CASHLESS FACILITYĬashless facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured in accordance with the policy terms and conditions, are directly made to the network provider by the insurer to the extent pre-authorisation approved. ANY ONE ILLNESSĪny one illness will be deemed to mean continuous period of illness and it includes relapse within 45 days from the date of last consultation with the Hospital / Nursing Home where treatment has been taken. ALTERNATIVE TREATMENTĪlternative treatments are forms of treatments other than treatment "Allopathy" or "modern medicine" and includes Ayurveda, Unani, Siddha and Homeopathy in the Indian context. it requires your rehabilitation or for you to be specially trained to cope with it it needs ongoing or long-term control or relief of symptoms it needs ongoing or long-term monitoring through consultations, examinations, check-ups and/or tests
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"Chronic condition" A chronic condition is defined as a disease, illness, or injury that has one or more of the following characteristics
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"Acute condition" Acute condition is a disease, illness or injury that is likely to respond quickly to treatment which aims to return the person to his or her state of health immediately before suffering the disease/illness/injury which leads to full recovery.ī. Accident An accident is a sudden, unforeseen and involuntary event caused by external and visible and violent meansĪ.