Bajaj Allianz Health Guard Plan for Family

There’s nothing further near and dear than a family. And it’s the duty of the chuck – earner to take care of family health and give them a safe and secure life. Not always, effects unfold as we anticipate. Amid the adding costs of medical treatments in India, it has come ineluctable to buy an acceptable health insurance plan. Hospital bills are sky- soaring, and indeed for a minor treatment/ surgery, sanitarium bills for 4 to 5 days of treatment can bring aroundRs. 1 lakh fluently.

Any major hospitalization charges can drain out all of your savings and can indeed indebt anyone, if the finances aren’t sufficient. If the hospitalization charges come out to be further than what you’re suitable to give? Well, in that situation what will be your next step? That’s why having a health insurance plan is of utmost significance in moment’s time. Bajaj Allianz Health Guard Plan for Family Insurance Plan provides content to your loved bones in the most affordable manner. This plan can be customized to meet the medical requirements of your entire family. It’s wise to buy a family floater health insurance plan when it comes to guarding your loved bones on a single sum assured. It isn’t needed to maintain multiple health insurance programs when everyone can get content under a single family floater health insurance plan. The plan offers protection to your partner, parents, and kiddies.

Features & Benefits of Bajaj Allianz Health Guard Plan for Family Insurance Plan

1. Cashless treatment in further than 6000 network hospitals across India( subordinated to policy terms and conditions).

2. Option to choose 1, 2 and 3 times of policy term.

3. Lifelong policy renewal option. And for dependent children or grandchildren renewal age is over to 35 times.

4. Pre-medical not needed up to 45 times of age( subordinated to clean medical history).

5. Tax benefits as per Sec 80/D of the Income Tax Act, 1961 is up to Rs. 60000.

6. Health CDC benefit – quick claim agreement through Bajaj Allianz Insurance Wallet app.

Variants of Family Floater Health Plans

1.Silver Plan

2. Gold Plan

Inclusions of the Bajaj Allianz Health Guard Plan for Family Insurance Policy Plan

This plan is excitingly covering the following mentioned medical expenses:

1. Approximate ambulance charges of Rs. 20,000 is promised to be reimbursed in a single policy term.  

2. All day care treatment expenses to be covered.

3. Reinstatement of the sum assured

4% discount on the purchase of a 2-year policy and 8% discount for a 3-year plan.

4. Up to Rs. 7500 convalescence benefit per policy year.

5. For every claim free year avail a cumulative bonus of 10% (maximum up to 100%).

6. Covers Homeopathic and Ayurveda hospitalization expenses.

7. Coverage to organ donor expenses up to the sum insured.

8. Covers Bariatric surgery expenses Up to 20% discount on choosing the co-payment option.

9. Preventive health check-up facilities after completion of 3 years.

10. Covers maternity and newborn baby expenses.

Eligibility Criteria

1. Entry age criterion is between 18 years and 65 years

2. For children, the entry age limit is from 3 months to 30 years

* Sum Assured (Rs.)

1. Sum insured options ranging from 1.5 lacs to 2 lacs in the silver family floater health plan.

2. Approximately 3 lacs to Rs. 50 lacs in the gold family health insurance policy plan.

Exclusions of Bajaj Allianz Health Guard Plan for Family Insurance Policy Plan

This plan will not cover the following mentioned medical expenses:

1. Pre-existing diseases to be covered after a waiting period of 3 years.

2. Claim request for any illness that is diagnosed during the initial 30 days of policy purchase date will not be covered.

3. Treatment for certain specific illnesses such as sinusitis, hernia, cataract and more. is not added under the claim until the completion of 2 years.

4. For joint replacement, PIVD there is a waiting period of 3 years.

5. Any treatment required for health ailments resulting from consumption of drugs, alcohol and other intoxicants.

6. Bariatric surgeries to be covered after a waiting period of 3 years.

7. Maternity/newborn baby expenses to be covered after a waiting period of 6 years.

Zone wise Premium Rates are Applicable

1. Zone A Cities – Cities that come under Zone  A are – Mumbai, Delhi/NCR, Hyderabad, Bangalore, Ahmedabad, Vadodara, Kolkata, Surat, and Secunderabad. The clause of co-payment is not imposed to the group of people who are paying Zone A titled premium rates. This is valid for treatment in PAN India.

2. Zone B Cities– The remaining part of India which is not included in Zone A cities are classified as Zone B. 20% co-payment applicable to the admissible claim amount for policyholders availing medical treatment in Zone A cities and paying premium rates that are applicable in Zone B cities. The above mentioned benefits are not applicable in case of the accidental hospitalization. If any of the insured members are living in the cities which are falling in Zone B, then too, those individuals can avail treatment without the co-payment clause, if they choose to pay Zone A Premium rates.

Bajaj Allianz Health Guard Plan for Family Administration Team

1. In-house health insurance team to resolve issues related to health insurance customers.

2. Resolving customer queries by health insurance experts in an effective manner.

3. Single point of contact for a quick settlement of health insurance claims.

4. In-house team of paramedics and doctors for health underwriting and claim settlement.

Health Claim by Direct Click Benefit 

1. It is a feature in the Insurance Wallet App of Bajaj Allianz, customers can use this app to raise a claim requests up to Rs. 20,000.

2. It is a time saving and paper-less process that saves both time and money.

3. All you need to do is upload the necessary documents on the app and it will provide you all the updates regarding your claim status.

Claim Assistance For Network Hospitals 

1. For any guidance or help, just ping up the customer care support.

2. Claim Intimation – In case of an emergency hospitalisation, you are required to send an intimation as soon as the mis-happening occurs and in case of a planned hospitalisation just intimate the customer care at the earliest for your and their ease.

3. Claim Processing – Complete the form of the pre-authorisation and hand it over to the hospital’s insurance desk or the TPA desk to begin with your claim request.

4. Claim Settlement – Once your request is accepted, claim is settled. In case it it not approved, then you can also choose to go for the claim reimbursement procedure after the discharge.

Claim Settlement Process In Case of Non-Network Hospitals

1. Claim Assistance – For any guidance or help, just knock up the doors of customer care support.

2. Claim Intimation – In case of an emergency hospitalisation, you are requested to send an intimation as soon as the mis-happening occurs and in case of a planned hospitalisation just intimate the customer care at the earliest of the hour.

3. Claim Processing – Submit the claim settlement form with the original documents which includes doctor’s reports, hospital bills, diagnostic tests, and more.

4. Claim Settlement – Once your request for reimbursement expenses is accepted, it is the signal that your claim will be settled very soon.

Tax Benefits of Buying the Bajaj Allianz Health Guard Plan for Family 

1. Tax benefits up to Rs.55,000 if the age of the policyholder is below 60 years and the age of the insured parent’s is above 60 years.

2. Tax benefits up to Rs.30, 000 if the age of the policyholder is below 60 years of age and the policy includes his or her parents as well.

3. Tax benefits of up to Rs. 25,000 is given if the policy owner’s age is less than 60 years, and he or she pays a health insurance premium for self, parents, spouse, and children and parents.

4. Tax benefits up to Rs.60, 000 if the age of the policyholder and parents is above 60 years.

FAQs – Bajaj Allianz Health Guard Plan for Family

1. What are the major plans available under the Bajaj Allianz Health Guard Plan for Family?

* There are two types of plans available under the Bajaj Allianz Health Guard Plan for Family, which are A. Silver Plan B. Gold Plan.

2. What are the Sum Insured options available in thebBajaj Allianz Health Guard Plan for Family?

* For Health Guard Silver Plan, the approximate sum options are available ranging from Rs. 1.5 Lakh and Rs. 2 Lakh. Whereas, for the Health Guard Gold Plan, the Sum Insured options which are available are, Rs. 3 Lakh, Rs. 4 Lakh,  Rs. 5 Lakh,  Rs. 7.5 Lakh,  Rs. 10 Lakh,  Rs. 15 Lakh,  Rs. 20 Lakh,  Rs. 25 Lakh,  Rs. 30 Lakh,  Rs. 35 Lakh,  Rs. 40 Lakh,  Rs. 45 Lakh, and  Rs. 50 Lakh.

3. What is the entry age for the Bajaj Allianz Health Guard Plan for Family?

* The entry age for the Proposer, Spouse, Parents, Sister, Brother, Father-In-law, Mother-In-law, Aunt, or Uncle is near about 18 years to 65 years. In case of the Dependent Children and or the Grand Children, it is 3 months to 30 years.

4. What is the renewal age under this policy?

*Bajaj Allianz Health Guard Plan for Family  is available for a lifetime. The children and the grandchildren involved under the policy plan can renew it until the age of 35 years. After completing the maximum renewal age, the policy of the dependent children will be renewed for a lifetime; only if a separate proposal form is submitted to the insurer during the time of renewal with the insured member as proposer. Also, if the policy is carried forward without a break, certain credits for all the previous year’s waiting periods will also be added in the new policy.

5. What is the policy term under this plan?

* The policy can be a star of your home for 1, 2 or 3 years.

6. What is the term for paying the premium under this policy?

* Premium can either be paid annually for 1-year policy. For the policy plans with a longer term, a one-time premium is a must to be paid at the time of risk inception and for the renewal at the end of the policy term.

7. What are the waiting periods under this policy?

*Bajaj Allianz Health Guard Plan for Family  comes with the following waiting periods:

Waiting period for expenses related to maternity and childbirth: 72 months Initial waiting period: 30 days Waiting period for pre-existing diseases: 36 months Waiting period for specific illnesses: 24 months.

8. What all does the Health Guard Gold Plan cover?

Health Guard Gold Plan offers the below mentioned coverage features-

A. In-patient hospitalisation treatment B. Pre-hospitalisation
C. Post-hospitalisation
D. Road assistance of ambulance
E. Day care procedures
F. Organ donor expenses
G. Convalescence benefit
H. Daily cash benefits
I. Sum insured reinstatement benefit
J. Preventive health check-up
K. Ayurvedic/Homeopathic Hospitalisation Expenses
L. Maternity Expenses
M. New Born Baby Cover
N. Bariatric Surgery Cover.

9. Is pre-policy medical check-up required before purchasing this policy?

Pre-policy check-up is imposed only in case of new proposals. if there is no bad impact on health, then tests are not needed up to the age of 45 years. These adverse situations include issues like-Diabetes, Hypertension, Lipid Disorders, Obesity and more. However, medical tests are mandatory for the members aged over the 45 years. The pre-policy check-up is taken care by the empanelled diagnostic centers of the insurance company itself. The entire sum is reimbersed if the proposal is accepted and the policy is issued.

10. What are the sub-limits under Silver and Gold Plans of Health Guard policy?

For Health Guard Silver Plan, there comes a sub-limit on the room rent which is restricted maximum upto 1% per day. Also, there is a per eye Cataract limitation of 20% of the total Sum Insured. For the Health Guard Gold Plan, there are sub-limits on Bariatric surgery and Maternity expenses as well, which is  explained below, Bariatric Surgery is restricted upto 50% of the total Sum insured, which is the subject to a maximum of Rs. 5 Lakh; and the Maternity Expenses from the total Sum Insured of Rs. 3 Lakh to Rs. 7.5 Lakh is restricted to Rs. 15,000 for normal delivery and Rs. 25,000 for cesarean section and from Sum Insured Rs. 10 Lakh to Rs. 50 Lakh it is restricted to Rs. 25,000 for normal delivery and Rs. 35,000 for cesarean section

 11. Is there any limit to cover road ambulance expenses under this policy?

Yes, the policy provides coverage for the road ambulance expenses for up to Rs. 20,000 as per the policy year incurred by the ambulance service provide to transfer the patient to the nearest hospital.

8. What all does the Health Guard Gold Plan cover?

* Health Guard Gold Plan offers the below mentioned coverage features-

A. In-patient hospitalisation treatment B. Pre-hospitalisation

C. Post-hospitalisation

D. Road assistance of ambulance

E. Day care procedures

F. Organ donor expenses

G. Convalescence benefit

H. Daily cash benefits

I. Sum insured reinstatement benefit

J. Preventive health check-up

K. Ayurvedic/Homeopathic Hospitalisation Expenses

L. Maternity Expenses

M. New Born Baby Cover

N. Bariatric Surgery Cover.

9. Is pre-policy medical check-up required before purchasing this policy?

* Pre-policy check-up is imposed only in case of new proposals. if there is no bad impact on health, then tests are not needed up to the age of 45 years. These adverse situations include issues like-Diabetes, Hypertension, Lipid Disorders, Obesity and more. However, medical tests are mandatory for the members aged over the 45 years. The pre-policy check-up is taken care by the empanelled diagnostic centers of the insurance company itself. The entire sum is reimbersed if the proposal is accepted and the policy is issued.

10. What are the sub-limits under Silver and Gold Plans of Health Guard policy?

* For Health Guard Silver Plan, there comes a sub-limit on the room rent which is restricted maximum upto 1% per day. Also, there is a per eye Cataract limitation of 20% of the total Sum Insured. For the Health Guard Gold Plan, there are sub-limits on Bariatric surgery and Maternity expenses as well, which is  explained below, Bariatric Surgery is restricted upto 50% of the total Sum insured, which is the subject to a maximum of Rs. 5 Lakh; and the Maternity Expenses from the total Sum Insured of Rs. 3 Lakh to Rs. 7.5 Lakh is restricted to Rs. 15,000 for normal delivery and Rs. 25,000 for cesarean section and from Sum Insured Rs. 10 Lakh to Rs. 50 Lakh it is restricted to Rs. 25,000 for normal delivery and Rs. 35,000 for cesarean section.

11. Is there any limit to cover road ambulance expenses under this policy?

* Yes, the policy provides coverage for the road ambulance expenses for up to Rs. 20,000 as per the policy year incurred by the ambulance service provide to transfer the patient to the nearest hospital.