Pramerica Life Dengue + Group Shield

 Eligibility to claim must include meeting all of the following conditions:

• Positive Chikungunya virus serologic testing via enzyme-linked immunosorbent assay (IgM - ELISA) or indirect fluorescent antibody (IFA) and • At least one of the following:

a. Acute disseminated intravascular coagulation (DIC): A definite diagnosis of acute disseminated intravascular coagulation made by appropriate lab testing and confirmed by a certified specialist

OR

b. Leucopenia: Decreased White Blood Cell count of less than 2000 cells / cu. mm 

Eligibility to claim must include meeting all of the following conditions:

• Light microscopy confirming the presence of malarial parasites in blood and • At least one of the following:

a. Cerebral malaria manifest as Coma: Coma is defined as a state of unconsciousness with no reaction to external stimuli or internal needs. The coma must persist for at least 96 hours and require intubation and mechanical ventilation to sustain life and not be attributable to any other cause than cerebral malaria. Medically induced coma to be excluded

b. Cerebral malaria manifest as repeated generalized seizures: Generalized seizures are seizures that are associated with a loss of consciousness. Repeated seizures means >3 seizures within 24 hours. 

c. Severe anemia: Severe anaemia is defined as a haemoglobin <5 g/dl or a haematocrit of <15% in children (age <12 years) and a haemoglobin <7 g/dl or a haematocrit of <20% in adults.

d. Renal failure: Renal failure here is defined as a serum creatinine >3.0 mg/dl despite adequate volume replacement along with a urine output of < 400 ml in 24 hours for an adult (>=12 years of age) and < 12 ml per kg of body weight in 24 hours for children (<12 years of age).

e. Acute disseminated intravascular coagulation (DIC): A definite diagnosis of acute disseminated intravascular coagulation made by appropriate lab testing and confirmed by a certified specialist.

f. Lactic Acidosis: A definite diagnosis of lactic acidosis as manifest by an arterial blood pH of < 7.25 with a plasma bicarbonate level of < 15 mmol/l and a venous lactate level of > 15 mol/l.

g. Pulmonary oedema: A definite diagnosis of pulmonary oedema manifest by all of the following:

i. Respiratory rate >30 breaths per minute

ii. Oxygen saturation <92% on room air

iii. Signs of pulmonary oedema on clinical examination iv. Confirmed pulmonary edema on chest x-ray