What are the benefits of Telehealth insurance cover?

The Telehealth insurance cover provides a daily allowance for the period of hospitalization. The basic cover pays an amount of Rs.1000 per night of hospitalization up to a maximum of 30 nights (excluding the first night’s stay).

Policy holders will be entitled to the benefits after 30 days from the date of registration for the service. Thereafter, during the next 3 months, they will be entitled to claim a maximum of 50% after which they will be able to avail themselves of the full benefit until a claim is made. After this, it will again be reduced to 50% for the three months following the claim.

If the insured (Subscriber) has been diagnosed with dengue fever, a cash grant of Rs. 10,000/- or the hospitalization allowance in accordance to the plan (whichever is higher), will be paid to the insured.

How can I pay my insurance fee?

<p align="justify">You can pay it along with your SLT Telephone bill each month.</p>

When is my enrollment/claim eligibility date for this policy?

Date of enrollment is the date that the first insurance fee is added to your SLT bill, i.e. if you have registered for the service during the month of March, you will be enrolled to this policy from the following month, which is from 01^st of April. After 30 days from the date of enrollment, you will be eligible for all claims. The cover is renewable on a monthly basis.

What is the claim procedure for the hospitalization support plan?

• Every instance of hospitalization should be informed to the Ceylinco Customer Care Hot Line 2399199 at the earliest opportunity.
• The insured shall submit all claims by any one of the methods - post, email, or by handing over to the nearest Ceylinco General Insurance Branch.
• Claim documents should be submitted to the Company not later than 30 days from the date of discharge from the hospital
• The Company shall check the eligibility of Insured for the claim. Customer should settle the monthly SLT bills timely to be eligible to receive claims. Non settlement of SLT bills will terminate the cover.Required documents for a claim.
  • Medical claim with proof of documents
  • Copy of the Diagnosis Card issued from a government or registered private hospital/nursing home or approved government/private ayurveda hospital.
  • Confirmation from SLT on active status of the Subscriber.
  • Report of NS1 (for dengue cash grant)
• Processing of claim will commence upon receipt of required documents.
• All eligible claims will be settled within 5 working days.

Additional conditions applicable for dengue cash grant:

• If the insured (Subscriber) has been diagnosed with dengue fever, a cash grant of Rs. 10,000/- or the hospitalization allowance in accordance to the plan (whichever is higher), will be paid to the insured.
• Dengue cash grant shall be granted only to the subscriber and only one claim can be made for one calendar year.
• Dengue cash grant will be paid based on a positive result in NS1 blood test (dengue antigen) followed by a hospitalization.

What are the exclusions under the policy?

• Direct participation on strike, riots & civil professional sports, or winter sports other than skating.
• Political unrest and terrorism.
• Child birth, complications in pregnancy, fertility treatment and birth control treatment.
• Cosmetic surgeries/treatments.
• Suicide and self-inflicted injuries.

How does my insurance cover cease?

The insurance cover will automatically terminate at the earliest occurrence due to:

• The Insured (Policyholder/spouse) reaching 70 years of age and/or children reaching 18 years of age.
• Demise of the Insured.
• Termination of the Agreement SLT has with the Subscriber or the Company.
• In case of non-payment of the insurance fee by the Insured, according to the SLT termination policy.

What are the general terms and conditions?

• The medical insurance policy is for the SLT subscriber, and is extended to his/her family member/s who are eligible for the medical insurance policy.
• The total benefit provided under the policy will be for 12 calendar months commencing from the date of registration for the service provided that the monthly insurance fee is settled continuously.
• The age limit to obtain the cover is up to 70 years for adults and children between 1 to 18 years as dependents. Accordingly eligible applicants should be adults up to 70 years of age at the time of registration – dependent spouse below 70 years and children between 1 to 18 years.
• The cover will be in effect upon adding the monthly insurance fee to the subscriber’s account and the cover will be applicable from the date of registration for the service. Thereafter the policy is renewable on a monthly basis.
• The benefit will be applicable according to the plan selected by the applicant.
• There shall be a waiting period of 30 days for all claims, other than the claims made for accidental injuries.
• Policy holders will be entitled to the benefits after 30 days from the date of registration for the service. Thereafter, during the next 3 months, they will be entitled to claim a maximum of 50% after which they will be able to avail themselves of the full benefit until a claim is made. After this, it will again be reduced to 50% for the three months following the claim.
• There shall be a waiting period of 30 days for all claims, other than the claims made for accidental injuries.
• A daily allowance shall be paid for the period of hospitalization, based on the selected plan, excluding the first night’s stay at the hospital. If hospitalized for more than Two (2) nights, the 1st night exclusion is waived off.
• Only one (1) policy is activated per applicant (based on NIC number).