Individual Health Plans

GORAH INDIVIDUAL  PLAN BASIC LIFE PREMIUM BEST
 

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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                 โœ”                 โœ”                 โœ”                 โœ”
Specialist Consultation 2 sessions 3 sessons 4 sessions 5 sessions
Laboratory & Diagnostic Tests                 โœ”                 โœ”                 โœ”                 โœ”
X-Rays                 โœ”                 โœ”                 โœ”                 โœ”
Prescribed Medicines And Drugs                 โœ”                 โœ”                 โœ”                 โœ”
Management of Chronic Ailment                โœ— Eligible After 6 month Eligible After 6 month Eligible After 6 month
Out-Patient Emergency                 โœ”                 โœ”                 โœ”                 โœ”
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                 โœ”                 โœ”                 โœ”                 โœ”
Prescribed Medicines And Drugs                 โœ”                 โœ”                 โœ”                 โœ”
Intensive Care Services                โœ—                โœ— 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)                 โœ”                 โœ”                 โœ”                 โœ”
Physiotherapy Sessions 5 Sessions 5 Sessions 10 Sessions 10 Sessions
Physiotherapy Sessions (Up to approved limits)                 โœ”                 โœ”                 โœ”                 โœ”
In-Patient Emergency                 โœ”                 โœ”                 โœ”                 โœ”
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 โ‚ฆ5,000.00 Covered up to โ‚ฆ10,000.00 Covered up to โ‚ฆ15,000.00 Covered up to โ‚ฆ20,000.00
Scaling and Polishing                 โœ”                 โœ”                 โœ”                 โœ”
Composite /Amalgam Filling                โœ—                 โœ”                 โœ”                 โœ”
Non-surgical tooth Extraction                 โœ”                 โœ”                 โœ”                 โœ”
Pain Relief                 โœ”                 โœ”                 โœ”                 โœ”
Dental Emergency                 โœ”                 โœ”                 โœ”                 โœ”
         
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 โ‚ฆ5000.00 Up to โ‚ฆ7,000.00 Up to โ‚ฆ10,000.00 Up to โ‚ฆ15,000.00
Major Eye Surgeries (Subject to surgical limit)                 โœ”                 โœ”                 โœ”                 โœ”
         
EAR,NOSE AND THROAT SERVICES        
ENT Limit             โœ—

7,000

10,000

15,000

Treatment of ENT diseases and removal of foreign bodies             โœ—                 โœ”                โœ”                  โœ”   
ENT Surgeries ( Subject to surgical limit)               โœ”                 โœ”                โœ”                  โœ”   
         
OTHER BENEFITS        
Accidents & Emergencies               โœ”               โœ”               โœ”               โœ”
Evacuation (Home/Hospital to Hospital & Road Side to Hospital)               โœ”               โœ”               โœ”               โœ”
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               โœ”               โœ”               โœ”               โœ”
Outpatient Psychiatry cover up to 4 weeks               โœ”               โœ”               โœ”               โœ”