Health Sure offers a managed care solution to corporate clients and organizations to provide healthcare needs backed by professional staff, financial strength and insurance experience accumulated over a period of fifty years.
Health Sure covers personal health covers, hospitalization covers and maternity covers. In addition, the product covers pre- and post-hospitalization expenses as well. The covers also have a credit facility at IGI General Insurance's panel of hospitals across Pakistan, Health Cards; discounts at pharmacies and diagnostic laboratories; 24-hour medical hotline with staff doctors etc.
INPATIENT MEDICAL COVER
This pertain to hospitalization confinement expenses for non pregnancy related conditions as follows:
EXTENDED MEDICAL COVER (OPTIONAL)
Per person annual benefit up to the age of 59 years for treatment upon hospitalization when Inpatient Medical Cover Limit is exhausted.
This pertains to reasonable and customary charges for medically necessary treatment, & services of a licensed physician/ surgeon to the insured person for day to day illnesses or injuries and may include the following:
VALUE ADDED FEATURES
At policy inception of cover, a Health Card is issued to each insured employee with essential information about the employee and his dependants with benefits available to them.
The insured persons are allowed to go to any nearest hospital in case of emergencies (where the health condition of an employee changes suddenly which warrants immediate medical attention). But in all such cases they must inform the Company through their employer within 24 hours of such a happening together with the name of the hospital and the doctor.
If advised hospitalization, the insured is authorized to use any of our network hospitals for treatment by simply presenting the IGI-Health Card a copy of which will be retained by the attending hospital and the necessary medical services will be extended to the insured patient. The insured patient will not be required to pay any bills to these network hospitals.
The hospitals run by the government (federal, provincial, municipal, district) and armed forces of Pakistan are approved by us for treatment. However, no credit arrangements exist at such hospitals and employees do not need to take our prior approval for using these hospitals. The employees will have to settle the bills at these hospitals and then seek reimbursement from us.
Hospitalization bills of a non-approved hospital will be reimbursed according to the rates/charges of an approved hospital in the same town/city.
Documents required would be:
The insured must first pay the hospital expenses/consultant/doctor's fee/laboratory charges and cost of medicines on their own. Subsequently through your employer you need to submit these bills to IGI for reimbursement on periodical basis.
We in turn reimburse the amounts to the employer for disbursement to the insured persons; provided OPD cover is available through OPD benefits.
Whether panel or non panel hospital is utilized on cash basis, reimbursement can be claimed as per entitlement. A duly filled IPD claim form with stamp and signature of hospital / consultant must be sent to our office via the employer agency/ company, with the following documents attached:
If this benefit is available to insured in policy, they can also send the OPD claim form duly signed and filled to our office via employer agency / company with the following documents attached:
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