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

1. The policy covers hospitalisation charges
2. The policy offers a cover amount equivalent to 3% of admissible hospitalisation charges
3. Pre and post hospitalisation expenses
4. Covers ambulance charges in the time of emergency subject to a limit of Rs.1,000
5. Covers pre exisiting illnesses and diseases from second year of the policy
6. Offers cover for over 130 day care procedures
7. Cataract surgery is covered after a waiting period of one year
8. 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

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

Exclusions

1. Diseases and injuries that exist at the time of proposing the insurance scheme
2. Diseases that are contracted within the first 30 days of commencement of the policy
3. 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
4. Non allopathic medicine
5. AIDS and related disorders
6. Cosmetic and Aesthetic related expenses
7. Intoxicating drug expenses
8. Treatment of mental and psychiatric illness
9. Medical expenses arising out of drug or alcohol abuse
10. Ambulance charges over Rs.1000
11. Joint replacement surgery
12. Massages