Bajaj Allianz Health Guard Family Floater Health Insurance Plan

The Health Guard Family Floater Health Insurance plan comes with a host of benefits that range from pre- and post-hospitalisation cover to offering attractive discounts on OPD services.

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Features & Benefits - Bajaj Allianz Health Guard Family Floater

Entry Age

18 years to 65 years for spouse and parents. Children of the ages of 3 months to 25 years can also be

Basis

Family floater

Policy Period

1 year with a grace period of 30 days

Renewability

Lifelong

Medicals

Up to the age of 45 years no medicals are needed. They are mandatory for policy holders above the age of 46 years

Sum Insured

The sum insured can range from Rs. 1.5 lakhs to Rs. 10 lakhs.

Discount

Holding a Bajaj Allianz policy can save you as much 30% on expenses related to OPD, pathology, radiology, wellness tests etc.

Co-Payments

  1. 10% co-payment will be applicable in case treatment is sought in a non-network hospital
  2. 20% co-payment will be applicable in case the policy has been taken for the first time by someone above the age of 56 years

Coverage

  1. Cover can be taken for self, spouse, dependent children and parents (for whom a separate policy will be issued)
  2. Pre-existing conditions will be covered after a waiting period of 4 years
  3. For certain pre-existing conditions like surgery for skin ailments, endometriosis, cataract etc. the waiting period is 2 years
  4. All hospital expenses will be covered under this policy
  5. Pre-hospitalisation expenses incurred up to 60 days before hospitalisation will be covered
  6. Expenses incurred up to 90 days after hospitalisation will also be covered under this policy
  7. Ambulance charges of up to Rs. 1,000 per hospitalisation will be covered
  8. It will also cover up to 130 day care procedures

Benefits

  1. At the end of every 4 claim-free years the policy will provide for a free medical check-up
  2. Every claim-free year will add a cumulative bonus of 10% to the limit of indemnity
  3. If the policy is issued then 100% of the pre-policy medical check-up expense will be reimbursed
  4. It offers reimbursement of medical expenses if hospitalisation happens in a non-network hospital
  5. Premiums paid towards this policy are eligible for tax benefits under section 80D
  6. The premiums will not be increased in the years following claims
  7. This health insurance policy also offers voluntary deductible options that can translate into discounts on premiums

Exclusions

  1. Cosmetic surgery unless it is necessitated by cancer, burns or any other injury
  2. Dental treatments or surgery intentional injury to self which includes substance abuse like alcohol
  3. Conditions arising as a result of HIV/AIDS
  4. Hospitalisation for the purpose of diagnostic tests
  5. Treatments that are non-allopathic, experimental or unproven

GST rate of 18% applicable for all financial services effective July 1, 2017.

Disclaimer: Premiums may vary depending upon factors like age, location and prevailing taxes/GST.

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