We at K Raheja Corp provide a cushion just incase of any medical difficulties that may arise for you and your family through our Group Mediclaim Policy. Group Mediclaim is provided by All India Insurance. This policy covers Employee and 3 additional members of his / her family i.e. spouse, children, dependent parents, and dependent In-laws.
All India Insurance will provide an insurance card for all eligible family members. The Group Mediclaim Policy covers an insured person contracting any disease or suffering from any illness or sustaining any bodily injury through accident and requiring hospitalization and incurring hospitalization expenses in India as an in-patient. The Insurance company, in that event, will pay to the Hospital / Nursing Home / Day Care Centre or reimburse the Insured person through Company / Third Party Administrator amount of such expenses as would fall under different heads respect thereof by or on behalf of such insured person but not exceeding in any one period of insurance the amount stated.
Premiums are paid for by K Raheja Corp.
HOSPITAL / NURSING HOME means any institution in India established for indoor care and treatment of sickness and injuries and which has been registered either as a hospital or nursing home with the local authorities and is under the supervision of a registered and qualified medical practitioner, or complies with minimum criteria as under:
Note: In case of Ayurvedic / Homeopathic / Unani Treatment (b) is not applicable, In case of Day Care Centre, (a) is not applicable
For the purpose of this definition the term Hospital/Nursing Home / Day Care Centre shall not include an establishment, which is a place of rest, a place for the aged, a place for drug addicts or place for alcoholics, a hotel or any other like place.
HOSPITALIZATION means admission in any Hospital / Nursing Home in India upon the written advice of a Medical Practitioner for a minimum period of 24 consecutive hours.
The time limit of 24 hours will not be applicable for following surgeries / procedures.
OR any other Surgeries / Procedures agreed by TPA / COMPANY which require less than 24 hours hospitalization due to subsequent advancement in Medical Technology.
Any medical expenses incurred for or arising out of :