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The Draft Insurance Programme
According to this programme "the organization name" assures the arrangement, providing and payment of medical aid for the Insured within the insurance contract time at the diseases, states (problems) (regulated by the International Statistic Classification of diseases and problems - ISC-10), related to health, at which the Insured can be provided with an emergency or planned medical aid at their visit to the health centers included in this insurance programme or indicated in the Policy Holder's letter of referral, including:
- Ambulatory-outpatient care
- Stationary care
According to this programme the organization name do not pay for the medical service carried out to the Insured in case of the mentioned below diseases:
diseases caused by a human immunodeficiency virus, specially dangerous infectious diseases, acute and chronic radiation disease, mental diseases, alcoholism, narcomania, toxicomania and their complications, malignant neoplasms, including malignant blood diseases, tuberculosis,
congenital malformation, maldevelopment, hereditary diseases, infections with a predominantly sexual mode of transmission - syphilis and gonorrhea, diseases combined with renal insufficiency and hepatic failure and requiring hemodialysis.
- According to this programme "the organization name" do not pay for the following services, rendered to the Insured
- The insurance premium and sum insured.
5.1. According to this programme the insurance premium is (amount) rubles.
5.2. According to this programme the sum insured is (amount) rubles.
- The list of health centers _______________________(a list)
- The procedure of medical aid providing
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