The Health Guard Individual plan can be taken for individuals or to cover the family as well. It offers a wealth of benefits and even some special discounts.
Features & Benefits - Bajaj Allianz Health Guard Individual
| Entry Age |
18 years to 65 years. Children of the ages of 3 months to 25 years can also be covered under this policy |
| Basis |
Individual / Family floater |
| Policy Period |
1 year with a grace period of 30 days |
| Renewability |
Lifelong |
| Medicals |
Mandatory for policyholders above the age of 46 years |
| Sum Insured |
Ranges from Rs. 1.5 lakhs to Rs. 10 lakhs |
| Discount |
- 10% discount if families are also covered by the policy
- 10% cumulative bonus for claim-free years
|
| Co-Payments |
- 10% of expenses if treatment was done in a non-network hospital
- 20% co-payment will be applicable if the insured is above the age of 56 years.
|
| Coverage |
- Pre-hospitalisation expense of up to 60 days prior to hospitalisation will be covered
- Post-hospitalisation expenses of up to 90 days following hospitalisation will be covered
- Expenses for hospitalisation in a non-network hospital will be eligible for reimbursements
- Ambulance charges are also covered up to Rs. 1,000
- Up to 130 day care procedures will be covered by the policy
- Pre-existing conditions will be covered after a period of 48 months
- For certain diseases like ulcers, hernia, endometriosis etc. the waiting period will be 2 years
- Only accidental injuries will be covered in the first 30 days of the policy
|
| Benefits |
- 100% cost of medicals prior to taking the policy will be paid for by the company
- At the end of 4 claim-free years, policyholders can avail a free health check-up specified diagnostic centres
- Free look period of 15 days
- Premiums paid are eligible for tax benefits under section 80D of the IT Act
- Premiums are not increased in the years following a claim
- The sum insured can be increased at the time of renewing the policy
- The portability options offer the benefits of transferring health insurance to Bajaj Allianz without loss of accrued benefits
- The policy also offers a voluntary deductible option for which you get a corresponding discount in the premiums
|
| Exclusions |
- Treatment for self-inflicted injuries will be excluded
- Hospitalisation for the purpose of diagnostics
- Donor treatment for the purpose of organ transplants
- Hospitalisation due to acts of war or exposure to nuclear, biological or radiation hazards
- Medical expense when hospitalisation is not required
- Experimental treatments or treatments that are not allopathic
- Treatment for mental disorders
|
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