Is Ectopic Pregnancy Covered Under Mediclaim

All dependents must lie in the age group of 3. Ectopic pregnancy is not covered under this benefit however the same shall be covered under in-patient treatment For more details please refer to the policy document.


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Ectopic pregnancy unless covered under a base plan.

Is ectopic pregnancy covered under mediclaim. Medical treatment expenses traceable to childbirth including complicated deliveries and caesarean sections incurred during hospitalisation Expenses towards lawful medical termination of pregnancy. Additionally a woman aged 45 years or more cannot claim maternity benefits. Except abdominal operation for extra uterine pregnancy Ectopic Pregnancy which is proved by submission of Ultra Sonographic Report and Certification by Gynaecologist that it is life threatening one if left untreated.

This Plan can be opted for a maximum Sum Assured of Rs 25 Lacs. Termination of pregnancy within 12 weeks from the date of conception is not covered by the policy. Ectopic pregnancy is covered under Section 211 In-patient treatment provided such pregnancy is established by medical reports.

However these expenses are covered under Base Plan. Yes a claim which is not covered under the Policy conditions can be rejected. 500000 it will be.

This plan can be opted for an Individual or for the family under Family Floater Option. What are the Expenses Excluded Under the New India Mediclaim Policy. If You do not receive a response to Your representation or if You are not satisfied with the response You may write to our Grievance Cell.

However ectopic pregnancy is covered under Section 121 provided it may be established by medical reports. Hospitalisation expenses if medically necessary up to a maximum of thirty days for pre-natal and sixty days for post-natal treatment. Generally the following conditions are excluded from the coverage of a pregnancy insurance policy.

Additionally a woman aged 45 years or more cannot claim maternity benefits. Medical Expenses means those expenses that an Insured Person has necessarily and. Medical expenses on ectopic pregnancy are not covered under this benefit.

A pregnancy terminated in the first trimester is not covered. Naturopathy and Siddha Treatments. 413 Maternity Expenses treatment arising from or traceable to pregnancy miscarriage abortion or complications.

Insurers may also not cover the entire expense incurred for deliveries normal or caesarean. Here are some of the features to look forward to when buying Swasthya Kavach Health Insurance Policy from IFFCO-Tokio. The minimum sum insured under the Oriental Mediclaim Insurance Policy is INR 100000 and in multiples of INR 50000 thereafter up to INR 500000.

A Maternity Expenses in respect of the harvesting and storage of stem cells when carried out as a preventive measure against possible future Illnesses b Maternity Expenses for ectopic pregnancy. Pregnancy complications arising due to pre-existing diseases. It offers coverage to the proposer their spouse and 3 dependents children sibling nephew and niece.

Voluntary termination of pregnancy or abortion. Insurers may also not cover the entire expense incurred for deliveries normal or caesarean. External and or durable Medical Non-medical equipment of any kind used for diagnosis and or treatment including CPAP.

- Fistula in anus Anal Sinus Piles. A pregnancy terminated in the first trimester is not covered. B expenses towards lawful medical termination of pregnancy during the policy period.

Pregnancy other than ectopic pregnancy except to the extend covered under section 2 infertility congenital external other than for new born Non Allopathic Treatment Treatment outside India Section-1 1D 1E 1F 1-G 1-H Section-2 Section-3 Section-4 Section-5 Section-6 Section 7. Sum Insured for Oriental Mediclaim Insurance Policy. The maternity benefit will end when the base plan ends.

What about the waiting period. This plan offers Guaranteed Lifetime Renewability. Self Spouse Children Parents as well as Parents-in-Law can be covered in this option.

National Super Top Up Mediclaim Policy UIN. When it comes to family health insurance IFFCO-Tokio stands at the top. If the following conditions are present in the insured person at the time of subscribing to the first insurance with us these will be considered as a pre-existing condition and will be subject to a compulsory waiting period of 48 months before being covered under our your medical insurance.

Claim raised during the waiting period. 213 The following expenses are not covered under Maternity Benefit. However the exclusion do not apply to ectopic pregnancy proved by diagnostic means and is certified to be life threatening by the Medical Practitioner Birth control procedures and hormone replacement therapy.

What does the policy cover. Maternity Mediclaim Insurance Policy Rules Terms. Exclusions The Company shall not be liable to make any payment in respect of any expenses incurred in connection with or in respect of 1.

Treatment of ectopic pregnancy. There are 2 Plan Types- Easy Health and Premier Health. The members of the family who could be covered under the Policy are.

Minimum one and maximum six members can be covered in this Policy. Pre and post hospitalisation expenses as per Section 122 and Section 123 other than pre and post natal treatment. Claim raised when the allowed number of claims have exceeded.

In case You are not satisfied by the reasons for rejection you can represent to Us within 15 days of such denial. It however excludes the Maternity Expenses or treatment arising from or traceable to pregnancy miscarriage abortion or complications except the abdominal operation for Ectopic Pregnancy proved by the submission of Ultrasonography Report and certified by Gynaecologist. Expenses related to in vitro fertilisation.

Ectopic pregnancy is covered under Section 121 In-patient treatment provided such pregnancy is established by medical reports. Uterine pregnancy Ectopic Pregnancy which is proved by submission of Ultra Sonographic Report and Certification by Gynaecologist that it is life threatening one if left untreated. You and Your entire family can be covered under this Policy.

Following are the terms and conditions of a maternity mediclaim policy. The Delhi Consumer Commission has ruled that like normal pregnancy which is not covered under mediclaim policies the insurance companies cannot deny reimbursement claims in cases of ectopic. Maternity expenses shall include.

Medical Advice means any consultation or advice from a Medical Practitioner including the issuance of any prescription or follow-up prescription. Beyond the Sum Insured of INR. Insured and insured persons above forty five years of age.


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