|
Why pay for your student insurance
in dollars, when you can get it much
cheaper here?
A comprehensive cover which
insures you against unfortunate incidents
or unexpected expenses abroad and
provides timely assistance and support
when you need it the most.
»
Student
policy
- Accepted
by most of the foreign universities
as a substitute for their compulsory
- insurance
- Medical
out-patient expenses covered
-
No pre-medical check-up required
-
12 - Plan options
-
Tailor-made plans to meet varied
student needs
-
Buy the policy in Indian rupees,
which is 1/3 the cost of buying
abroad
»
Benefits
A comprehensive
policy that covers you against medical
expenses, dental treatment, repatriation
of remains, checked baggage loss,
personal accident, personal liability,
bail bond, study interruption, sponsor
protection and compassionate visit.
ICICI
lombard General Insurance Company
Ltd.
| STUDENT |
|
GOLD
PLAN PREMIUM LIST |
|
Duration |
WORLDWIDE COVER |
EXCLUDING
US-CANADA COVER |
|
In
Days |
Gold
W50 |
Gold
W100 |
Gold
W250 |
Gold
X50 |
Gold
X100 |
Gold
X250 |
| |
Price
(Rs.) |
Price
(Rs.) |
Price
(Rs.) |
Price
(Rs.) |
Price
(Rs.) |
Price
(Rs.) |
| 30 |
1,484 |
1,847
|
2,643
|
703
|
883
|
1,234
|
| 60 |
2,607
|
3,295
|
5,069
|
1,224
|
1,566
|
2,441 |
| 90
|
3,983
|
4,707
|
7,241
|
1,899 |
2,212 |
3,523 |
| 180
|
5,939
|
6,880
|
10,862
|
2,839
|
3,285
|
5,185 |
| 270
|
8,906
|
10,501
|
16,293
|
4,245
|
4,947
|
7,767 |
| 365
|
11,586
|
13,396
|
21,000
|
6,362
|
7,397
|
11,642 |
| GOLD
PLUS PREMIUM LIST |
|
Duration
|
WORLDWIDE COVER |
EXCLUDING US-CANADA COVER |
|
In Days |
Gold W50 Plus |
Gold W100 Plus |
Gold W250 Plus |
Gold X50 Plus |
Gold X100 Plus |
Gold X250 Plus |
| |
Price (Rs.) |
Price (Rs.) |
Price (Rs.) |
Price (Rs.) |
Price (Rs.) |
Price (Rs.) |
|
30 |
1,844 |
2,294 |
3,283 |
873 |
1,096 |
1,533 |
|
60 |
3,238 |
4,092 |
6,296 |
1,522 |
1,946 |
3,428 |
|
90 |
4,946 |
5,846 |
8,995 |
2,358 |
2,748 |
4,375 |
|
180 |
7,376 |
8,544 |
13,492 |
3,526 |
4,081 |
6,439 |
|
270 |
11,062
|
13,042 |
20,236 |
5,272 |
6,145 |
9,647 |
|
365 |
14,390 |
16,638 |
26,082 |
7,901 |
9,187 |
14,459 |
|
Prices
Include Service Tax @10.2%
|
Book
Your Insurance Policy Online
»
Medical
Expenses
- US$
50,000 to US$ 250,000
Incurred because of illness or accident
including medically necessary and
prescribed emergency evacuation. It
covers defined# outpatient, in-patient,
medical aid, therapies and diagnostic
tests.
I-
Worldwide Inclusion USA & CANADA
|
Gold
Plan W250 Medical Expenses 2,50,000
|
|
Gold
Plan W100 Medical Expenses 1,00,000
|
|
Gold
Plan W50 Medical Expenses 50,000 |
|
Worldwide
Inclusion USA & CANADA |
|
Gold
Plus Plan W250 Medical Expenses
2,50,000 |
|
Gold
Plus Plan W100 Medical Expenses
1,00,000 |
|
Gold Plus Plan W50 Medical Expenses
50,000 |
II- Worldwide
Exclusion USA & CANADA
|
Gold Plan X250
Medical Expenses 2,50,000
|
|
Gold
Plan X100 Medical Expenses 1,00,000 |
|
Gold
Plan X50 Medical Expenses 50,000 |
|
Worldwide
Exclusion USA & CANADA |
|
Gold
Plus Plan X250 Medical Expenses
2,50,000 |
|
Gold
Plus Plan X100 Medical Expenses
1,00,000 |
|
Gold
Plan Plus X50 Medical Expenses
50,000 |
»
Dental Treatment - US $ 250
Resulting
from injury to sound natural teeth.
»
Repatriation of Remains - US $ 7,500
In case of death overseas.
»
Checked Baggage Loss - US $ 1,000
For complete and permanent
loss of checked in baggage.
»
Personal Accident - US $ 25,000
Unintentional
damage to health.
»
Personal Liability - US $ 100,000
Resulting from death,
injury or damage to health or property
to a third party.
»
Bail Bond - US$5,000
If arrested or detained
by police or judicial authorities
of the place, for any bailable offence
whilst abroad.
»
Study Interruption - US$ 7,500
Reimbursement for
the remaining part of the current
school semester fee, if studies are
interrupted on account of a medical
condition or compassionate reasons
on the family front.
»
Sponsor Protection - US$ 10,000
Will pay/reimburse
tuition fees in case of demise of
person paying for studies.
»
Compassionate Visit - US $ 7,500
In case of hospitalization
(exceeding 7 days) of student or a
family member, where a family member
visits student or student visits India.
Round trip economy class tickets and
accommodation (only for the family
member visiting abroad) will be provided
for.
| Plus
Policy Coverage |
|
The
following covers have been included
in the Medical Expenses cover
and are not separate benefits,
subject to the terms and conditions
mentioned below.
1.
Treatment for mental and nervous
disorders: including alcoholism
and drug dependency, are covered
under this policy, subject to
a maximum limit of US$ 1,000.
2.
In-patient medical expenses
related to pregnancy are covered
to a maximum limit of US$ 500,
after a waiting period of 10
months.
3.
Medical expenses for inter-collegiate
sports injuries are covered
under this policy as part of
the medical cover.
These
expenses will be treated as
any other medical expenses for
an accident, and will be subject
to the terms of conditions mentioned
in the policy.
4.
Cancer screening and mammographic
examinations on recommendation
from physician will be paid
under this policy, subject to
a maximum limit of US$ 2,000.
Expenses
would be paid for the usual
and customary charges incurred
for these test. Any tests done
as a part of preventive health
check-up is not included under
this benefit.
5.
Childcare benefits: If the child
is above 90 days of age, and
is hospitalised for more than
2 days, for any ailment, hospital
cash benefit of US$ 100 will
be paid, subject to a maximum
of 7 days. |
»
Exclusion
Medical expenses arising
out of
|
| |
Pre-existing
conditions |
| |
Addiction
to alcohol, drugs |
| |
Mental
disorder, anxiety, depression
|
| |
Venereal
diseases |
| |
Sexually
transmitted diseases, AIDS, HIV |
| |
Radiation,
nuclear weapons induced |
| |
Sporting activities |
Expenses
arising out of loss valuables, money,
securities and tickets
Loss
of passport in public places
Personal
liability of the insured
Note:
All benefits/reimbursements
mentioned here is up to the maximum
limit specified against each in the
Part I of the Schedule.
Maximum duration per trip: 365 days.
Minimum age of insured persons is
16 years.
Maximum age of insured persons is
35 years.
Non-insurable persons: professional
and semi-professional sportsmen.
The policy should start before commencement
of the trip for the total duration
of the trip.
» Claim
Procedure
For Cashless Settlement
1. Inform
Third Party Agents (TPA) help line
and register a claim. You can get
in touch with them at + 1 866 239
6095 (Toll free in North and South
America), 00 800 50 60 60 50 (Western
Europe), +33 1 41 61 19 16 (Eastern
Europe, Africa and Middle East), +
91 22 2494 4497 (Rest of Asia and
Oceanic).
2.
TPA would validate and authenticate
the claim.
3.
TPA settles bills directly with hospitals/
provides remittance.
»
For Reimbursement Settlement
1.
Inform Third Party Agents (TPA) help
line and register a claim. You can
get in touch with them at + 1 866
239 6095 (Toll free in North and South
America), 00 800 50 60 60 50 (Western
Europe), +33 1 41 61 19 16 (Eastern
Europe, Africa and Middle East), +
91 22 2494 4497 (Rest of Asia and
Oceanic)
2.
TPA would validate and authenticate
the claim.
3.
The insured must submit the duly filled
claim forms along with the original
ticket or boarding pass or copy of
the passport showing the travel dates
and original bills / vouchers.
4.
TPA would check and reimburse payments
within 7 days.
»
You can file a claim for the following
services:
-
Medical accident & sickness expenses
- Loss of baggage while traveling
- Delay of baggage
- Trip delay
- Personal liability
»
Documents required for filing
a claim
-
Duly completed and signed claim form
- Policy copy
- Air ticket jacket / boarding pass
»
Additional documents required For
Health Cover
-
Original bills, vouchers, reports
and discharge summary. These documents
must mention :-
(i) Name of the treated
(ii) Type of illness
(iii) Details of medical treatment
provided
(iv) Dates of treatment
»Prescriptions
and original bills and they must
(i)
Clearly show the medicines prescribed
(ii) Price and the receipt stamp of
the pharmacy
--
For expenses of transportation due
to medical reasons, you also need
to attach a medical statement from
physician indicating :-
(i) Cause of illness
(ii) Reason for necessity of the transportation
»
For Delay of Baggage
-
Original bills / receipts of emergency
items purchased during the period
when the baggage was delayed
- Property irregularity report stating
the date and time of baggage arrival
- Letter from the airline as to when
the baggage was returned to the insured
and whether any compensation is paid
towards the settlement of claim for
the delay of baggage
»
For Loss of Checked-in Baggage
-
Property Irregularity Report issued
by the airlines
- Letter from airline confirming that
the baggage has been permanently lost
- Letter from airline stating compensaion
received for lost baggage
- Proof of ownership of items valued
in excess of USD 100
»
For Loss Of Passport
-
Police report obtained within 24 hours
of becoming aware of the theft.
- Bill / receipts of expenes incurred
in obtaining fresh or duplicate passport |