Terms and Conditions : Emergency HealthCare Seniors Plan(65-68) - P800

CONDITIONS OF THE POLICY

Eligibility

65-69 years old only

Summary of Benefits

  • Accidental Death Benefit
    • The Company will pay the Benefit Amount, less any amount paid or payable under Accident Disablement of this provision, if an Insured Member dies as a result of an Injury within one hundred eighty (180) days from the date of accident
  • Accidental Disability Benefit
    • The Company will pay the percentage of the Benefit Amount indicated in the Schedule of Indemnities, if an Insured Member suffers any of the covered losses as a result of an Injury within one hundred eighty (180) days from the date of accident.
  • Double Indemnity
    • The Company will double any benefit payable if an Insured Member suffered the Injury:
      1. While riding as a fare-paying passenger of a licensed motorized public utility vehicle over an established land route; or
      2. While riding an elevator car (except those in mines and construction sites); or
      3. In consequence of the burning of any theater, hotel, mall, church, hospital, market, restaurant or other public building in which the Insured Member shall be at the commencement of the fire and in which the presence of the Insured Member is only coincidental
  • Emergency Coverage (ER Out-Patient Benefit)
    • Emergency means life threatening or accidental injury or a sudden and unexpected onset of a condition which at the time of occurrence reasonably appears to have the potential or causing immediate disability or death which requires the immediate alleviation of pain or discomfort
  • Accidental Medical Reimbursement (AMR)
    • If a member receives medical treatment in an event of emergency case due to bodily injury provided that the injury resulted solely and directly from an accident, Generali will reimburse the amount equivalent to the sum assured.
  • Daily Hospital Income Benefit (DHIB)
    • the company will pay the Daily Hospital Income Benefit of Php 200 for each day of hospital confinement up to a maximum of thirty-one days (31) days of continuous confinement if the member, as a result of an emergency case accidental injury, is hospitalized or confined and receives medical treatment.