UNITED INDIA MEDICARE INSURANCE SCHEME FOR CHILDREN

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Title: UNITED INDIA MEDICARE INSURANCE SCHEME FOR CHILDREN
extracted text: SDA-RF-CH-4.6

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UNITED INDIA MEDICARE INSURANCE SCHEME FOR CHILDREN

Eligibility : Children in the age group of 3 months to 14 years and residing in Trichur District are eligible
to be enrolled in the Scheme.
Premium : Rs. 25/- per child for year.
Benefits : Hospitalisation (in-patient) benefits only as per table shown below.

TABLE OF BENEFITS

SI. No.
Particulars
1.
Room, Board, Nursing
2.
3.
4.
5.

Actuals but not exceeding
per day
Rs.
each spell of illness
Rs.
Surgeon & Anaesthetist fee
Rs.
Anaesthesia, Blood, Oxygen, Operation Theatre, Surgical Appliances „
Rs.
Diagnostic Materials & X-ray
Rs.
Medicines & Drugs
Rs.

30-00
800-00
600-00
450-00
160-00
300-00

LIMIT PER CHILD FOR THE POLICY PERIOD Rs. 2500/-

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LIST OF APPROVED HOSPITALS
1. Jubilee Mission Hospital, Trichur.
2. Elite Mission Hospital, Koorkanchery, Trichur.
3. Balya Children's Hospital, Veliyannur, Trichur.
4. Co-operative Hospital, bhoranur Road, Trichur.
5. Saroja Nursing Home, Shoranur Road, Trichur.
6. Medical Centre, Shoranur Road, Trichur.
7. Albis Hospital, West Fort, Trichur.
8. Chandra mathy Amma Memorial Hospital, Olarikkara, Trichur.
9. Amala Cancer Hospital & Research Centre Trichur.
10. St. Joseph's Hospital, Choondal.
11. K. B. M. Hospital, Chowalloorpady.
12. San Jos Parish Hospital, Pavaratty.
■>3. Unity Hospital (P) Ltd., Kanipayyur.
14. Royal Hospital, Kunnamkulam.
15. Malankafa Orthodox Syrian Church Medical Mission Hospital, Adupootty Chowannur, Kunnamkulam.
16. Deena Bandhu Mission Hospital, Karikkad, Kunnamkulam.
17. Doctor's Medical Centre, Wadakkancherry
18. Susrutha Hospital, Chelakara.
*
19. Sree Sai Hospital, Pazhayannur.
20. Deepa Clinic, Thriuvillamala.
21. Co-operative Hospital, Cheruthuruthy.
22. Lal Memorial Hospital, Madaiyikkonam, Irinjalakuda.
23. Bishop Alapatt ^Hospital, Karanchira.
24. Sacred Heart Hospital, Pullur, Irinjalakuda.
25. Maria Thresa Hospital, Kuzhikattussery.
26. St. Thomas Hospital S. D„ Meloor,Chalakudy.
27. Santhi Hospital, Kodakara.
28. St. Joseph's Hospital, Velupadam.
29. Gowri Sanker Nursing Home, Cranganur.
30. Khan Sahib Karikulam Aiikunji Memorial Hospital, Azhikode.
31. J. M. Hospital, Talikulam.
32. Karuna Hospital, Vatanappilly
33. M. E. S. Thyva’appil Mustafa Hospital, Chettuwa,
34. Paduva Hospital, Puthenpeedika.

The Claim Amount will be directly Settled with the hospital.
on admission of the child.

The insured will surrender the Card to the hospital

UNITED INDIA INSURANCE COMPANY LTD.
DIVISIONAL OFFICE

Park House, Round North, Trichur-1,

20682

Phone i 25840
21152

UNITED INDIA MEDICARE INSURANCE SCHEME FOR CHILDREN
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form

Name of the Child
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Age

Date of Birth
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Sex
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Name of Father/Guardiara
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Present Address
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Medical Benefit Scheme taken by the
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Date of photograph taken
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Mode of premium remittance
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Signature of parent & Date
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Note ;

1.

For each child one Proposal Form should be submitted.
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The Proposal Form should reach this office or any of the Authorised Agencies of District Council
for Child Welfare accompanied by a Demand Draft I- Postal order for Rs. 25/ encashable at Trichur and
two Passport size photographs of the child.
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