Bajaj Allianz My Health Care Plan

Bajaj Allianz My Health Care Plan

Bajaj Allianz My Health Care is a unique combination of a comprehensive health policy and a super top up insurance policy that gives policyholders the freedom to design coverage best suited for their healthcare needs. It doubles the sum insured amount once a year with the double sum insured benefit and comes with a renewal premium waiver benefit in case of the untimely death of the insured. The policy also offers consumables cover that pays for the non-medical expenses incurred during hospitalization.

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Bajaj Allianz My Health Care Plan: Key Highlights

Benefits of Bajaj Allianz My Health Care Plan

Take a look at some of the Bajaj Allianz My Health Care plan benefits below:

1. Doubles the Sum Insured

   With this benefit, the sum insured of the policy will be doubled once a year in case the base coverage amount has been exhausted.

2. Renewal Premium Waiver Benefit

   The Bajaj Allianz General Insurance Company waives the renewal premium for the policy if the insured dies during the policy period due to an illness or accidental injury.

3. Recharge of the Sum Insured

   With the recharge benefit, the sum insured of the Bajaj Allianz My Health Care policy will be recharged up to a specified limit in case the claim amount exceeds the maximum coverage amount.

4. Sum Insured Reinstatement for Same Illness

   Unlike several health plans, this policy restores the sum insured amount to claim medical expenses incurred on the same illness after a minimum gap of 15 days if the original coverage amount has been exhausted. While the reinstatement is applicable once for a sum insured below ₹5 lakh, unlimited restoration of the sum insured is possible for a sum insured of ₹5 lakh and above.

5. Annual Preventive Health Check-ups

   Policyholders can avail free preventive health check-ups once a year at any network service provider of the insurance company.

6. Cumulative Bonus

   With this mediclaim insurance policy, policyholders can earn a cumulative bonus of up to 100% of the sum insured for every claim-free year.

7. Tax Benefits

   The premium paid to buy the Bajaj Allianz My Health Care plan is tax deductible under Section 80D of the Income Tax Act.

Bajaj Allianz My Health Care Plan Eligibility Criteria

The eligibility criteria to buy a Bajaj Allianz My Health Care plan are as follows:

Inclusions of Bajaj Allianz My Health Care Plan

The following coverage are included in the Bajaj Allianz My Health Care plan:

• In-patient Hospitalization Treatment - It pays for the medical expenses incurred on hospitalization of at least 24 hours, such as ICU expenses, room rent, specialist fees, surgeon’s fees, etc.
• Pre-hospitalization Medical Expenses - It covers the medical costs incurred up to 60 days before hospitalization.
• Post-hospitalization Medical Expenses - It pays for the medical expenses incurred up to 90 days after getting discharged from the hospital.
• Modern Treatment Methods and Advancements in Technologies - It covers the cost of modern treatments availed by the insured, such as robotic surgeries, oral chemotherapy, etc.
• Day Care Treatment - It pays for the cost of day care procedures that require hospitalization of less than 24 hours.
• Ayurvedic and Homeopathic Hospitalization Cover - It covers the cost of availing in-patient treatment through Ayurveda or Homeopathy system of medicines.
• Organ Donor Expenses - It pays for the in-patient treatment of the donor for harvesting the organ donated for the transplant surgery of the insured.
• Road Ambulance - It pays for the medical expenses incurred by availing road ambulance services to transport the insured to the nearest hospital during an emergency.
• Maternity Package Expenses - It covers the medical expenses incurred on delivering a newborn baby, surrogacy and complications of assisted reproductive technology/ procedures.
• Baby Care - It pays for the medical expenses incurred on the treatment of the newborn baby of the insured.
• Outpatient Treatment Expenses - It covers the outpatient medical expenses incurred on teleconsultations, in-clinic doctor consultations, doctor-prescribed pathology & radiology investigations and annual health check-ups.
• Home Nursing Benefit - It pays a fixed weekly amount for a maximum of 10 weeks if a registered nurse has been engaged for post-hospitalization care of the insured.
• Domiciliary Hospitalization - It covers the medical expenses incurred on availing treatment through domiciliary hospitalization on the recommendation of a qualified doctor.
• Cost of Prescribed External Medical Aid - It pays for the external medical aid prescribed by the treating doctor for a specific injury or illness.
• Airlift Cover - It covers the cost of availing airlift facility to transport the insured to a hospital in case of a life-threatening condition.
• Family Visit - It pays for the actual economy class transportation expenses incurred on the round trip of one family member/relative/friend if the insured is hospitalized in another city.
• Consumables Expenses - It covers the non-medical expenses incurred during in-patient hospitalization of the insured, such as the cost of needles, syringes, bandages, cotton, gloves, masks, etc.

Optional Covers:

• Loss of Income Cover - It pays a lump sum amount to the insured in case of a minimum of 72 consecutive hours of hospitalization due to an illness or accidental injury.
• Procedure-wise Sub-limit - It applies a sub-limit on the in-patient hospitalization expenses incurred on some procedures like coronary artery bypass grafting, total knee replacement with prosthesis, etc.
• Surgery Only Cover - It pays for the medical expenses incurred on surgical procedures performed on the insured.
• Air Ambulance Cover - It covers the medical expenses incurred on ambulance transportation of the insured via air to the nearest hospital during a life-threatening emergency.
• Major Illness and Accident Multiplier - It pays for the treatment of 10 listed major illnesses or accidental injuries for up to a maximum of two times the base sum insured amount.
• International Cover - Emergency Care - It covers the medical expenses incurred on in-patient treatment expenses of the insured anywhere across the globe.
• Hospital Daily Cash Benefit - It pays a daily cash allowance to the insured for each day of hospitalization and doubles the cash amount for each day spent in the ICU for up to a specified period of days.
• Fracture Care - It covers the medical expenses incurred due to fracture of bone(s) resulting from an accidental bodily injury.
• Super Cumulative Bonus - It increases the cumulative bonus for each claim-free up to a specified amount.
• Double Sum Insured Benefit - It doubles the sum insured amount once a year if the original coverage amount has been exhausted due to claims.

Exclusions of Bajaj Allianz My Health Care Plan

The Bajaj Allianz My Health Care plan excludes the following expenses:

• Treatment for alcohol or drug addiction
• Obesity and weight-control procedures
• Sterility and infertility treatments
• Plastic or cosmetic surgeries
• Treatment for injuries due to participation in adventure or hazardous sports
• Unproven treatments

Bajaj Allianz My Health Care Plan Waiting Periods

Check out the waiting periods applicable to the Bajaj Allianz My Health Care plan:

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