Bajaj Allianz Family Floater Health Guard
This is a basic health insurance policy which covers the medical expenses incurred by any of the insured family members in case of hospitalisation due to an injury or accident.
Our Advice – Health Insurance unlike motor insurance is not compulsory by law but still people are increasingly covering themselves and their families with different kinds of mediclaim and health insurance plans. This is largely because they want to combat the rising costs of medical treatment and health care. It is important that each one realizes the importance of medical insurance and covers his/her family appropriately.
Key Features
No medical tests required if the Sum Insured is up to Rs.10 lacs and for age up to 45 yrs
Can be renewed till the age of 80 years
Medical check up is mandatory for members whose age is over 46 yrs and the entire cost of check-up is refunded by Bajaj Allianz on policy issuance
No sub-limits on hospitalisation expenses and room rent
Cashless facility is available at all empanelled hospitals. If the customer opts for hospitals other than the ones on panel, then the claim expenses shall be reimbursed within 14 working days from submission of all documents
Hospital room accommodation – on a shared basis
130 Day care procedures which do not require 24 hr hospitalisation are covered
Policy covers for expenses incurred on emergency ambulance up to Rs. 1000
Pre-hospitalisation expense covered for 60 days. Post-hospitalisation expense covered for 90 days
How it works
- An individual and/or his spouse
- Dependent children
- Dependent parents
Tax Benefit
In case of individuals the premiums paid up to Rs.15000 towards Health Insurance will be exempted from taxable income and Rs 20,000 for senior citizens is allowed as a deduction from the taxable income each year under section 80D of the Income Tax Act.
Eligibility
| Minimum | Maximum | |
| Coverage Amount (in Rs.) | 1,00,000 | 10,00,000 |
| Policy Term (in years) | 1 | 1 |
| Entry Age (in years) | 18 | 65 |
| Renewable till Age (in years) | - | 80 |
Exclusions
- 10% co-payment has to be paid by policyholder incase treatment is done from hospital other than the insurers empanelled list. Waiver on co-payment is available only if additional premium is paid by the policy holder
- 20% co-payment needs to be paid by persons above 56 yrs of age
- All diseases existing at the time of taking the policy
- Pre-existing conditions for first 4 yrs
- Waiting period of 2 yrs for certain diseases like sinusitis, cataract, hernia, piles etc
- Any treatments done within the first 30 days from the date of policy issuance
- HIV, AIDS and related diseases
- Non-allopathic treatment, congenital diseases (existing at birth), cosmetic treatments
- Joint replacement surgery
- Abuse of drugs, alcohol, hallucinogens, intoxicant
