Bajaj Allianz Silver Health Plan for Senior Citizens

Eligibility age

From age 46 to age 70 years

Basis

Individual basis

Policy term

1 year

Renewability

There is a lifetime indemnity limit if the policy is renewed continuously

Sum Insured

Minimum sum insured- Rs.50,000

Maximum sum insured- Rs.5 lakh

Cover offered

• The policy covers hospitalisation charges
• The policy offers a cover amount equivalent to 3% of admissible hospitalisation charges
• Pre and post hospitalisation expenses
• Covers ambulance charges in the time of emergency subject to a limit of Rs.1,000
• Covers pre exisiting illnesses and diseases from second year of the policy
• Offers cover for over 130 day care procedures
• Cataract surgery is covered after a waiting period of one year
• Covers health insurance after 4 continuous claim free years

Discount

A family discount of 5% is applicable on the policy

Co-payments

The policyholder is expected to bear 20% of admissible claim in case of medical treatment at a non-empanelled hospital. Waiver of co-payment can be availed in case of payment of extra premium.

Benefits

• The policy offers a family discount of 5%
• Benefit of cashless facility at empanelled hospitals in the country
• The members can opt for treatment at non empanelled hospitals and the payment borne by the policyholder will be reimbursed within 14 days.
• Waiver of co-payment if the policyholder pays more premium
• Tax benefits on the premium paid under section 80D of the income Tax Act
• Offers the benefit of cumulative bonus of 5% to your limit of indemnity for every claim free year

Exclusions

Listed below are the exclusions that are not covered by the health insurance plan.

• Diseases and injuries that exist at the time of proposing the insurance scheme
• Diseases that are contracted within the first 30 days of commencement of the policy
• Certain diseases such as Hernia, piles, cataract, benign prostatic hypertrophy, hysterectomy shall be covered only after a waiting period of one year into the policy
• Non allopathic medicine
• AIDS and related disorders
• Cosmetic and Aesthetic related expenses
• Intoxicating drug expenses
• Treatment of mental and psychiatric illness
• Medical expenses arising out of drug or alcohol abuse
• Ambulance charges over Rs.1000
• Joint replacement surgery
• Massages