Specified Illness definition
Examples of Specified Illness in a sentence
This benefit can be availed only once by an Insured Person during a Policy Year for the same Specified Illness or planned Surgery.
The symptoms of the Specified Illness first occur or manifest itself during the Policy Period and after completion of the 90 day from the inception of the First Policy with Us.
Medical treatment for the Specified Illness is taken outside India within the Policy Period but only within those regions specified in the Schedule of Insurance Certificate.
Any treatment or medical services received outside India except for treatment undertaken under Section 3.3.1 (Emergency Medical Evacuation – outside the geographical boundaries of India), Section 3.4 (Emergency Hospitalization – outside the geographical boundaries of India) and Section 3.5 (Specified Illness cover – outside the geographical boundaries of India).
The Specified Illness is diagnosed by a Medical Practitioner within India during the Policy Period and after completion of the 90 day from the inception of the First Policy with Us.
This benefit is not applicable for expenses incurred outside India as defined under Section 3.3.1 (Emergency Medical Evacuation – outside the geographical boundaries of India), Section 3.4 (Emergency Hospitalization – outside the geographical boundaries of India) and Section 3.5 (Specified Illness cover for treatment outside the geographical boundaries of India).
Any claims for Reimbursement of the costs incurred in relation to the treatment of the Specified Illness or any claims which are not pre-authorized by Us.
This benefit is not applicable for expenses incurred outside India as defined under Section 3.3.1 (Emergency Medical Evacuation – outside the geographical boundaries of India), Section 3.4 (Emergency Hospitalization – outside the geographical boundaries of India) and Section 3.5 (Specified Illness cover – outside the geographical boundaries of India).
Notwithstanding anything contrary to the terms and conditions specified therein, geographic coverage for the benefits set out in Section 3.3.1 (Emergency Medical Evacuation – outside the geographical boundaries of India), Section 3.4 (Emergency Hospitalization – outside the geographical boundaries of India) and Section 3.5 (Specified Illness cover – outside the geographical boundaries of India) is extended to include USA & Canada.
All benefits are available in India only, and all claims shall be payable in India in Indian Rupees only except for benefits and claims under Section 3.3.1 (Emergency Medical Evacuation – outside the geographical boundaries of India), Section 3.4 (Emergency Hospitalization – outside the geographical boundaries of India) and Section 3.5 (Specified Illness cover – outside the geographical boundaries of India).