Bajaj Allianz General Insurance

Bajaj Allianz has designed a unique plan that maximizes health as well as wealth.
This is a product that works as a family floater plan covering outpatient department (OPD) expenses as well as hospitalization expenses under a single policy and also helps in effective tax management.

The EXCLUSIVE FEATURES of this policy are:

· This is a single policy with multiple benefits

· 10% co-payment is applicable if the treatment is taken in non-panelized hospitals

· Ambulance charges subject to a maximum of Rs.1000

· Coverage of 130 day care procedures

· There are no restrictions of waiting periods to claim OPD expenses

· A policyholder can claim for dental procedures and treatment under the OPD section

· Cost of spectacles, dentures and crutches can also be claimed in OPD

· Separate plan for senior citizens covering OPD and hospitalization expenses

· No medical test up to 45 years of age

ELIGIBILITY:

· A single policy can be continued till the policyholder reaches 75 years of age

· The premium slab remains unchanged from 18 years to 55 years and then changes at 56 years but then remains same till 75 years

EXCLUSIONS:

FOR OPD CLAIMS:

· Any expenses for diagnostic tests without the treating doctor’s referral

· Cost of health check up

· Cost of spectacles until the policy is in the 2^nd year of its continuous renewal subject to a maximum limit of 25% of the OPD limit

FOR HOSPITALIZATION CLAIMS:

· All diseases/illnesses existing prior to or at the time of proposing the policy for a period of 4 years

· Any disease contracted during the first 30 days of inception of the policy

COMMON TO BOTH OPD AND HOSPITALIZATION:

· Non allopathic medicines

· Congenital disease

· All expenses arising from AIDS and related diseases

· Cosmetic, aesthetic or related treatment

· Use of intoxicating drugs or alcohol

· Pregnancy and child birth related expenses

PREMIUMS:

There are 4 plans in the Tax Gain Comprehensive Health Plan. Details of these plans are as under:

PLAN A (TAX GAIN Rs.4999):

For Hospitalization cover withsum insured of Rs.1 lac FLAT PREMIUM of Rs.4999

PLAN B (TAX GAIN Rs.9999):

For Hospitalization cover floater sum insured of Rs.2 lacs FLAT PREMIUM of Rs.9999

PLAN C (TAX GAIN Rs.14999):

For Hospitalization cover floater sum insured of Rs.2 lacs FLAT PREMIUM of Rs.14999

For Hospitalization cover floater sum insured of Rs.3 lacs FLAT PREMIUM of Rs.14999

PLAN D (TAX GAIN Rs.19999): FOR SENIOR CITIZENS

For Hospitalization cover floater sum insured of Rs.1 lac FLAT PREMIUM of Rs.19999

A service tax of 10.3% will be added to all the premium amounts given above.

Like all other health insurance policies, the premiums paid for this policy get a tax exemption under section 80D of the current Income Tax Act.

The ADVANTAGES of taking the Tax Gain Comprehensive Health Plan of Bajaj Allianz are:

· Cashless facility at over 2400 hospitals across India

· A policyholder can also opt for hospitals other than the ones on the panel of Bajaj Allianz and money will be reimbursed within 14 days after submitting the documents

· Bajaj Allianz has an in-house claim administration department for quicker claim settlement

· No TPA intervention in claim settlements

· Health check ups in designated Bajaj Allianz or reimbursements up to Rs.1000 at the end of continuous 4 claim free years. But this benefit can be availed only by one member of the family

Bajaj Allianz General Insurance Co. Ltd.

The Silver Health Plan is a wonderful plan for senior citizens who have to shell out more money on issues related to their health than the younger generation needs to.
It offers cashless benefits or reimbursements for hospitalization expenses due to illness or accident.

The EXCLUSIVE FEATURES of this plan are:

· This policy is available to anyone who is above 46 years of age

· Pre-existing diseases are covered from the 2^nd year of the policy

· Flat benefit of 3% of admissible hospitalization expenses are paid towards pre-hospitalization and post-hospitalization expenses

· If the policyholder is admitted in a non-network hospital then the hospitalization expenses are reimbursed within 14 days from the submission of all documents

· 20% of co-payment of the admissible claim is to be paid by the member if the treatment is taken in a hospital other than the network hospital

· Option of waiver of co-payment is available if an additional premium is given

· Covers ambulance charges in cases of emergency subject to a maximum of Rs.1000

ELIGIBILITY:

· This policy can be taken from the age of 46 years to 70 years

· Renewal of the policy can be done up to the age of 75 years

· Sum insured can be opted from Rs.50000 to Rs.5 lacs

EXCLUSIONS:

· All diseases/injuries existing at the time of proposing the insurance

· Any disease contracted during the first 30 days of commencement of the policy

· Certain diseases such as hernia, piles, cataract, benign prostatic hypertrophy, hysterectomy shall be covered after a waiting period of 1 year

· Non-allopathic medicines

· All expenses arising from AIDS and related disorders

· Cosmetic, aesthetic or related treatment

· Use of intoxicating drugs, alcohol

· Joint replacement surgery (other than due to accidents shall have a waiting period of 4 years)

· Treatment of any mental illness or psychiatric illness

A Bajaj Allianz policy can be either bought online from www.bajajallianz.co.in or they may be contacted on their toll free numbers 1-800-225-858 or 1-800-102-5858

PREMIUMS:

A service tax of 10.3% is levied on all the premium amounts mentioned above.

Income Tax benefit on the premium paid is given as per section 80D of the Income Tax Act.

The ADVANTAGES of taking this health insurance plan from Bajaj Allianz are:

· Cashless facility at over 2400 hospitals across India

· Bajaj Allianz has an in-house claim administration department for quicker claim settlement

· Cumulative bonus at 5% per claim free year subject to a maximum of 50%

· Family discount of 5%

· Health check up at the end of continuous 4 claim free years

· Claims are settled within 7 working days from the date of fulfilling all the requirements except in the case of non-network hospitals

Bajaj Allianz General Insurance Co. Ltd.

Bajaj Allianz’s Star Package Plan is a unique plan that covers both health and home. It is a family floater package. It takes care of health risks, household contents, education grant, travel insurance and public liability all in one single policy. A policyholder will need to choose 3 sections out of 8 available sections to avail of this policy. The FEATURES of this policy are:

· It covers Hospital Cash, Health Guard, Critical Illness, Personal Accident, Education Grant, Householder’s contents, Traveling Baggage and Public Liability

· A Family Floater option can be taken by paying 50% and 25% of self premium for spouse and children respectively

· Some add on covers can be opted in Health Guard

· 12 critical diseases are covered under Critical Illness

· This policy can be taken for 3 years at a stretch to avoid yearly renewals

· If 4 or more sections are to be included in the policy then 10% – 15% discount can be availed for each section

· If the policy is taken for 2 or more years at a stretch then a long term discount of 10% – 15% can be availed of

· Anyone who is within the age of 3 months to 55 years can be included in this policy

· A wide range of sum insured is available as per details below:

A Bajaj Allianz policy can be either bought online from www.bajajallianz.co.in or they may be contacted on their toll free numbers 1-800-225-858 or 1-800-102-5858

Income Tax benefit on the premium paid is given as per section 80D of the Income Tax Act.

The ADVANTAGES of taking this health insurance plan from Bajaj Allianz are:

· Cashless facility at over 2400 hospitals across India

· Bajaj Allianz has an in-house claim administration department for quicker claim settlement

· There are no sub limits on room rent and other expenses

· Claims are settled within 7 working days from the date of fulfilling all the requirements except in the case of non-network hospitals

Bajaj Allianz Health Insurance

Bajaj Allianz’s Personal Guard Health Plan covers expenses incurred on any injuries or death due to accidents.
This policy is available to any Indian citizen between the age of 18 years and 65 years.

The SALIENT FEATURES of this plan are:

· It covers death, permanent total disability, permanent partial disability and temporary total disability

· If a policyholder meets with an accident, her/his family needs to just inform the company about the accident within 14 days from the time of the accident

· If a policyholder dies in an accident, her/his family needs to just inform the company about the death within 14 days along with a copy of the post mortem report

· Children’s educational bonus benefit of Rs.5000 for a child or Rs.10000 for a maximum of 2 children below the age of 19 or 10% of capital sum insured whichever is less

· Daily hospital confinement allowance of Rs.1000 per day for a maximum of 30 days of hospitalization payable in case of hospitalization due to an accident (available with an add on cover)

· Reimbursement of medical expenses up to 40% of valid claim amount or actual medical bills whichever is less in case of hospitalization due to accidents (available with an add on cover)

· In case of temporary total disability, 1% of sum insured or Rs.5000 per week (which ever is less) will be payable subject to a maximum of 100 weeks

The COVERAGE under this policy is a 3-part coverage:

1. BASIC – covers death + children’s education bonus; maximum sum insured can be 100 times the monthly income

2. WIDER – death + permanent total disability + permanent partial disability + children’s education bonus; maximum sum insured 60 times of monthly income

3. COMPREHENSIVE – death + permanent total disability + permanent partial disability + temporary total disability + children’s education bonus; maximum sum insured 24 times of monthly income subject to a maximum of Rs.5 lacs; total + basic + wider + comprehensive not to exceed 120 times of monthly income

ADDITIONAL – medical expenses + hospital confinement

IMPORTANT EXCLUSIONS:

· Accidental body injury that is met through:

· Suicide

· Self inflicted injury

· Pregnancy or child birth

· Pre-existing venereal disease

· Sexually transmitted disease

·  While under influence of alcohol or drugs

· Through deliberate or intentional unlawful criminal act, error or omission

· Consequential loss of any kind or actual alleged legal liability

A Bajaj Allianz policy can be either bought online from www.bajajallianz.co.in or they may be contacted on their toll free numbers 1-800-225-858 or 1-800-102-5858

The PREMIUMS for this policy are calculated based on the risk levels in the individual professions.

RISK LEVEL 1: Administrative/management functions, accountants, doctors, lawyers, architects, teachers and similar occupations

RISK LEVEL 2: Manual labor, garage mechanics, machine operator, paid driver (car/truck/heavy vehicle), cash carrying employee, builder, contractor, veterinary doctor and similar occupations

RISK LEVEL 3: Workers in underground mines, electric installations with high-tension supply, jockeys, big game hunters, circus performers, mountaineers, professional river rafters and similar occupations

The ADVANTAGES of taking this health insurance plan from Bajaj Allianz are:

· Cashless facility at over 2400 hospitals across India

· Bajaj Allianz has an in-house claim administration department for quicker claim settlement

· Highest compensation of 125% of sum insured in case of permanent total disability

· Children’s education is not hampered due to accidental death or injury

· Cumulative bonus at 5% per claim free year subject to a maximum of 50%

· Family discount of 10%

· Claims are settled within 7 working days from the date of fulfilling all the requirements

Bajaj Allianz General Insurance

Bajaj Allianz General Insurance Co. Ltd. has come up with a family health policy called the Insta Insure Health Plan.It covers medical treatment costs incurred during hospitalization due to serious illness or accident. The SALIENT FEATURES of this policy are:

· 2% of admissible hospital expenses are paid towards pre and post hospitalization expenses

· Rs.1 lac of family floater cover towards hospitalization expenses

· Ambulance charges are paid subject to a maximum of Rs.1000

· The proposer under the policy is covered for a sum insured of Rs.1 lac in case of death due to an accident

· It is a single family floater policy that covers hospitalization expenses and accidental benefits

· 130 day care procedures covered subject to terms and conditions

· Pre-existing diseases are covered after 4 years of continuous renewals with them

· The cover starts once the KIT is activated through an authentication number that is generated at the time of filling up the form

ELIGIBILITY:

· The age of the proposer can be anywhere between 18 years and 45 years

· The entry age can be starting at 3 months and is there till 45 years

· Policy can be renewed till the policyholder is 70 years of age

PREMIUMS:

A service tax of 10.3% will be added to the premium amounts mentioned above.

Like all other health insurance policies, the premium paid towards this is exempt from tax under Section 80D of Income Tax under the current Act.

A Bajaj Allianz policy can be either bought online from www.bajajallianz.co.in or they may be contacted on their toll free numbers 1-800-225-858 or 1-800-102-5858

The ADVANTAGES of taking this particular health insurance plan from Bajaj Allianz are:

· Cashless facility at over 2400 hospitals across India

· Bajaj Allianz has an in-house claim administration department for quicker claim settlement

· Hassle free policy issuance without any medical check up

Bajaj Allianz General Insurance

Bajaj Allianz has come with a benefit policy that covers the incidental expenses incurred during the hospitalization period.
This policy is called the Hospital Cash Plan.

The FEATURES of this plan are:

· The policy pays a daily allowance as a fixed benefit on hospitalization

· The cash benefit ranges from Rs.500 to Rs.2500 per day for each day of hospitalization

· The cover is available for 30 days or 60 days

· The amount will be paid for things that are not covered in the regular health policies:

· Food

· Medical bills

· Personal attendant hired

· This policy can be taken with any other health insurance policy

· The allowance is doubled in case of ICU admission (for a maximum of 7 days)

· Dependent spouse and children can also be covered in this policy

· A 5% discount is given if the cover is taken for the family

EXCLUSIONS:

· Hospitalization within 30 days from the commencement of the policy

· Pre-existing diseases

· Dental treatment or surgery

· Treatment related to pregnancy or child birth

· Natural perils like avalanche, earthquake, volcanic eruptions, etc

· Accidents as a result of drunken driving

PREMIUMS:

A service tax of 10.3% is applicable on the above premium amounts.

The premium that is paid towards this policy, like other premiums for health insurance policies, is exempt under Section 80D of income tax act.

A Bajaj Allianz policy can be either bought online from www.bajajallianz.co.in or they may be contacted on their toll free numbers 1-800-225-858 or 1-800-102-5858

The ADVANTAGES of taking a health insurance plan from Bajaj Allianz are:

· Cashless facility at over 2400 hospitals across India

· Bajaj Allianz has an in-house claim administration department for quicker claim settlement

· Their premiums are very competitive

Bajaj Allianz General Insurance

Bajaj Allianz General Insurance Co. Ltd. has emerged from a joint venture between Bajaj Finserv Limited and Allianz SE.
One of the health insurance policies launched by them is the Health Guard policy.

The FEATURES of this policy are:

· Pre and post hospitalization expenses cover relevant medical expenses incurred 60 days prior to and 90 days after hospitalization

· Cumulative bonus of 5% is added so sum insured for every claim free year

· Family discount of 10%

· Ambulance charges subject to a maximum of Rs.1000

· No medical tests required up to 45 years and a sum insured of Rs.10 lacs

· Pre-existing diseases are covered after 4 continuous renewal with Bajaj Allianz

· 130-days day care procedures are covered

ELIGIBLE AGE:

· The entry age for the proposer is between 18 years to 55 years. A policy can be renewed till the proposer is 70 years of age

· Children from 3 months to 5 years of age are also eligible provided both their parents are insured with Bajaj Allianz

· Children from the age of 6 years to 18 years are eligible if one of their parents are insured with Bajaj Allianz

·

PREMIUMS:

A service tax of 10.3% will be added to the premium amounts mentioned above.

Like all other health insurance policies, the premium paid towards this is exempt from tax under Section 80D of Income Tax under the current Act.

EXCLUSIONS:

· Any pre-existing diseases/injuries

· Any disease contracted during the first 30 days of commencement of policy

· Certain diseases such as hernia, piles, cataract, sinusitis will be covered after a waiting period of 2 years

· Non allopathic medicines

· Congenital disease

· All expenses arising from AIDS and related diseases

· Cosmetic, aesthetic or related treatment

· Use of intoxicating drugs or alcohol

· Joint replacement surgery (other than due to accident) shall have a waiting period of 4 years

A Bajaj Allianz policy can be either bought online from www.bajajallianz.co.in or they may be contacted on their toll free numbers 1-800-225-858 or 1-800-102-5858

The ADVANTAGES of taking a health insurance plan from Bajaj Allianz are:

· Cashless facility at over 2400 hospitals across India

· A policyholder can also opt for hospitals other than the ones on the panel of Bajaj Allianz and money will be reimbursed within 14 days after submitting the documents

· Bajaj Allianz has an in-house claim administration department for quicker claim settlement

· No sublimit on room rent and other expenses

· Health check ups in designated Bajaj Allianz or reimbursements up to Rs.1000 at the end of continuous 4 claim free years

Bajaj Allianz General Insurance

Another health insurance policy from Bajaj Allianz General Insurance Co. Ltd. is the SankatMochanHealth Plan. This plan ensures complete coverage for expenses incurred due to accidents.
It covers death, permanent disability, temporary disability, accidental hospital cash and accidental hospital expenses.

The FEATURES of this policy are:

· Highest compensation of 125% of sum insured in case of permanent total disability

· 100% of sum insured on death

· Between 2% for damage to a toe to 70% of sum insured for damage to an arm at shoulder joint or leg above mid thigh in case of permanent partial disability

· Medical expenses reimbursed in case of hospitalization due to an accident

· No medical check up required

· Daily hospital confinement allowance payable in case of hospitalization due to an accident

· Inbuilt children’s education bonus benefit

· In case of temporary total disability 1% of sum insured per week or Rs.5000 per week will be payable (whichever is lesser) subject to a maximum of 100 weeks

· A policyholder can choose from 16 existing plans and the premium amount due will depend on which plan has been chosen

· Only the Comprehensive cover is not for children

ELIGIBILITY:

· The entry age for the proposer is between 18 years to 65 years. A policy can be renewed till the proposer is 65 years of age

· Entry age of children is from 5 years to 21

· This policy can only be given to Risk Classes 1 and 2 only

· Risk Class 1 are people engaged in administrative or managing functions, accountant, doctor, lawyer, architect, consulting engineer, teacher, banker and people engaged in similar professions

· Risk Class 2 are people engaged in manual labor, garage or motor mechanics, machine operator, paid driver, cash carrying employee, builder, contractor, veterinary doctor and people engaged in similar professions

A service tax of 10.3% will be added to the premium amounts based on the plan chosen.

Like all other health insurance policies, the premium paid towards this is exempt from tax under Section 80D of Income Tax under the current Act.

EXCLUSIONS:

· Accidental bodily injury

· through suicide, attempted suicide or self inflicted injury or illness

· while under influence of liquor or drugs

· through deliberate or intentional, unlawful or criminal act, error or omission

· aviation or ballooning

· participating as the driver, co-driver or passenger of a motor vehicle during motor racing or trial runs

· participation in any naval, military or air force operations

· Consequential loss of any kind or actual or alleged legal liability

· Venereal or sexually transmitted diseases

· HIV

· Pregnancy, resulting childbirth, miscarriage, abortion or any complications arising out of any of these

· War

· Nuclear energy, radiation

Details of coverage that this policy offers are:

A Bajaj Allianz policy can be either bought online from www.bajajallianz.co.in or they may be contacted on their toll free numbers 1-800-225-858 or 1-800-102-5858

The ADVANTAGES of taking the SankatMochan Health Plan from Bajaj Allianz are:

· Cashless facility at over 2400 hospitals across India

· A policyholder can also opt for hospitals other than the ones on the panel of Bajaj Allianz and money will be reimbursed within 14 days after submitting the documents

· Bajaj Allianz has an in-house claim administration department for quicker claim settlement

· This policy also covers terrorism related accidental loss for the victims

· Personal accidental benefits and accidental hospitalization expenses are covered in one single policy

Bajaj Allianz General Insurance

Bajaj Allianz General Insurance Co. Ltd. has emerged from a joint venture between Bajaj Finserv Limited and Allianz SE.Another health insurance policies launched by them that covers medical treatment costs incurred during hospitalization due to serious illness or accident is the Health Ensure policy.

The FEATURES of this policy are:

· Pre existing diseases will be covered after 2 continuous renewals with them

· Surgery of varicose veins/varicose ulcers are covered after a waiting period of 1 year

· Ambulance charges subject to a maximum of Rs.1000 are covered in case of emergency

· Policy can be taken from the age of 3 months to 55 years

· Policy can be renewed up till the age of 75 years

· Sum insured can be done for Rs.50000, Rs.75000 and Rs.1 lac

· The medical expenses under this policy are subject to the limits given below:

PREMIUMS:

The premiums for this policy are broadly classified according to the cities that the policyholder is residing in, i.e. metros or other than metros

RATES APPLICABLE FOR CITIES OTHER THAN METROS:

RATES APPLICABLE FOR METRO CITIES – DELHI, MUMBAI, BANGALORE, CHENNAI, KOLKATA

A service tax of 10.3% will be added to the premium amounts mentioned above.

Like all other health insurance policies, the premium paid towards this is exempt from tax under Section 80D of Income Tax under the current Act.

EXCLUSIONS:

· All diseases/injuries existing prior or at the time of proposing this insurance for a period of 2 years

· Any disease contracted during the first 30 days of commencement of policy

· Certain diseases/conditions such as gastric/duodenal ulcers.

· Certain diseases/conditions such as cataract, benign prostatic hypertrophy, hernia of all types, fistulae, hemorrhoids, fissure in ano, dysfunctional uterine bleeding, etc are covered after a waiting period of 2 years

· Non allopathic treatment

· Congenital disorders

· All expenses arising from AIDS and related diseases

· Cosmetic, aesthetic or related treatment

· Use of intoxicating drugs or alcohol

· Joint replacement surgery (other than due to accident) shall have a waiting period of 4 years

A Bajaj Allianz policy can be either bought online from www.bajajallianz.co.in or they may be contacted on their toll free numbers 1-800-225-858 or 1-800-102-5858

The ADVANTAGES of taking this particular health insurance plan from Bajaj Allianz are:

· Cashless facility at over 2400 hospitals across India

· A policyholder can also opt for hospitals other than the ones on the panel of Bajaj Allianz and money will be reimbursed within 14 days after submitting the documents

· Bajaj Allianz has an in-house claim administration department for quicker claim settlement

· No medical check up till the age of 55 years

· Health check ups in designated Bajaj Allianz or reimbursements up to Rs.1000 at the end of continuous 4 claim free years

· 126 day care procedures covered

· A family discount of 5% on all family policies

Bajaj Allianz General Insurance

Bajaj Allianz General Insurance Co. Ltd. has a Health Guard Plan that covers individuals and they also have the Family Floater Health Guard Plan that is meant for families. The FEATURES of this policy are:

· It is a family floater plan with sum insured ranging between Rs.2 lacs and Rs.10 lacs

· It is a complete protection for the family for hospitalization expenses under one sum insured amount

· No medical tests required up to 45 years and sum insured of Rs.10 lacs

· Pre and post hospitalization expenses cover relevant medical expenses incurred 60 days prior to and 90 days after hospitalization

· 10% co-payment is applicable if the treatment is taken in non-panelized hospitals

· Ambulance charges subject to a maximum of Rs.1000

· Pre-existing diseases are covered after 4 continuous renewal with Bajaj Allianz

· Cumulative bonus of 5% is added so sum insured for every claim free year

· 130-days day care procedures are covered

ELIGIBLE AGE:

· The entry age for the proposer is between 18 years to 55 years. A policy can be renewed till the proposer is 70 years of age

· Children from 3 months to 25 years of age are also eligible to be covered under this policy

PREMIUMS:

The premium range of insurance of an individual and individual plus spouse and up to 4 children is as under:

A service tax of 10.3% will be added to the premium amounts mentioned above.

Like all other health insurance policies, the premium paid towards this is exempt from tax under Section 80D of Income Tax under the current Act.

EXCLUSIONS:

· Any pre-existing diseases/injuries

· Any disease contracted during the first 30 days of commencement of policy

· Certain diseases such as hernia, piles, cataract (the liability is restricted up to 10% of sum insured subject to a maximum of Rs.25000), sinusitis will be covered after a waiting period of 2 years

· Non allopathic medicines

· Congenital disease

· All expenses arising from AIDS and related diseases

· Cosmetic, aesthetic or related treatment

· Use of intoxicating drugs or alcohol

· Joint replacement surgery (other than due to accident) shall have a waiting period of 4 years

A Bajaj Allianz policy can be either bought online from www.bajajallianz.co.in or they may be contacted on their toll free numbers 1-800-225-858 or 1-800-102-5858

The ADVANTAGES of taking this plan from Bajaj Allianz are:

· Cashless facility at over 2400 hospitals across India

· A policyholder can also opt for hospitals other than the ones on the panel of Bajaj Allianz and money will be reimbursed within 14 days after submitting the documents

· Bajaj Allianz has an in-house claim administration department for quicker claim settlement

· Health check ups in designated Bajaj Allianz or reimbursements up to Rs.1000 at the end of continuous 4 claim free years. But this benefit can be availed only by one member of the family