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 2nd 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
COVER |
18 – 25 YEARS |
26 – 40 YEARS |
41 – 45 YEARS |
46 – 55 YEARS |
OPD – SELF |
3100/- |
2900/- |
2500/- |
1600/- |
PLAN B (TAX GAIN Rs.9999):
For Hospitalization cover floater sum insured of Rs.2 lacs FLAT PREMIUM of Rs.9999
COVER |
18 – 25 YEARS |
26 – 40 YEARS |
41 – 45 YEARS |
46 – 55 YEARS |
OPD – SELF |
6500/- |
6000/- |
5000/- |
3000/- |
OPD – SELF + SPOUSE |
5200/- |
4800/- |
3500/- |
1000/- |
PLAN C (TAX GAIN Rs.14999):
For Hospitalization cover floater sum insured of Rs.2 lacs FLAT PREMIUM of Rs.14999
COVER |
18 – 25 YEARS |
26 – 40 YEARS |
41 – 45 YEARS |
46 – 55 YEARS |
OPD – SELF |
9500/- |
9000/- |
8500/- |
7500/- |
OPD – SELF + SPOUSE |
9000/- |
8500/- |
7000/- |
4500/- |
For Hospitalization cover floater sum insured of Rs.3 lacs FLAT PREMIUM of Rs.14999
COVER |
18 – 25 YEARS |
26 – 40 YEARS |
41 – 45 YEARS |
46 – 55 YEARS |
OPD – SELF |
9000/- |
8500/- |
7500/- |
6000/- |
OPD – SELF + SPOUSE |
8000/- |
7500/- |
5500/- |
2500/- |
PLAN D (TAX GAIN Rs.19999): FOR SENIOR CITIZENS
For Hospitalization cover floater sum insured of Rs.1 lac FLAT PREMIUM of Rs.19999
COVER |
56 – 60 YEARS |
61 – 65 YEARS |
65 – 70 YEARS |
71 – 75 YEARS |
OPD – SELF |
13000/- |
12500/- |
12000/- |
11000/- |
OPD – SELF + SPOUSE |
11000/- |
10000/- |
9500/- |
8000/- |
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