Convalescence Benefit Clause Samples
The Convalescence Benefit clause provides financial support to an insured individual during their recovery period following hospitalization or surgery. Typically, this benefit pays a fixed daily amount for a specified number of days while the insured is unable to work or perform normal activities due to medical advice. Its core practical function is to help offset income loss or additional expenses incurred during convalescence, ensuring the insured can focus on recovery without undue financial stress.
Convalescence Benefit. We will pay the Convalescence Benefit specified in the Policy Schedule if the Insured Person is hospitalised, for treatment of an Injury sustained during an Accident which occurs during the Policy Period and the continuation of such Hospitalisation is Medically Necessary for at least 10 days, provided that the hospitalization occurs within 7 days of the occurrence of the Accident and is paid only once in a Policy Year towards an Insured Person. The payment under this benefit is over and above the Sum Insured of the opted Benefits under any other Benefit.
Convalescence Benefit. We will pay the Convalescence Benefit specified in the Policy Schedule / Certificate of Insurance if the Insured Person is hospitalised, for treatment of an Injury sustained during an Accident which occurs during the Policy Period and the continuation of such Hospitalisation is Medically Necessary for at least 10 days, provided that the hospitalisation occurs within 7 days of the occurrence of the Accident and is paid only once in a Policy Year towards an Insured Person. We will pay the amount specified in the table below to the Insured Person up to the limit specified in the Policy Schedule / Certificate of Insurance if an Insured Person sustains burns directly due to an Accident that occurs during the Policy Period which results in conditions specified in the table below, provided that: - The burns are not self-inflicted by the Insured Person in any way; and
Convalescence Benefit. We will pay the Sum Insured specified in the Policy Schedule/Certificate of Insurance for this Benefit if the Insured Person is admitted in a Hospital for a minimum period as specified in the Policy Schedule/ Certificate of Insurance provided that:
(a) We have accepted a Claim for the Base Cover under the Policy in respect of the same Hospitalisation;
(b) We shall be liable to make payment under this cover in respect of an Insured Person only once during the Policy Year.
(c) This benefit is applicable on an individual basis irrespective of type of policy (Individual/ Floater). The payment under this benefit is over and above the Base Cover, subject to limits specified, if any.
Convalescence Benefit. If the Insured Person is Hospitalised during the Policy Period for Medically Necessary treatment of a Critical Illness covered under Section II.A Basic Cover, which is diagnosed during the Policy Period and the continuation of such Hospitalisation is Medically Necessary for at least 10 consecutive days, We will pay the amount as specified against this benefit in the Policy Schedule. This benefit is payable only once in a Policy Year towards an Insured Person.
Convalescence Benefit. If the Insured Person is Hospitalized during the Policy Period for Medically Necessary treatment of an Illness Or an Injury that occurred during the Policy Period and the continuation of such Hospitalisation is Medically Necessary for at least 10 consecutive days, then We will pay a lump sum amount equal to 5 times the Daily Cash Benefit amount specified in the Policy Schedule for each continuous and completed period of 24 hours of Hospitalisation. This benefit is available only once per Insured Person, per Policy Year.
Convalescence Benefit. We will pay the Convalescence Benefit specified in the Policy Schedule / Certificate of Insurance if the Insured Person is hospitalised, for treatment of an Injury sustained during an Accident which occurs during the Policy Period and the continuation of such Hospitalisation is Medically Necessary for at least 10 days, provided that the hospitalisation occurs within 7 days of the occurrence of the Accident and is paid only once in a Policy Year towards an Insured Person. We will pay the amount specified in the table below to the Insured Person up to the limit specified in the Policy Schedule / Certificate of Insurance if an Insured Person sustains ▇▇▇▇▇ directly due to an Accident that occurs during the Policy Period which results in conditions specified in the table below, provided that: - The ▇▇▇▇▇ are not self-inflicted by the Insured Person in any way; and
Convalescence Benefit. We will pay the amount specified in the Policy Schedule for this Benefit if the Insured Person is admitted in Hospital for a minimum period of 10 consecutive days provided that:
(a) We have accepted a Claim for In-patient Treatment under the Policy in respect of the same Hospitalization; Further,
(a) We shall not be liable to make payment under this Benefit in respect of an Insured Person more than once during the Policy Year.
(b) This benefit is applicable on an individual basis irrespective of type of policy (Individual/ Floater).
(c) The payment under this benefit is over and above the Base Sum Insured. Page 7 Kotak Mahindra General Insurance Company Ltd., Kotak Health Premier UIN: KOTHLIP18089V011718 Policy Wording
Convalescence Benefit. Subject to the terms of this coverage, the insurer will pay an amount that corresponds to a convalescence daily benefit of 7 days immediately following the date the insured underwent day surgery or after any episode of hospitalization. This convalescence benefit is paid even if the insured happens to die at the hospital. The daily convalescence allowance corresponds to the hospitalization coverage described in the SUMMARY OF COVERAGES.
Convalescence Benefit. If the Insured Person is Hospitalised during the Policy Period for Medically Necessary treatment of a Critical Illness covered under Section D.II.A Basic Cover, which is diagnosed during the Policy Period and the continuation of such Hospitalisation is Medically Necessary for at least 10 consecutive days, We will pay the amount as specified against this benefit in the Policy Schedule. MANIPALCIGNA LIFESTYLE PROTECTION GROUP POLICY | TERMS & CONDITIONS | UIN: MCIPAGP21235V032021 | OCTOBER 2021 This benefit is payable only once in a Policy Year towards an Insured Person.
Convalescence Benefit. We will pay the Convalescence Benefit specified in the Policy Schedule / Certificate of Insurance if the Insured Person is hospitalised, for treatment of an Injury sustained during an Accident which occurs during the Policy Period and the continuation of such Hospitalisation is Medically Necessary for at least 10 days, provided that the hospitalisation occurs within 7 days of the occurrence of the Accident and is paid only once in a Policy Year towards an Insured Person. Person sustains ▇▇▇▇▇ directly due to an Accident that occurs during the Policy Period which results in conditions specified in the table below, provided that: • The ▇▇▇▇▇ are not self-inflicted by the Insured Person in any way; and • A Medical Practitioner has confirmed the diagnosis of the burn and the percentage of the surface area of the burn to Us in writing. • If the bodily injury results in more than one of the nature of ▇▇▇▇▇ specified below, We shall be liable to pay for only the highest benefit among all. Maximum amount payable in respect of multiple nature of disablement (more than 100%) would be restricted to Sum Insured opted by the Insured for this Benefit as mentioned in the Policy Schedule / Certificate of Insurance.