GORAH INDIVIDUAL PLAN | BASIC | LIFE | PREMIUM | BEST |
Premium Individual per year |
25,000 |
45,000 |
75,000 |
145,000 |
OUTPATIENT SERVICES | ||||
Out-Patient Limit |
80,000 |
100,000 |
120,000 |
150,000 |
Out Patient Care, General Consultation | |
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Specialist Consultation | 2 sessions | 3 sessons | 4 sessions | 5 sessions |
Laboratory & Diagnostic Tests | |
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X-Rays | |
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Prescribed Medicines And Drugs | |
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Management of Chronic Ailment | โ | Eligible After 6 month | Eligible After 6 month | Eligible After 6 month |
Out-Patient Emergency | |
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Advanced & Complex Investigations (incl. CT Scan, MRI Scan) | Emergency | Emergency | Emergency | Emergency |
IN-PATIENT SERVICES | ||||
In-Patient Limit |
100,000 |
120,000 |
150,000 |
200,000 |
X-Rays, Laboratory & Diagnostic Tests | |
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Prescribed Medicines And Drugs | |
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Intensive Care Services | โ | โ | 48 Hours | 72 Hours |
In- Patient Admission days | 15 days /annum | 20 days /annum | 30 days/annum | 30 days/annum |
In-Patient Admissions | General Ward | General Ward | Semi-Private ward | Private-Ward |
In-Patient services (including feeding) | |
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Physiotherapy Sessions | 5 Sessions | 5 Sessions | 10 Sessions | 10 Sessions |
Physiotherapy Sessions (Up to approved limits) | |
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In-Patient Emergency | |
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Advanced & Complex Investigations (incl. CT Scan, MRI Scan) | Emergency | Emergency | Emergency | Emergency |
SURGICAL SERVICES (APPLY AFTER 6 MONTHS) | ||||
Minor, Intermediate, Major Surgeries And Procedures | Limit up to 120,000 | Limit up to 250,000 | Limit up to 350,000 | Limit up to 1,000,000 |
DENTAL CARE | ||||
Primary & Secondary Dental Care | Covered up to โฆ5,000.00 | Covered up to โฆ10,000.00 | Covered up to โฆ15,000.00 | Covered up to โฆ20,000.00 |
Scaling and Polishing | |
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Composite /Amalgam Filling | โ | |
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Non-surgical tooth Extraction | |
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Pain Relief | |
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Dental Emergency | |
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OPTICAL CARE | ||||
Simple Optical Care | Limit up to 5,000 | Limit up to 10,000 | Limit up to 15,000 | Limit up to 20,000 |
Eye testing& Eye Care (Biennial Optical Lenses)(After 6 month) | Up to โฆ5000.00 | Up to โฆ7,000.00 | Up to โฆ10,000.00 | Up to โฆ15,000.00 |
Major Eye Surgeries (Subject to surgical limit) | |
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EAR,NOSE AND THROAT SERVICES | ||||
ENT Limit | โ |
7,000 |
10,000 |
15,000 |
Treatment of ENT diseases and removal of foreign bodies | โ | |
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ENT Surgeries ( Subject to surgical limit) | |
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OTHER BENEFITS | ||||
Accidents & Emergencies | |
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Evacuation (Home/Hospital to Hospital & Road Side to Hospital) | |
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Annual Wellness Check at Designated Centres (After 9 months) | BASIC | BASIC | BASIC | BASIC |
HIV/AIDS โ to the Extent of Diagnosis + Treatment at Free Specialist Centres | |
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Outpatient Psychiatry cover up to 4 weeks | |
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