Hospital Cash Plan

Plan Overview / Benefits

Health coverage is gaining popularity in Pakistan. It’s benefits are being realized by people across all income groups. The concept of “Living Benefits” appeals to many as it helps them see the benefits of the product in this lifetime. EFU Life’s “Hospital Cash Plan” provides a unique, simple and affordable hospital cash cover which pays out a fixed sum for each day that an insured person is admitted to any hospital (No limitation of panel hospitals). The daily cash benefit of an insured individual is irrespective of the actual amount of the hospital bill. This plan also provides an Intensive Care Unit (ICU) benefit that is twice that of the daily cash benefit.

Hospital Cash Cover aims to achieve the following objectives:

• Premium may be built-in the institute’s monthly or annual fee and projected as an additional benefit the institute is providing.
• Simple to explain, understand & use; making it possible for employees to actually benefit from the product.
• Provide a living benefit.
• Help create employee goodwill.

• Main Benefits

  If the Insured, as a result of Accident or Sickness is necessarily confined as an inpatient within a Hospital, for at least 24 consecutive hours under the continuous attendance of a Physician, then EFU Life will, upon receipt of and due investigation of the Claim, pay the Daily Benefit.

  • Intensive Care Unit Benefit

    If the insured member has become eligible for the Main Benefit and is confined to ICU then an additional amount equal to 100% of his Daily Benefit would be paid to insured member. In no event shall the total amount of benefit provided for each day of hospitalization exceed twice the amount of Daily Benefit.

  • Maximum Consecutive Hospitalization

    In case of consecutive hospitalization for more than 24 hours, the payment of Benefits (ICU Benefit and/or Main Benefit) may continue for a maximum of thirty (30) consecutive days for one confinement.

  • Waiting Period Between Two Hospitalizations

    In case of multiple hospitalizations there must be a gap of 30 days between the two hospitalizations

    No benefit is payable in case of confinement of less than 24 consecutive hours.

  • Natural Disability Benefit

    This benefit provides for the payment of the full sum assured if permanent disability is caused by natural causes.

• Data Requirement

  The basic data requirement from the employer is the list of employees showing the names, dates of birth and CNIC number. This data is required at each renewal of the policy i.e. each year.

  Timely adjustments of fluctuations can be made if the turnover of employees is communicated along with names, dates of birth, CNIC numbers and date of leaving or joining.

• Service Standards

  At EFU Life we strive to provide you excellent services and serve you beyond your expectations. Having a friendly customer service and a dedicated sales force, we ensure you of the best of our attention at all times.

  We have set up stringent service standards so that we may satisfy our customers consistently.

  • Claim Settlement within 7 days of submitting claim documents.
  • Service response to business queries within 2 working days.
  • ISO 9001-2008 certified operational procedures to ensure optimal quality services.
  • Well-trained staff with strong insurance background.
  • Preparation of quotations within 2 days of quotation request from customer.