AMHI/EH/0110

Schedule of benefits of Easy Health product variants are depicted in the chart below:

Benefits Easy Health Easy Health Exclusive Easy Health Premium

Standard
Sum Insured per Insured Person 1.00, 2.00, 3.00, 3.00, 4.00, 5.00 7.50 4.00, 5.00 7.50, 10.00
per Policy Year (Rs. In Lakh) 4.00, 5.00

1 a) In-patient Treatment Covered Covered Covered

1 b) Pre-hospitalisation Covered Covered Covered

1 c) Post-hospitalisation Covered Covered Covered

1 d) Day-Care Procedures Covered Covered Covered

1 e) Domiciliary Treatment Covered Covered Covered

2 a) Daily cash for choosing Rs. 500 per Rs.500 per Rs.800 per day, Rs.500 per Rs.800 per
shared accommodation day, Maximum day, Maximum Maximum Rs.4,800 day, Maximum day, Maximum
Rs.3,000 Rs.3,000 Rs.3,000 Rs.4,800

2 b) Expenses for organ donor Covered Covered Covered

of transplant

2 c) Emergency Ambulance Upto Rs.2,000 Upto Rs.2,000 Upto Rs.2,000

2 d) Daily Cash for accompany- Not Covered Rs.300 per Rs.500 per Rs.300 per Rs.500 per
ing an insured child day, Maximum day, Maximum day, Maximum day, Maximum
Rs.9,000 Rs.15,000 Rs.9,000 Rs.15,000

2 e) Newborn baby Not Covered Optional Optional

3 a) Maternity Expenses with Not Covered Normal Delivery Normal Delivery Normal Delivery Normal Delivery
waiting period of 6 years Rs. 15,000* Rs. 25,000* Rs. 15,000* Rs. 25,000*
Caesarean Caesarean Caesarean Caesarean
Delivery Delivery Delivery Delivery
Rs. 25,000* Rs. 40,000* Rs. 25,000* Rs. 40,000*
(*Including Pre/ (*Including Pre/ (*Including Pre/ (*Including Pre/
Post Natal limit of Post Natal limit of Post Natal limit of Post Natal limit of
Rs. 1,500 and Rs. 2,500 and Rs. 1,500 and Rs. 2,500 and
New Born limit of New Born limit of New Born limit of New Born limit of
Rs.2,000) Rs.3,500) Rs.2,000) Rs.3,500)

3 b) Out-patient Dental Not Covered Not Covered Upto 1 % of Sum insured subject to a
Treatment with waiting period Maximum of Rs. 5,000
of 3 years

3 c) Spectacles, Contact Lenses, Not Covered Not Covered Upto Rs.5,000

Hearing Aid every third year

3 d) E-Opinion in respect of a Not Covered Not Covered Covered, One opinion per policy year
Critical Illness

4 Additional Cover for Critical Not Covered Optional, 50% or 100% of basic Sum Optional, 50% or 100% of basic Sum
Illness Insured Insured

5 Health Check-up Upto1% of Sum Upto 1% of Sum Insured subject to a Upto 1% of Sum Insured subject to a
Insured per In- Maximum of Rs.5,000 per Insured Person, Maximum of Rs.5,000 per Insured Person,
sured Person, only only once at the end of a block of every only once at the end of a block of every
once at the end of continuous 3 claim free years continuous 2 claim free years.
a block of every
continuous 4 claim
free years

Benefits under 3b), 3c), 3d) and 5) are subject to pre-authorisation by the TPA