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Other Policy |
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Group Health Insurance: |
Group Health Insurance is one of the insurance packages offered by "ASIA
INSURANCE Co. " in order to compensate and indemnify medical expenditures and
accidental losses for group of people/employees over 50 persons.
Insurance policy can be issued for company's and institution's employees and
their dependents (Including: Spouse, children and supported parents they trust)
provided that the policyholder has already insured their staff (i.e., the
"Insured") by one of the known primary insurance companies (Such as: Social
security insurance, Governmental service Insurance or similar).
Indemnity package / Scope of coverage:
- Hospitalization coverage (Hospital Inpatient):
1-1) Medical Therapy and Surgery costs due to disease or accident, Heart Angiography, E S . W . L. of kidney (Electro shock wave lithotripsy) ."Hospitalization Indemnity Limit" (Hereafter referred as "H.I.L. ") payments varies from minimum Rials 5,000,000 up to Maximum Rials 50,000,000 per year depending on the treaty type and the selected insurance package scheme.
1-2) Delivery Costs (Both Normal one or Cesarian Section) up to maximum 40% of the "Hospitalization Indemnity Limit" (H.I.L.) based on the selected insurance policy & scheme.
- Coverage for Paraclinic and Outpatiant costs:
2-1) Sonography, Mammography, M.R.I., Various types of Scans & CT Scan, Radiotherapy, various types of Endoscopies and Echocardiography up to maximum 10% of selected "H.I.L."
2-2) Exercise test, Electromyography (EMG), Nerve Conduction velosity (NCV), Electroencephalogpy ( EEG) and Eye Angiography up to maximum 5% of the "H.I.L."
2-3) Bone fractures, Casting, Circumcision, Suturing, Cryotherapy, Excision of Lipoma and Cyst and Laser therapy up to maximum 5% of the "H.I.L."
- Coverage for costs of ophthalmologic refractive defects provided that eyesight poorness degree of each eye be at least 4 or more diopter with confirmation of Asia insurance trustee physician prior to operation payable up to maximum Rials 1,500,000 for each eye.
- Coverage for special surgeries like: Neurosurgeries (excluding vertebrate
spinal surgery), heart surgery and kidney & bone marrow transplantation will be
indemnified up to maximum double amount of the "H. I. L."
- Coverage for transportation of the patient by Ambulance to hospital in
emergency situations will be compensated up to Max. Rials 300,000 for
intramural& Rials 600,000 intercity per year.
- Abroad hospital payments of those Insured patients who will be dispatched out
of the country due to inadequate or lack of medical facilities in Iran; will be
indemnified according to terms & conditions stated in the relevant Insurance
policy with prior confirmation of the Insurer.
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Note: The Maximum age of an Insured body in groups below 1,000 persons will be
Max. 60 years old. Otherwise, following scheme will be implemented additionally
to the Insurance premium by the Insurer for ages over 60:
- For ages between 61 to 69 years old (Including 69): additional 50% will be
charged to Insurance premium.
- For ages over 70 years old: additional 100% will be charged to Insurance
premium.
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| | For welfare & convenience of our insured clients; numerous agreements & treaties 'ed between "Asia Insurance Co. "and various Hospitals & Clinical centers in the country. |
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