hospital . The necessity of use of an Ambulance must be certified by the treating Medical Practitioner. b. Reasonable and Customary expenses shall include: (i) Costs towards transferring the Insured Person from one Hospital to another Hospital or diagnostic centre for advanced diagnostic treatment where such facility is not available at the existing Hospital; or (ii) When the Insured Person requires to be moved to a better Hospital facility due to lack of super speciality treatment in the existing Hospital. All Claims under this benefit can be made as per the process defined under Section VII 4 & 5.