Health Benefit Coverage

The Card Holders will visit the recognized network hospitals in the event of ill-health.  They will be received by the Help Desk Executives, appointed by the company, who will help them obtain timely and qualitative healthcare services.  When only a single person of a family becomes a member he/she will receive free health services costing up to ₹6000/- during the year.  As the number of registered members in a family increases the limit up to which free health services provided increases as multiples of  ₹6000/.  For example, if in a family 3 have become members, any member of the family or all the three members put together can receive free healthcare services costing up to ₹18000/- during one year. 

The benefit is provided subject the card holder producing the health card to the Help Desk Executive and the Help Desk Executive confirming the membership from the details available in the Web based software by matching the details given by the card holder and pre-sanction being approved by the BPO at Mysore. 

The healthcare benefits are of two types – In-patient and Out-Patient.

 

Each member is eligible for the following benefits from for 365 days from the date of issue of the health card to him/her.

As Out Patient:

Consultation service is provided by the recognized hospitals as per their hospitals timings as many times as the member falls sick and chooses to visit the recognized hospitals by paying consultation charges of just Rs.25/- per visit.

Discount of 20% of the diagnostic charges billed by the recognized hospitals in their own diagnostic centres.

Cost of medicine prescribed by the Doctors after the consultation to be borne by the card holders themselves.

As In patient:

When the card holder chooses to get admitted in the recognized hospital as per Doctors advice (with prior approval from the Companies BPO) the card holder will be eligible for free treatment to the extent of cost of treatment as per his or her or families eligibility depending upon the membership fee paid by the family on a floater basis @ Rs 6000 per membership per year as given in the following table.

Sl no.

No. Of Members

Membership Fees

Eligible cost of treatment as in patient for the family

1

1

250

6000

2

2

500

12000

3

3

750

18000

4

4

940

24000

5

5

1175

30000

6

6

1410

36000

7

7

1645

42000

8

8

1880

48000

9

9

2115

54000

10

10

2350

60000


Special Benefits :

Families who have paid membership fee for 5 or more members are eligible for certain special benefits .For more details such as diseases covered and diseases not covered and other terms and conditions relating to membership benefits please see the detailed brochure.

(click here)