• Bajaj Allianz Health Guard Individual Policy

    Car Insurance
    • Premiums as low as Rs12/day for coverage of Rs.4 Lakhs*
    • 10,000+ hospitals for cashless treatment
    • Claim up to Rs. 55,000 deduction under section 80D**

    Bajaj Allianz is a leading health insurance provider that offers a varied range of insurance products, including Motor Insurance, Travel Insurance, Home Insurance, Cyber Safe Insurance, Commercial Insurance, and Health Insurance plans. Under Health Insurance, they offer individual plans as well as family floaters. Plans specific to senior citizens, women, and personal accidents are also available. The Health Guard Individual Policy covers medical expenses incurred on hospitalisation of the insured individual. A range of benefits are available at affordable prices making it one of the best choices for health insurance.

    Eligibility for Health Guard Individual Policy

    Prospective policyholders are expected to meet certain eligibility criteria specified by the insurer.

    • The entry age for the proposer, spouse, parents, and other family members is 18 years to 65 years.
    • The entry age for dependent children or grandchildren is 3 months to 30 years.
    • The plan comes with a lifetime renewability option.

    Features of Health Guard Individual Policy

    The Health Guard Individual Policy offered by Bajaj Allianz is a comprehensive health insurance plan that offers a wide range of options and benefits that the policyholder can choose from as per his/her convenience.

    • The plan is available in two variants- Silver Plan and Gold Plan.
    • The sum insured options available for the Silver Plan is Rs.1.5 lakh and Rs.2 lakh.
    • The sum insured options for the Gold Plan ranges from Rs.3 lakh to Rs.50 lakh.
    • Individual and family floater options are available.
    • The policy period options offered are 1 year, 2 years, and 3 years.
    • The premium for the one-year policy is paid annually. The long-term policy comes with a one-time premium payment feature. The premium is paid at the time of inception of the policy and at the time of renewal.
    • No pre-policy check-up is required for individuals up to the age of 45 years unless the individual suffers from any adverse medical condition.
    • A waiting period of 36 months is specified for coverage of pre-existing diseases/illnesses.
    • A waiting period of 72 months is specified to avail benefits for maternity expenses.
    • A waiting period of 36 months is specified for coverage of bariatric surgery.
    • The sum insured can be enhanced at the time of renewal.
    • A 15-day free-look period is provided to review the policy. A refund of the premiums paid will be made in case the policy is returned during the free-look period.
    • Policy portability is available.
    • Terms of the policy can be revised/modified with approval from IRDAI.
    • This policy can be ported. The premium applicable will be of the new product opted for.
    • Discounts are offered to policyholders who include family members in the policy, voluntarily opt for co-pay, or opt for long-term policies.
    • Policyholders can avail tax benefits for the premiums paid under Section 80D of the Income Tax Act, 1961.

    Benefits of Health Guard Individual Policy

    The Silver Plan and the Gold Plan have varying benefits. Prospective policyholders can choose the plan that best suits their requirements.

    Benefits Silver Plan Gold Plan
    Room, boarding and nursing expenses 1% of sum insured per day No sub-limit
    Intensive care unit charges Up to actual expenses
    Ambulance charges Maximum Rs.20,000
    Pre-hospitalisation expenses Expenses up to 60 days before admission to a hospital will be covered
    Post-hospitalisation expenses Expenses up to 90 days after discharge from the hospital will be covered
    Cumulative Bonus If there is no claim in a policy year, 10% of the base sum insured is provided per annum
    Cataract Eye 20% of sum insured per eye
    Day care procedures Day care procedures and surgeries are covered
    Daily cash benefit for accompanying an insured child Rs.500 per day for a maximum of 10 days will be provided to one parent/legal guardian for accommodation expenses to stay with an insured child under the age of 12
    Organ donor expenses Organ donor’s treatment is covered
    Sum insured reinstatement benefit If the sum insured and the cumulative bonus, if any, is exhausted during a policy year, 100% of the sum insured will be reinstated for the policy year
    Convalescence bonus If the hospitalisation period exceeds 10 consecutive days, Rs.5,000 will be provided If the hospitalisation period exceeds 10 consecutive days, Rs.5,000 for Rs.5 lakh sum insured and Rs.7,500 for Rs.7.5 lakh and above sum insured will be provided
    Preventive Health check-up expenses At the end of a continuous period of 3 years, an amount equal to 1% of the sum insured not exceeding Rs.2,000 will be reimbursed for preventive health check-ups At the end of a continuous period of 3 years, an amount equal to 1% of the sum insured not exceeding Rs.5,000 will be reimbursed for preventive health check-ups
    Ayurvedic/Homoeopathic hospitalisation expenses Nil Room rent, boarding expenses, nursing expenses, consultation fees, medicine and drug expenses, ayurvedic and homeopathic procedures are covered up to a maximum Rs.20,000
    Maternity expenses Nil Expenses incurred for delivery of a baby (caesarean section included) is covered
    Newborn baby cover Nil Expenses with respect to the newborn baby i.e. treatment while the mother is hospitalised, complications up to 90 days from the date of birth, mandatory vaccinations up to 90 days from the date of birth are covered
    Bariatric surgery Nil Expenses related to Bariatric surgery is covered up to 50% of the sum insured not exceeding Rs.5 lakh

    Exclusions of Health Guard Individual Policy

    Certain diseases/medical conditions are not covered under the policy.

    • Any pre-existing disease or illness until the completion of 36 months of the policy term.
    • Certain medical conditions such as haemorrhoids, cataract, fistula, endometriosis, etc. until the completion of 24 months of the policy term.
    • Certain surgeries like joint replacement, correction of deviated nasal septum, and congenital internal diseases/anomalies until completion of 36 months of the policy term, are not covered.
    • Any medical expenses incurred in the first 30 days of the policy unless caused by an accident.
    • Any treatment traceable to pregnancy, childbirth, etc. A waiting period of 72 months is specified for the Gold Plan.
    • Any dental treatment unless necessitated by an acute injury requiring hospitalisation.
    • Medical expenses for which hospitalisation is not required.
    • Any injury caused by war, invasion, or terrorism.
    • Circumcision unless necessitated by an accidental injury.
    • Any cosmetic or aesthetic surgery.
    • Any plastic surgery unless the injury that required treatment was caused by an accident.
    • Cost of spectacles, contact lenses, artificial limbs, and other appliances or devices.
    • External medical equipment used for treatment post hospitalisation.
    • Convalescence, rest cure and general debility.
    • Congenital external diseases or anomalies.
    • Genetic disorders, growth hormone therapy or stem cell implantation.
    • Intentional self-injury.
    • Illness caused by substance abuse.
    • Treatment of AIDS and conditions directly or indirectly caused by HIV.
    • Diagnostic or laboratory examinations.
    • Vaccination or inoculation.
    • Any fertility-related procedure.
    • Vitamins, tonics or supplements unless required for the treatment.
    • Non-standard, unproven, or experimental treatment.
    • Treatment of psychiatric conditions.

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