Bajaj Allianz Silver Health Plan

Day Care Treatments

Includes surgical processes conducted using local or general anaesthesia which requires less than 24 hours of hospitalization because of technological advancement in healthcare. Each company has a specific list of processes which are covered under this category.

No-Claim Benefits

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Pre Hospitalization

Medical expenses incurred immediately before the insured individual is hospitalized are covered under this benefit. Usually, expenses up to 30 to 90 days before hospitalization are covered under the policy only after the in-patient hospitalization claim is accepted by the insurance company.

Post Hospitalization

Medical expenses incurred immediately after the hospitalization are covered under this benefit.The coverage under this benefit would be available only for approved in-patient hospitalization claim is accepted by the insurance company. Usually, expenses up to 30 to 180 days post discharge are covered under the policy.

PORTABILITY

TAX BENEFITS

SUM ASSURED ENHANCEMENT

Health Check-up

Includes complimentary health check-up provided by the insurance companies for certain health insurance plans.

Emergency Ambulance

Includes coverage for expenses on ambulance for hospitalization of the insured.

Non - Allopathic Treatment Expense Cover

Includes coverage for expenses on treatment which do not use allopathic methods like Aurveda, Homeopathy, etc. The terms and conditions are different for different policies. This benefit is also refered to as Ayush benefit or Alternative treatment by some the insurers.

WAIVER OF CO-PAYMENT IN NON-NETWORK HOSPITALS

PERSONAL ACCIDENT COVER

Co-Payment

The fixed amount the policyholder has to pay for covered services when they get the service. When both insured and insurer pay part of the medical expenses, it is called as cost sharing. This is applicable based on the policy you choose.

CATARACT CLAIMS

Cooling Off Period

The period begins right after commencement of the policy within which you cannot claim for any illness except claims related to accident. This period is not applicable for subsequent renewals.

Listed Diseases

Pre-existing

The ailments that the insured was already diagnosed with before taking the policy.