OVERALL ANNUAL LIMIT

SELECT BASIC

MVR 200,000
SELECT EXCEL
MVR 450,000
SCHEDULE OF BENEFITS
INPATIENT COVER (Hospital Benefits) Select Basic Select Blue
Daily room & board ( max.90 days )
1,000
3,000
Intensive Care Unit ( max.30 days )
up to overall limit
up to overall limit
Hospital supplies & Services
up to overall limit
up to overall limit
Operating theatre
up to overall limit
up to overall limit
SURGICAL BENEFITS (Surgical Expenses comprising the following, (but excluding organ transplantation) :
Pre-surgical diagnostic services
up to overall limit
up to overall limit
Pre-surgical specialist consultation, surgical fees
up to overall limit
up to overall limit
Daily in-hospital physician’s visits ( max.60 days )
up to overall limit
up to overall limit
Ambulance fees
10,000
25,000
ADDITIONAL BENEFITS (Inpatient & Outpatient)
Post hospitalization treatment excluding outpatient prescription medicine
up to overall limit
up to overall limit
Post hospitalization outpatient prescription medicine
75,000
150,000
Pregnancy (inpatient only)
25,000
25,000
New Born Limit (Inpatient and Outpatient)
18,500
18,500
Accidental dental treatment (lntpatient and Outpatient)
75,000
150,000
Organ transplantation (lifetime)
100,000
250,000
Pre-existing illness (upon declaration and subject to acceptance of condition)
100,000
150,000
OUTPATIENT COVER (OPTIONAL)
Overall OP limit
8,000
12,000
Outpatient diagnostic services
Covered
Covered
Outpatient consultation
NIL
NIL
Outpatient prescription
Covered
Covered
SELECT BASIC PREMIUMS

Our Select Basic and Select Excel Health lnsurance premiums are designed to offer you the best value at times of need.

AGE BAND INPATIENT ONLY OUTPATIENT ADD-ON FULL COVER
Age between 0 - 9
5,000
3,500
8,500
Age between 10 - 19
5,600
3,700
9,300
Age between 20 - 29
6,200
4,000
10,200
Age between 30 - 39
6,800
4,400
11,200
Age between 40 - 49
7,800
4,500
12,300
Age between 50 - 59
8,900
4,600
13,500
Age between 60 - 66 (Renewal Only)
9,900
4,900
14,800
SELECT EXCEL PREMIUMS

Our Select Excel Health lnsurance premiums are designed to offer you the best value at times of need.

AGE BAND INPATIENT ONLY OUTPATIENT ADD-ON FULL COVER
Age between 0 - 9
7,900
5,100
13,000
Age between 10 - 19
8,100
5,500
13,600
Age between 20 - 29
8,900
5,900
14,800
Age between 30 - 39
10,500
6,300
16,800
Age between 40 - 49
12,900
6,800
19,700
Age between 50 - 59
16,900
6,900
23,800
Age between 60 - 66 (Renewal Only)
22,900
7,000
29,900
CLAIM PROCEDURE
Online Health Claims Submission:

Submit soft copy (scanned/ photo) of medical bills and all supporting documents through our online portal www.myallied.mv

For online submissions, there are no deductibles or additional charges.

Manual Claims Submission:

A hard copy of the Claim form, medical bills, and all supporting documents should be a summit to Allied Insurance Company.

MVR 100 will be deducted from each and every claim.

Reimbursement