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Cashless Entry to Best Hospitals in Sri Lanaka

Carry your Janashakthi Pay Direct card wherever you go… A pressing moment may arise when you least expect it. Janashakthi Pay Direct will be by your side availing the best hospitals in Sri Lanka allowing a cashless entry, stay, get the best medical treatment and checkout.*

 
  Scheme Benefits in Rs.  
  Scheme Description % A B C

%

A B C
(a)  Annual limit   100,000 80,000 50,000
(b)  Maximum limit per event 80% of (a) 80,000 80,000 80,000
(c)  Maximum room charges per day 2% of (a) 2,000 1,600 1,000
(d)  Annual sub limit on Room charges, Admission charges, Administrative fees 35% of (a) 35,000 28,000 17,500
(e)  Annual sub limit on Surgeon fees, Anesthetist, Consultant fees, Doctors charges, Paediatri -cian charges, Nursing Charges, Drugs, IV Fluids,Injections, Operation Theatre, Ward Testing, Surgical Supplies, Blood and Sundries. 50% of (a) 50,000 40,000 25,000
(f)  Annual sub limit on Echocardio -graph, ECG, Physiotherapy, Investigation, X- ray, Ultrasound Scan, Scanning, Pathological Lab Test, Laboratory, Incubator, (Specialized Services) 15% of (a) 15,000 12,000 7,500
 
Salient Features
No more deposits to enter any of our partner hospitals through our Pay Direct Hospitalisation plan
Even your overseas hospitalisation expenses are reimbursed
Recurring ailments are not excluded at renewal
If "family basis" option is selected any number of children under 18 years of age are covered. All newborn babies are covered from the moment they are born.
If indoor treatment is availed at a government hospital, 0.5% of the annual limit will be granted per day up to a maximum of 50 days
Direct settlement of claims to our partner hospitals
Hospitalisation bills are scrutinised by our specialised medical unit to ensure accurate charges by the hospitals, fair/speedy settlements
All your queries are supported through a 24-hour Call Centre
 
How to Make a Claim
Approved Hospitals
In case of hospitalisation in any hospital of our Approved Hospital list please contact our Call Centre No. 011 2303300 prior to admission
However in case of an emergency you may notify our Call Centre after the admission as early as possible
Produce your personalized “Pay Direct” membership card to waive off the deposit and ensure cashless admission
Fill the claim intimation form and submit to the representative who will visit you at the hospital
Click here for list of Approved hospitals
If you were hospitalized at a non-partnered hospital, you can submit the claim on a reimbursement basis after the hospital bill is paid by you.
   
  *You will be required to bear 10% of the total hospital bill on each and every Pay Direct claim at checkout stage.
 
 

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