Common use of Worldwide Emergency Cover Clause in Contracts

Worldwide Emergency Cover. We will cover Medical Expenses of the Insured Person incurred outside India, up to limits specified in the Schedule, provided that: (a) The treatment is Medically Necessary and has been certified as an Emergency by a Medical Practitioner, where such treatment cannot be postponed until the Insured Person has returned to India and is payable under Section II.1 of the Policy. (b) The Medical Expenses payable shall be limited to Inpatient Hospitalization only. (c) Any payment under this Benefit will only be made in India, in Indian rupees on a re-imbursement basis and subject to Sum Insured. (d) The payment of any claim under this Benefit will be based on the rate of exchange as on the date of payment to the Hospital published by Reserve Bank of India (RBI) and shall be used for conversion of foreign currency into Indian rupees for payment of claim. You further understand and agree that where on the date of discharge, if RBI rates are not published, the exchange rate next published by RBI shall be considered for conversion. (e) You have given Us, intimation of such hospitalisation within 48 hours of admission. (f) Any claim made under this Benefit will be as per the claims procedure provided under Xxxxxx XXX.5 of this Policy. (g) Exclusion VI.22 does not apply to this benefit. All Claims under this benefit can be made as per the process defined under Section VII 5 & 18.

Worldwide Emergency Cover. We will cover Medical Expenses of the Insured Person incurred outside India, up to limits specified in the Schedule, provided that:(Applicable only for ProHealth Select (A)): (a) The treatment is Medically Necessary and has been certified as an Emergency by a Medical Practitioner, where such treatment cannot be postponed until the Insured Person has returned to India and is payable under Section II.1 of the Policy. (b) The Medical Expenses payable shall be limited to Inpatient Hospitalization only. (c) Any payment under this Benefit will only be made in India, in Indian rupees on a re-imbursement basis and subject to Sum Insured. Cashless Facility may be arranged on a case to case basis. Insured person can contact Us at the numbers provided on the Health Card for any claim assistance. (d) The payment of any claim under this Benefit will be based on the rate of exchange as on the date of payment to the Hospital published by Reserve Bank of India (RBI) and shall be used for conversion of foreign currency into Indian rupees for payment of claim. You further understand and agree that where on the date of discharge, if RBI rates are not published, the exchange rate next published by RBI shall be considered for conversion. (e) You have given Us, intimation of such hospitalisation within 48 hours of admission. (f) Any claim made under this Benefit will be as per the claims procedure provided under Xxxxxx XXX.5 of this Policy. (g) Exclusion VI.22 VI.23 does not apply to this benefit. All Claims under this benefit can be made as per the process defined under Section VII 5 & 1815.