
Godigit Health Care Plus Option 3 Plan
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Expert Review: Digit Health Insurance
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Inclusions and Exclusions
Inclusions and Exclusions of Digit Insurance Company Limited
Room Rent
Room Rent and ICU Charges: There is no specific capping on room rent or ICU charges, allowing policyholders to choose any hospital room, including private and ICU rooms, without worrying about sub-limits.
Advanced Treatments
Coverage includes robotic surgeries, stem cell therapy for specific conditions, organ transplant expenses, and advanced cancer treatments like immunotherapy, chemotherapy, and targeted therapies. Modern cardiac procedures are also covered, though specific terms, conditions, or sub-limits may apply.
Co-payment
No Age or Zone-Based Co-payment: Policyholders are not required to share costs based on their age or geographical location.
Higher Zone Treatment Co-payment: If treatment is received in a higher medical zone than the insured's designated zone, a co-payment of 10-20% applies.
Voluntary Co-payment: Policyholders can opt for a voluntary co-payment, agreeing to pay a predetermined percentage of claim amounts, which can reduce premium costs.
Exclusions
Pre-existing diseases are excluded until the specified waiting period is completed.
Certain conditions like cataract, hernia, psychiatric illnesses, joint replacement, and bariatric surgery have a designated waiting period.
Any disease contracted within the first 30 days from policy commencement is not covered, except for accidental injuries.
Hospital admissions primarily for diagnostic purposes without treatment are excluded.
Expenses related to enforced bed rest, rehabilitation, or respite care are not covered.
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About the company
About the company
This content has been reviewed by Aman Shetty, Senior Insurance Advisor | BQP code: 33905
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