General Information
IF YOU PLAN TO TRAVEL TO IRAN,DO NOT WORRY ABOUT YOUR MEDICAL
COVERAGE
Dana Insurance Company through its direct contract with over 80
hospitals and medical centres across the country will cover,
upon any unforeseen occurance of illness or accidents your
medical requirements.
1. Payment of medical expenses.
2. Payment of emergency dental expenses.
3. Payment of medical Transportation (by air, land and/or sea
ambulance) to hospital.
4. Legal assistance.
5. Assistance in case of any problem ( loss or missing travel
documents).
6. Repatriation of any child under the age of fifteen ( in
the case of death) or hospitalization of the insured.
7. Payment of one round-trip ticket for any one accompanying
the insured .
8. Payment for the costs of repatriation of the deceased
body.
Premium (US Dollar)
Duration Of Cover |
12 to 65 years old |
66 to 70 years old |
71 to 80 years old |
1 to 7 days |
15 |
22 |
30 |
8 to 15 days |
22 |
33 |
44 |
16 to 23 days |
29 |
43 |
58 |
24 to 31 days |
34 |
51 |
68 |
32 to 45 days |
42 |
63 |
84 |
46 to 62 days |
50 |
75 |
100 |
63 to 92 days |
75 |
112 |
150 |
* For applicants under the age of 12 premiums will be reduced
by 50%
* Groups between 10 to 20 will receive 5% discount.
* Groups between 21 to 50 will receive 10% discount.
* Groups between 51 to 100 will receive 15% discount.
* Groups larger than 100 will receive 20% discount.
ACTIONS TO BE TAKEN IN THE EVENT OF A CLAIM
On the occurance of an accident or other unforeseen events,
the insured person is to contact the emergency calls centre of
Dana Insurance Company in Tehran, Iran, telephone: (9821)
8791022 immediately, quoting the data on his certificate of
insurance . If it is not possible to make such an emergency call
prior to recieving the services of the doctor/hospital, the
insured person is obliged to contact the emergency calls centre
immediately after the start of treatment.
General Conditions
1.1 DEFINITIONS
As used herein, capitalised terms shall have the following
respective meanings:
1- Insured : The person under 80 years of age, and covered
under a valid Travel Insurance Policy issued by DANA Insurance
Company.
2 - Medical Team : Medical structure appropriate to every
Claim and defined by DANA Insurance Company chief medical
officer and the treating physician.
3 - Bodily Injury : Wherever used therein means bodily injury
caused solely and directly by violent, accidental, external and
visible means, excluding illness or disease, and occurring after
the beginning of the journey abroad undertaken by the Insured
during which such bodily injury gives rise to a request for
assistance by the Insured or his representatives.
4 - Illness : Wherever used therein means sudden and
unforeseen sickness or disease contracted, commencing or
originating after the beginning of the journey aborad undertaken
by the Insured during which such sickness or disease gives rise
to a request for assistance by the Insured or his
representatives.
5 - Claim : Any event which may give rise to DANA Insurance
Company interventions.
6 - Relative : Insured?s father, mother, child, spouse,
brother or sister.
7 - Serious Medical Reason : Bodily Injury or illness of such
gravity that it endangers the person?s life.
8 - $ U.S. : Shall mean the lawful currency of the United
States of America.
9 - RLS : Shall mean the lawful currency of Islamic Republic
of Iran.
10 - Deductible : part of the expenses born directly by the
Insured.
1.2. TERRITORIALITY
The benifits mentioned in chapter II apply inside IRAN
1. 3. PERIOD OF COVER
Assistance will only be granted for travels inside Iran which
do not exceed 92 consecutive day.
1.4. PRESCRIPTION
Every claim in respect of a covered event shall be time
barred within one year from the date of occurrence of such
event.
1. 5. SUBROGATION
Dana Insurance Company shall take the place of the Insured,
to the extent of the cost incurred or indemnity paid, in the
rights and actions of the Insured against anyone responsible for
an accident causing a claim for one of the hereinlisted
benefits. When the services provided by DANA Insurance Company
are covered in whole or in part by another scheme. DANA
Insurance Company shall be subrogated to the rights and causes
of action of the Insureds against said schemes.
1.6. LIABILITY
DANA Insurance Company shall not be held responsible for
delays or failures to provide the assistance in case of strike,
war, invasion, act of foreign enemies, hostilities (whether war
be declared or not), civil war, rebellion, insurrection,
terrorism or military or usurped power, riot and civil
commotion, radioactivity or any other event of force majeure
General Exclusions
A) Assistance will only be granted for travels no longer than
92 consecutive day.
B) The Insured will not be entitled to the reimbursement of
the expenses directly paid by him or by any person on Insureds
behalf without the previous declaration to and the authorisation
of DANA Insurance Company Alarm Center as listed in Chap. IV
C) Furthermore are excluded the claims :
a) Resulting from travels with a therapeutic objective
b) Resulting from treatments provided in the country of
residence
c) Resulting from prophylactic treatments or vaccinations
d) Resulting from spa cure, physiotheraphy, heliotherapy or
aesthetic treatment
e) Arising out of any existing, recurring, chronic or
continuing illness or any conditions of which the Insured is
aware of or for which he received treatment. The convalescence
is considered as a full part of the illness.
f) Resulting from war, invasion, acts of foreign enemies,
hostilities (whether war be declared or not) civil war,
rebellion, insurrection, terrorism or military or usurped power,
riot and civil commotion.
b) Resulting from intentional self injury and from the
participation of the Insured to criminal actions.
c) Occuring whilst the Insured is engaged as competitor in
bets, horse races, bike races and any kind of motor races or
exhibitions.
d) Due to the participation of the Insured to a fight except
in case of self defense.
e) Due to the practice of sports, on a professional basis or
in order to train for an official competition or an exhibition.
f) Directly or indirectly caused by or contributed to by or
arising from ionising radiation or contamination by
radioactivity from any irradiated nuclear fuel or the
radioactive toxic explosive or other hazardous properties of any
explosive nuclear assembly or nuclear component thereof.
g) Arising out of any chronic or continuing illness or
condition of which the Insured is aware or for which he received
treatment before the beginning of the period of coverage during
which such illness gives rise to a request for assistance by the
Insured or his representatives. The convalescence is considered
as a full part of the illness.
h) Consequent upon pregnancy within three months of the
expected date of delivery or upon voluntary abortion.
i)Caused by mental illness or alienation.
j) Sustained whilst under the influence of or disablement due
wholly or partly to the effects of intoxicating liquor or drugs
other than drugs taken in accordance with treatment prescribed
and directed by a qualified registered medical practitioner.
k) Resulting from death, injury or illness due to suicide or
attempt of same.
l) Whilst the Insured is engaged or taking part in racing,
motor rallies and competitions, professional or organized
sports, mountaineering (reasonally requiring the use of ropes or
guides), pot holing, ski diving, winter sports, aeronautics or
any form of serial flight except as a fare-paying passenger of a
property licensed aircraft being operated by a licensed
commercial air carrier or owned and operated by a commmercial
concern.
Benefits
II.1. Medical Transportation
Should the Insured suffer accidental Bodily Injury or sudden
illness (and/or compulsory quarantine), during the period of
cover, DANA Insurance Company will organise and pay for :
(I) The admission of the Insured into the nearest hospital
(ii) If necessary on medical grounds, the transfer of the
Insured by any means (including but not limited to air
ambulance, scheduled flight, road ambulance...) to a more
appropriate hospital according to the nature of the injuries or
of the illness, and the repatriation to domicile whenafter local
treatment the condition of the Insured will not prevent his
repatriation to domicile as a regular passenger, according to
the medical opinion of the treating physician and DANA Insurance
Company Medical Team. This repatriation will be carried out by
scheduled airline or other adequate means, should his original
return ticket not be valid for that purpose.
Or,
(iii) Repatriation of the Insured by any means to a hospital
near to his home in domicile, if his condition does not prevent
such a repatriation.
11.2. Payment of medical expenses
100,000 Rls deductible shall apply in all cases on each
Claim, except in case of Bodily Injury and/or hospitalization
for at least 24 hours. DANA Insurance Company guarantees the
payment of the emergency medical, surgical, pharmaceutical and
hospital expenses incurred by the insured or any person acting
on his behalf, on medical prescription, in urgent cases arising
as a result of a Bodily Injury or a sudden Illness, with the
exclusion of any kind of prosthesis.
In any case, the medical expenses are covered up to the time
the Insured meets the medical conditions for a repatriation in
Domicile, conditions which are assessed by DANA Insurance
Company medical team and the treating physician. Should the
Insured refuse the repatriation to home country, the medical
expenses shall then be covered up to the amount of the costs of
the repatriation, should this later have been performed.
11.3. Medical Referral
In an emergency situation, Dana Insurance Company will
provide the Insured with basic information such as : names of
doctors, specialists, dentists or paramedical staff nearby,
location of hospitals, medical centres, drugstores, ambulances
... and give simple advice as to the action to be taken with the
exclusion of any medical diagnosis.
11.4. Payment of emergency dental expenses
Subject to a limit of Rls. 500,000 per Insured and per period
of cover.DANA Insurance Company guarantees payment of emergency
dental expenses incurred by the Insured or any person acting on
his behalf in emergency cases,arising as a result of a Bodily
Injury or of an illness, with the exclusion of any of prosthesis
and or definitive filling.
11.5. Repatriation in case of death
In the event of the death of the Insured DANA Insurance
Company will take all the necessary measures to organise the
repatriation of the body and will pay for the post mortem
treatment and the basic coffin required for international
transportation, and the transportation of the remains to the
airport nearest to the place of burial in domicile. Funeral or
burial expenses are not covered.
11.6. Legal assistance
DANA Insurance Company undertakes to organize and pay up to
the equivalent amount in local currency for the legal defense of
the Insured, should he/she be prosecuted for civil liability
according to the Civil Code in force in the country further to
accidental damage caused to a third party or involuntary
violation or no respect of the laws and local settlements of
administrative nature in a private life situation, as simple
citizen, with exclusion of the claims arising out of the use,
possession or safe-keeping of a motor vehicle.
11.7. Emergency visit
If the Insured should be hospitalised as a result of a Bodily
Injury or illness for more than 10 (ten) consecutive day, DANA
Insurance Company will, at the Insured?s request, provide and
pay for one round-trip ticket (on scheduled flight economy
class) for any one person designed by the Insured coming to his
bedside.
11.8. Enquire in case of a problem
In case of loss or theft of essential travel documents such
as passport, visa, airline ticket ... DANA Insurance Company
will provide the Insured with the necessary information
regarding the formalities to be fulfilled with the appropriate
local authorities or entitles in order to obtain the replacement
of such lost or stolen documents
11.9. Return of child(ren) left unattended
When an Insured has been evacuated and/or repatriated as per
the assistance service II.1. ?Medical Transportation? or II.5.
?Repatriation in case of Death", and is no longer able to attend
to any child under the age of fifteen who may have been
travelling with him at the time of occurrence of the Assistance
Event, DANA Insurance Company will organize and pay for the
return of such child to domicile, under the supervision of an
adult person.
OBLIGATIONS OF THE INSURED
A) GENERAL PROCEDURE
1) REQUEST FOR ASSISTANCE
In case of emergency, the Insured shall call, one of the
following DANA Insurance Company V.I.P 24 hours a day Alarm
Center :
Alarm Center |
City |
Number |
Tehran |
021 |
8791228 |
Tehran |
021 |
8792992 |
Tehran |
0911 |
2071173 |
Before undertaking any personal action and :
- state his name, the number and validity dates of his Travel
Insurance Policy.
- state the place and telephone number where he/she can be
reached
- give a brief description of the problem encountered and
nature of help required
2. FAILURE TO NOTIFY DANA Insurance Company
DECLARATION
Any declaration of a claim shall be made within maximum 48
hours after the beginning of the hospitalisation or the medical
consulting.All declaration made after this delay shall be deemed
as nil and therefore be rejected by The Insurer.
Life threatening situation :
Any other of this Appendix or of This Agreement
notwithstanding, in a life-threatening situation, the Insured or
his representative should always try to arrange for emergency
transfer to a hospital near the place of occurrence of such
situation through the most appropriate means, and to call DANA
Insurance Company V.I.P Centre to provide the appropriate
information as soon as practicable.
Hospitalisation prior to notice DANA Insurance Company :
In any case of Illness or Bodily Injury requiring
hospitalisation, the insured or any person acting on his behalf
must inform DANA Insurance Company within 48 hours from the time
of occurrence. Failure to do so may entitle DANA Insurance
Company to invoice the supplementary cost to be borne by DANA
Insurance Company which would not have been incurred had this 48
hours delay been respected the Insured.
B) MEDICAL TRANSFER
If the Insured claims for a medical transfer or repatriation,
the following conditions have to be observed :
i) In order to enable DANA Insurance Company to take action
as quickly as possible the insured or any person acting on his
behalf must give:
- the name, address and phone number of the hospital where
the insured has been taken
- the name, address and phone number of the treating
physician, and if necessary the family doctor
ii) DANA Insuranc Company Medical Team or agents shall have
free access to the Insured in order to ascertain his condition
if this obligation is not fulfilled and except justified
opposition, the Insured will no longer be entitled to medical
assistance.
iii) In any case, DANA Insurance Company, upon agreement with
the treating physician, will choose the date and means of
transportation. Medical transfer or repatriation by air
ambulance shall be limited to continental transportation.
iv) Should DANA Insurance Company pay for the transportation
of the Insured, the latter will be asked to hand over to DANA
Insurance Company the unused portion of his original ticket or
its counter-value.
C) GENER?L PROVISIONS
- Limitation
As soon as a Claim occurs the Insured must make every
endeavour to limit or stops its consequences.
- Recovery
The Insured will provide Dana Insurance Company with all
documents and all necessary formalities so as to enable Dana
Insurance Company to recover from relevant sources, if
applicable.
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