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♦ NATIONAL HOSPITALIZATION PLAN ♦
Health Insurance is now considered indispensable in developed countries. In the present financial-social perspective of Bangladesh as well, Health Insurance has now become an essential, dependable, acceptable and the most cost effective means to make the modern treatment facilities affordable to all socio-economic classes of people, especially the fixed income group.
National Life Insurance Company offers Health Insurance schemes, which are as follows:
Hospitalization Insurance Plan (Group)- offered to Members of a group and their dependants (if desired).
Expenses Covered under Hospitalization Insurance Plans:
► Hospital Accommodation
► Consultation Fee
► Medicine & Accessories
► Medical Investigations
► Surgical Operation and
► Ancillary Services like Blood Transfusion, Ambulance Service, Dressing etc.
General Features of the Scheme:
⇒ No need for preliminary Medical Examination during enrolment.
⇒ Treatment coverage round the clock inclusive of Accidents and Emergencies.
⇒ Coverage offered to Bangladeshi National as well as resident foreigner.
⇒ Treatment at any renowned hospital or clinic by consultant of own choice.
⇒ Preferential service at Designated Hospital.
⇒ Reimbursement of expenses for treatment at non-designated hospital.
⇒ Membership ID Card for each insured to facilitate preferential services.
⇒ Option for Maternity Benefit and Overseas Treatment coverage.
⇒ Provision for inclusion of Spouse & Children under the plan.
⇒ Provision for inclusion of new member under the plan.
⇒ Coverage up to 60 years.
Benefit Schedule→
The total hospitalization expenses payable to each Insured Member shall be limited to the maximum benefit as mentioned in the following Benefit Schedule:
Plan Type | Plan A | Plan B | Plan C | Plan D |
Overall annual limit for each Insured | Tk.1,00,000 | Tk.75,000 | Tk.50,000 | Tk.25,000 |
Hospital stay per confinement (Max.) | 25 days | 20 days | 17 days | 12 days |
Room accommodation (per day) | 1,200 | 1,000 | 800 | 500 |
Consultant's fee (per day) | 800 | 700 | 500 | 300 |
Routine Investigation (Actual Expenditure or Maximum) | 1,000 | 1,000 | 1,000 | 1,000 |
Medicines:
In case of surgery In case of no surgery | 3,500 1,500 | 3,500 1,500 | 3,500 1,500 | 3,500 1,500 |
Surgery:
Major Intermediate | 15,000 10,000 | 15,000 10,000 | 15,000 10,000 | 15,000 10,000 |
Ancillary Services (80% of Actual Expenditure or Max.) | 7,000 | 6,000 | 5,000 | 3,000 |
Maternity Benefit:
Normal Delivery Cesarean Delivery | 15,000 22,500 | 9,000 15,000 | 8,000 12,500 | 4,000 8,000 |
*** We re-design the Benefit Schedule as per the requirements of our valued clients/organizations. ***
Exclusion from Coverage→
No benefit shall be paid under the Contract for expenses or losses resulting from or incurred in connection with or in consequence of the following
(a) Any pre-hospitalization expenses
(b) Any food or food supplements, antiseptics, cosmetic cream etc.
(c) Any congenital infirmity, any pre-existing condition
(d) Mental, emotional or psychiatric disorders, alcoholism or any other narcotic addiction
(e) Any procedure which is experimental or not generally accepted by the medical profession e.g. acupuncture
(f) Any cosmetic or plastic treatment/surgery unless required as re-constructive surgery as a consequence of injury due to accidents/burns during the contract period
(g) Rest, convalescence or rejuvenation cures, thermal baths or confinement for the purpose of slimming or beautification
(h) Treatment for family planning purposes including termination of pregnancy, dilatation & curettage or sterility
(i) Abortion, miscarriage, entopic pregnancy, fetal death or any complication and/or sequel there from
(j) Attempted suicide, violation or attempted violation of the law, injuries willfully or intentionally self-inflected or due to insanity or under the influence of a drug.
(k) The examinations, fitting or replacement of eyeglasses including contact lenses or hearing aids
(l) Health check-ups, radiotherapy, chemotherapy, any form of investigation/treatment when not incidental or necessary to the treatment of the injury/illness, which caused hospitalization.
(m) Any dental treatment
(n) Circumcision
(o) Tuberculosis and its complications
(p) Newborn child up to the age of 1 year
(q) AIDS and HIV related diseases.
How to get a Group Hospitalization Insurance Proposal?
For Quotation: fill in the "Proposal Request Form" and send it to us at our contract address accompanied by the list of members to be insured with following details.
Sl. No. | Name | Date of Birth | *Status | Benefit Grade |
* Status means rank of an employee or his relationship with dependent(spouse/children)
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