Health Insurance
 

Health Insurance is now considered indispensable in developed countries. In the present financio-social perspective of Bangladesh as well, Health Insurance has now become an essential, dependable, acceptable and the most cost effective means to make the modern treatment facilities affordable to all socio-economic classes of people, especially the fixed income group.
As pioneer of Health Insurance in Bangladesh, Delta Life Insurance Company offers several Health Insurance schemes, which are as follows:


Hospitalization (In-patient) treatment coverage plans

o Hospitalization Insurance Plan (Group)- offered to Members of a group and their dependants (if desired)
o Hospitalization Insurance Plan (Individual) – offered to an Individual and/ or his/her dependant family members also known as “DeltaCare Hospitalization Plan”.

  • Out-patient treatment coverage plans
    o Out-patient Insurance Plan----------------------------------} Offered as an adjunct to Group Hospitalization
    o Out-patient Management Plan-------------------------------} Offered as an adjunct to Group Hospitalization
  • Overseas treatment coverage plan for travelers
    o Overseas Medicliam Policy (OMP) – A pre-requisite for visa application offered only to Individuals traveling abroad.

    Hospitalization Insurance Plans
    Covers in-patient (Hospitalization) treatment expenses of an insured member
  •  
  • Expenses Covered under Hospitalization Insurance Plans:
    * Hospital Accommodation
    * Consultation Fee
    * Medicine & Accessories
    * Medical Investigations
    * Surgical Operation and
    * Ancillary Services like Blood Transfusion, Ambulance Service, Dressing etc.

    General Features of the Scheme
    • No need for preliminary Medical Examination during enrolment.
    • Treatment coverage round the clock inclusive of Accidents and Emergencies.
    • Coverage offered to Bangladeshi National as well as resident foreigner.
    • Treatment at any renowned hospital or clinic by consultant of own choice.
    • Preferential service at Designated Hospital.
    Direct payment of treatment expenses by the company at Designated Hospital.
    Reimbursement of expenses for treatment at non-designated hospital.
    Membership ID Card for each insured to facilitate preferential services.
    • Option for Maternity Benefit and Overseas Treatment coverage.
    Provision for inclusion of Spouse & Children under the plan.
    Provision for inclusion of new member under the plan.
    • Coverage up to 65 years under Group HI & 60 years under Individual HI plan.
    Two types of plans with several benefit grades to choose from.
    • Option to choose more than one grade according to status of the members of a group.
    • Option to alter benefit grade during renewal.

    Exclusion from Coverage
    Major Exclusions include: -

    • Congenital infirmity.
    • Pre-existing condition for certain period.
    • Psychiatric disorders and narcotic addiction.
    • Attempted suicide and self-inflicted injury.
    • Dental treatment
    • Pre or post hospitalization expenses and out patient treatment expenses.
    • War risk, civil commotion or violence
    • Routine health checkup
    • Treatment for family planning purpose, contraception and infertility.

    Group Hospitalization Insurance Plans

    Types of plan offered:

    Standard Plan – Distinctive Hospitalization Insurance Plan of Delta Life
    Customized Plan – Tailored to the need and desire of the client.

    Standard Plan: -
    Five Grades
    of benefits are offered under standard plan to choose from

    Benefit Grade
    Mastercare
    Supercare
    Deluxecare
    Exclusivecare
    Royalcare
    Max. Benefit each insured per year
    Tk. 25,000
    Tk. 45,000
    Tk. 75,000
    Tk. 1,00,000
    Tk. 1,40,000

    Benefit Schedule & Premium Rate

    Benefit per Hospitalization
    Benefit Grades
    Mastercare
    Supercare
    Deluxecare
    Exclusivecare
    Royalcare
    Max. Benefit (Each Insured Per Year) in Taka
    25,000
    45,000
    75,000
    1,00,000
    1,40,000
    Hospital Stay
    (Maximum days)
    10
    12
    15
    18
    20
    Room Rent
    (Actual Expenditure upto a Maximum Tk. Per Day)
    500
    1,000
    1,500
    1,800
    2,000
    Consultation Fee
    (Actual Fee upto a Maximum Tk. Per Visit & one Visit daily)
    300
    500
    500
    500
    600
    Routine Investigations
    (Actual Expenditure upto a Maximum in Tk)
    1,000
    1,200
    1,400
    1,600
    2,000
    Medicines & Accessories
    (Actual Expenditure upto a Maximum in Tk)
    In Case of Surgical Treatment
    2,000
    4,000
    6,000
    8,000
    10,000
    In Case of Conservative Treatment
    5,000
    10,000
    12,500
    15,000
    18,000
    Surgery (Actual Expenditure upto a Maximum in Tk)
    Major Intermediate
    12,000
    14,000
    16,000
    20,000
    22,000
    shall include charges for Surgeon,Asstt. O.T. & Anaesthesia
    6,000
    8,000
    10,000
    12,000
    15,000
    Ancillary Services
    (80 % of Actual Expenditure upto a Maximum in Tk)
    2,000
    5,000
    8,000
    10,000
    12,000

    Premium (For each insured per year) in Taka

    Age Attained (in Years)
    Benefit Grades
    Mastercare
    Supercare
    Deluxecare
    Exclusivecare
    Royalcare
    18 to 35 Yrs
    Employee
    600
    1,080
    1,535
    1,920
    3,360
    Spouse
    510
    920
    1,310
    1,630
    2,855
    35+ to 45 Yrs
    Employee
    750
    1,350
    1,795
    2,160
    3,780
    Spouse
    635
    1,145
    1,520
    1,835
    3,210
    45+ to 50 Yrs
    Employee
    1,050
    1,890
    2,300
    2,640
    4,620
    Spouse
    895
    1,605
    1,955
    2,245
    3,930
    50+ to 55 Yrs
    Employee
    1,500
    2,700
    3,060
    3,360
    5,880
    Spouse
    1,275
    2,295
    2,605
    2,855
    4,995
    55+ to 60 Yrs
    Employee
    2,100
    3,780
    4,075
    4,320
    7,560
    Spouse
    1,785
    3,215
    3,420
    3,670
    6,425
    60+ to 65 Yrs
    Employee
    3,150
    5,670
    6,113
    6,480
    11,340
    Spouse
    2,678
    4,823
    5,130
    5,505
    9,638
    Each Child (Below 25 yrs.)
    510
    920
    1,310
    1,630
    2,855

    Maternity Benefit (Maximum in Tk. as per benefit Schedule above)

      Mastercare Supercare Deluxecare Exclusivecare Royalcare
    Normal Delivery 5,000 7,500 10,000 12,500 15,000
    Caesarian Delivery 10,000 15,000 20,000 25,000 30,000
    For Maternity Benefit, an Extra Premium @40% shall be charged on the Basic Premium of the beneficiary group.
    Group Discount Schedule   No Claim Discount Schedule
    Size of the Group
    Percentage of Discount (%)
    No Claim Year(s)
    Discount on
    Renewal Premium
    Up to 100
    101 – 500
    501 – 1000
    1001 – 2000
    2001 & Above
    Nil
    5%
    7.5%
    10%
    12.5%
    One Year
    Two Consecutive years
    Three Consecutive years
    10%
    20%
    30%
    VAT if imposed by government, shall have to be paid by the organization concerned.

N.B: For large groups a “fixed premium rate” irrespective of the age is offered on receipt of the list of members to be insured.

Customized Plan:-

Benefit Schedule & Premium Rate

  • Benefits desired has to be provided by the client
  • A “fixed premium rate” irrespective of age is offered on receipt of the list of members to be insured.

How to get a Group Hospitalization Insurance Proposal?

For Proposal: fill in the Proposal Request Form and send it to us at our contract address
For Quotation: fill in the “Proposal Request Form” and send it to us at our contract address accompanied by the list of members to be insured with following details.

Sl. No.
Name
Date of Birth
*Status
Benefit Grade
.
       

* Status means rank of an employee or his relationship with dependant (spouse/children).

Individual Hospitalization Insurance Plan

Bengali Leaflet

Proposal Form

Overseas Mediclaim Policy
This is a distinctive Health Insurance Policy issued to travelers only. It is also a pre-requisite for Visa application of developed countries. The Policy is issued to Bangladeshi Nationals and Foreigners resident in Bangladesh

OMP issued by Delta Life is universally accepted by all foreign Embassies in Bangladesh.

Types of Policy
Plan –A : for visiting any Country of the World (except USA & Canada)
Plan –B : for visiting all Countries of the World
Coverage under both Plan –A & Plan –B exceeds EURO 30,000
Key Features of the Policy

Age Limit : Policy issued to Individuals from the age of 6 months to 65 years.
Nationality : Policy issued to Bangladeshi and Foreigner Resident in Bangladesh.
Covered Expenses : Treatment expenses incurred for sudden and unexpected illness or accident while on tour abroad.
Maximum Benefit :
Plan-A US$ 50,000
Plan-B US$ 1,00,000

How to take out an “Overseas Mediclaim Policy”

Fill in a “Proposal Form”
Attach Photocopy of the first five pages of the passport
Enclose requisite premium (Cash) as per “Rate Chart”
Send those these to Health Insurance Department at the Head office of Delta Life
.
* Physical presence or Photograph of proposer is not required.
* Only about 30 minutes time is needed to issue a Policy
* “Proposal Form” is also available at Head Office and Agency Offices of Delta Life
“Premium Rate Chart”

Health Insurance
   
 
   
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