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” |