Per Day Insurance
Hospitalisation Support Plan with Add to Bill Facility

The Per Day Insurance Hospitalisation Support Plan has been designed by Fairfirst Insurance Ltd. in partnership with BIMA Lanka Insurance Brokers (Pvt) Ltd. for Dialog customers

The insurance cover will provide financial assistance upon admission to a hospital and customers will receive the pay-out from the first night of admission at any government hospital, private registered hospital, government ayurvedic hospital or registered private ayurvedic hospital up to a maximum of 30 nights within a year.

In addition to the above, customers who have registered for the 1st time with the Hospitalization Support Plan will also be entitled to a special Dengue Cover without incurring any additional charge. With the Dengue Cover, customers will receive a cash benefit of up to Rs. 12,500/-* upon being diagnosed with Dengue. However,it is mandatory for the patient to be admitted to a hospital in order to claim the benefit.

This service is specially designed to provide financial support to policyholders who suffer some form of income loss due to hospitalization.

The basic Hospitalization Support Plan is available for both Prepaid and Postpaid Dialog customers but will cover only the policyholder and not his/her dependents. Through the Family Hospitalization Support Plan, policy holders can cover his/her spouse and up to 3 children (only available for Dialog Postpaid customers).

Pricing

The subscription fee for the Hospitalisation Support Plan (Excluding taxes)

COVID-19 Coverage (Pandemic Cover)

Hospitalization claims due to COVID-19 will be covered up to the limits specified in the following table.
Note – Admission to a Hospital is mandatory to be eligible for the claim.

For Prepaid Customers

Proportionate charging will be applicable for Prepaid customers according to the date on which the customer gets registered. The cover will be calculated proportionately according to the number of days which the customer has been charged for.

The monthly amount should be fully deducted to be entitled to claim the total amount of the cover. If the monthly amount is partially deducted, a proportionate amount from the cover will be applicable for the month.

The daily rental is not charged if the recharge is done through Internet recharge cards and Prepaid plans. The applicable daily rental will be deducted from normal recharge cards or reloads only.

Customers will receive a monthly SMS stating the amount of the cover eligible for the month.

For Postpaid Customers

The total charge for the month would be applied from the day that the customer gets registered for the service upon successful deduction of the full premium and the customer will be eligible for the full cover from the next month onwards.

Customers will receive a monthly SMS stating the amount of the cover eligible for the month.

Benefit Commencement

Commencement of the benefit begins after the full payment of the first month’s premium. Once the first month’s premium is fully paid, the policyholder is entitled to the benefits from the first day of the following month. The insurance cover is automatically renewed if the subscriber successfully deducts the premium for any given month.

How do I activate the service?

Call 1343
Monday – Saturday (Except Sunday, POYA Day & Mercantile Holiday)
9:00AM to 5:00PM

Claim Procedure

Call 1343
Monday – Saturday (Except Sunday, POYA Day & Mercantile Holiday)
9:00AM to 5:00PM

Required details:

• Completed claim form

• Copy of completed diagnosis card

• Copy of identification document (National Identity Card/Driving License)

• The following are mandatory to be entitled to the Dengue Cover:

• A positive result from the NS1 Antigen Test is mandatory for registered private hospitalization (NS1 antigen report should contain the name and age of the patient)

• Date of NS1 Antigen Test showing “positive” result for Dengue should be done during hospitalization or not more than 72 hours prior to time of admission to the hospital

• Patient’s admission to hospital is mandatory

• NS1 report is not compulsory if admitted to a government hospital

Hospitalisation cash claim form - [PDF]

Notes

Claims are required to be initiated within 90 days of being discharged from the hospital. The Company shall not be liable to pay for hospitalisation due to the following:

• Insurance Provider for the Life cover – Fairfirst Insurance Ltd.

• Service Provider – BIMA Lanka Insurance Brokers (Pvt) Ltd

• Age Limit

   

  • Minimum age at entry – 18 years (Exact birthday)

  • Maximum age at entry – 64 years (Age next birthday)

  • Cover ceasing age – 65 years (Exact birthday)

  • Cosmetic treatments/surgeries

  • Complications during pregnancy, childbirth or due to birth control are only covered after 09 months from enrolment to the cover with a continuous payment for 09 months

• Geographical limits: All benefits provided under this policy are only applicable for hospitalizations within the geographical territory of Sri Lanka.

Policy Document - [PDF]