The New India Assurance Company Limited
87, M. G. Road, Fort, Mumbai, India – 400 001
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The New India Assurance Company Limited 87, M. G. Road, Fort, Mumbai, India – 400 001 |
IMPORTANT SLIP (TRAVEL PACKAGE INSURANCE POLICY)
PLEASE MAKE SURE YOU READ AND FULLY UNDERSTAND THIS DOCUMENT BEFORE YOU TRAVEL FROM THE REPUBLIC OF INDIA.
FAILURE TO FOLLOW THE INSTRUCTIONS GIVEN COULD RESULT IN REJECTION OF ANY CLAIM THAT MIGHT BE MADE.
THE OVERSEAS MEDICLAIM POLICY PROVIDES INDEMNITY FOR EXPENSES INCURRED FOR MEDICAL TREATMENT FOR ILLNESS, DISEASES CONTRACTED OR INJURY SUSTAINED DURING OVERSEAS TRAVEL AND WHICH IS NECESSARY TO BE UNDERTAKEN IMMEDIATELY. WITHOUT WHICH THE INSURED IS NOT ABLE TO LEAVE THE OVERSEAS COUNTRY UNDER MEDICAL ADVICE.
NEITHER THE INSURERS NOR CORIS SHALL BE RESPONSIBLE FOR THE AVAILABILITY, QUALITY OR RESULTS OF ANY MEDICAL TREATMENT OR THE FAILURE OF THE INSURED TO OBTAIN MEDICAL TREATMENT.
IN THE EVENT THAT THE PROPOSER IS UNABLE TO PRESENT HIMSELF FOR MEDICAL EXAMINATION WHERE CALLED FOR BY THE INSURANCE COMPANY, THE LIMIT OF INDEMNITY UNDER THIS INSURANCE IS REDUCED TO US$ 10,000 AND LIMITED TO THE EXPENSES FOR PHYSICIAN SERVICES, HOSPITAL PHYSICIAN, AND MEDICAL SERVICES AND LOCAL EMERGENCY TRANSPORTATION. SUCH LIMIT APPLIES TO MEDICAL EXPENSES INCURRED DUE TO ILLNESS OR DISEASE ONLY.
CLAIM INSTRUCTIONS
CALL FOR EMERGENCY ASSISTANCE.
IT IS A CONDITION PRECEDENT TO LIABILITY HEREUNDER THAT IN THE EVENT THAT AN INSURED PERSON SUFFERS SERIOUS ILLNESS OR INJURY OR IS IN ANY EVENT TO BE HOSPITALISED THE INSURED PERSON OR HIS REPRESENTATIVE MUST CONTACT CONCERNED ‘CORIS’ OFFICE IMMEDIATELY FOR EMERGENCY ASSISTANCE OR ADVICE. THE INSURED PERSON OR HIS REPRESENTATIVE SHOULD QUOTE TO ‘CORIS’ 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 OVERSEAS MEDICLAIM POLICY NUMBER IN FULL AND ITS DATE OF ISSUE. ‘CORIS’ OFFICE ADDRESSES ARE SHOWN BELOW.
CLAIMS
IN THE EVENT THAT AN INSURED PERSON REQUIRES TO MAKE A CLAIM AFTER RECEIPT OF MEDICAL TREATMENT, HE MUST FIRST OBTAIN A CLAIM FORM (IF NOT AVAILABLE WITH THE POLICY) FROM HERITAGE-MUMBAI AND RETURN THIS TO THE CONCERNED OFFICES OF CORIS MENTIONED BELOW TOGETHER WITH HIS / HER POLICY OF INSURANCE THE PHYSICIAN’S REPORT IF ATTACHED, ANY TRAVEL DOCUMENTS THAT ARE STILL AVAILABLE AND THE MEDICAL INVOICES AND REPORTS SUPPLIED FOR HIS / HER TREATMENT.
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Coris – Paris Coris International 23rd Floor, Tour LA Villette, 6 rue Emile, Raynand, 75019, Paris, France. Tel : +33 1 4161 2300 Toll Free: From within Europe– 800 41 41 44 44 Toll Free: From Outside Europe– 1 41 61 23 07 Fax : 0033 1 4352 0133 Email : ops@coris.fr [ Jurisdiction: Continental Europe, U. K. & Ireland, Africa & Middle East (incl. Pakistan) ] |
Coris – America Coris USA Inc. 11900 Biscayne Blvd # 618, Miami Florida – 33181, USA. Contact No.: 001 800 358 9105 / 001 305 698 7757 Fax :001 305 698 0176 / 001 305 891 7840 Email : assistance@corisamerica.com ( Jurisdiction : North & South America )
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Heritage – Mumbai Heritage Health Services Pvt. Ltd. 1102,Raheja Chambers, Free Press Journal road, Nariman Point, Mumbai 400 021. Tel : +91 22 66547960/ 66547961/66547965 Fax : +91 22 66546812 Email : heritagehealth@vsnl.ne t[Jurisdiction: South Asia (excl. Pakistan), South East Asia, Australia, New Zealand, Pacific areas (excl. Protectorates)] |
INFORMATION FOR PHYSICIANS AND HOSPITALS
THE PERSON NAMED IN THE OVERSEAS MEDICLAIM POLICY SCHEDULE IS THE PERSON INSURED BY THIS POLICY AND HAS BEEN ISSUED BY THE NEW INDIA INSURANCE COMPANY LIMITED THAT PROVIDES COVER AGAINST PHYSICIAN, HOSPITAL AND OTHER SPECIFIED MEDICAL RELATED EXPENSES INCURRED OUTSIDE THE REPUBLIC OF INDIA.
THE LIMIT OF COVER IS AS SPECIFIED IN THE SCHEDULE AS IS APPROPRIATE AND IS SUBJECT TO THE STATED "DEDUCTILBE". THE COVER IS SUBJECT TO CERTAIN CONDITIONS AND EXCLUSIONS WHICH ARE FULLY SET OUT IN THIS POLICY.
IN THE EVENT THE COST OF THE TREATMENT IS LESS THAN THE DEDUCTIBLE, PLEASE OBTAIN PAYMENTDIRECT FROM THE PATIENT. IN THE EVENT THE COST IS GREATER THAN THE DEDUCTIBLE PLEASE VERIFY COVERAGE BY:
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