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The Good Health Personal Accident Insurance Policy (PA)

Highlights

As a card member of Citibank, you are already protected by an Accident Insurance Policy against loss of life in case of accidents. However, in the above scheme, you are protected not only against loss of life in accidents, but also permanent disablement. It also provides you with hospitalization expense arising out of an accident, to the extent of the sum assured under the respected plan.

Accidents do not always result in loss of life. Loss of eyes limbs or fingers could also results. Such instances are also covered. The Policy takes effect immediately. Insurance Certificates are received within six weeks of policy start date.

Good Health Personal Accident Insurance Plan

(Loss of life + Personal Disablement + Hospitalization cover per individual)

Good Health Plan	Sum Assured in Rs.		Premium payable by you in Rs.	(A) Good Health Plan Annual Premium in Rs.	(B) Trans- action fee in Rs.	(A+B) What you will pay now in Rs.
Good Health Plan	Personal Accide nt Cover	Hosp. Expense Reimb ursement	Premium payable by you in Rs.	(A) Good Health Plan Annual Premium in Rs.	(B) Trans- action fee in Rs.	(A+B) What you will pay now in Rs.
1	2,00,000	20,000	263 +53=316	116 +25 =141	150	291
Those who are less than 21 years are eligible to apply only for Plan 1
2	3,00,000	30,000	394 + 79=473	173+35=208	150	358
3	4,00,000	40,000	525+105=630	231+50=281	150	431
*4	5,00,000	50,000	657+131=788*	289+60=349	150	499*

Should you choose Good Health Plan No.4 as your personal accident Insurance, you pay Rs. 499|- instead of Rs. 788|- and you thus save 58 %. (Age Limit 5-70 years)

Mediclaim (Hospitalization Expenses Reimbursement Cover) Per Individual
(the amount varies according to age groups)

Good He alth Plan	Max. Cove rage p.a. (Rs.)	Upto 45 Years		Transaction Fees
Good He alth Plan	Max. Cove rage p.a. (Rs.)	Normal Premium p.a.(Rs)	Good Heal th Plan Premium p.a	Transaction Fees
5	55,000	646	321	150
6	85,000	961	479	150
7	1,10,000	1234	614	150
8	2,00,000	2126	1060	150
9	2,50,000	2546	1268	150
10	3,00,000	2966	1477	150
11	4,00,000	3701	1851	150
12	5,00,000	4436	218	150

Good He alth Plan	Max. Cove rage p.a. (Rs.)	46 to 55 Years		Transaction Fees
Good He alth Plan	Max. Cove rage p.a. (Rs.)	Normal Premium p.a.(Rs)	Good Heal th Plan Premium p.a	Transaction Fees
5	55,000	887	442	150
6	85,000	1323	659	150
7	1,10,000	1701	847	150
8	2,00,000	2972	1481	150
9	2,50,000	3601	1795	150
10	3,00,000	4232	2108	150
11	4,00,000	5387	2694	150
12	5,00,000	6542	3271	150

Good He alth Plan	Max. Cove rage p.a. (Rs.)	56 to 65 Years		Transaction Fees
Good He alth Plan	Max. Cove rage p.a. (Rs.)	Normal Premium p.a.(Rs)	Good Heal th Plan Premium p.a	Transaction Fees
5	55,000	1008	502	150
6	85,000	1502	748	150
7	1,10,000	1937	965	150
8	2,00,000	3397	1693	150
9	2,50,000	4132	2058	150
*10	3,00,000	*4867	*2424	150
11	4,00,000	6232	3116	150
12	5,00,000	7597	3799	150

* This plan covers hospitalization and ICU expense, doctor's fee, drugs, blood, oxygen, etc. upto Rs. 3 lakh. You save ( Rs. 4867/- to Rs. 2424/- ) i.e. Rs. 2443/-

For further information :

Mr. Naveen Gupta
Citibank, N.A.
Global Consumer Bank
Chennai, Tamil Nadu.
Tel. No.: 044 - 8522151
email:nsaveen.gupta@citicorp.com

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