Organ Donor Expenses. We will pay expenses incurred towards in case of major organ transplant, for harvesting of the organ provided that, The organ donor is any person whose organ has been made available in accordance and in compliance with THE TRANSPLANTATION OF HUMAN ORGANS (AMENDMENT) BILL, 2011 and the organ donated is for the use of the Insured Person, and We have accepted an inpatient Hospitalization claim for the insured member under in patient Hospitalization expenses Note: The above mentioned expenses are covered under the Sum Insured as opted under the plan
Organ Donor Expenses. We will cover the Medical Expenses incurred for an organ donor’s treatment for the harvesting of the organ donated up to the limit as specified in the Policy Schedule or Certificate of Insurance provided that:
(i) The donation conforms to The Transplantation of Human Organs Act 1994 and the organ is for the use of the Insured Person;
(ii) The organ transplant is medically required for the Insured Person as certified in writing by a Medical Practitioner;
(iii) We will not cover:
(1) Pre-hospitalization Medical Expenses or Post-hospitalization Medical Expenses of the organ donor;
(2) Screening expenses of the organ donor;
(3) Any other Medical Expenses as a result of the harvesting from the organ donor;
(4) Costs directly or indirectly associated with the acquisition of the donor’s organ;
(5) Transplant of any organ/tissue where the transplant is experimental or investigational;
(6) Expenses related to organ transportation or preservation;
(7) Any other medical treatment or complication in respect of the donor, consequent to harvesting.
Organ Donor Expenses. WHEN INSURED PERSON IS THE RECIPIENT: The policy covers in-patient hospitalisation expenses in respect of the person donating the organ to the insured person, provided that the donation conforms to the Transplantation of Human Organs Act 1994 (or as amended from time to time) and/or any other extant Act, Central / State Rules / regulations, as applicable, in respect of transplantation of human organs.
i. the organ donated is for the use of the Insured Person who has been medically advised to undergo organ transplant
ii. The claim of the Insured Person is admissible under the hospitalisation section of the policy. The policy does not cover:
a) costs directly or indirectly associated with the acquisition of the organ and/or cost of organ.
b) costs towards donor screening c) Pre & post hospitalisation medical expenses of the donor.
Organ Donor Expenses. WHEN INSURED PERSON IS THE RECIPIENT: The policy covers in-patient Hospitalisation Medical expenses in respect of the organ donor provided that the donation conforms to the Transplantation of Human Organs Act 1994(amended) and/or any other extant Act, Central / State Rules / regulations, as applicable to transplantation of human organs. Further provided that:
i. the organ donated is for the use of the Insured Person who has been medically advised to undergo organ transplant
ii. The claim of the Insured Person is admissible under the Hospitalisation section of the policy.
iii. The policy does not cover:
a) cost directly or indirectly associated with the acquisition of the organ and/or cost of organ.
b) cost towards donor screening
c) Any Pre and Post Hospitalisation medical expenses of the donor.
d) Any other medical treatment or complication consequent to organ harvesting, in respect of the donor.
