Gold Insurance Policy

UNITED INDIA INSURANCE COMPANY LIMITED

United India Insurance Company is a leading general insurance company in India.

It has more than three decades of experience in non-life insurance business and it was formed by the merger of 22 companies, consequent to nationalization of general insurance.

One of their policies is the GOLD INSURANCE POLICY.

The EXCLUSIVE FEATURES of this policy are:

  • Entry age to the policy is between 36 years to 60 years
  • Children from the age of 3 months are covered provided the parents are covered concurrently
  • Sum insured can range from Rs.1 lac to Rs.5 lacs in multiples of Rs.25000
  • Hospitalization expenses are covered as under:
  • Room/boarding/nursing expenses and other similar expenses up to 1% of sum insured per day. This also includes nursing care, RMO charges, IV Fluids/Blood Transfusion/Injection administration charges but does not include cost of materials
  • ICU expenses up to 2% of sum insured per day or actual amount whichever is less
  • Surgeon, Anesthetist, Medical Practitioner, Consultants, Specialist’s fee
  • Anesthetist, blood, oxygen, OT charges, surgical appliances, medicines and drugs, diagnostic materials and X-rays, dialysis, chemotherapy, radiotherapy, artificial limbs, cost of prosthetic devices implanted during surgical procedures like pace maker, orthopedic implants, infra cardiac valve replacements, vascular stents
  • All hospitalization expenses (excluding cost of organ) incurred for donor in respect of organ transplant
  • Pre-hospitalization and post-hospitalization expenses incurred shall be payable in respect of the actual expenses subject to a maximum of 10% of sum insured
  • Pre-hospitalization expenses incurred during the period up to 30 days prior to hospitalization
  • Post-hospitalization expenses incurred during the period up to 60 days after hospitalization

RESTRICTIONS:

Expenses in respect of the following specified illnesses will be restricted as below:

HOSPITALIZATION BENEFIT LIMITS PRE SURGERY RESTRICTED TO
Cataract, Hernia, Hysterectomy Actual expenses or 25% of sum insured whichever is less
Major surgeries:

–      Cardiac surgeries

–      Cancer surgeries

–      Brain tumor surgeries

–      Pace maker implantation for sick sinus syndrome

–      Hip replacement

–      Knee Joint replacement

Actual expenses or 70% of sum insured whichever is less

EXCLUSIONS:

  • Pre-existing disease coverage will be available only after 4 years since inception of the policy
  • Any disease contracted by the insured during the first 30 days from the commencement date of the policy. This does not apply if the person has been insured under a health policy issued by the company for the 12 months immediately preceding the commencement of this policy
  • During the first 2 years of the operation of the policy, the expenses on treatment of diseases such as Cataract, Benign Prostatic Hyperthrophy, Hysterectomy for Menorrhagia or Fibromyoma, Hernia, Hydrocele, Congenital internal disease, Fistula in Anus, Piles, Sinusitis and related disorders, Gall Bladder Stone Removal, Gout and Rheumatism, Calculus disease, Joint Replacement due to Degenerative Condition and age-related Osteoarthritis and Osteoporosis are not payable
  • Injury/disease caused by invasion, act of foreign enemy, war like operations
  • Circumcision unless necessary for treatment of a disease or that caused due to an accident
  • Vaccination or inoculation or change of life or cosmetic or aesthetic treatment
  • Plastic surgery other than as may be necessitated due to an accident
  • Cost of spectacles, contact lenses and hearing aids
  • Dental treatment or surgery of any kind unless requiring hospitalization
  • Convalescence, general debility, run down condition or rest cure, congenital external disease or defects or anomalies, sterility, venereal disease, intentional self injury and use of intoxication drugs/alcohol
  • All expenses arising out of any condition caused by HIV or AIDS
  • Charges incurred at hospital/nursing home primarily for diagnosis
  • Expenses on vitamins and tonics unless forming part of treatment
  • Injury or disease caused by nuclear weapon/materials
  • Treatment arising from pregnancy and childbirth
  • Naturopathy treatment
  • External and durable medical/non medical equipment of any kind for diagnosis/treatment/monitoring/support
  • Any kind of service charges, surcharges, admission fees/registration charges levied by the hospital
  • All non-medical expenses

ADDITIONAL BENEFITS of taking a policy from United India Insurance Company are:

  • It is a public sector undertaking so many people have more faith in its existence
  • A family discount of 5% on the total premium will be allowed if the policy comprises of the insured and/or spouse, dependent children and dependent parents
  • There is a 5% no claim discount for every claim free year subject to a maximum of 25%
  • For every block of 3 claim free years, the insured will be eligible for cost of health check-up up to a maximum of 1% of average sum insured of preceding 3 years
  • Ambulance charges can be covered on payment of additional premium
  • Hospital Daily Cash Benefit allowance will be given from the 3rd day onwards for the period of hospitalization but on payment of additional premium as per details below:
ADDITIONAL PREMIUM ALLOWANCE PER DAY SUBJECT TO MAXIMUM OF
Rs.150/- Rs.250/- Rs.2500/- per policy period
Rs.300/- Rs.500/- Rs.5000/- per policy period

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