Tax Gain Comprehensive Health Plan

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

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