7. Medical Benefits and Premium Rs.5,000 Rs.150 Actual Covered Rs.10,000 Rs 300 Actual Covered Rs15000 Rs.400 Actual Covered OVER ALL MAXIMUM LIMIT PER ANNUM PER INSURED PERSON 1. Hospitalization Benefits Room Rent Limit (maximum per day) ICU Charges (for a maximum of 5 days per person per year) The following medical expenses are covered during hospitalization Surgeon’s Fee, Anesthetist’s Fees, Operation Theater Charges, Prescribed Medicines used During Hospitals Stay, Diagnostic Investigation.

8. Premium 100 125 135 160 170 195 240 270 115 160 180 200 225 245 295 340 120 180 195 210 240 290 340 400 Up to 18 years 19 – 29 30 – 34 35 – 39 40 – 44 45 – 49 50 – 54 55 - 57

9. TYPICAL EXAMPLES 400 15,000 200 10,000 100 5,000 Premium Sum Insured

12. Additional Benefit (in case of death due to accident) 1200 500,000 1000 400,000 800 300,000 600 200,000 300 100,000 Premium Sum Insured