Overseas Parents Insurance Policy
Version: 8.0
Version
Date Version Author Description
24 Mar 2009 V0.1 Renesh Nambiar Initial Creation of Document
18 Sep 2009 V1.1 Tanushree Kumra Have removed the limit on number of kids covered.
31 May 2012 V2.2 Santosh Kumar Added new maternity caps
31 Mar 2013 V3 Mukund Dighe Revision in the policy
31 Mar 2014 V3.1 Mukund Dighe Revision in the policy
31 May 2015 V3.2 Anil Shirke Added new maternity caps.
30 Mar 2017 V4 Anil Shirke Revision in the policy
10 Jun 2017 V4.1 Anil Shirke Revision in the policy
18 May 2018 V4.2 Anil Shirke Revision in the policy
15 Feb 2019 V5 Anil Shirke & Ketaki K New Policy with combination of self and dependents
25 Feb 2020 V5.1 Anil Shirke & Ketaki K New Vendor and new benefits with change in suminsured – SBI
15 Jun 2020 V5.2 Anil Shirke & Ketaki K Coverage Enhanced for COVID – 19
23 Sep 2020 V5.3 Anil Shirke & Ketaki K Added Detailed Medical Insurance Coverage
17 Mar 2021 V6 Swarada Bhamre & Jugal New Policy – Default Coverage for Employee, Spouse and
Patil Children
13 May 2021 V6.1 Swarada Bhamre, Jugal Clarity on mid-term additions to the policy added
Patil & Neel Khisti
8 June 2021 V6.2 Swarada Bhamre & Jugal Removed Covid 19 – enhanced coverage. Post completion of
Patil policy period.
22 July 2021 V6.3 Swarada Bhamre & Jugal Removed Covid aid cash assistance benefit policy. Post
Patil completion of policy period.
31 March 2022 V7.0 Swarada Bhamre & Jugal Annual Policy Renewal
Patil
31 March 2023 V8.0 Swarada Bhamre & Jugal Annual Policy Renewal with introduction of top up option.
Patil
Reviewed/Approved By
Date Name
31 Mar 2017 Renesh Nambiar
05 Jun 2018 Mekhla Sen
03 Mar 2019 Mekhla Sen
20 Jun 2020 John Gaunt
24 Sep 2020 Sonali Vanza
19 Mar 2021 Sonali Vanza
13 May 2021 Sonali Vanza
8 June 2021 Sonali Vanza
22 July 2021 Sonali Vanza
31 March 2022 Sonali Vanza
31 March 2023 Sonali Vanza
Contents
1. Applicability: Medical Insurance ........................................................................................................3
2. Coverage Scope ..................................................................................................................................3
3. Medical Group Insurance: Premium Calculation Chart............................................................... 3
4. Top Up Options.............................................................................................................................. 3
5. Major Benefits ................................................................................................................................ 4
6. Claim Procedure ............................................................................................................................ 4
7. Exit Procedure ............................................................................................................................... 4
8. Important Procedure Inclusions ................................................................................................... 5
9. Important General Exclusions ...................................................................................................... 5
10. Contact Details .............................................................................................................................. 6
1. Applicability: Medical Insurance
• This policy is available for employees who are on the Synechron Payroll outside India and have valid
Indian citizenship.
• Insured member needs to have a valid PAN card, Aadhar card, and a KYC updated Indian bank account
on his/her name to process the claim under the policy. In the absence of these documents, you will not be
eligible to enroll parent in this policy.
• The policy period for the Overseas Parents Medical Insurance is March 31, 2023 till March 30, 2024.
2. Coverage Scope
• Consolidated Floater Plan for parents and In-laws, providing coverage for all four parental member
combination with complete coverage and benefits medical Insurance: Hospitalization Insurance Benefit
(PAN India)
• As an additional benefit, this policy will also cover the employee, their spouse, and children for any
hospitalization in India during the policy period.
• Enrollment to the policy can be done at the time of joining, transfer from India or at the time of annual
renewal.
• No Mid-term Additions or Deletions allowed.
3. Medical Group Insurance: Premium Calculation Chart
No of parental Premium in INR Premium in INR Coverage in
members with GST INR
1 42,500 50,150 6,00,000
2 68,500 80,830 7,00,000
3 94,500 1,11,510 8,00,000
4 120,500 1,42,190 9,00,000
Note: Total Annual Coverage & Hospital Room-Rent eligibility; will be enhanced as you enroll
more &more family members in the plan
4. Top Up Options
Increase in Coverage for
the entire Family Premium in INR Premium in INR with GST
(Top up on Family Floater)
+ 2,50,000 13,836 16,326
+ 5,00,000 17,852 21,065
+7,50,000 23,035 27,181
+10,00,000 29,723 35,073
5. Major Benefits
• Multiple Claims can be made up to maximum sum insured of family floater plan by an
individualmember in a family during annual program
• First 30 days, first year exclusions & other waiting periods are not applicable or waived off
• Top up option available to enhance the coverage amount
• Pre-existing diseases are covered for all members in a family as per enrollment
• Any member can be enrolled in the program without medical tests requirements
• Coverage up to 60 Days Pre & up to 90 days post hospitalization Expenses
• Up to 1% of Sum Insured Per Day for Non-ICU, or Normal Room Category and No Capping for ICU &
Similar Category (Please note that higher room rent will lead to proportionate deductions to have a detail
information, you can connect with TPA)
• Coverage up to INR 1 Lacs for Normal Delivery & for C-Section Delivery with no room rent capping
• Infertility & Surrogacy coverage included within Maternity limits
• Newborn baby coverage is from day one provided employee enroll the details within 15 days of birth
• Easy installment facility is available for family premium payment through three salary installments
• Nominal Parental Members 10% Co-Payment, applicable for all claims with admissible amount over and
above INR 75,000/-
• Income Tax Benefit applicable for insurance premium paid towards dependent Parents as
per Indian income tax act. This benefit is not applicable on premium paid for medical
coverage of In-laws.
6. Claim Procedure
• Employees enrolled in the medical policy will get the soft copies of their Mediclaim cards.
• Two modes of claim settlement are available as:
o Cashless claim: Possible during hospitalization with prior approval from Service provider.
o Reimbursement claim: Needs to be Claimed post hospitalization within 15 days,
by submitting documents.
7. Exit Procedure
• In case of resignation (voluntary resignation / termination), the medical coverage seizes
on lastworking day itself.
• If Employee leaves the company before the policy end date and if no claim is reported
against anydependents, refund is applicable on pro-rata basis
• Unsettled claims, if any, in case of resigned employees will be settled under general procedure.
8. Important Procedure Inclusions
• Terrorism & Epidemic break - Covered
• External Congenital Diseases - Covered in case of Non-Cosmetic Treatments
• Crosspathy Coverage - Covered
• Cyber Knife Treatment - Covered
• Gamma Knife Treatment - Covered
• Stem Cell Transplantation - Covered
• Bone Marrow Transplantation - Covered
• Oral Chemotherapy - Covered
• Robotic Surgery - Covered
• Femto Laser Treatment - Covered
• Cochlear Implant - Covered
• Keratoconus Treatment - Covered
• Morbid Obesity - Covered
• Sleep Apnea - Covered
• Age Related Macular Degeneration - Covered
• Genetic Disorders - Covered
• Peritoneal Dialysis - Covered
• Psychiatric / Psychosomatic Treatments - Covered
• Ozone / Hyperbaric Oxygen Therapy - Covered
• Quantum Magnetic Resonance Therapy – Covered
• KT Laser Prostate - Covered
• Eye Power Correction Surgery (Lasik or any other) for Sight Corrections +/- 5 and above - Covered
• Hormonal Therapy, Adjuvant Therapy, Immune Modulators in Cancer Treatment – Covered
• Deep Brain Stimulation - Covered
9. Important General Exclusions
• Treatment Outside India
• Cosmetic or Aesthetic or Plastic Surgery Treatments (Including Circumcision)
• OPD, Dental, Eye (Except Cataract), Vaccination, Inoculation Treatments
• The cost of spectacles, contact lenses, hearing aids. Use of Non-Conventional Lens - Toric
Lens,Multifocal Lens during Cataract Surgery
• Immunotherapy, Supplementary Medications & Nutrition
• Hospitalization for Convalescence, General Debility, Intentional Self-Injury
• Hospitalization due to Use or Abuse of Any Substance, Drug or Alcohol
• Insanity or Venereal Disease or Any Sexually Transmitted Disease or Sickness.
• Hospitalization only for Evaluation, Investigation, Diagnosis, Examination without active line of treatment
• Fertility, Sub-fertility or Assisted Conception Operation or Sterilization.
• Voluntary Termination of Pregnancy
• Experimental, Unproven, Non-Conventional Treatments
• External Congenital, Genetic Disorders & Related Procedures
• Ayurveda, Naturopathy, Homeopathy, Unani, Acupuncture, Acupressure, Osteopath,
Chiropractic,Reflexology, Aromatherapy other than Allopathic treatments
• Treatment Given by Non-Allopathic Stream of Doctors (BHMS, BAMS, BUMS etc.)
• Non-medical Expenses like - Registration / Admission Fees, Charges for Medical
Records,Cafeteria, Telephone, Service Charges, Surcharges
• Unreasonably High Charges for treatment (Usual & Reasonably Clause Applicable)
• Being under influence of drugs, alcohol, or other intoxication or hallucinogens
• Committing any breach of law of land with criminal intent. Participation in actual or attempted
felony,riot, civil commotion, crime misdemeanor.
• Medical emergencies due to participation in any kind of sport activities, such as Motor Speed
Contest, Racing, Circus, Skiing, Mountaineering, Big Game Hunting, Ballooning, Hang Gliding,
River Rafting, Winter Sports, Ice Hockey, Polo etc.
10. Contact Details
In case of any concerns related to the Group Medical Insurance Policy or claims, health cards, and claim form
submission, please feel free to get in touch with our medical insurance representatives. Find below the contact
details to communicate directly:
Contact details for Paramount (TPA) and Marsh Team (Consultant):
Contact Person E-mail ID Contact Number
Udit Wambure
[email protected] +91 74984 66413
Rahul Gund
[email protected] +91 93230 36121
Aishwarya Vakharia
[email protected] +91 87884 17440
Sugriv Suryavanshi
[email protected] +91 73500 14716
Contact details for the Synechron Team:
Contact Person E-mail ID Contact Number
