Mediclaim Insurance is a hospitalisation benefit policy offered by both Public & Private sector general insurance companies. The policy takes care of medical expenses following Hospitalisation/Domiciliary Hospitalisation of the insured in respect of the following situations:
In case of sudden illness
In case of an accident
In case of any surgery which is required in respect of any disease which has arisen during the policy period.
What are the policies available for health?
Mediclaim (in India for individual and group) and Overseas Mediclaim Policy (in abroad)
What is the age limit for Mediclaim Policy?
The insurance is available to persons between the age group of 5 and 80 years. Children between the age of 3 months and 5 years can also be covered provided one or both parents are covered concurrently.
Does Mediclaim cover treatment in hospital only?
Though the main purpose of the policy is to provide reimbursement in respect of treatment taken in the hospital/nursing home, the policy also provides reimbursement in respect of domiciliary hospitalisation. However for a claim to be processed under domiciliary hospitalisation the following conditions should be satisfied:
Medical treatment should be for more than 3 days.
The treatment should be such for an illness/disease/injury which in the normal course would require treatment and care in the hospital/nursing home but actually taken whilst confined at home due to any of the following circumstances:
1. Condition of the patient is such that he/she cannot be moved to the hospital/nursing home or
2. The patient cannot be moved to hospital/nursing home for lack of accommodation there in