Common use of Intensive Care Unit Charges (ICU Charges) Clause in Contracts

Intensive Care Unit Charges (ICU Charges). 1) If the Insured Person is admitted in an ICU where the ICU charges incurred are higher than the ICU Charges specified in the Policy Certificate, then the Policyholder/Insured Person shall bear the ratable proportion of the Variable Medical Expenses (including applicable surcharge and taxes thereon) in the proportion of the difference between the ICU charges actually incurred and the ICU Charges specified in the Policy Certificate to the ICU charges actually incurred. 2) If the Policy Certificate states ‘up to 2% of the Sum Insured per day’ as eligible ICU Charges per day of Hospitalization, it means the maximum eligible ICU charges of the Insured Person payable by the Company is limited to 2% of the Sum Insured per day of Hospitalization. Any amount accrued as No Claims Bonus (Benefit 10) or No Claims Bonus Super (Optional Cover 4) shall not form part of Sum Insured. 3) If the Policy Certificate states the eligibility of ICU Charges of the Insured Person as ‘no sub-limit’, it means that there is no separate restriction on ICU Charges incurred towards stay in ICU during Hospitalization.

Appears in 3 contracts

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

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Intensive Care Unit Charges (ICU Charges). 1) If the Insured Person is admitted in an ICU where the ICU charges incurred are higher than the ICU Charges specified in the Policy Certificate, then the Policyholder/Insured Person shall bear the ratable proportion of the Variable Medical Expenses (including applicable surcharge and taxes thereon) in the proportion of the difference between the ICU charges actually incurred and the ICU Charges specified in the Policy Certificate to the ICU charges actually incurred. 2) If the Policy Certificate states ‘up to 2% of the Sum Insured per day’ as eligible ICU Charges per day of Hospitalization, it means the maximum eligible ICU charges of the Insured Person payable by the Company is limited to 2% of the Sum Insured per day of Hospitalization. Any amount accrued as No Claims Bonus (Benefit 10) or No Claims Bonus Super (Optional Cover 4) shall not form part of Sum Insured. 3) If the Policy Certificate states the eligibility of ICU Charges of the Insured Person as ‘no sub-limit’, it means that there is no separate restriction on ICU Charges incurred towards stay in ICU during Hospitalization.

Appears in 1 contract

Samples: Insurance Agreement

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