Useful Information

Bajaj

TPA Information

Health Ensure Floater

Synopsis:

Bajaj Allianz’s Health Ensure Policy comes with new comprehensive benefits at competitive premiums and is a perfect

Highlight:

  • Individual and Floater policy for Self, Spouse, Children, Grandchildren, Brother, Sister, Parents, Parents in law, Grand Parents
  • No pre-policy medical tests up to 50 years of age (subject to clean proposal form)
  • Pre-existing disease covered after 24 months from your first Health Policy
  • Pre 30 days and post 60 days hospitalisation expenses cover
  • Emergency road ambulance cover
  • Day care procedures
  • Free preventive health check up
  • Income tax benefit under 80 D of the IT Act on premiums paid for this policy
  • Ayurvedic and Homeopathic Hospitalisation Cover
  • Organ Donor Expenses
  • 5% Cumulative bonus for each claim free year

Benefit:

Title
Description
Room Rent Limit
Maximum of 1%of Sum Insured per day or up to Rs. 5000/-, whichever is lower.
ICU Daily Rent Limit
Maximum of 2% of Sum Insured per day or up to Rs. 10000/-, whichever is lower
Pre-Hospitalization Expenses
30 days immediately before hospitalisation.
Post Hospitalization Expenses
60 days immediately after discharge post hospitalisation.
Minimum Hospitalization Period
24 hours
Day Care Procedure Coverage
Covered
Pre-Existing Disease / Illness coverage
24 months from your first Health Policy.
Waiting Period for New Policy
First 30 days from the commencement of the policy.
Co-Payment
Policyholders paying Zone A premium rates can avail treatment allover India without any co-payment. But, those, who pay zone B premium rates and avail treatment in Zone A city will have to pay 20% co-payment on admissible claim amount
Free Health Checkup
Amount equal to 1% of the sum insured max up to Rs. 1500/- for each member in Individual policy during the block of 3 years.
Ambulance Expenses
Maximum of Rs. 1000/- per Hospitalisation incurred on an ambulance offered by a healthcare or ambulance service provider
Non-Allopathic Treatments
Ayurvedic and Homeopathic Hospitalisation are covered
Donor Expenses
Organ Donor Expenses covered
Nursing Allowance
Room Rent, Boarding and Nursing Expenses as provided by the Hospital maximum of 1%of Sum Insured per day or up to Rs. 5000/-, whichever is lower.
No Claim Bonus
5% of Sum Insured per annum. The maximum cumulative increase in the Limit of Indemnity will be limited to 25% of Sum Insured