Please add the PED details

• Does the insured member have any pre-existing disease?
  Add disease details

  S.NO.	Name of disease	PED suffering from	Treatment taken	Exact diagnosis	Hospital name	Consultation date	Other Disease	Action

• Does the insured member have a planned surgery?
  

  

  Sorry! Opted disease is not covered under this policy.
• Does the insured member take medicines regularly?
  

  
• Has the insured member been advised investigation or further tests?
  
• Was the insured member hospitalised in past?
  

  
• Is expecting a baby?
  

  Sorry! Opted disease is not covered under this policy.
• Does the insured member smoke/consume alcohol?
• Has the insured member ever filed a claim with their current/previous Insurer?
• Has any proposal of the insured member for life insurance, critical illness or health insurance been declined, cancelled or charged a higher premium?
• Does any immediate family member (father, mother, brother or sister) of the insured member have/had: diabetes, hypertension, cancer, heart attack, or stroke?
• Is the insured member presently suffering (or suffered in the past 15 days) from any disease/illness/ accident/injury other than common cold or fever?