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:
|
HOSPITALISATION BENEFITS |
LIMITS |
|
Room, boarding & nursing expenses including registration & service charges |
Up to 1% of SI per day |
|
If admitted in Intensive Care Unit |
Up to 2% of SI per day |
|
All admissible claims under both points above during the policy period |
Up to 30% of SI per illness/injury |
|
Surgeon, anesthetist, medical practitioner, consultants, specialist fee |
Up to 30% of SI per illness/injury |
|
Emergency ambulance charges up to Rs.1000/-, anesthesia, blood, oxygen, operation theatre charges, surgical appliances, medicines & drugs, diagnostic materials & X-ray, dialysis, chemotherapy, radiotherapy, cost of pacemaker, artificial limbs & any medical expenses incurred that is integral part of the operation |
Up to 40% of SI per illness/injury |
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:
|
SUM INSURED |
3 MTHS – 25 YEARS |
26 – 40 YEARS |
41 – 45 YEARS |
46 – 55 YEARS |
|
50000/- |
638/- |
684/- |
878/- |
1385/- |
|
75000/- |
821/- |
924/- |
1184/- |
1879/- |
|
1 Lac |
1003/- |
1163/- |
1490/- |
2374/- |
RATES APPLICABLE FOR METRO CITIES – DELHI, MUMBAI, BANGALORE, CHENNAI, KOLKATA
|
SUM INSURED |
3 MTHS – 25 YEARS |
26 – 40 YEARS |
41 – 45 YEARS |
46 – 55 YEARS |
|
50000/- |
696/- |
746/- |
957/- |
1510/- |
|
75000/- |
895/- |
1007/- |
1290/- |
2049/- |
|
1 Lac |
1093/- |
1267/- |
1624/- |
2588/- |
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