[Resolved]  Bharti Axa Mediclaim Policy — Pending Claim from Bharti AXA General Insurance Company Limited

Address:

Gurgaon, Haryana

Name of Corporate:FERNAS CONSTRUCTION INDIA PVT LTD
Policy No.GHS/Q0036451
Ins. Co.:BAXA
Address of Insured: Cyber Terrace Building No. 5, Tower B, 16th Floor, Phase - Iii, Dlf Cyber
City, Gurgaon - 122002 Haryana
PeriodofInsurance:08/03/12 TO 07/03/13

Employee Code Employee Name Bill Amount Courier Date
F-1180 SANDIP Senapati 16940 26.11.2012

1. Previous Policy details Nil
2. Special policy coverage /
conditions
1. Smart group health floater policy.
2. Family definition is self+ spouse + 2 kids
3. As per policy exclusion point no. 4.11 congenital
diseases are not covered.
4. Non payable charges:- any charges under,
admission charges, registration charges,
administrative charges, surcharge, service
charges, and all non medical charges falling under
the heading of miscellaneous charges.
5. Ambulance charges up to Rs.1000/- Max.
3. Room rent
Room rent is restricted to 1% of SI for non ICU and 2%
of SI for ICU for 2 lac & 3 lac of SI
and single standard A/C room for 5 lac of SI.
All other related and associated charges in accordance
with room rent restriction. In case insured person opts
for room rent higher than the entitled category all
charges shall be limited to the charges applicable to
the entitled category
4. Policy Features / Coverage
A Pre – Existing Disease Coverage Covered
B 1
st Year Exclusion Not Applicable
C 30 day Exclusion Not Applicable
D Pre – Hospitalization 30 days
E Post – Hospitalization 60 days
F OPD (Domiciliary Treatment) Not covered
G Domiciliary Hospitalization Limit
(Part of Sum Insured)
Not covered
5 Maternity Benefits
FERNAS CONSTRUCTION INDIA PVT LTD
GHS/Q0036451
Cyber Terrace Building No. 5, Tower B, 16th Floor, Phase - Iii, Dlf Cyber
City, Gurgaon - 122002 Haryana
08/03/12 TO 07/03/13
BAXAA Maternity Covered Covered upto 2 living children for all employees and
dependent spouse only.
B Maternity Limit Maximum upto Rs.50000/- for Normal Delivery and for
C-section or actual claim amount whichever is less.
C 9 Months Waiting Period Not applicable
D New Born Baby Coverage / Limit Baby covered from day one as part of family floater sum
insured only.
E Pre Natal – Post Natal Not covered unless admitted in hospital/nursing home &
treatment is taken there.
BC Prepared VS-3456
BC Modified by:
Prepared on: Endt/Conf Recd
VS-3456
27/03/2012
BC Prepared Endt/Conf Recd

Please help me to get the payment from Bharti AXI
Regards
Sandip Senapati