| Type of Benefit | Max Amount (per case) Rs. |
Duration | Rate (per Date) Rs. |
Limit (per Year) Rs. |
Limit (per lifetime) Rs. |
|---|---|---|---|---|---|
| Private Hospital Room Charges |
30,000.00 |
10 days |
3,000.00 |
150,000.00 |
- |
| Pvt Hospital Surgical & Medical Treatment |
50,000.00 |
- | - |
150,000.00 |
- |
| Private Hospital Consultation Fee |
20,000.00 |
- | - |
150,000.00 |
- |
| Private Hospital Medical Test |
20,000.00 |
- | - |
150,000.00 |
- |
| Gov. Hospital Room Charges |
5,000.00 |
10 days |
500.00 |
150,000.00 |
- |
| Cataract Operation |
20,000.00 |
- | - | - |
40,000.00 |
| Paralysis Package |
100,000.00 |
- | - | - |
100,000.00 |
| Heart Surgery Pkg bill for (Family Member) |
100,000.00 |
- | - | - | - |
| Heart Surgery Detailed bill for (Family Member) |
100,000.00 |
- | - | - | - |
| Cancer Insured Package |
120,000.00 |
- | - | - |
200,000.00 |
| Spinal Fusion Set |
50,000.00 |
- | - | - |
50,000.00 |
| Bone Metal Stents Family |
50,000.00 |
- | - | - |
50,000.00 |
| Gov. Hospital Childbirth |
2,500.00 |
5 days |
500.00 |
2,500.00 |
- |
| Pvt Hospital Childbirth - (Normal) |
10,000.00 |
5 days |
2,000.00 |
10,000.00 |
- |
| Pvt Hospital Childbirth - (Cesarean) |
40,000.00 |
- | - |
40,000.00 |
- |
| Spectacles |
3,500.00 |
- | - | - | - |
| Permenent Total Disablement |
600,000.00 |
- | - | - |
600,000.00 |
| Permenent Partial Disablement |
300,000.00 |
- | - | - |
300,000.00 |
| Temprory Partial Disablement |
26,000.00 |
52 weeks |
500.00 |
- |
26,000.00 |
| Natural Death Insured |
150,000.00 |
- | - | - |
150,000.00 |
| Accidental Death Insured |
600,000.00 |
- | - | - |
600,000.00 |
| Kidney Insured Package |
200,000.00 |
- | - | - |
200,000.00 |
| Pvt. Hospital Bypass (Member) |
500,000.00 |
- | - | - |
500,000.00 |
| Bare Metal Stents - (Member) |
120,000.00 |
- | - | - |
500,000.00 |
| Drug Eluting Stent - (Member) |
290,000.00 |
- | - | - |
500,000.00 |
| Dilatation Catheter - (Member) |
36,000.00 |
- | - | - |
500,000.00 |
| PTCA Balloon - (Member) |
39,500.00 |
- | - | - |
500,000.00 |
| Guide Wire - (Member) |
12,500.00 |
- | - | - |
500,000.00 |
| Patent Ductus Arterious (PDA) |
145,000.00 |
- | - | - |
500,000.00 |
| Atrial Spetal Defect (ASD) |
293,000.00 |
- | - | - |
500,000.00 |
| Ventricular Spetal Defect (VSD) |
293,000.00 |
- | - | - |
500,000.00 |
| Pace Maker (Singal) |
136,000.00 |
- | - | - |
500,000.00 |
| Pace Maker (Dual) |
272,000.00 |
- | - | - |
500,000.00 |
| PFO Occluder |
293,000.00 |
- | - | - |
500,000.00 |
| Implantable Cardiovetor Defibrillator (ICD) |
300,000.00 |
- | - | - |
500,000.00 |
| Radio Frequency Ablation (RF Ablation) |
225,000.00 |
- | - | - |
225,000.00 |
| Type of Benefit | Max Amount (per case) Rs. |
Duration | Rate (per Date) Rs. |
Limit (per Year) Rs. |
Limit (per lifetime) Rs. |
|---|---|---|---|---|---|
| Private Hospital Room Charges |
50,000.00 |
10 days |
5,000.00 |
250,000.00 |
- |
| Pvt Hospital Surgical & Medical Treatment |
60,000.00 |
- | - |
250,000.00 |
- |
| Private Hospital Consultation Fee |
35,000.00 |
- | - |
250,000.00 |
- |
| Private Hospital Medical Test |
30,000.00 |
- | - |
250,000.00 |
- |
| For obtaining in-house treatment in a private Ayurvedic hospital subjective to above categories (private Ayurvedic hospital should be a registered entity under local subjective Ministry.) | - | - | - |
160,000.00 |
- |
| Gov. Hospital Room Charges |
10,000.00 |
10 days |
1,000.00 |
250,000.00 |
- |
| Gov. Ayurvedic Hospital Room Charges |
10,000.00 |
10 days |
1,000.00 |
10,000.00 |
- |
| Gov. Hospital Childbirth |
7,500.00 |
5 days |
1,500.00 |
- | - |
| Pvt Hospital Childbirth - Normal |
25,000.00 |
- | - |
25,000.00 |
- |
| Pvt Hospital Childbirth - Cesarean |
60,000.00 |
- | - |
60,000.00 |
- |
| Heart related surgeries Family Member |
150,000.00 |
- | - | - |
150,000.00 |
| Heart Surgeries (Only for Member) | - | - | - | - |
800,000.00 |
| RF Ablation (Only for Member) | - | - | - | - |
350,000.00 |
| Cancer Insured Package (Only for Member) | - | - | - | - |
400,000.00 |
| Kidney transplantations (Only for Member) | - | - | - | - |
800,000.00 |
| Brain Surgeries (Only for Member) | - | - | - | - |
800,000.00 |
| Implantation of knees (Only for Member) | - | - | - | - |
150,000.00 |
| Implantation of hip bones (Only for Member) | - | - | - | - |
150,000.00 |
| Hearing aids (Only for Member) | - | - | - | - |
75,000.00 |
| Spectacles (Only for Member) |
3,500.00 |
- | - | - | - |
| Cataract Operation |
20,000.00 |
- | - | - |
40,000.00 |
| Paralysis Package | - | - | - | - |
100,000.00 |
| Natural Death Insured (Only for Member) |
400,000.00 |
- | - | - |
400,000.00 |
| Accidental Death Insured (Only for Member) |
1,000,000.00 |
- | - | - |
1,000,000.00 |
| Personal Accident Insured (Only for Member) |
1,000,000.00 |
- | - | - |
1,000,000.00 |
| Type of Benefit | Max Amount (per case) Rs. |
Duration | Rate (per Date) Rs. |
Limit (per Year) Rs. |
Limit (per lifetime) Rs. |
|---|---|---|---|---|---|
| Private Hospital Room Charges |
80,000.00 |
10 days |
8,000.00 |
350,000.00 |
- |
| Pvt Hospital Surgical & Medical Treatment |
80,000.00 |
- | - |
350,000.00 |
- |
| Private Hospital Consultation Fee |
50,000.00 |
- | - |
350,000.00 |
- |
| Private Hospital Medical Test |
40,000.00 |
- | - |
350,000.00 |
- |
| For obtaining in-house treatment in a private Ayurvedic hospital subjective to above categories (private Ayurvedic hospital should be a registered entity under local subjective Ministry.) | - | - | - |
200,000.00 |
- |
| Gov. Hospital Room Charges |
30,000.00 |
10 days |
3,000.00 |
350,000.00 |
- |
| Gov. Ayurvedic Hospital Room Charges |
30,000.00 |
10 days |
3,000.00 |
30,000.00 |
- |
| Gov. Hospital Childbirth |
15,000.00 |
5 days |
3,000.00 |
- | - |
| Pvt Hospital Childbirth - Normal |
50,000.00 |
- | - |
50,000.00 |
- |
| Pvt Hospital Childbirth - Cesarean |
100,000.00 |
- | - |
100,000.00 |
- |
| Heart related surgeries Family Member |
200,000.00 |
- | - | - |
200,000.00 |
| Heart Surgeries (Only for Member) | - | - | - | - |
1,000,000.00 |
| RF Ablation (Only for Member) | - | - | - | - |
500,000.00 |
| Cancer Insured Package (Only for Member) | - | - | - | - |
600,000.00 |
| Kidney transplantations (Only for Member) | - | - | - | - |
1,200,000.00 |
| Brain Surgeries (Only for Member) | - | - | - | - |
1,200,000.00 |
| Implantation of knees (Only for Member) | - | - | - | - |
250,000.00 |
| Implantation of hip bones (Only for Member) | - | - | - | - |
250,000.00 |
| Hearing aids (Only for Member) | - | - | - | - |
100,000.00 |
| Spectacles (Only for Member) |
5,000.00 |
- | - | - | - |
| Cataract Operation |
20,000.00 |
- | - | - |
40,000.00 |
| Paralysis Package | - | - | - | - |
200,000.00 |
| Natural Death Insured (Only for Member) |
700,000.00 |
- | - | - |
700,000.00 |
| Accidental Death Insured (Only for Member) |
2,000,000.00 |
- | - | - |
2,000,000.00 |
| Personal Accident Insured (Only for Member) |
1,500,000.00 |
- | - | - |
1,500,000.00 |
| Type of Benefit | Max Amount (per case) Rs. |
Duration | Rate (per Date) Rs. |
Limit (per Year) Rs. |
Limit (per lifetime) Rs. |
|---|---|---|---|---|---|
| Private Hospital Room Charges |
100,000.00 |
10 days |
10,000.00 |
400,000.00 |
- |
| Pvt Hospital Surgical & Medical Treatment |
90,000.00 |
- | - |
400,000.00 |
- |
| Private Hospital Consultation Fee |
55,000.00 |
- | - |
400,000.00 |
- |
| Private Hospital Medical Test |
45,000.00 |
- | - |
400,000.00 |
- |
| For obtaining in-house treatment in a private Ayurvedic hospital subjective to above categories (private Ayurvedic hospital should be a registered entity under local subjective Ministry.) | - | - | - |
250,000.00 |
- |
|
Gov. Hospital Room Charges Rs. 3000/- per day for a maximum of 21 days per year. (Maximum of 07 days per incident) |
- | - |
3,000.00 |
63,000.00 |
- |
|
Gov. Ayurvedic Hospital Room Charges Rs. 3000/- per day for a maximum of 21 days per year. (Maximum of 07 days per incident) |
- | - |
3,000.00 |
63,000.00 |
- |
| Gov. Hospital Childbirth |
15,000.00 |
5 days |
3,000.00 |
- | - |
| Pvt Hospital Childbirth - Normal |
50,000.00 |
- | - |
50,000.00 |
- |
| Pvt Hospital Childbirth - Cesarean |
125,000.00 |
- | - | - | - |
|
Heart related surgeries for (Family Member) ** One in lifetime for one member of the family unit ** |
- | - | - | - |
200,000.00 |
| Heart Surgeries (Only for Member) | - | - | - | - |
1,000,000.00 |
| Cancer Insured Package (Only for Member) | - | - | - | - |
600,000.00 |
| Kidney transplantations (Only for Member) | - | - | - | - |
1,200,000.00 |
| Brain Surgeries (Only for Member) | - | - | - | - |
1,200,000.00 |
| Implantation of knees (Only for Member) | - | - | - | - |
250,000.00 |
| Implantation of hip bones (Only for Member) | - | - | - | - |
250,000.00 |
|
Hearing aids (Family Member) ** One in lifetime for one member of the family unit ** |
- | - | - | - |
50,000.00 |
| Hearing aids (Only for Member) | - | - | - | - |
100,000.00 |
|
Cataract Surgery (Family Member) ** One in lifetime for one member of the family unit ** |
- | - | - | - |
20,000.00 |
| Cataract Surgery (Only for Member)** Per eye ** |
50,000.00 |
- | - | - | - |
| Natural Death Insured (Only for Member) |
700,000.00 |
- | - | - |
700,000.00 |
| Accidental Death Insured (Only for Member) |
2,000,000.00 |
- | - | - |
2,000,000.00 |
| Total Permenent Disablement caused by Accidents (Only for Member) |
1,500,000.00 |
- | - | - |
1,500,000.00 |
| Total Permenent Disablement caused by Disease (Only for Member) |
200,000.00 |
- | - | - |
200,000.00 |
| Type of Benefit | Max Amount (per case) Rs. |
Duration | Rate (per Date) Rs. |
Limit (per Year) Rs. |
Limit (per lifetime) Rs. |
|---|---|---|---|---|---|
| Private Hospital Room Charges |
30,000.00 |
10 days |
3,000.00 |
- | - |
| Pvt Hospital Surgical & Medical Treatment | - | - | - |
50,000.00 |
- |
| Private Hospital Consultation Fee | - | - | - |
20,000.00 |
- |
| Private Hospital Medical Test | - | - | - |
20,000.00 |
- |
| For obtaining in-house treatment in a private Ayurvedic hospital subjective to above categories (private Ayurvedic hospital should be a registered entity under local subjective Ministry.) | - | - | - |
120,000.00 |
- |
| Gov. Hospital Room Charges |
5,000.00 |
10 days |
500.00 |
- | - |
| Gov. Ayurvedic Hospital Room Charges |
5,000.00 |
10 days |
500.00 |
- | - |
| Heart Surgeries (Only for Member) | - | - | - | - |
500,000.00 |
| RF Ablation (Only for Member) | - | - | - | - |
225,000.00 |
| Cancer Insured Package (Only for Member) | - | - | - | - |
200,000.00 |
| Kidney transplantations (Only for Member) | - | - | - | - |
200,000.00 |
| Reanal Failure (Only for Member) | - | - | - | - |
150,000.00 |
| Paralysis (Only for Member) | - | - | - | - |
150,000.00 |
| Multiple Sclerosis (Only for Member) | - | - | - | - |
150,000.00 |
| Primary Pulmonary Arterial (Only for Member) | - | - | - | - |
150,000.00 |
| Fulminate Hepatitis (Only for Member) | - | - | - | - |
150,000.00 |
| Hearing aids (Only for Member) | - | - | - | - |
50,000.00 |
| Avastin Injection (Only for Member) | - | - | - | - |
25,000.00 |
| Natural Death Insured (Only for Member) |
150,000.00 |
- | - | - |
150,000.00 |
| Accidental Death Insured (Only for Member) |
600,000.00 |
- | - | - |
600,000.00 |
| Name | Address |
|---|---|
| NEW CHANDRA MOTORS | No.190, Dr.N.M.Perera Mawatha,Colombo 08 |
| LIYANAGE MOTORS | No.164/F,Main Street,Battaramulla |
| CHANDRASIRI MOTOR WORKS | No.125, Rajagiriya Road,Rajagiriya |
| NEW RANJITH MOTORS | No.197/5, Rajagiriya road,Rajagiriya |
| SANJEEWA MOTORS | No.1177/1, Kotte Road,Rajagiriya |
| ORIENTAL MOTOR GARAGE | No.135, D.R.Wijewardena Mawatha,Colombo 10 |
| POPULAR HOUSE | No.189, Colombo Road,Divulapitiya,Boralasgamuwa |
| AJITH AUTO ENGINEERING | No.122, Buthgamuwa Road, Rjagiriya |
| MATARA GARAGE | No.287/5, Highlevel Road,Kirillapona,Colombo 05 |
| SDH ENTERPRISE | No.18/6 A,Vidyakara Mawatha,Maharagama |
| DS MOTORS | No.206/4, Dehiwala Road,Maharagama |
| RATHNA MOTORS | No.128/4, Galwala Road,Katuwawala,Boralasgamuwa |
| JAYA MOTORS | No.194, Colombo Road,Divulpitiya,Boaralasgamuwa |
| UD MOTORS ENGINEERING | No.108/3, Pelenwatta, Pannipitiya |
| DULRAN MOTORS | No.286/3, Makumbura, Pannipitiya |
| RDS MOTORS | No.56/2, Thalawathugoda Road,Colombo |
| NEW SUSIL MOTORS | No.506/B,Anagarika Dharmapala Mawatha,Thalawathugoda |
| NEW NETHMINI MOTORS | No.12, Rajamalwatta Road,Battaramulla |
| AUTO FORCE | No.49/2, Sri Saranankara Road,Dehiwala |
| GRND AUTO –TECH | No.1/B/2,Horana Road,Kahathuduwa,polgasowita |
| HIRUSHI AUTO | Kidelpitiya,Wemilla Junction,Bandaragama |
| SAJITH MOTOR WORKS | No.61, Dibbedda Road,Panadura |
| WEST END MOTORS | No.144, Ward Place,Colombo 07 |
| KUMASARU AUTO MOBILE | No.32, Nawala Road,narahenpita,Colombo 05 |
| ASIRI MOTORS | No.25/5, Buwanekabahu Mawatha,Mirihana,Kotte |
| SISHAN MOTORS | No.253, Rajasinghe Mawatha,Kothalawala,Kaduwela |
| S.L.MOTORS | No.4/5, Walpola, Aggona, Angoda |
| CHAMUDINI MOTORS | No.510, Gamage Wtta,Gothatuwa |
| MR.PAINT | No.175, Vauxhall Street,Colombo 02 |
| EURO CAR MART | No.06, Staition Road,Colombo 02 |
| U.D.P.FERNANDO & CO.(PVT) LTD | No.265/2, Sri Saddharma Mawatha,Colombo 10 |
| 505 MOTORS | No.885, Danister De Silva Mawatha,P.O.Box 1862,Colombo 14 |
| CEYLON MOTOR WORKS | No.761/1, Kandy Road,Kelaniya |
| B M D ENGINEERING PVT LIMITED | No.69, Athurugiriya road,Homagama |
| Dissanayaka Motors | No.64/188, Santhananpitiya Rd,3rd step,Embuldeniya,Kelaniya |
| Shameera Garage | No.26/1 Malini Bulathsinhala Rd, Borelasgamuwa |
| Padmini Motors | No.120/D/6,Galwala Rd,Katuwawala,Boralesgamuwa |
| B.M.D Engineering Works (PVT.)Ltd | No.69,Athurugiriya Rd,Homagama |
| Samantha Motors Center | No .412/18/B,Pitipana North, Homagama |
| Reliable Motor Traders (Pvt) Ltd | No:94/1,Vijaya Kumaranatunga Mw,Polhengoda,Colombo 05 |
| Dayasri Auto Tech (PVT) Ltd | No.48/B,Kolamunna,Piliyandala |
| Jayantha Motors & Fiber Glass | 50,Jaya Mawatha,Battaramulla |
| New Perera Motors | 645,Subithipura Road,Battaramulla |
| Thilakarathna Motors | No.115A,Rabarwatta Rd,Gangodawila,Nugegoda |
| Goldway Motor Engineers | No.Horana Rd,Honnanthara,Kesbewa |
| Sriya Ananda Motors | No.252,High Level Rd,Kirulapona,Colombo 06 |
| Italian Thoroughbred Motor Company (pvt) Ltd | No.268B,Ariyasighala Mawatha,Kalapaluwawa,Rajagiriya |
| Preethi Motors | Galle Rd,Pambrana,Matara,sri Lanka |
| Matara Auto Tec | No.363A,Anagarika Dharmapala Rd,Nupe,Matara |
| Samrasinghe Motors (Pvt) Ltd | No.21,Dumriyapola Rd,Matara |
| Siri Motors | 512B,Maithripala senanayaka Mawatha,New Town,Anuradhapura |
| Wheel Masters Private Limited | No:514/A3A,Mithreepala Senanayaka Mawatha,Anuradhapura |
| New Jayasekera Automotors(PVT)Ltd | No.209,Wilgoda Circular Road,Yantampalawa,Kurunegala |
| Submission of the Authorized Officer's Details form (1) | English |
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