Medical Insurance Document

A medical insurance document is a formal document which lays down the various details of a medical insurance which is granted to an individual by a medical institute or a governmental health centre. These documents are important for the individual as they act as proof of the fact that he/she has a protective medical cover scheme which will ensure the coverage of medical charges in case of illnesses, injury etc. A medical insurance document must contain all the important details such as the name of the individual, name of insurance provider, details of the medical insurance, terms of termination, effective period of insurance etc. Given below is a sample of a medical insurance document.

Sample Medical Insurance Document:

Policy number: 45/M

Policy period: 12th Dec 2012-12th Dec 2022

Name of candidate:  Miss Sarah Paul

Permanent residential address: S-90, first floor, Markson tower, London

Contact number: 42-9347-2209

Program administrator: healthcare provider service, London

Insurance provided by: London healthcare centre

Code number: Rx0

The Candidate is being listed as a medical insurance holder in London for a period of 10 years after which the insurance shall expire and can be renewed

The following are the coverage parts of the medical insurance:

  • First aid
  • Medical payments
  • Cost of medicines
  • Dental treatment charges
  • Personal injury
  • Fever or any other mild illness
  • Eye surgery
  • Eye check ups
  • Any operation or surgery
  • Any other kind of type of medical test, injury or illness

The following are the terms of the medical insurance:

  • The medical insurance holder must realize that the coverage of the medical expenses shall only be provided in case of any medical condition to him/her only and not otherwise.
  • The individual must reproduce a copy of this document or the card that is being issued along with this document to the medical centre or institute when cover is required.

Signatures:


Posted in Medical Documents