Bajaj Allianz Healthguard Individual Plan

The plan covers the expenses towards 130 day-care procedures that would otherwise require hospitalization of a minimum of 24 hours.

For every claim-free year, you will be entitled to a 10% cumulative bonus for the next policy year up to a maximum of 50% of the sum insured.

Compensates for the Pre-Hospitalisation expenses for consultations, investigations and medicines incurred up to 60 days before Hospitalisation

Compensates for the Post-Hospitalisation expenses for consultations, investigations and drugs incurred up to 90 days after discharge from Hospitalisation.

If you are currently insured with a different insurer and wish to switch to Bajaj Allianz Healthguard Family Floater Plan, you can do the same without losing your accrued benefits after the waiting periods.

You can avail tax benefits for the premium amount paid towards this plan under Section 80D of the Income Tax Act, 1961.

You can apply for enhancement of Sum Insured at the time of renewal by submitting a new proposal form to the company.

The plan allows you for a complimentary health check at every four claim free years for the list of tests defined in the policy wordings. The check-up can be carried out at an empaneled diagnostic center.

You can claim up to Rs.1,000 per hospitalization towards the emergency ambulance charges.

This plan has the option to opt for the voluntary deductible in the range of Rs.10,000 to Rs. 2,50,000. With each deductible option, a discount in the range of 10 % to 32 % is offered.

Not applicable unless it required due to an accidental injury.

For any reason, should you decide not to proceed with the policy, you can return the same and request for a refund within 15 days from the date of receipt of the policy document.

You will have to bear 10% of co-payment if you seek the treatment in any hospital outside the network. Similarly, 20% co-pay applies to any insured person aged 56yrs and above, being covered for the first time in the Family Floater Health Guard Policy.

Cover for surgeries for cataracts (after a waiting period of two years), shall be restricted to 10% of the Sum insured for each and every claim, subject to a minimum of Rs.12,000 (or the actual whichever is lower) and up to a maximum of Rs. 35,000 for each of the member.

A 30 days cooling off period for all claims except any arising out of accidental injuries.

24 months waiting period for few listed conditions like any types of gastric or duodenal ulcers, Benign prostatic hypertrophy, Endometriosis, Fibromyoma, etc.

You can claim for any pre-existing conditions after 48 months from the policy start date.

There’s a waiting period of 48 months for the procedures such as Joint Replacement Surgery, Surgery for prolapsed intervertebral disc, and so on.