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Health Insurance

Policy Renewal 2024-


2025

Comparison of IGI and Jubilee Health Insurance Policy - 2404


Existing Health Insurance Policy -
Jubilee

PREMIUM ANALYSIS
BENEFITS PREMIUM

HOSPITALIZATION BENEFIT 16,524,236

MATERNITY BENEFIT 9,377,935

GROSS PREMIUM 25,902,171

NET PREMIUM 25,902,171

# OF LIVES COVERED 2,056

AVERAGE PREMIUM PER EMPLOYEE 12,598


Existing Health Insurance Plan –
Benchmark Agha Khan Hospital

Health Insurance Plans


Plan Grade Limit H&R Room & Board Room Limit Maternity Normal Maternity C-Section

A Above 20 2,500,000 Private 49,550 350,000 535,000

B 20 - 12 700,000 Private 49,550 350,000 535,000

C 11 – 8 600,000 Semi Private 13,550 241,500 408,250

D 7-6 500,000 Semi Private 13,550 80,000 130,400

E 5-3 400,000 General Ward 10,100 60,000 100,000

F CEO 4,000,000 VIP 108,310 350,000 535,000


Comparison of Jubilee & IGI
Proposal

IGI INSURANCE
DESCRIPTION JUBILEE LIFE
Option-I Option-II
Rs Rs Rs
Premium
24,800,000 23,300,000 28,000,000
Additional Benefits
Maternity packages for Plan A, B C & F to remain Will consider on case
Covered Covered
benchmarked with AKUH throughout Policy period to case basis
Maternity related complications to be covered from
Not Covered Covered Covered
Hospitalization limit
Nursery charges / Circumcision charges to be covered from
Not Covered Covered Covered
child hospitalization limit
No Non-Panel Deduction Not Covered Covered Covered
Will consider on case
Claims against delayed additions Covered Covered
to case basis
Tele Consultation through SEHAT KAHANI Covered Covered Covered
Claims settlement TAT 10 - 12 working days 10 working days 10 working days
Dedicated resource deployed for Client Assistance Not Covered Covered Covered
Funeral Charges for Employees Not Covered Rs. 50,000 Rs. 50,000
2500 Helmets for Riders Not Covered Not Covered Covered
OPD Coverage of PKR 2,500 Per Employee Per Family Not Covered Not Covered Covered
Health Insurance Proposed Plans –
(Benchmark Agha Khan Hospital)

Health Insurance Plans


Plan Grade Limit H&R Room & Board Room Limit Maternity Normal Maternity C-Section

A Above 20 2,500,000 Private 55,690 382,300 567,150

B 20 - 12 700,000 Private 55,690 382,300 567,150

C 11 - 8 600,000 Semi Private 15,240 263,600 430,800

D 7-6 500,000 Semi Private 15,240 100,000 150,500

E 5-3 400,000 General Ward 11,370 80,000 120,200

F CEO 4,000,000 VIP 126,000 382,300 567,150


EXISTING BENEFITS & OFFERED

PLANS PLAN F OFFERED PLAN A OFFERED PLAN B OFFERED PLAN C OFFERED PLAN D OFFERED PLAN E OFFERED

BENEFIT LIMIT PER 4,000,00 4,000,00 2,500,00 2,500,00


ANNUM PER INSURED
700,000 700,000 600,000 600,000 500,000 500,000 400,000 400,000
0 0 0 0
ROOMS & BOARD
LIMIT
108,310 126,000 49,550 55,690 49,550 55,690 13,550 15,240 13,550 15,240 10,100 11,370
SEMI SEMI SEMI SEMI
Bench Mark AKUH VIP VIP VIP VIP PVT PVT G.WARD G.WARD
PVT PVT PVT PVT
PRE & POST
HOSPITALIZATION
FULLY COVERED UPTO 30 DAYS

DAY CARE &


SPECILIZED COVERED
INVESTIGATION

MATERNITY BENEFIT LIMIT


NORMAL BENEFIT
LIMIT
350,000 382,300 350,000 382,300 350,000 382,300 241,500 263,600 80,000 100,000 60,000 80,000

CEASARIAN/ MULTIPLE
BIRTHS
535,000 567,150 535,000 567,150 535,000 567,150 408,250 430,800 130,400 150,500 100,000 120,200

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