MAXIMUM COVERAGE LIMIT. Illustration:
MAXIMUM COVERAGE LIMIT. The maximum number of days coverage will be as mentioned in the Policy Schedule/ Certificate of Insurance per Insured Person/ per family. If all claims in a Policy Year do not meet the Maximum Coverage Limit, then it is agreed and understood that there will be no carry-over of days to the subsequent Policy Year or any future renewals of the Policy. v1 Page 9 Kotak Mahindra General Insurance Company Ltd. Kotak Group Smart Cash UIN: KOTHLGP19014V011819; Policy Wording • In case the Policy covers Hospital Daily Cash Benefit or ICU Daily Cash Benefit or Accident Daily Cash Benefit or combination of these, the maximum number of days under each Benefit will be considered individually as mentioned in the Policy Schedule/ Certificate of Insurance. The Insured Person gets hospitalised and stays in the Hospital for 50 days. Out of the 50 days, first 20 days is in ICU and remaining 30 days is Normal Room. In this case, the payout will be as follows: Total number of days Total Payout ICU Daily Cash Benefit (after one day Deductible) 15 days 15 x 2000 per day = Rs. 30000 Hospital Daily Cash Benefit (*) 29 days 29 x 1000 per day = Rs. 29000 Payable amount – Rs. 59000/- (*) The Insured is eligible for the Hospital Daily Cash payout in this scenario from the 16th day although the Insured is in ICU as the 15 days of ICU Benefit have been utilised. From the 16th day, Insured will get a Hospital Daily Cash Benefit upto the maximum number of days opted.
MAXIMUM COVERAGE LIMIT. The maximum number of days coverage will be as mentioned in the Policy Schedule/ Certificate of Insurance per Insured Person/ per family. If all claims in a Policy Year do not meet the Maximum Coverage Limit, then it is agreed and understood that there will be no carry-over of days to the subsequent Policy Year or any future renewals of the Policy. • In case the Policy covers Hospital Daily Cash Benefit or ICU Daily Cash Benefit or Accident Daily Cash Benefit or combination of these, the maximum number of days under each Benefit will be considered individually as mentioned in the Policy Schedule/ Certificate of Insurance. The Insured Person gets hospitalised and stays in the Hospital for 50 days. Out of the 50 days, first 20 days is in ICU and remaining 30 days is Normal Room. In this case, the payout will be as follows: Total number of days Total Payout ICU Daily Cash Benefit (after one day Deductible) 15 days 15 x 2000 per day = Rs. 30000 Hospital Daily Cash Benefit (*) 29 days 29 x 1000 per day = Rs. 29000 Payable amount – Rs. 59000/- (*) The Insured is eligible for the Hospital Daily Cash payout in this scenario from the 16th day although the Insured is in ICU as the 15 days of ICU Benefit have been utilised. From the 16th day, Insured will get a Hospital Daily Cash Benefit upto the maximum number of days opted.
