Products & Services >> Brief Features Of Dread Disease Insurance>>

The onset of a major, life-threatening disease is obviously and absolutely traumatic not only for the unfortunate victim but also for the whole family. Life Insurance may be of incalculable assistance should the worst happen, but it is of no assistance at all when help is really needed, when the problem is first diagnosed and medical treatment is still a feasible option.

Various forms of Medical Expenses policies are available around the world, but we can honestly say that the 'Dread Disease Insurance' that we are proposing is by far and away the most simple and attractive, for the insured.

Should an Insured Person be diagnosed during the period of Insurance as suffering from a Dread Disease, symptoms (and/or the treatment) of which were not present in such Insured Person at any time prior to inception of the Policy or the date on which cover was granted to such Insured Person and if the Insured Person survive the Diagnosis for a period of 30 (thirty) successive days there after RELIANCE INSURANCE LIMITED shall pay the Insured as Compensation" the Sum Insured" set against such Insured Person's name in the Schedule.

Diagnosis means, Diagnosis by a registered medical practitioner, supported by clinical radiological, histological and laboratory evidence, acceptable to RELIANCE INSURANCE LIMITED.

Fundamentally, the insured selects a sum that he feels comfortable with, both in terms of its premium cost and the cover offered, and this becomes the amount paid to him-in full- immediately upon it being confirmed that he has been diagnosed as suffering from one of the defined 'Dread Disease'. The unique feature of this policy is that this cash can then be used by him for whatever, and for that matter wherever he chooses: for treatment locally, in India, in Singapore or Bangkok, or even in London. Even, should the prognosis be terminal, to cover the costs of visiting far away relatives, say in the States, or bringing these relatives back to Bangladesh absolutely whatever the Insured Person and his family wish to do with it.
 

The moment it is established that the Insured is indeed suffering from an Insured Dread Disease that had not manifested itself prior to cover being issued, the policy pays. Pure and simple.

 

The diseases concerned are most commonly as set out as under:

 

CORONARY HEART DISEASE
MULTIPLE SCLEROSIS
ORGAN TRANSPLANT
STROKE
KIDNEY FAILURE
CANCER

 

BRIEF OF FEATURES OVERSEAS MEDICLAIM INSURANCE (CFT) (CORPORATE FREQUENT TRAVEL)
 

Overseas Medical Insurance is available for Bangladeshi Nationals going abroad for the purpose of Business or on Holiday. Annual policy for CFT can be issued to the corporate client registered under the companies Act or Government Service holders who are regularly traveling overseas. This policy will cover for a total period of 180 days overseas travel in the course of one year with an inner limit of maximum 30 days per trip,

 
  a) typhoon, hurricane, volcanic eruption, earthquake of other convulsion of nature.

b) loss or damage directly or indirectly caused by or arising out of war, invasion act of foreign enemy, hostilities (whether war be declared or not), civil war, rebellion, revolution, insurrection, mutiny, riot, strike lock-out, civil commotion, military or usurped power, a group of malicious person or persons acting on behalf of or in connection with any political organization, conspiracy, confiseations commandeering requisition or destruction of or damage to property by order of any government dejure of de facto or by any public authority, nuclear reaction, nuclear radiation or radioactive contamination.

c) any tests other than tests at a pressure not exceeding the maximum pressure permitted by the inspecting authority.
 

PLANS TYPE:

 
World-wide including USA and CANADA and excluding the country of domicile.

SCOPE OF COVER:

Intended only for use of insured person in the event of a sudden and unexpected Sickness or accident arising when the insured is staying out side Bangladesh.

LIMIT OF LIABILITY: Maximum U.s. $100,000.00 and Minimum $.10,000.00

COVERED EXPENSES:
 

1.  Expenses for physician service, Hospital, Physician and Medical services and local emergency
     medical transportation.
 
2.  Up to US $ 225 per occurrence for dental services for immediate relief of dental pain only.
 
3.  Expenses for physician ordered emergency medical evacuation, including medically appropriate
     transportation and necessary medical care en route to the nearest suitable hospital.
 
4.  Expenses for medical evacuation including transportation and medical care en route to a hospital on the
     Insured Person's normal place of residence in the foreign country where the insured person are staying.
 
5. If the insured person died outside the People's Republic of Bangladesh the expenses for preparing the
    air transportation of the remains for repatriation to the People's Republic of Bangladesh or up to
    equivalent  amount for a local burial or cremation in the country where death occurred.

PERIOD OF INSURANCE:

4. The Insurance shall be valid from the first Day of insurance for the number of days specified and ceases
    on his return to Bangladesh wherever happens earlier.
 
5. The Insurance shall automatically be extended for a period of 45 days for treatment of illness and/ or
    accident insured by the policy.
 
6. Extension of the period of Insurance is automatic for a period not exceeding seven days, and without
    extra charges if necessitated by delay of public transport services beyond the control of the insured.

 

BRIEF FEATURES OF OVERSEAS MEDICLAIM INSURANCE EMPLOYMENT AND STUDIES

 
Overseas Mediclaim Insurance for Employment and Studies is available for Bangladeshi Nationals temporarily residing outside Bangladesh having been posted by their Bangladeshi Employer to work in that country or for the purpose of furthering their education or solely engaged on research projects.
The Policy is divided into two categories: PLAN-C: Worldwide excluding USA and Canada.

PLAN-D: Worldwide including USA and Canada.

SCOPE OF COVER:

Intended only for use of Insured Person in the event of a sudden and unexpected Sickness or accident arising when the insured is staying outside Bangladesh.

PAYMENT OF PREMIUM:

Premium is to be paid in US Dollars.

COVERED EXPENSES:

The reasonable and customary fees, charges for unavoidable necessary medical services, supplies and treatments authorized by a Licensed Physician and approved by the claims Administrator and incurred outside Bangladesh.

SCHEDULE OF INDEMNIFIED EXPENSES AND BENEFITS.

1. Limited to US $ 75.000 anyone Insured Person and in all any Period of Insurance.

2. Medical Accident and Sickness expenses as a result of a Covered Injury or covered Sickness.

3. Coverage for mental, nervous and emotional disorders limited to 30 days continuous in hospital expenses only and will be limited to only 50% of such expenses.
4. In the event that the Insured Person is to be evacuated to Bangladesh the Insurers will pay Medical Accident and Sickness Expenses in Bangladesh within the overall Limit of US$.75.000. Expenses for Evacuation of Insured Person's spouse and Children residing with him up to a limit of U.S. $5.000 anyone family.

5. In the event of the death of an Insured Person the actual expense incurred for preparation and transportation to Bangladesh of the remains of the Insured Person or Funeral expenses incurred in the country of posting or study up to US$.8.000 in total will be borne.

6. When as a result of a covered injury or covered sickness an insured Person is hospitalised and subsequently is to be medically evacuated to Bangladesh Insurers will pay as Medical Emergency Reunion Expenses up to US$.5.000 in all.
7. In the event the Insured person is unable to continue to complete his course of studies due to covered injury or covered Sickness first occurring in the country of study resulting in:

8. Death or (b) Loss of Entire Sight of either both Eyes or (c) Permanent total Disablement and is Medically Evacuated.

9. The Insurers will pay a benefit to the Nominated sponsor who has provided financial support to the Insured person at a rate ofUS$.750 Capital Sum for each month of study Completed during the period of Insurance.
10. In the event that Insured Person is Unable to continue to complete his course of Studies due to mental nervous or emotional disorders the Benefit payable is limited to 25% of the amount due.

COMMENCEMENT OF INSURANCE:

The Insurance of an Insured Person will become effective from:

12.01 a.m. of the effective Date of the Insurance for which premium has been paid.
the date the Insured Person departs from Bangladesh to travel to the country of posting or study Provided that the Scheduled arrival in the country of posting or study in no more than 48 hours later that the insured person's departure from Bangladesh.

CLAIMS CONDITIONS:

In the event that medical services are required the Insured Person shall wherever possible consult first with the campus, college, school or employer's/sponsor's Doctor. In case of Hospitalisation and out patient treatment in excess US$.500 the Insured Person, his representative or the treating Licensed physician will Consult with MERCURY INSURANCE SERVICES LTD. in UK, USA, CANADA (office address are furnished in the IMPORTANT NOTES attached to the policy).
 

BRIEF FEATURE OF OVERSEAS MEDICLAIM INSURANCE (BUSINESS AND HOLIDAY)

   
Overseas Medical Insurance is available for Bangladeshi Nationals going abroad for the purpose of Business or on Holiday.

THERE ARE TWO PLANS:

PLAN 'A': for countries other than USA and CANADA PLAN 'B' : for countries including USA and CANADA.

SCOPE OF COVER: Intended only for use of insured person in the event of a sudden and unexpected Sickness or accident arising when the insured is staying out side Bangladesh.

LIMIT OF LIABILITY: PLAN 'A' U.S. $ 50,000.00 and PLAN 'B' U.S. $ 100,000.00

COVERED EXPENSES:
1. Expenses for physician service, Hospital, Physician and Medical services and local emergency medical transportation.
2. Up to US $ 225 per occurrence for dental services for immediate relief of dental pain only.
3. Expenses for physician ordered emergency medical evacuation, including medically appropriate transportation and necessary medical care enroute to the nearest suitable hospital.
4. Expenses for medical evacuation including transportation and medical care enroute to a hospital on the Insured Person's normal place of residence in the foreign country where the insured person are staying.
5. If the insured person died outside the People's Republic of Bangladesh the expenses for preparing the air transportation of the remains for repatriation to the People's Republic of Bangladesh or up to equivalent amount for a local burial or cremation in the country where death occurred.

PERIOD OF INSURANCE:
1. The Insurance shall be valid from the first Day of insurance for the number of days specified and ceases on his return to Bangladesh wherever happens earlier.
2. The Insurance shall automatically be extended for a period of 45 days for treatment of illness and/or accident insured by the policy.
3. Extension of the period of Insurance is automatic for a period not exceeding seven days, and without extra charges if necessitated by delay of public transport services beyond the control of the insured.

RESTRICTED COVER:
In the event that the proposer is unable to present him self for medical examination where called for by Reliance Insurance Ltd., the limit of indemnity under the insurance shall be reduced to U.S. $ 10,000.
 


PROCEDURE FOR OBTAINING CLAIM ASSISTANCE.


It is a condition precedent that when medical attention is required VOYAGERS ASSISTANCE WORLDWIDE in UK (office address are furnished in the IMPORTANT NOTES attached to the policy) must be contacted by the Insured person, his representative or the attending Physician / Hospital immediately. The Insured person or his representative should quote to MERCURY as much information concerning the illness or accident as is available, including the name of the treating Doctor Name and telephone number of the hospital the complete OMP Policy number and its date of issue.
 

BRIEF OF THE FEATURES HEALTH PLAN INSURANCE

 
THE HEALTH PLAN INSURANCE is a group Medical Insurance Package that has been adequately tailored to the requirements of the employees of the corporate bodies. The Employers can take this Health Plan as a welfare scheme for their salaried employees together with their family members at a minimum cost of premium.
Brief of the Plan and Benefits of the Health Plan Insurance are appended below.

LIMIT OF LIABILITY:

The total maximum amount of cover to each insured shall be limited to Tk. 75, 000.00, tk.5O, 000.00 & Tk. 25,0001- respectively for the three different plans known as SUPER PLAN, STANDARD PLAN & BASIC PLAN.

SCOPE OF COVER:

ILLNESS, SICKNESS, SURGICAL OPERATION AND ANY TYPE OF ACCIDENT.

MAIN FEATURES:

1. An employee shall be eligible for membership of the plan on the date on which he completes at least 90 days of continuous active service with the employer and anyone within the age limit of 18 to 60 years may obtain this insurance policy.
 
2. An employee can be a member at any time after the effective date of this contract paying pro rata basis premium.
 
3. A member under this plan would be under 60 years (and shall cease to be a member the date on which the member retires or attains the age of 60 years, which ever is earlier).
 
4. The employer shall be entitled to receive "No claim discount" in respect of a member that there shall not have been any claim through out the year.
 
5. Period of Insurance is one year effective from the date of commencement and this contract is renewable.
 

COVERED EXPENSES: (Per Confinement)

 
EXPENSE IN RESPECT OF Super Plan Standard Plan Basic Plan
Hospital accommodation (including all room
Services and telephone charges)
(Maximum or Actual Cost Per day)
Tk. 1,500.00
 

Tk. 1,200.00

 

Tk. 600.00

 
Consultant's fee
(Maximum or Actual Cost Per day)
Tk. 500 . 00
 
Tk. 500 . 00
 
Tk. 300.00
 
Routine Investigations
(Maximum or Actual)
Tk. 1,500.00
 
Tk. 1,000.00
 
Tk. 1,000.00
 
Medicine and drugs
(Prescribed by the Consultant)
Tk. 6,000.00
 
Tk. 4,000.00
 
Tk. 2,000. 00
 
Intervention for:
Major Surgical Operation
Intermediate Surgical Operation
(Maximum or Actual Cost Per case)
Tk. 15,000.00
Tk. 10,000.00
Tk. 15,000.00
Tk. 10,000.00
Tk. 15,000.00
Tk.10,000.00

Ancillary Services as follows:

80% of the total amount or maximum:

(Labour room services; post-operative care facilities, oxygen therapy, skilled nursing services, intensive care facility, blood transfusions ambulance service, dressing, and tests other than routine investigations) Tk.8,OOO.OO Tk.6,000.00 Tk.3,000.00
 
Claims in respect of surgical intervention this limit is increased to Tk.12,OOO.OO, Tk.1O,OOO.OO & Tk. 5000.00 respectively.
 
GENERAL CONDITIONS
 
1. Policy liability for each Confinement shall be limited to a maximum of twenty-one days. Successive periods of hospital confinement within 90 days due to the same disability are considered as single period. However, in no event shall the benefit exceed the limit set forth in the Schedule of this contract. On the other hand, confinement shall mean an admission to a Hospital within the territory of Bangladesh for a period of at least twenty-four consecutive hours.
 
2. There is a PRE-EXISTING CONDITION in the policy, i.e. any illness or disability of which symptom') were evident or for which he (Insured Person) received medical advice or treatment within twelve months immediately prior to the date of his membership of the plan is not covered under this Insurance.
 
3. Any charges / cost for Foods or Food supplements, Cosmetics of any nature, Water purifier are excluded.
 
4. Maternal benefits for pregnancy or childbirth are covered only after nine months from the commencement date of this contract etc.

 

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