Health Insurance
Coverage of Ultima Plan
|
BENEFITS |
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|
ULTIMA |
ULTIMA PLUS |
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|---|---|---|---|---|---|
| Hospital Choices |
No Limit on Hospital Choices |
No Limit on Hospital choice and Extended coverage for artificial organs and implants e.g. Joints, Pacemakers, and Defibrillator |
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| Emergency Medical Evacuation Service |
Worldwide Evacuation |
Worldwide Evacuation |
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| Maximum Limit per Disability per Policy year |
20,000,000 |
50,000,000 |
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| Inpatient Benefits | |||||
| Room and Board, Nursing Charge, Other Medical Charge (Maximum limit per day) |
16,000 |
18,000 |
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| Intensive Care Unit and Coronary Care Unit |
Normal & Customary Charge |
Normal & Customary Charge |
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| Operating Theatre |
Normal & Customary Charge |
Normal & Customary Charge |
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| Surgical’s Fee Including Pre-Surgical Assessment and Normal Post-Surgical Care (Actual Expenses) |
Normal & Customary Charge |
Normal & Customary Charge |
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| Organ Transplant’s Fee for Liver, Heart, Lung, Kidneys, Bone Marrow and Kidney Dialysis Including Donor’s Costs (Maximum per disability) |
2,000,000 |
3,000,000 |
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| Anaesthetist’s Fee |
Normal & Customary Charge |
Normal & Customary Charge |
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| Private Nurse Fee recommended by physician immediate after hospitalization (Up to 30 days) |
Normal & Customary Charge |
Normal & Customary Charge |
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| Inpatient Psychiatric/Mental Disorder |
100,000 |
200,000 |
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| Hospital Expenses : Diagnostic Laboratory Fee, X-rays, Prescribed Medicines, Blood and Plasma, Wheel Chair Rentals, Surgical Appliances and Devices |
Normal & Customary Charge |
Normal & Customary Charge |
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