Medical Chart Regular PDF

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Regular Medical Examination Chart

TMSA under fresh Age At Entry (Nearer Birthday)


proposal together with
sum at risk under
policies taken during Up to 35 years 36 to 45 years 46 to 50 years 51 to 59 years 60 yrs and above
last 2 years
Up to 1 lakh
MER (ML1) MER (ML1) MER (ML1) MER (ML1) MER,FBS,ECG (ML4)

100,001- 300,000 MER,FBS,ECG MER,FBS,ECG,LIP,RU MER,FBS,ECG,LIP,R


MER (ML1) MER (ML1) (ML4) A (ML5) UA (ML5)

300,001- 500,000 MER,FBS,ECG,LIP, MER,FBS,ECG,LIP,RU MER,FBS,ECG,LIP,R


MER (ML1) MER,FBS,LIP (ML3) RUA (ML5) A (ML5) UA (ML5)
Up to 30
Yrs 31 -35 Yrs MER,ECG,RUA,S12 MER,TMT,RUA, MER,TMT,RUA,CBC,S MER,TMT,RUA,CBC,
500,001- 1,500,000
MER,FBS (ML6) CBC,S12 (ML9) 12 (ML9) S12 (ML9)
MER (ML1) (ML2)

MER,ECG,RUA,S12,HI
1500001 - 5000000
V,AUS (ML8) MER,TMT,RUA,CB
MER,ECG,RUA,S12,HIV MER,TMT,RUA,CBC,S MER,TMT,RUA,CBC,
C, S12,HIV,AUS
(ML7) 12,HIV,AUS (ML11) S12,HIV,AUS (ML11)
(ML11)
MER,TMT,RUA,S12,HI
5000001 - 99,99,999
V,AUS (ML10)

MER,TMT,RUA,CBC,S MER,TMT,RUA,CB MER,TMT,RUA,CBC,S MER,TMT,RUA,CBC,


MER,ECG,RUA,S12,HIV
1 crore and above 12,HIV,AUS,CXR C,S12,HIV,AUS,CX 12,HIV,AUS,CXR S12,HIV,AUS,CXR
(ML7)
(ML12) R (ML12) (ML12) (ML12)

S.No Medical Code Type of Medicals


1 ML1 MER
2 ML2 MER,FBS
3 ML3 MER,FBS,LIP
4 ML4 MER,FBS,ECG
5 ML5 MER,FBS,ECG,LIP,RUA
6 ML6 MER,ECG,RUA,S12
7 ML7 MER,ECG,RUA,S12,HIV
8 ML8 MER,ECG,RUA,S12,HIV,AUS
9 ML9 MER,TMT,RUA,CBC,S12
10 ML10 MER,TMT,RUA,S12,HIV,AUS
11 ML11 MER,TMT,RUA,CBC,S12,HIV,AUS
12 ML12 MER,TMT,RUA,CBC,S12,HIV,AUS,CXR
Note:-
1. Above medical chart is applicable for Life Products including MRTA.
2. SMA12 must include the following:a. FBS b. S.Cholestrol c. S. Triglycerides d. HDL e. LDL f. S. Proteins, g. S.Albumin, h.
S.Bilirubin (Direct & Indirect) i. SGOT j. SGPT k. S. Creatinine l. GGT.
3. Lipid Profile must include: Total Cholesterol, S. Triglycerides, S. HDL Cholesterol
4. TMT: Computerised Treadmill test with multichannel recorder & by Bruce Protocol or Modified Bruce
Protocol only if Bruce Protocol is not indicated because of past disease.
Please note that the above chart is not applicable to I-Protect and Health Products (Health Saver & Hospital Care II)

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