National Swasthya Bima Policy

National Swasthya Bima policy is a unique Health Policy designed especially for the Account holders of Bank of India.  The Policy covers the entire family consisting of the account holder, spouse and two dependent children upto the age of 21 years.

The policy covers Hospitalization expenses for account holder and family.  In case of Hospitalization Expenses, the entire family is covered for the Floater Sum Insured as opted for. This implies either one or all members of the family can utilize the Sum Insured during the policy period.

Scope of cover:

• Room, Boarding expenses as provided by the Hospital/Nursing Home.
• Nursing expenses.            ­
• Surgeon, Anesthetist, Medical Practitioner, Consultants, Specialists Fees.
• Anesthesia, Blood, Oxygen, Operation Theatre Charges, Surgical appliances, Medicines & Drugs, Diagnostic Materials and X-Ray, Dialysis, Chemotherapy, Radiotherapy, Cost of pacemaker, Artificial Limbs and cost of organs etc..
• Policy Coverage options have 8 Slabs ranging from Rs.50,000/- to Rs.5,00,000/.

In Built Additional Covers:

• Get coverage for ambulance charges in case of an Emergency. The reasonable amount can be reimbursed not exceeding Rs.1000/- per Policy period.
• In case of Hospitalisation of children, covered in the policy below 12 years, a lump sum amount of Rs.1000/- per policy period is paid towards the out-of-pocket expenses. The payment will be made on the basis of a declaration from the parent without insisting on any supporting bill/cash memo.
• Cost of Health Check-up allowed @ 1% of the Sum Insured after completion of three continuous claim free years of policy.
• Pre & Post Hospitalisation Expenses covered for first 30 days and 60 days respectively from the date of illness/injury.
• Get coverage for Pre-existing diseases after three continuous claims free policy years which include policies taken from other Insurance Companies.
• Maternity Benefit and Baby Care Expenses are also reimbursed up to 5% of the sum insured.
• Treatment of NRIs in Indian Hospitals is allowed.
• Treatment in Hospitals in Nepal and Bhutan are also covered in Indian Currency.
• In case of death in hospital, funeral expenses are reimbursed up to Rs.1000/- over and above the sum insured subject to original illness/accident claim admitted under the policy.

Other Features:

• Get tax benefit under Section 80D of IT Act.
• Premium will be paid through the Bank.
• Insurance cover period of one year.
• The claims will be serviced by TPAs.
• Minimum hospitalisation for 24 hours.