Durable Medical Devices Rider

DURABLE MEDICAL DEVICES RIDER

1. Introduction

• This rider provides additional coverage for durable medical devices when purchased alongside eligible base health insurance policies. It ensures financial support for essential medical equipment prescribed during hospitalization or within 30 days post-discharge.

2. Key Benefits

• Coverage Limit: Up to 10% of Sum Insured, max ₹1 Lakh per policy period.
• Eligible Devices:
  • Stockings/leggings (for varicose veins/CABG)
  • Oxygen concentrator
  • Suction machine
  • Ventilator
  • CPAP
  • Infusion pump
  • Airbed/waterbed
  • Spirometer
  • Pneumatic compression device

3. Eligibility & Purchase

• Standalone Purchase: Not allowed. Must be bought with a base policy.
• Applicable Base Policies:
1. New India Mediclaim Policy
2. New India Floater Mediclaim Policy
3. Young India Digi Health Policy
4. Arogya Sanjeevani Policy
5. New India Asha Kiran Policy
6. New India Premier Mediclaim Policy
7. Atmanirbhar Health Policy
8. New India Top Up Policy
• Who Can Opt?
1. Insured individuals covered under any eligible base policy.
2. Age eligibility as per the base policy terms.

4. Restrictions & Conditions

• Health Criteria:
  • Excluded: Proposers diagnosed with critical/chronic/recurring illnesses (except hypertension/diabetes).
• Claim Conditions:
  • Devices must be prescribed during hospitalization or within 30 days post-discharge.
  • Purchase must occur within 30 days of the prescription.
  • Expenses incurred only in Indian hospitals (inpatient).
• Minimum Sum Insured: ₹5 Lakhs under the base policy.

5. Premium & Charges

• Annual Premium: 1% of Sum Insured (e.g., ₹5,000 for ₹5L Sum Insured).

6. Exclusions

• All exclusions under the base policy apply unless explicitly covered under this rider.

7. Cancellation

• Governed by the terms of the base policy.

8. Important Notes

• Claims require original prescriptions and proof of purchase within the stipulated timeframe.
• Coverage is per policy period and subject to overall rider limits.

9. Unique Identification Number:NIAHLIA25064V012425