A Super saver Plan covering the entire family under single sum insured. Loaded with extra benefits.

A Super Saver Policy

➥  Single Sum Insured

➥  Extra Benefits

➥  Coverage for entire family

➥  Considerable saving in premium as the family is covered under one sum insured

>  Eligibility

➥  Any person aged between 18 years and 65 years, residing in India, can take this insurance

➥  Beyond 65 years, It can be renewed for life time

➥ Child above 16 days of age can be covered as part of the family. If, at the commencement of the policy, the new born child as defined in the policy clause is less than 16 days of age, the proposer can opt to cover such child also in the same policy by paying the applicable premium in full. However, the cover for such child will commence only from the 16th day after its birth and continue till the expiry date of the policy

➥ Family: Proposer, spouse, dependent children from 16 days up to 25 years (Dependent children means children who are economically dependent on their parents), Dependent Parent / Parent in law also covered

> Sum Insured Options: Rs.3,00,000/-, Rs.4,00,000/-, Rs.5,00,000/-, Rs.10,00,000/-, Rs.15,00,000/-, Rs.20,00,000/- and Rs.25,00,000/-

>  Policy Benefits

➥  In-Patient Hospitalisation Benefits

Note: Payment of any claim under this benefit shall not be construed as a waiver of Company’s right to repudiate any claim on grounds of non disclosure of material fact or pre-existing disease, for hospitalization expenses under hospitalization provisions of the policy contract

➥ Coverage for Newborn Baby: The coverage for New Born Baby starts from the 16th day after its birth till the expiry date of the policy and is subject to a limit of 10% of the Sum Insured or Rupees Fifty thousand, whichever is less, subject to the availability of the sum insured, provided the mother is insured under the policy for a continuous period of 12 months without break.

Note:

Intimation about the birth of the New Born Baby should be given to the company and policy has to be endorsed for this cover to commence

Exclusion 3 (Code Excl 03) shall not apply for the New Born Baby

All other terms, conditions and exclusions shall apply for the New Born Baby

➥ Emergency Domestic Medical Evacuation: Subject to limits mentioned in the table given below, the Company will reimburse reasonable and necessary expenses incurred towards transportation of the insured person from the hospital where the insured person is currently undergoing treatment to another hospital for further treatment provided;

The medical condition of the Insured Person is a life threatening emergency

Further treatment facilities are not available in the current hospital

The Medical Evacuation is recommended by the treating Medical Practitioner

Claim for Hospitalization is admissible under the policy

Room, Boarding, Nursing Expenses as given below;

Note: Expenses relating to hospitalization will be considered

in proportion to the eligible room rent/room category stated in the policy schedule or actuals whichever is less. Proportionate deductions are not applied in respect of the hospitals which do not follow differential billing or for those expenses in respect of which differential billing is not adopted based on the room category.

Surgeon, Anesthetist, Medical Practitioner, Consultants & Specialist Fees

Anesthesia, Blood, Oxygen, Operation Theatre charges, ICU charges, cost of Pacemaker etc

Cost of Medicine and drugs

Emergency Road ambulance: Emergency ambulance charges up to a sum of 750/- per hospitalisation and overall limit of Rs.1500/- per policy period

Air Ambulance: Up to 10% of the sum insured per policy Available for Sum Insured of Rs. 5 Lakhs and above only

➥  Pre & Post Hospitalization

‡      Pre-hospitalization medical expenses incurred up to 60 days prior to the date of hospitalization are payable

‡      Post-hospitalization medical expenses incurred up to 90 days from the date of discharge from hospital are payable

➥  Coverage for Modern Treatment: Expenses are subject to the limits.

(For details please refer website www.fastmudra.in/)

➥  Day Care Procedures: All day care procedures covered.

➥ Instalment Facility available: Premium can be paid Quarterly and Half yearly. Premium can also be paid Annually For instalment mode of payment there will be loading as given below;

Quarterly – 3% | Half Yearly – 2% (will be applicable on the annual premium)

➥  Pre-Acceptance Medical Screening: All persons above 50 years of age and those who declare adverse medical history in the proposal form are required to undergo pre-acceptance medical screening at the Company designated Centers The cost of such screening will be borne by the Company. The age for screening and the cost sharing are subject to change.

Special Features

➥ Domiciliary Hospitalization: Coverage for medical treatment (including AYUSH) for a period exceeding three days, for an illness/disease/injury, which in the normal course, would require care and treatment at a Hospital but is actually taken whilst confined at home under any of the following circumstances;

The condition of the patient is such that he/she is not in a condition to be removed to a Hospital, or

The patient takes treatment at home on account of non-availability of room in a

However, this benefit shall not cover Asthma, Bronchitis, Chronic Nephritis and Nephritic Syndrome, Diarrhoea and all types of Dysenteries including Gastro-enteritis, Diabetes Mellitus and Insipidus, Epilepsy, Hypertension, Influenza, Cough and Cold, all Psychiatric or Psychosomatic Disorders, Pyrexia of unknown origin for less than 10 days, Tonsillitis and Upper Respiratory Tract infection including Laryngitis and Pharingitis, Arthritis, Gout and Rheumatism.

➥ Organ Donor Expenses for organ transplantation payable where the insured is the recipient. Maximum payable under this head is 10% of the sum insured or Rupees one lakh whichever is less, subject to availability of the sum insured and provided the claim for transplantation is payable. Donor screening expenses are not payable.

➥ Cost of Health Check Up: Expenses incurred towards cost of health check-up up to the limits mentioned in the table given below for every claim free year provided the health checkup is done at network hospitals and the policy is in force. If a claim is made by any of the insured persons, the health check up benefits will not be available under the policy.

Note:

This benefit is payable on renewal and when the renewed policy is in force

Payment under this benefit does not form part of the sum insured and will not impact the Bonus

Note: Payment of any claim under this benefit shall not be construed as a waiver of Company’s right to repudiate any claim on grounds of non disclosure of material fact or pre-existing disease, for hospitalization expenses under hospitalization provisions of the policy contract

➥ Coverage for Newborn Baby: The coverage for New Born Baby starts from the 16th day after its birth till the expiry date of the policy and is subject to a limit of 10% of the Sum Insured or Rupees Fifty thousand, whichever is less, subject to the availability of the sum insured, provided the mother is insured under the policy for a continuous period of 12 months without break.

Note:

Intimation about the birth of the New Born Baby should be given to the company and policy has to be endorsed for this cover to commence

Exclusion 3 (Code Excl 03) shall not apply for the New Born Baby

All other terms, conditions and exclusions shall apply for the New Born Baby

➥ Emergency Domestic Medical Evacuation: Subject to limits mentioned in the table given below, the Company will reimburse reasonable and necessary expenses incurred towards transportation of the insured person from the hospital where the insured person is currently undergoing treatment to another hospital for further treatment provided;

The medical condition of the Insured Person is a life threatening emergency

Further treatment facilities are not available in the current hospital

The Medical Evacuation is recommended by the treating Medical Practitioner

Claim for Hospitalization is admissible under the policy

Note: Payment under this benefit does not form part of the sum insured but will impact the Bonus.

➥ Compassionate travel: In the event of the insured person being hospitalized for a life threatening emergency at a place away from his usual place of residence as recorded in the policy, the Company will reimburse the transportation expenses by air incurred upto Rs.5,000/- for one immediate family member (other than the travel companion) for travel towards the place where hospital is located, provided the claim for hospitalization is admissible under the policy.

Note: This benefit is available for sum insured options of Rs.10,00,000/- and above only. Payment under this benefit does not form part of the sum insured but will impact the Bonus.

➥ Repatriation of Mortal Remains: Following an admissible claim for hospitalization under the policy, the Company shall reimburse up to Rs.5,000/- per policy period towards the cost of repatriation of mortal remains of the insured person (including the cost of embalming and coffin charges) to the residence of the Insured as recorded in the policy. Payment under this benefit does not form part of the sum insured but will impact the Bonus

Treatment in Valuable Service Providers: In the event of a medical contingency requiring hospitalization, if the insured seeks advice from the Company, the Company may suggest an appropriate hospital from the network for treatment. Where the insured accepts the same and undergoes treatment in the suggested hospital, an amount calculated at 1% of Sum Insured subject to a maximum of Rs. 5,000/- per policy period is payable as lump sum.

Note: This benefit is available for Sum Insured of Rs. 3,00,000/- and above only. Payment under this benefit does not form part of the sum insured but will impact Bonus.

➥ Shared Accommodation: If the Insured person occupies, a shared accommodation during in-patient hospitalization, then amount as per table given below will be payable for each continuous and completed period of 24 hours of stay in such shared accommodation.

Payment under this benefit does not form part of the sum insured but will impact Bonus;

Note: This benefit is available for Sum Insured of Rs.3,00,000/- and above only.
➥ AYUSH Treatment: In Patient Hospitalization Expenses incurred on treatment under Ayurveda, Unani, Sidha and Homeopathy systems of medicines in a AYUSH Hospital is payable upto the limits given below

➥  Second Medical Opinion: The Insured Person is given the facility of obtaining a Second Medical Opinion from a Doctor in the Company’s network of Medical Practitioners. To utilize this benefit, all medical records should be forwarded to the mail-id : infofastmudra.in

➥ Assisted Reproduction Treatment: The Company will reimburse medical expenses incurred on Assisted Reproduction Treatment, where indicated, for sub-fertility subject to;

A waiting period of 36 months from the date of first inception of this policy with the Company for the insured person

The maximum liability of the Company for such treatment shall be limited to Rs.1,00,000/- for Sum Insured of Rs.5,00,000/- and Rs.2,00,000/- for Sum Insured of Rs.10,00,000/- and above for every block of 36 months and payable on renewal

For the purpose of claiming under this benefit, in- patient treatment is not mandatory

Automatic Restoration of Sum Insured, Recharge Benefit shall not be applicable for this benefit

Note: To be eligible for this benefit both husband and spouse should stay insured continuously without break under this policy for every block. This coverage is available only for sum insured options of Rs.5,00,000/- and above.

This benefit covers intrauterine insemination (IUI), Intra-Cytoplasmic Sperm Injection (ICSI), In-Vitro Fertilisation( IVF) and TESA/ TESE (Testicular / Epididymal Sperm Aspiration / Extraction)

➥ Additional Sum Insured for Road Traffic Accident (RTA): If the insured person meets with a Road Traffic Accident resulting in in-patient hospitalization, then the sum insured shall be increased by 25% subject to a maximum of Rs. 5,00,000/-. This benefit is payable only if the insured person was wearing a helmet and travelling

in a two wheeler either as a rider or as a pillion rider. The additional sum insured shall be available only once during the policy period and should be used for the particular hospitalization following RTAand cannot be carried forward. Automatic Restoration of Sum Insured and Recharge Benefit shall not apply for this benefit.

➥ Automatic Restoration of Sum Insured: There shall be automatic restoration of the Sum Insured immediately upon exhaustion of the limit of coverage which has been defined during the policy period.

Such Automatic Restoration is available 3 times at 100% each time, during the policy period. Each restoration will operate only after the exhaustion of the earlier one.

It is made clear that such restored Sum Insured can be utilized only for illness / disease unrelated to the illness

/ diseases for which claim/s was / were made. The unutilized restored sum insured cannot be carried forward. This benefit is not available for Modern Treatment.

Note: Automatic Restoration of Sum Insured is available only for sum insured options of Rs.3,00,000/- and above

➥ Limits for cataract surgery: Expenses incurred on treatment of Cataract is subject to the limits as per the following table;

➥ Recharge Benefit: If the limit of coverage under the policy is exhausted / exceeded during the policy period, additional indemnity upto the limits stated in the table given below would be provided once for the remaining policy period. Such additional indemnity can be utilized even for the same hospitalization or for the treatment of diseases / illness / injury / for which claim was paid / payable under the policy. The unutilized Recharge amount cannot be carried forward. This benefit is not available for Modern Treatment.

➥ Cumulative Bonus: In respect of a claim free year of Insurance, for the Sum and above, the insured would be entitled to benefit of bonus of 25% of the exp year and additional 10% of the expiring sum Insured for the subsequent years shall not exceed 100%.

The Bonus will be calculated on the expiring sum insured or on the renewed Bonus will be given on that part of sum insured which is continuously renew

the sum insured at the subsequent renewal, the limit of indemnity by way of such Bonus shall not exceed such reduced sum insured.

Bonus shall be available only upon timely renewal without break or upon renewal within the grace period allowed. In the event of a claim, such bonus so granted will be reduced at the same rate at which it has accrued. However the sum insured, will not be reduced.

➥ Co-Payment: This policy is subject to co-payment of 20% of each and every claim amount for fresh as well as renewal policies for insured persons whose age at the time of entry is 61 years and above.

>  Cancellation

The policyholder may cancel this policy by giving 15 days’ written notice and in such an event, the Company

shall refund premium for the unexpired policy period as detailed below;