Common use of Maternity Benefit Clause in Contracts

Maternity Benefit. We will indemnify the Medical Expenses incurred up to the Maternity Benefit Sum Insured specified in the Policy Schedule for the delivery of the Insured Person’s child (including cesarean section) or the Medically Necessary and lawful medical termination of pregnancy during the Policy Period provided that: (a) The treatment is taken as an In-patient in a Hospital; (b) The cover shall be available to the Insured Person who has been continuously covered for at least 36 months under this Benefit subject to the Portability & Continuity Benefits as applicable. Further, (a) We shall not be liable to pay for more than 2 events of deliveries across all Policy Periods with Us; (b) We will cover pre-natal and post-natal expenses up to the amount specified in the Policy Schedule for this Benefit provided that We have accepted a Claim for delivery/termination under this Benefit; (c) Ectopic pregnancy shall not be covered under this Benefit , but any Claims will be considered under In-patient Treatment; (c) This benefit is applicable on an individual basis irrespective of type of policy (Individual/ Floater). (d) The payment under this benefit is over and above the Base Sum Insured. Permanent Exclusion 3.5(13) of the Policy Wordings stands deleted to the extent of this Benefit only.

Appears in 2 contracts

Samples: Health Insurance Policy, Health Insurance Policy

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Maternity Benefit. We will indemnify the Medical Expenses incurred up to the Maternity Benefit Sum Insured specified in the Policy Schedule for the delivery of the Insured Person’s child (including cesarean section) or the th Medically Necessary and lawful medical termination of pregnancy during the Policy Period provided that: (a) The treatment is taken as an In-patient in a Hospital; (b) The cover shall be available to the Insured Person who has been continuously covered for at least 36 months under this Benefit subject to the Portability & Continuity Benefits as applicable. Further, (a) We shall not be liable to pay for more than 2 events of deliveries across all Policy Periods with Us; (b) We will cover pre-natal and post-natal expenses up to the amount specified in the Policy Schedule for this Benefit provided that We have accepted a Claim for delivery/termination under this Benefit; (c) Ectopic pregnancy shall not be covered under this Benefit , but any Claims will be considered under In-patient Treatment; (c) This benefit is applicable on an individual basis irrespective of type of policy (Individual/ Floater). (d) The payment under this benefit is over and above the Base Sum Insured. Permanent Exclusion 3.5(13) of the Policy Wordings stands deleted to the extent of this Benefit only.

Appears in 1 contract

Samples: Insurance Policy

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