Bajaj Allianz Health Guard Individual Policy
Bajaj Allianz Health Guard Individual Policy Introduction
Bajaj Allianz Health Guard Individual Policy is a complete health insurance policy for you. It is designed to take care of the medical expenses incurred during hospitalization resulting from serious illness or accident. Bajaj Allianz Health Guard Individual Policy is the perfect Health protection for you and your family.
Bajaj Allianz Health Guard Individual Policy is an all-round policy that covers all your health care needs. It is having the benefit of lifelong renewability. You can avail Income tax benefit on the premium paid under Bajaj Allianz Health Guard Individual plan. Self, spouse, dependant children, parents, can be covered under Bajaj Allianz Individual Health Guard policy.
Terms and Eligibility Conditions of Bajaj Allianz Health Guard Individual Policy
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Key Features of Bajaj Allianz Health Guard Individual Policy
- Free Look Period: If you are not satisfied with the Bajaj Allianz Health Guard Individual policy, you can cancel the policy within 15 days of receipt of the policy documents, provided there has been no claim.
- Portability: If you are insured under any other health insurance policy of Non life insurer you can transfer to Bajaj Allianz Health Guard Individual policy with all your accrued benefits after due allowances for waiting periods.
- Revision/ Modification of the Policy: Revision or Modification of the policy is possible at any time in future, with appropriate approval from IRDA.
- Withdrawal of Policy: Withdrawal of Bajaj Allianz Individual Health Guard policy is possible at any time in future with a intimation of 3 months to all the existing insured members.
- Tax benefits: Under Bajaj Allianz Health Guard Individual policy, you can avail Tax benefit on the premium paid as per Section 80D of the Income Tax Act. For more information regarding Income Tax Benefits, visit www.taxqueries.in.
- Discounts: Family discount of 10% is applicable if 2 or more family members are covered under Bajaj Allianz Health Guard Individual policy.
- Cumulative Bonus/No claim bonus: You are eligible for Cumulative Bonus (CB) of 10% of sum insured for every claim free year. Maximum CB would be 50% of sum insured up to 5 claim free years. In case of a claim, the CB will be reduced by 10%.
- Free Health Check-up: Free Health Check-up is available at Bajaj Allianz empanelled Diagnostic Centre, at the end of block of every continuous 4 claim free years.
Inclusions in Bajaj Allianz Health Guard Individual Policy
Inclusions in Bajaj Allianz Health Guard Individual Policy are,
- Hospitalisation expenses incurred during hospitalisation.
- Pre hospitalisation expenses for 60 days before the Insured Person was Hospitalised.
- Post hospitalisation expenses for 90 days after the Insured Person was discharged.
- Emergency Ambulance charges, Rs 1000/- per hospitalisation.
- Daycare procedures are covered for listed 130 day care procedures subject to terms and conditions.
Exclusions in Bajaj Allianz Health Guard Individual Policy
Exclusions in Bajaj Allianz Health Guard Individual Policy are,
- Any Pre-existing diseases will be covered after a waiting period of 4 years.
- Any treatment within first 30 days of commencement of the policy will be excluded.
- Joint replacement surgery (other than due to accidents) will be covered after a waiting period of 4 years.
- Abuse of intoxicant substance like drugs and alcohol is excluded.
- Some diseases like hernia, piles, cataract and sinusitis shall be covered after a waiting period of 2 years.
- Congenital external are not covered. Congenital internal have waiting period of 4 years.
- Treatment consisting of non-allopathic medicine, Cosmetic, aesthetic or related treatments are excluded.
For detailed list of exclusions refer Bajaj Allianz Individual Health Guard policy wordings and Bajaj Allianz Individual Health Guard Brochure.
Claim Procedure under Bajaj Allianz Health Guard Individual Policy
Intimation and Assistance:
- Intimate the company within 48 hours in case of emergency hospitalization.
- You can contact Bajaj Allianz through Toll Free Line at 1800-209-0144 or log on to their website www.bajajallianz.com for any information or for clarifying your doubts.
The process in case of a claim under Bajaj Allianz Health Guard Individual Policy,
Cashless Claims Procedure:
Reimbursement Claims Procedure:
Documents to be submitted for Claims:
- First Consultation letter from the Doctor.
- Duly completed claim form and NEFT Form signed by the Claimant.
- Original Hospital Discharge Card.
- Original Hospital Bill giving detailed break up of all expense heads mentioned in the bill. Clear break ups have to be mentioned for OT Charges, Doctor’s Consultation and Visit Charges, OT Consumables, Transfusions, Room Rent, etc.
- Original Money Receipt, duly signed with a Revenue Stamp.
- All original Laboratory and Diagnostic Test Reports. E.g. X-Ray, E.C.G, USG, MRI Scan, Haemogram etc.
- In case of a Cataract Operation, IOL Sticker will have to be enclosed.
- Other documents as may be required by Bajaj Allianz to process the claim.
Bajaj Allianz Health Guard Individual Policy premium calculator
You can calculate the premium using Bajaj Allianz Individual Health Guard premium calculator. Policy period, Number of members, Age and Sum assured are required to calculate the premium.
Bajaj Allianz Health Guard Individual Policy Premium Rates
Premium rates exclusive of tax are given in below Bajaj Allianz Health Guard Individual premium table,
Frequently asked questions (FAQ) of Bajaj Allianz Health Guard Individual Policy
When can I Increase the Sum Insured?
Sum Insured Enhancement can be done only at renewals. For enhancement of sum insured, fresh proposal form along with the renewal notice should be submitted.
What will be the renewal age?
Under normal circumstances, lifetime renewal benefit is available except on the grounds of fraud, misrepresentation or moral hazard.
Who can be covered under the Policy?
Self, spouse, dependant children, parents, can be covered under this policy.
Bajaj Allianz Health Guard Individual Policy Documents and Forms
Bajaj Allianz Health Guard Individual Policy wordings
Bajaj Allianz Heath Guard Individual Brochure
Bajaj Allianz Health Guard Individual Cashless Request Form
Bajaj Allianz Health Guard Individual policy Reimbursement Form