Policy Terms and Conditions

 
                     

Beneficiaries: All the employees on pay-roll or on contractual basis or on job work with member/ trader of GJEPC along with their dependent Spouse + up to Two children (Max age 25 yrs.) + Two dependent parents.

 
 
 
 
                     

Group Mediclaim Policy

               
                     

Hospitalization: Group Mediclaim Policy covers the reimbursement of reasonable expenses for room charges, doctors' fees, intensive care unit charges, nursing expenses, surgical fees, operating theatre expenses, anesthesia, medicines and oxygen administration expenses.

 
 
 
 
                     

Coverages -

                 
                     

Sum Insured

50,000/100,000

     

Pre Existing Diseases Exclusion Waiver

Yes

     

30 days waiting period waiver

Yes

     

1st Year Exclusions waiver

Yes

     

2nd Year Exclusions waiver

Yes

     

3rd Year Exclusions waiver

Yes

     

4th Year Exclusions waiver

Yes

     

Room Rent Limit - Normal Room

No Limit

     

Room Rent Limit - ICU

No Limit

     

Pre Hospitalisation (in Days)

30 Days

     

Post Hospitalisation (in Days)

60 Days

     

Ambulance Charges

Rs 2500

     

Maternity Benefit (If Opted)

Rs 35,000/- in case of C Section

     

Rs 25,000/- in case of Normal Delivery

     

Domiciliary Hospitalization Expenses

Not Covered

     

Health check up cost every 4 years

Yes

     

Cashless Facility

Yes

     

Claim Submission Clause

45 Days from the Date of Discharge

     
                     
                     

Group Personal Accident Policy

               
                     

Beneficiaries : All the employees on pay-roll or on contractual basis or on job work with member trader of GJEPC.

   
   
                     

Sum Insured: Rs.50,000/- or Rs.1,00,000/-

   
   
                     

Accidental Death

100% Sum Insured

     

Permanent Total Disablement

100% Sum Insured

     

Permanent Partial Disablement

As per the Standard Policy Condition