BENEFITS
Insured Name
Insurance Company Name
Insurance Broker
TPA
Policy Period
Family Floater Sum Insured
Family Members
Pre existing diseases
All Time bound waiver
Maternity benefit limit
Pre & Post Natal OPD expense
Pre & Post Natal IPD expense
Baby coverage from day one
24 hours Hospitalization
Day care Procedure with less than 24hrs
hospitalization
Pre & Post hospitalization Expenses
Room Rent Restriction (per day)
Emergency Ambulance Charges
Co-Payment
Internal Congenital Disease & Terrorism
Risk
New Born Baby & Newly Wedded
spouse cover
Hospitalization
Cashless & Reimbursement Claim
Facility
Reimbursement Claim
Disclaimer
WTW GLOBAL DELIVERY AND SOLUTIONS INDIA PVT LTD
IFFCO-TOKIO General Insurance Co. Ltd.
WILLIS TOWERS WATSON INDIA INSURANCE BROKERS PVT LTD
Paramount Health Services & Insurance TPA Pvt. Ltd.
From 01st April 2018 To 31st DEC 2018
Graded Sum Insured
a) INR 3 Lacs (Parental Sum Insured restricted to INR 1.5 Lacs)
b) INR 5 Lacs (Parental Sum Insured restricted for INR 3 Lacs
c) INR 5 Lacs for few management employees
Family Floater policy – Employee + (Any 03 Dependents amongst Spouse, 2 Children
up to age of 25 Years & Parents up to 80Yrs)
Note: [Parents age above 80Yrs covered- a) for Existing employee in case parents are
already covered, b) New Joiners Parents to be cover in case parents covered in
previous organization)
Covered from Day one
Yes
INR 50,000/- for Normal and INR 75,000/- for C-Section for first 02 living childbirth
only
Covered for INR 5,000/- within maternity limit
Covered within maternity limit
Yes, in case of Separate Hospitalization on birth and send enrollment request to HR
Covered
Named Day Care Procedures Covered
Pre 30 Days & Post 60 Days Hospitalization Expenses Covered: Pre hospitalization
expenses (Relevant Medical Expenses incurred during the period up to 30 days prior
to the date of admission) & Post hospitalization expenses (Relevant Medical Expenses
incurred up to 60 days after Date of discharge)
2% of the opted Sum Insured for normal rooms and No restriction for ICU
INR 1,000/- per incidence
25% co-payment on admissible amount on all parental claim
Covered
Enrollment request send to HR within 45 days from date of birth or date of marriage.
In India, only
Available, Log on to
https://www.paramounttpa.com/ProviderNetwork/ProviderNetwork.aspx an
view Network Hospital Network by choosing ‘IFFCO TOKIO General Insurance Compan
Ltd’ as Insurance Co.
Claim to be submit within 30 days from date of discharge to Paramount TPA
The Information contain here is only a summary of the Insurance policy. If there is a
conflict in interpretations, the terms and conditions of the applicable policy document
will prevail. Please keep the information confidential.
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