Coverage of up to Rs. 1 Lakh | Buy Kids Cover at just Rs. 1358

What is Group Activ Health – Kids Comprehensive Insurance Cover? 

Return to school post COVID-19 has had a major impact on children. As much as this is an important step towards their cognitive and interpersonal development, returning to school after almost two years has been physically and mentally taxing for them. 

The prolonged lack of physical activity, erratic sleep cycle, unhealthy eating habits, and undisciplined lifestyle are making it difficult for children to adhere to a strict routine. Skyrocketing medical expenses and rising inflation can burn a hole in your pockets. Cover your child’s medical expenses with Bajaj Markets’ Group Activ Health – Kids Comprehensive Insurance Cover from Aditya Birla Health Insurance Co. Ltd at just Rs. 1358/year. Read on to know more.

Key Features of Group Activ Health – Kids Comprehensive Insurance Cover

Wondering what makes the Group Activ Health – Kids Comprehensive Insurance Cover plan a must have? Here are its key features -

Sum of 1 Lakh Rupees insured

This Kids’ Plan will pay your child’s medical expenses up to a sum of Rs. 1 lakh @ a premium of Rs. 1358.

Validity up to 1 year

You can access the benefits of the Kids’ Insurance Cover for a period of one year.

Coverage against room rent

If your child is hospitalised for their treatment, Kids’ Insurance Policy will take care of the room expenses incurred due to tuberculosis, meningitis, and typhoid.

Coverage of day care procedures

If your child requires to go through any kind of treatment that may be finished under a span of 24 hours, then the Group Activ Health – Kids’ Comprehensive Insurance Cover will take care of 527 such day-care procedures.

How to Apply for the Group Activ Health – Kids Comprehensive Insurance Cover?

Get this cover for your kids by following these easy steps -

  • Click on Buy Now

    Tap on ‘Buy Now’ on the product page

  • Fill in the Details

    Enter your personal details in the online application form

  • Make the Payment

    Complete the quick online payment via credit/debit card, mobile wallet, UPI, or any other online payment mode available.

 

That’s it! You will receive membership details received on your registered e-mail ID.

Eligibility Criteria 

Meet the basic eligibility criteria mentioned below and enjoy the benefits of the Group Activ Health – Kids Comprehensive Insurance Cover

 

  • You must be a resident of India

  • Your child must be between the ages of 5 years and 18 years

What’s Covered under Group Activ Health – Kids Comprehensive Insurance Cover?

  • Hospitalisation levies

    You can get your domiciliary hospitalisation covered under this insurance cover. Pre & post hospitalisation periods of 30 – 60 days are also insured.

  • Ambulance charges

    Worry less about travelling by the ambulance and get the road ambulance costs up-to Rs. 1,000 per incident in case of an emergency covered.

  • Tele-consultations are covered

    You can consult a general physician or get psychological counselling conducted through our Group Activ Health – Kids Comprehensive Insurance Cover. (Note – Pre-existing diseases will be covered after a waiting span of 4 days)

Policy Plan Details & Specifications 

Here are the details of the Group Activ Health – Kids Comprehensive Insurance Cover

  • Coverage limit

Coverage of Rs. 1 Lakh at a premium of Rs. 1358 only.

  • Validity

1 year

  • Age Limit

5-18 years

What’s not covered?

There are certain exclusions in the Group Activ Health – Kids Comprehensive Insurance Cover

  • Physical Consultations with the doctors

  • Intentional self-injuries

  • Treatment required due to the involvement in the hazardous adventurous sports

  • Treatment for drug or alcohol abuse

  • Treatment arising due to the breach of law

  • Previous health check-ups and routine examinations

  • Other surgeries that are permanently excluded are - 

Body Part

Illness

Surgery/Treatment

Eye

  1. Cataract

Cataract Surgery 

  1. Glaucoma

Glaucoma surgery

Ear-nose-throat

  1. Otitis media

Surgery or treatment for otitis
Media

  1. Serous Otitis Media  

Adenoidectomy

  1. Mastoiditis

Mastoidectomy

  1. Cholesteatoma

Resection of the nasal concha

  1. Sinusitis

Sinus surgery

  1. Tympanites

Tympanoplasty

  1. Tonsillitis

Tonsillectomy

  1. Rhinitis

Surgery for the nose  

  1. Deviated nasal septum

Surgery for deviated nasal septum
Septum

  1. Sinusitis

Sinus surgery

  1. Tympanites

Tympanoplasty

Gynaecology

1 (a) Breast lumps

 

 

 

 

 

Any treatment for menorrhagia

(b) Prolapse of the uterus

(c) Dysfunctional uterine bleeding

(d) Endometriosis

(e) Menorrhagia

  1. Polycystic ovarian disease

Myomectomy

  1. Uterine prolapse

Uterine prolapse surgery

  1. Fibroids (fibromyoma)

Hysterectomy unless
necessitated by malignancy

  1. All cysts and polyps of the female genitourinary system

Dilatation and curettage

  1. Pelvic Inflammatory Disease

 

Orthopaedic/rheumatological

1 (a) Gout

 

 

 

 

 

 

 

 

Joint replacement surgery for prolapse of the intervertebral disc

(b) Rheumatism, rheumatoid arthritis

(c) Osteoporosis

(d) Prolapse of the intervertebral disc

(e) Non-infective arthritis

(f) Osteoarthritis

(g) Spondylopathies

Skin

2 (a) All skin diseases

 

Removal of such tumour unless malignant

(b) Skin tumour (unless malignant)

General Surgery

3 (a) Varicose veins, Varicose ulcers

 

Surgery for Varicose veins and Varicose ulcers

 

(b) Congenital Internal Diseases or anomalies

 

4. Any swelling, tumour, cyst, nodule, ulcer, polyp anywhere in the body (unless malignant)

Surgery for cyst, tumour, nodule, polyp 

unless malignant

 

5. Gastric or duodenal erosions or ulcers + gastritis and duodenitis

 

Gastroenterology (alimentary canal and related organs)

1 (a) Gastroesophageal reflux disease(GERD)

(b) Cirrhosis

2 (a) Cholecystitis

 

 

 

 

 

Surgery for ulcers (gastric/duodenal)

(b) Pancreatitis

(c) Fissure, fistula in ano, haemorrhoids (piles), pilonidal sinus, anorectal and perianal abscess

(d) Rectal prolapse

3.Stone in gallbladder and bile duct

Cholecystectomy/surgery for gallbladder

Urogenital (urinary and reproductive system)

1 (a) Stones in urinary system (kidney/ ureter/urinary bladder)

Prostate surgery

 

(b) Benign hypertrophy/enlargement of the prostate (BHP/BEP)

 

2.Hernia, Hydrocele,

Surgery for Hydrocele, Rectocele and Hernia

 

3.Varicocele / Spermatocele

Surgery for Varicocele /Spermatocele

Kindly refer to the policy wordings for elaborate details.

How to make a claim?

Make a claim in the following ways –

  • E-mail

Email the team at healthinsurance@adityabirlacapital.com stating your requirements by mentioning your policy and other personal details. 

  • Call

Call on 1800-270-7000 to put forward your claim requirements. 

Customer Care Details

  Feel free to connect with us at Bajaj Markets. Just write to us at: insuranceconnect@bajajfinservmarkets.in

FAQs

  • ✔️Are the day-care procedures included in the Kids’ Cover claim?

    Yes, the day-care procedures are included in the claim. Get a total of 527 day-care procedures insured with our plan.

  • ✔️What is the cancellation policy for the Kids’ Cover Insurance Plan?

    The policyholder needs to give a written notice of 15 days. The premium for the unexpired policy period shall be refunded by the company thereafter. Please go through the brochure to understand the break-up of the percentage of the refund amount based on the period for which the risk has been retained.

  • ✔️Can the insured person migrate from Kids’ Cover insurance policy to any other health policy?

    Yes, the insured person can migrate to other health insurance products or plans that are offered by the company. They need to apply for the policy migration at-least 30 days prior to the policy renewal date.

  • ✔️What are the eligibility criteria for applying for the kids’ insurance policy?

    The insured person needs to be between the ages of 5 to 18 years

     

  • ✔️What are the payment methods available for availing the kids’ plan?

    You can make the payment for availing the kids’ insurance plan via credit/debit card, UPI, and other online modes of payment available.

  • ✔️What is the amount that is insured in Kids’ Insurance Health plan?

    Group Activ Health – Kids Comprehensive Insurance Cover will pay your child’s medical expenses up to a sum of 1 lakh rupees @ a premium of Rs. 1358.