Common use of Benefit 2: Pre-hospitalization Medical Expenses and Post-hospitalization Medical Expenses Clause in Contracts

Benefit 2: Pre-hospitalization Medical Expenses and Post-hospitalization Medical Expenses. The Company will indemnify the Policy Holder/Insured Person for Relevant Medical Expenses incurred which are Medically Necessary, only through Reimbursement Facility, maximum up to the Sum Insured, as specified in the Policy Certificate, provided that the Medical Expenses so incurred are related to the same Illness/Injury for which the Company has accepted the Insured Person’s Claim under Benefit 1 (Hospitalization Expenses) and subject to the conditions specified below: (i) Under Relevant Pre-hospitalization Medical Expenses, for a period of 30 days immediately prior to the Insured Person’s date of admission to the Hospital, provided that the Company shall not be liable to make payment for any Pre-hospitalization Medical Expenses that were incurred before the Policy Start Date; and (ii) Under Relevant Post-hospitalization Medical Expenses, for a period of 60 days immediately after the Insured Person’s date of discharge from the Hospital. (iii) If the provisions of Clause 6.7(d) is applicable to a Claim, then: a) The date of admission to Hospital for the purpose of this Benefit shall be the date of the first admission to the Hospital for the Illness deemed or Injury sustained to be Any One Illness; and b) The date of discharge from Hospital for the purpose of this Benefit shall be the last date of discharge from the Hospital in relation to the Illness deemed or Injury sustained to be Any One Illness.

Appears in 3 contracts

Samples: Health Insurance Policy Agreement, Insurance Policy Agreement, Insurance Policy Agreement

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Benefit 2: Pre-hospitalization Medical Expenses and Post-hospitalization Medical Expenses. The Company will indemnify the Policy Holder/Insured Person for Relevant Medical Expenses incurred which are Medically Necessary, only through Reimbursement Facility, maximum up to the Sum Insuredamount/limit, as specified in the Policy CertificateSchedule, provided that the Medical Expenses so incurred are related to the same Illness/Injury for which the Company has accepted the Insured Person’s Claim under Benefit 1 (Hospitalization Expenses) and subject to the conditions specified below: (i) Under Relevant Pre-hospitalization Medical Expenses, for a period of 30 days immediately prior to the Insured Person’s date of admission to the Hospital, provided that the Company shall not be liable to make payment for any Pre-hospitalization Medical Expenses that were incurred before the Policy Start Date; and (ii) Under Relevant Post-hospitalization Medical Expenses, for a period of 60 days immediately after the Insured Person’s date of discharge from the Hospital. (iii) If the provisions of Clause 6.7(d5.7(d)(Payment terms) is applicable to a Claim, then: a) The date of admission to Hospital for the purpose of this Benefit shall be the date of the first admission to the Hospital for the Illness deemed or Injury sustained to be Any One Illness; and b) The date of discharge from Hospital for the purpose of this Benefit shall be the last date of discharge from the Hospital in relation to the Illness deemed or Injury sustained to be Any One Illness.

Appears in 1 contract

Samples: Insurance Agreement

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Benefit 2: Pre-hospitalization Medical Expenses and Post-hospitalization Medical Expenses. The Company will indemnify the Policy Holder/Insured Person for Relevant Medical Expenses incurred which are Medically Necessary, only through Reimbursement Facility, maximum up to the Sum Insured, as specified in the Policy Certificate, provided that the Medical Expenses so incurred are related to the same Illness/Injury Covered Conditions for which the Company has accepted the Insured Person’s Claim under Benefit 1 (Hospitalization Expenses) and subject to the conditions specified below: (i) Under Relevant Pre-hospitalization Medical Expenses, for a period of 30 days immediately prior to the Insured Person’s date of admission to the Hospital, provided that the Company shall not be liable to make payment for any Pre-hospitalization Medical Expenses that were incurred before the Policy Start Date; and (ii) Under Relevant Post-hospitalization Medical Expenses, for a period of 60 days immediately after the Insured Person’s date of discharge from the Hospital. (iii) If the provisions of Clause 6.7(d5.7(d)(Payment terms) is applicable to a Claim, then: a) The date of admission to Hospital for the purpose of this Benefit shall be the date of the first admission to the Hospital for the Illness deemed or Injury sustained to be Any One Illness; and b) The date of discharge from Hospital for the purpose of this Benefit shall be the last date of discharge from the Hospital in relation to the Illness deemed or Injury sustained to be Any One Illness.

Appears in 1 contract

Samples: Insurance Agreement

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