Dengue Insurance
Coverage:
Dengue Insurance Coverage: ₱ 10,000
Age Eligibility: 14 days old up to 70 yrs. old
Coverage period: One (1) year from the Effective Date or from Effective Date up to Claim.
Once claim is paid, coverage terminates.
Benefit:
Once coverage takes effect, Insurer shall provide the maximum benefit of ₱10,000 Medical Cash
Assistance to the insured upon diagnosis of dengue provided all the following conditions are satisfied:
1. It is the first and only claim for dengue during the coverage period.
2. The signs and symptoms of dengue should have been observed fifteen (15) days
after the Effective Date. The first consultation with a licensed physician related to the dengue
diagnosis should not have also occurred during the said fifteen (15) days.
3. Dengue diagnosis is confirmed and certified by the insured’s attending licensed physician
substantiated by relevant diagnostic tests, validated by Pioneer’s Medical Director and/or authorized Medical Consultant.
Claims:
The Claims benefit is payable:
a. to the Insured, or
b. through the Insured’s legal guardian if the Insured is a minor, or
c. in successive preference to the 1) legal spouse, 2) child(ren), 3)parents, 4) brothers and sisters;
otherwise, 5) the Insured’s estate, in case of the Insured’s passing at the time of claims payment.
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