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No Room Rent Capping | No Medical Check-up up to 55yrs | Tax Benefit up to 75k | Buy Health Insurance starting @ ₹244 pm

All About Bajaj Allianz Health Guard Plan

Your family’s healthcare needs continue to change with the changing lifestyles and constantly rising healthcare costs. In this scenario, having medical insurance coverage is extremely vital. Bajaj Allianz’s Health Guard policy is one such plan that is designed to suit your healthcare needs and further lend a helping hand when it comes to tackling sudden medical emergencies. The plan takes care of your medical treatment expenses incurred during the hospitalisation resulting from any serious illness or accident. This way, your healthcare bills are taken care of, and you can focus on complete recovery!

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Understanding Bajaj Allianz Health Guard Plan

  • Health Check-ups

    The plan offers free health check-ups for after every 3 claim-free years, for the list of pre-defined tests.

  • Emergency ambulance charges

    The plan compensates for ambulance charges up to ₹20,000/- per policy year.

  • Tax Benefits

    With this plan, you can enjoy tax benefits under Section 80D of the Income Tax Act, 1961.

  • Lifetime Renewal

    The plan offers lifetime renewability so that you can enjoy continued coverage.

  • Portability

    The Bajaj Allianz Health Guard plan lets you switch from your previous insurer without losing your accrued benefits after the waiting period.

What's Covered

  • Pre & post hospitalisation expenses

    Takes care of pre and post-hospitalisation expenses up to 60 and 90 days respectively.

  • Daycare treatment

    It covers 130 daycare treatments which would require minimum 24 hours of hospitalisation.

  • Organ donor expenses

    The plan covers the expenses incurred in organ donor’s treatment for the purpose of harvesting.

  • Convalescence benefit

    In case of continuous hospitalisation due to an injury, illness, or disease, which extends over 10 days, the plan pays a convalescence benefit of ₹5,000 per policy year.

  • Sum insured reinstatement

    In case your sum insured is exhausted during a policy year, then 100% of the sum insured is reinstated.

  • Ayurvedic/Homeopathic hospitalisation costs

    The plan covers Ayurvedic/Homeopathic in-patient treatment costs.

  • Maternity/newborn expenses

    The plan covers medical expenses incurred for the delivery of a baby and offers coverage for the newborn.

What's not Covered

  • Expenses incurred during the waiting period

    Any medical expenses incurred during the waiting period of the policy will not be covered. The waiting period for pre-existing diseases in the Bajaj Allianz Health Guard plan is 3 years. Diseases like cataract, piles, hernia, and sinusitis have a waiting period of 2 years.

  • Diseases diagnosed in the first 30 days

    Any disease contracted during the first 30 days of commencement of the health insurance policy will be excluded from the coverage. However, accidental injuries are taken care of during the waiting period.

  • Diseases due to maternity/childbirth

    Any disease arising due to pregnancy, childbirth or related to pre and postnatal care is not covered.

  • Dental treatments

    Any dental treatments including dentures, cosmetic surgery, dental implants, and others are not covered.

  • Cosmetic treatments

    Cosmetic or aesthetic treatments or any form of plastic surgery.

Eligibility Criteria

Eligibility Criteria
  • The entry age must be between 18 years to 65 years.
  • The age of dependent children or grandchildren must be between 3 months to 30 years.

Sum Insured

The sum insured options available under the Bajaj Allianz Health Guard plan are as follows:

  • Silver Family Floater Plan: Sum insured options ranging from ₹1.5 Lakhs to ₹2 Lakhs.

  • Gold Family Floater Plan: Sum insured options ranging from ₹3 Lakhs to ₹50 Lakhs.

  • Platinum Family Floater Plan: Sum insured options ranging from ₹5 Lakhs to ₹1 Crore.

Zone Wise Premium Rates

The premium rates for the Bajaj Allianz Health Guard plan will differ as per two zones:

Zone A Cities

  • The cities that fall under this zone are Ahmedabad, Bangalore, Delhi/NCR, Hyderabad, Mumbai, Kolkata, Surat, Secunderabad and Vadodara.

  • Policyholders falling under this zone will not have the co-payment clause in their policy. 

Zone B Cities

  • Places that do not fall under Zone A are listed under Zone B.

  • Policyholders falling under Zone B will have a 20% co-payment clause in their policy if they avail healthcare treatment in Zone A cities and pay premium rates as applicable in Zone B cities.  However, this is not applicable in case of accidental hospitalisation.

How to Claim your Bajaj Allianz Health Guard Plan

Not just buying the health insurance plans but understanding your policy’s claim process also remains a vital task. Have a look at the claim process for Bajaj Allianz Health Guard.

When raising a cashless claim, here’s what you need to do:

  1. Provide policy details to the Bajaj Allianz network hospital. Post verification, the hospital will provide a pre-authorisation form.

  2. Bajaj Allianz General Insurance verifies the form which is provided to the hospital along with the details about your policy benefits and coverage.

  3. Hospital begins your treatment on a successful claim approval.

  4. Once you are discharged, the hospital sends the bill along with discharge papers to the insurer which is then settled directly after reducing the co-payment, if any.

In case of reimbursement claim, follow these quick steps:

  1. Submit all original documents and bills.

  2. Bajaj Allianz team evaluates the information.

  3. On receiving all the documents, your claim decision is made.

  4. You will receive the payment based on the policy terms and conditions within 30 days.

Tax Benefits of Buying Bajaj Allianz Health Guard Plan

Here are the tax benefits of the Bajaj Allianz Health Guard plan:

  • Tax benefits of up to ₹25,000 if the policyholder’s age is less than 60 years, and he/she is paying the health insurance premium for self, parents, spouse, children and parents.

  • Tax benefits of up to ₹30, 000 if the policyholder’s age is below 60 years of age and the policy includes his/her parents as well.

  • Tax benefits of up to ₹55,000 if the policyholder’s age is below 60 years and that of his/her parents is above 60 years.

  • Tax benefits of up to ₹60, 000 if the policyholder’s age is and that of his/her parents is above 60 years.

Conclusion 

With the changing lifestyle, a medical emergency can show up at any time. In such situations, a Bajaj Allianz Health Guard plan can come to your rescue by providing adequate financial cover while you can concentrate on the medical treatment. Hence, wait no more. Secure yourself and your loved ones with a Bajaj Allianz Health Guard plan now!

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FAQs

✔️How many hospitals are empanelled with Bajaj Allianz?

Bajaj Allianz offers cashless claims across 8,000+ network hospitals.

✔️What is the maximum sum insured offered by the plan?

The plan offers a sum insured ranging from ₹1.5 Lakhs to ₹1 Crore.

✔️What is the maximum policy period offered?

The maximum policy period offered is 3 years.

✔️What is the co-payment clause in health insurance?

In a health insurance plan with a co-payment clause, the cost of the healthcare treatment is split between the policyholder and the insurance provider by a certain percentage.

✔️Can I purchase the Bajaj Allianz Health Guard plan on Bajaj Markets?

Yes. You can purchase the Bajaj Allianz Health Guard plan on the Bajaj Markets website or our insurance app.