OVERSEAS MEDICLAIM AND TRAVEL INSURANCE
PLAN - ' A ' (World wide EXCLUDING USA & Canada)
| |
Medical only - A to C |
|
Package policy - A to I |
| Age band |
5 - 40 |
41 - 60 |
61 - 70 |
|
5 - 40 |
41 - 60 |
61 - 70 |
| PERIOD |
US$ |
US$ |
US$ |
|
US$ |
US$ |
US$ |
| DAY 1-14 |
32 |
34 |
45 |
|
35 |
37 |
52 |
| DAY 15-21 |
33 |
35 |
47 |
|
36 |
39 |
54 |
| DAY 22-28 |
35 |
38 |
53 |
|
39 |
43 |
61 |
| DAY 29-35 |
41 |
45 |
62 |
|
47 |
51 |
70 |
| DAY 36-47 |
46 |
49 |
70 |
|
52 |
57 |
81 |
| DAY 48-60 |
50 |
56 |
79 |
|
60 |
66 |
93 |
| DAY 61-75 |
61 |
67 |
98 |
|
73 |
80 |
113 |
| DAY 76-90 |
70 |
78 |
114 |
|
85 |
95 |
132 |
| DAY 91-120 |
113 |
123 |
182 |
|
140 |
147 |
219 |
| DAY 121-147 |
137 |
150 |
216 |
|
167 |
175 |
268 |
| DAY 148-180 |
168 |
183 |
275 |
|
208 |
220 |
325 |
THE ABOVE RATE IS APPLICABLE WITH EFFECT FROM 17.07.2007
Rs. 5 (Stamp duty) and 13% VAT is extra.
SCHEDULE OF COVER
| |
Maximum Sum Insured ( US$ ) |
EXCESS |
| 'A' Personal Accident |
Death - up to US$ 25,000 |
NIL |
| |
Loss of Limb - up to US$ 25,000 |
|
| |
Permanent Total Disability - up to US$ 25,000 |
|
| |
Death benefit for children and over 70 yrs - US$ 5,000 |
|
| 'B' Medical and Emergency Exp. |
Up to US$ 100,000 |
US $ 100 |
| 'C' Hospital Benefit |
US$ 10 for each 24 hours of hospitalization up to a |
|
| |
maximum of US$ 100 |
NIL |
| 'D' Loss of Checked Baggage |
US$ 1,000 |
US$ 100 |
| 'E' Delay of Checked Baggage |
US$ 50 for each 12 hour period of delay up to a |
|
| |
maximum of US$ 150 |
12 HOURS |
| 'F' Loss of passport |
Up to US$ 150 |
NIL |
| 'G' Personal Liability |
US$ 250,000 |
US$ 250 in respect of third party property Damage Claims Only |
| 'H' Travel Delay |
US$ 10 per hour upto maximum of US$ 50 |
12 hours |
| 'I' Hijack |
US$ 50 per hour upto maximum of US$ 500 |
24 hours |
PLAN - ' B ' (World wide INCLUDING USA & Canada)
| |
Medical only - A to C |
|
Package policy - A to I |
| Age band |
5 - 40 |
41 - 60 |
61 - 70 |
|
5 - 40 |
41 - 60 |
61 - 70 |
| PERIOD |
US$ |
US$ |
US$ |
|
US$ |
US$ |
US$ |
| DAY 1-14 |
55 |
74 |
80 |
|
63 |
86 |
95 |
| DAY 15-21 |
58 |
78 |
85 |
|
66 |
90 |
100 |
| DAY 22-28 |
64 |
88 |
96 |
|
74 |
103 |
113 |
| DAY 29-35 |
75 |
100 |
112 |
|
87 |
121 |
134 |
| DAY 36-47 |
87 |
120 |
135 |
|
101 |
145 |
162 |
| DAY 48-60 |
120 |
173 |
193 |
|
143 |
209 |
232 |
| DAY 61-75 |
168 |
245 |
274 |
|
202 |
297 |
333 |
| DAY 76-90 |
200 |
293 |
328 |
|
242 |
355 |
399 |
| DAY 91-120 |
277 |
409 |
460 |
|
337 |
499 |
561 |
| DAY 121-147 |
364 |
541 |
609 |
|
444 |
662 |
746 |
| DAY 148-180 |
525 |
623 |
723 |
|
641 |
789 |
886 |
THE ABOVE RATE IS APPLICABLE WITH EFFECT FROM 17.07.2007
Rs. 5 (Stamp duty) and 13% VAT is extra.
SCHEDULE OF COVER
| |
Maximum Sum Insured ( US$ ) |
EXCESS |
| 'A' Personal Accident |
Death - up to US$ 25,000 |
NIL |
| |
Loss of Limb - up to US$ 25,000 |
|
| |
Permanent Total Disability - up to US$ 25,000 |
|
| |
Death benefit for children and over 70 yrs - US$ 5,000 |
|
| 'B' Medical and Emergency Exp. |
Up to US$ 100,000 |
US $ 100 |
| 'C' Hospital Benefit |
US$ 10 for each 24 hours of hospitalization up to a |
|
| |
maximum of US$ 100 |
NIL |
| 'D' Loss of Checked Baggage |
US$ 1,000 |
US$ 100 |
| 'E' Delay of Checked Baggage |
US$ 50 for each 12 hour period of delay up to a |
|
| |
maximum of US$ 150 |
12 HOURS |
| 'F' Loss of passport |
Up to US$ 150 |
NIL |
| 'G' Personal Liability |
US$ 250,000 |
US$ 250 in respect of third party property Damage Claims Only |
| 'H' Travel Delay |
US$ 10 per hour upto maximum of US$ 50 |
12 hours |
| 'I' Hijack |
US$ 50 per hour upto maximum of US$ 500 |
24 hours |
PLAN - ' C ' ASIAN COUNTRIES EXCLUDING SAARC COUNTRIES
| |
Medical only - A to C |
|
|
Package policy - A to I |
|
|
| Age band |
5 - 40 |
41 - 60 |
61 - 69 |
|
5 - 40 |
41 - 60 |
61 - 70 |
| PERIOD |
USD |
USD |
USD |
|
USD |
USD |
USD |
| DAY 1-14 |
20 |
21 |
28 |
|
22 |
23 |
32 |
| DAY 15-21 |
21 |
22 |
30 |
|
22 |
25 |
34 |
| DAY 22-28 |
22 |
24 |
33 |
|
25 |
26 |
38 |
| DAY 29-35 |
26 |
28 |
38 |
|
30 |
31 |
43 |
| DAY 36-47 |
29 |
30 |
43 |
|
33 |
35 |
50 |
| DAY 48-60 |
33 |
35 |
49 |
|
38 |
41 |
58 |
| DAY 61-75 |
38 |
42 |
61 |
|
45 |
49 |
71 |
| DAY 76-90 |
45 |
48 |
70 |
|
52 |
57 |
84 |
| DAY 91-120 |
71 |
78 |
115 |
|
85 |
94 |
138 |
| DAY 121-147 |
85 |
93 |
137 |
|
102 |
111 |
165 |
| DAY 148-180 |
104 |
114 |
200 |
|
125 |
138 |
206 |
COUNTRIES
:
THAILAND, MALAYSIA,SINGAPORE, PHILLIPINES, NORTH & SOUTH KOREA, INDONESIA, CHINA INCLUDING HONG KONG & TAIWAN. |
SCHEDULE OF COVER
PLAN 'C'-ASIAN COUNTRIES EXCLUDING SAARC COUNTRIES
| |
Maximum Sum Insured (USD) |
Excess |
| 'A' Personal Accident |
Death - up to |
USD 10,000 |
|
| |
Loss of Limb - up to |
USD 10,000 |
Nil |
| |
Permanent Total Disability - up to |
USD 10,000 |
|
| |
Death benefit for Children
and over 70 yrs |
USD 2,500 |
|
| 'B' Medical & Emergency Exp. |
Up to |
USD 35,000 |
USD 100 |
| 'C' Hospital Benefits |
USD 10 for each day 24 hours of Hospitalization upto a maximum of |
USD 100 |
Nil |
| 'D' Loss of checked baggage |
up to |
USD 500 |
|
| 'E' Delay of Checked baggage |
USD 50 for each 12 hours period of delay up to a maximum of |
USD 150 |
|
| 'F' Loss of Passport |
up to |
USD 100 |
|
| 'G' Personal Liability |
up to |
USD 100,000 |
USD 250 in respect of Third party property Damage Claims only. |
| 'H' Travel Delay |
USD 10 per hour upto maximum of |
USD 50 |
12 hours |
| 'I' Hijack |
USD 50 per day upto maximum |
USD 500 |
24 hours |
PLAN - ' D ' FOR SAARC COUNTRIES
| Age band |
5 - 40 |
41 - 60 |
61 - 70 |
| PERIOD |
USD |
USD |
USD |
| DAY 1-14 |
14 |
15 |
21 |
| DAY 15-21 |
15 |
16 |
22 |
| DAY 22-28 |
16 |
17 |
24 |
| DAY 29-35 |
19 |
21 |
28 |
| DAY 36-47 |
21 |
23 |
32 |
| DAY 48-60 |
23 |
25 |
36 |
| DAY 61-75 |
28 |
31 |
44 |
| DAY 76-90 |
32 |
35 |
51 |
| DAY 91-120 |
51 |
56 |
82 |
| DAY 121-147 |
62 |
67 |
97 |
| DAY 148-180 |
76 |
83 |
124 |
| SCHEDULE OF COVER |
|
PLAN 'C'-ASIAN COUNTRIES EXCLUDING SAARC COUNTRIES |
| Maximum Sum Insured (USD) |
Excess |
| 'A' Personal Accident |
Death - up to |
USD 10,000 |
Nil |
| |
Loss of Limb - up to |
USD 10,000 |
|
| |
Permanent Total Disability - up to |
USD 10,000 |
|
| |
Death benefit for Children and over 70 yrs - |
USD 5,000 |
|
| 'B' Medical & Emergency Exp. |
Up to |
USD 25,000 |
USD 100 |
| |
|
|
|
|
SAARC COUNTRIES:
INDIA, BANGLADESH, MALDIVES, BHUTAN, SRI LANKA, PAKISTAN AND AFGHANISTAN
|
|