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.

 

 

 

§         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

 

 

 

The plan is available in both types -

§         Individual

§         Family Floater

 

 

 

§         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

 

 

 

§         Free health check-up in Bajaj Allianz diagnostic centers on 4 continuous policy renewals or Rs.1000 reimbursement on check-up

§         Premium paid is eligible for Income tax benefit under section 80 D

§         Children aged 3 months to 25 yrs are eligible if both the parents are insured

 

 

 

 

	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

 

 

 

§         An individual and/or his spouse

§         Dependent children

§         Dependent parents

 

 

 

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.

 

 

 

§         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