Insurance

Family Health Insurance Plan by EFU

Introduction

For the first time, Jazz Cash brings an innovative health insurance facility for users.

This all-encompassing package caters to Jazz Cash customers, ensuring the well-being of not only the account holders but also their spouse and children. With a focus on comprehensive protection, the plan offers extensive coverage, including hospitalization benefits, reimbursement for accidental medical expenses, ambulance transfers in the event of an accident, and funeral and burial benefits. Going beyond, the plan extends unlimited telehealth facilities for both customers and their families, encompassing even their parents. Additionally, C-section benefits for the spouse is also added as part of the plan, further enhancing the health and financial safeguards.

Benefit Gold
Hospitalization Benefit 5,000 Per day
Overall Maximum
Coverage 500,000
ICU Benefit 10,000 Per Day
Overall Maximum
Coverage 1 Mn
Ambulance Transfer

(In case of Accident)

PKR 2, 500
*Funeral & Burial Expense PKR 30,000
**Accidental Medical Reimbursement PKR 40,000
C-Section Benefit PKR 25,000
EFU m-Health Facility (Free for entire family)
Annual Premium PKR 1,950
Monthly Premium PKR 199
Daily Premium PKR 9
  • Elimination Period
    • For Sickness: 30 days
    • For Accidental Hospitalization & AMR, No waiting period
  • For Adults Enrollment Age: 18 to 65 years;
    Coverage Age: 18 to 66 years
  • For Children: Enrollment Age 6 months to 21 years
    Coverage Age: 6 Months to 22 Years

Minimum Hospitalization for 24 hours is required.
Funeral Benefits for customer/ policy holder and spouse only, children are not covered.
For Hospital Cash Benefit, a Family limit is applicable with a maximum of 4 covered members.
C-Section Benefit for Spouse

Conditions in which a claim is not payable:

  • Pre-existing conditions, Suicide and attempt to suicide, murder, self-inflicted injury, and illegal act of the covered person.
  • Failure to seek or follow medical advice, taking of alcohol or drugs.
  • Dental Treatment
  • War, invasion, act of a foreign enemy, hostilities (whether war be declared or not), armed or unarmed truce, civil war, mutiny, rebellion, revolution, insurrection by military or usurped power, riot or civil commotion, an illegal organization, or an industrial dispute.

For claims, please call EFU Life Assurance Ltd at UAN 042-111-333-033 or email at Support@mhealth.efulife.com or claims@efulife.com by post at Claims Department, EFU Life House Plot No 112 8th East Street, DHA Phase 1 Karachi

This is underwritten by EFU Life-WTO registered and supervised by Pakistan’s Securities and Exchange Commission. EFU Life-WTO is responsible for paying claims. The address of EFU Life Assurance is:

EFU Life House, Plot No. 112, 8th East Street, Phase I, DHA, Karachi

Jazz Cash will not be held responsible in case of any rejection of any claim.

Who can avail of this plan?

Pakistani nationals aged a minimum of eighteen (18) years and under sixty-five years (65) can avail this plan for themselves and their family.

How long does the coverage last for customers under these plans?

The coverage options include daily, monthly, and annual. For the daily plan, the customer remains covered for the duration of the day when their contribution is deducted. Similarly, for the monthly plan, coverage extends throughout the month, and for the annual plan, coverage lasts for a year.

The coverage begins as soon as the contribution amount is deducted from the customer’s account.

How can i avail the Hospital Cash Benefit?

Hospital cash is the benefit paid as a per-day allowance as per the selected variant of hospitalization due to any illness or accident.

You can avail of the benefit for yourself or the covered family members on hospitalization up to the maximum limit for the selected variant.

Who is covered under the Hospitalization benefit?

Participant his spouse & 2 children are covered under the plan. The provided limit is for the entire family, with a maximum of 4 covered members.

When does the coverage start for the member?

The moment the amount is deducted from the customer is enrolled in the plan their coverage will start.

Under Hospital Cash Benefit am I covered for Outpatient expenses?

No, under Hospital Cash Benefit minimum twenty-four (24) hours hospital confinement is mandatory.

What are the Accidental Medical Reimbursement benefits?

Reimbursement for the treatment of accidental injuries up to the annual family limit as per the variant without the condition of getting admitted into the hospital.

How many policies I can avail in a year?

You can avail Single policy per CNIC.

How many times can a participant & his family take up hospitalization?

Customers can take up hospitalization as many times as the need arises. Up to a maximum of 100 days in a year.

What does Beneficiary/Nominee mean?

Beneficiary/Nominee means a person or person(s) appointed by you to receive benefits payable under this plan.

Beneficiaries must have insurable interest (for example: Wife, Mother, Father, Brother, Sister, Son, Daughter, Grandson, and Granddaughter).

What does the elimination period mean?

An elimination period means a period of fifteen (15) days from the effective date during which claims arising other than accident will not be payable.

Not applicable on re-enrollment/renewal. m

Who can avail of EFU m-health services?

All family members including parents can use services.

Under what conditions the claim will not be paid?

  • -Pre-existing conditions, Suicide and attempt to suicide, murder, self-inflicted injury, and illegal act of the covered person.
  • -Failure to seek or follow medical advice, taking of alcohol or drugs.
  • -Dental Treatment
  • -War, invasion, act of a foreign enemy, hostilities (whether war be declared or not), armed or unarmed truce, civil war, mutiny, rebellion, revolution, insurrection by military or usurped power, riot or civil commotion, an illegal organization, or an industrial dispute.