Benefit 1 : Hospitalization Expenses Sample Clauses

Benefit 1 : Hospitalization Expenses. If an Insured Person is diagnosed with an Illness or suffers an Injury which requires the Insured Person to be admitted in a Hospital in India which should be Medically Necessary during the Policy Period and while the Policy is in force for: (i) In-patient Care: The Company will indemnify the Policy Holder/Insured Person for Medical Expenses incurred towards Hospitalization, through Cashless or Reimbursement Facility, maximum up to the Sum Insured as specified in the Policy Certificate, provided that the Hospitalization is for a minimum period of 24 consecutive hours and was prescribed in written, by a Medical Practitioner, and the Medical Expenses incurred are Reasonable and Customary Charges that were Medically Necessary. (ii) Day Care Treatment: The Company will indemnify the Policy Holder/Insured Person for Medical Expenses incurred on Day Care Treatment which involves a Surgical procedure, through Cashless or Reimbursement Facility, maximum up to the Sum Insured specified in the Policy Certificate, provided that the Day Care Treatment is listed as per the Annexure-I to Policy Terms & Conditions and period of treatment of the Insured Person in the Hospital/Day Care Centre does not exceed 24 hours, which would otherwise require an in-patient admission and such Day Care Treatment was prescribed in written, by a Medical Practitioner, and the Medical Expenses incurred are Reasonable and Customary Charges that were Medically Necessary. (iii) Conditions applicable for Hospitalization Expenses (Benefit 1): (a) Room/Boarding and nursing expenses as charged by the Hospital where the Insured Person availed medical treatment (Room Rent / Room Category): 1) If the Insured Person is admitted in a Hospital room where the Room Category opted or Room Rent incurred is higher than the eligible Room Category/ Room Rent as specified in the Policy Certificate, then, I. The Policyholder/Insured Person shall bear the ratable proportion of the total Variable Medical Expenses (including applicable surcharge and taxes thereon) in the proportion of the difference between the Room Rent actually incurred and the Room Rent specified in the Policy Certificate or the Room Rent of the entitled Room Category to the Room Rent actually incurred. II. If specifically mentioned in the Policy Certificate that the Room Category/ Room Rent eligibility is “Single Private Room (upgradable to next level)”, it means such up-gradation will trigger only if Single Private Room is not available in the...

Benefit 1 : Hospitalization Expenses. If an Insured Person is diagnosed with an illness or suffers an injury and which requires the Insured Person to be admitted in a Hospital in India which should be Medically Necessary during the Policy Period and while the Policy is in force for: (i) In-patient Care: The Company will indemnify the Insured Person for Medical Expenses incurred towards Hospitalization due to Covered Conditions, through Cashless or Reimbursement Facility, maximum up to the Sum Insured ,as specified in the Policy Certificate, provided that the Hospitalization is for a minimum period of 24 consecutive hours and was prescribed in writing, by a Medical Practitioner, and the Medical Expenses incurred are Reasonable and Customary Charges that were Medically Necessary.

Benefit 1 : Hospitalization Expenses. If an Insured Person is diagnosed with an illness or suffers an injury and which requires the Insured Person to be admitted in a Hospital in India which should be Medically Necessary during the Policy Period and while the Policy is in force for: (i) In-patient Care: The Company will indemnify the Insured Person for Medical Expenses incurred towards Hospitalization through Cashless or Reimbursement Facility, maximum up to the Sum Insured, as specified in the Policy Schedule, provided that the Hospitalization is for a minimum period of 24 consecutive hours and was prescribed in writing, by a Medical Practitioner, and the Medical Expenses incurred are Reasonable and Customary Charges that were Medically Necessary.

Benefit 1 : Hospitalization Expenses. 1. If an Insured Person is diagnosed with an Illness or suffers an Injury contracted during the Policy Period which requires hospitalization in a hospital in India, on the advice of a medical practitioner then We will pay You, Reasonable and Customary Medical Expenses incurred as below i. Room Rent; ii. Nursing charges for Hospitalization as an Inpatient excluding private nursing charges; iii. Medical Practitioners’ fees, excluding any charges or fees for standby services; iv. Physiotherapy, investigation and diagnostics procedures directly related to the current admission; v. Medicines, drugs as prescribed by the treating Medical Practitioner; vi. Intravenous fluids, blood transfusion, injection administration charges and /or consumables; vii. Operation theatre charges; viii. The cost of prosthetics and other devices or equipment, if implanted internally during Surgery;