[Resolved] Bharti Axa Mediclaim Policy — Pending Claim from Bharti AXA General Insurance Company Limited | |||
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 Was this information helpful? | |||
Aug 14, 2020 Complaint marked as Resolved | |||
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