Bajaj Allianz Tax Gain Insurance is a unique health insurance policy cover that offers a combination of family floater hospitalisation coverage, outpatient coverage (OPD), and senior citizen coverage under the same policy. As the name implies, this policy also helps in the tax management of the insured person. This policy comes in different plans based on the sum insured amount opted and the range of benefits available. The premium for this policy is affordably priced to ensure easy access to the middle income population of the country.
This policy comes with the following eligibility criteria for people looking forward to subscribe to this cover:
Some of the notable features of Bajaj Allianz Tax Gain Insurance can be listed as follows:
The range of benefits available under this policy can be given in the following table:
|Benefits||Extent of Coverage|
|Plan A||Hospitalisation coverage - up to Rs.1 lakh OPD coverage - up to Rs.3,100 (based on the age of the insured)|
|Plan B||Hospitalisation coverage - up to Rs.2 lakh OPD coverage - up to Rs.6,500 (based on the age of the insured and the number of members covered)|
|Plan C||Hospitalisation coverage - up to Rs.3 lakh OPD coverage - up to Rs.9,500 (based on the age of the insured and the number of members covered)|
|Plan D (senior citizen coverage)||Hospitalisation coverage - up to Rs.1 lakh OPD coverage - up to Rs.13,000 (based on the age of the insured and the number of members covered)|
|Day care treatment||Coverage for up to 130 conditions|
|Emergency ambulance cover||Actual expenses up to Rs.1,000|
|Free health check up||Available after every 4 claim-free years|
|Coverage for dentures, crutches, spectacles, etc.||Available under the OPD coverage|
The following list of exclusions apply to Bajaj Allianz Tax Gain Insurance:
The claim procedure begins with intimation to the company about an event. Policyholders can contact the company’s customer service department to intimate about the claim. Both cashless treatment facility and reimbursement claims are available under this policy. The company has extensive network tie-ups with over 6,000 hospitals across the country.
For cashless treatment, pre authorisation must be obtained before treatment. Customers can send the authorisation request from the hospital through fax by filling out the forms. Upon receiving the request, the company will verify its validity and approve the request within a few hours.
For reimbursement claims, the claim request must be filed after discharge from the hospital. While filing the claim request, it is necessary to submit various documents along with the claim form. These documents include the following:
Once these documents are submitted, the company will process the claim request and approve the reimbursement within a reasonable period of time.