In the event of any claim(s) becoming admissible under this scheme, the Insurance company will pay through TPA to the Hospital / Nursing Home or the insured person the amount of such expenses as would fall under different heads mentioned below, and as are reasonably and necessarily incurred thereof by or on behalf of such Insured Person, but not exceeding the Sum Insured in aggregate mentioned in the schedule hereto.
D) All Hospitalization Expenses (excluding cost of organ, if any) incurred for donor in respect of Organ transplant.
A) Room, Boarding and Nursing Expenses as provided by the Hospital/Nursing Home up to 1% of Sum Insured per day or actual amount incurred whichever is less. This also includes Nursing Care, RMO charges, IV Fluids/Blood Transfusion/Injection administration charges and the like.
B) If admitted in IC Unit, the Company will pay up to 2% of Sum Insured per day or actual amount incurred whichever is less.
C) Surgeon, Anesthetist, Medical Practitioner, Consultants, Specialists Fees
Anesthetist, Blood, Oxygen, Operation Theatre Charges, surgical appliances, Medicines & Drugs, Diagnostic Materials and X-ray, Dialysis, Chemotherapy, Radiotherapy, Artificial Limbs, cost of prosthetic devices implanted during surgical procedure like Pacemaker, relevant laboratory diagnostic tests, etc & similar expenses.