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Complete Health Insurance for Individuals |
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Individual Health Guard Insurance Plan Benefits:
- Cashless facility at over 2300 hospitals across India
- Pre and post-hospitalization expenses covered*
- Covers ambulance charges in an emergency subject to limit of Rs.1000/-
- No tests required up to 45 years up to SI 10 lacs*
- 130 daycare procedures are covered
- Pre-existing diseases covered after 4 years continuous renewal with Bajaj Allianz
- Discount in premium if voluntary deductible is opted
- Family discount of 10% is applicable*
- Income tax benefit on the premium paid as per section 80D of the Income Tax Act
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| Learn More |
Good healthcare comes at an exorbitant cost. This policy can help you save your wealth, while never compromising on yor health.
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Features
- You will have cashless facility at over 2300 hospitals across India.
- With Health Guard, you will have access to cashless facility at various empanelled hospitals across India as well.
- Pre and post hospitalization expenses will cover relevant medical expenses incurred for 60 days prior to and 90 days after hospitalisation.
- Covers ambulance charges in an emergency subject to a limit of Rs.1000 /-.
- No tests required for members below the age of 45, up to a sum insured of Rs.10 lakhs.*
- 10% co- payment applicable if treatment is taken in non-network hospitals.
- 20% co-payment applicable for members of age group 56 -65 years, if they are opting for this policy for the first time.
- Waiver on 10% co-payment is available on payment of additional premium.
- Pre-existing diseases will be covered after 4 years of continuous policy renewal with Bajaj Allianz.
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The Individual Health Guard policy takes care of hospitalization
expenses and also offers a wide coverage of pre- and post-hospitalization expenses.
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Benefits
- Our in-house Health Administration Team for hospitalisation claims will lower the turn around time.
- Access to over 2300 hospitals all over India for cashless facility.
- No sub-limits applicable on room rent and other expenses.
- Hassle-free claim settlement due to in-house claim administration.
- Income tax benefit on the premium paid as per section 80-D of Income Tax Act as per existing IT law.
- Health Check up for maximum amount of Rs.1000 /- at the end of 4 continuous claim-free years.
- Family discount of 10% will be applicable.
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We are the first insurance company to offer a sum insured of Rs. 10 lakh. Find out what else is covered under this policy.
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Coverage
- Sum insured from Rs.1 lakh to Rs.10 lakhs can be opted for a period of 3 months to 55 years.
- Sum insured from Rs.1 lakh to Rs.5 lakhs can be opted for a period of 56 months to 65 years. Policy can be renewed up to 80 years.*
- In built E-opinion cover for sum insured Rs.5 lakhs and above.
Pre and Post Hospital Expenses:
- Medicines: Mandatory to provide doctor's prescription advising medicines and the relevant chemist bill.
- Doctor's Consultation Charges: Mandatory to provide the doctor's prescription and the doctor's bill and receipt.
- Diagnostic Tests: Mandatory to provide the Doctor's prescription advising tests, the actual test reports and the bill and receipt from the diagnostic centre.
- The claims team would assess the claim for completeness of documentation and admissibility. A written communication would be sent to the insured regarding requirement of documents if any or if the claim is deemed to be inadmissible as per the policy’s terms and conditions.
- In case the claim is determined to be admissible a pay order and discharge voucher would be sent to the insured address as mentioned on the policy document.
Exclusions:
- A waiting period of 4 years will be applicable, in the case of pre-existing diseases.
- Any disease contracted during the first 30 days of commencement of the policy will be excluded from coverage.
- Diseases such as hernia, piles, cataract, sinusitis, etc. shall be covered after a waiting period of 2 years.
- Certain diseases such as joint replacement surgery, surgery for prolapsed inter vertebral disc (unless necessitated due to accident), surgery to correct deviated nasal septum and hypertrophied turbinate, congenital internal diseases or anomalies and laser treatment for correction of eye sight due to refractive error will be covered after a waiting period of 4 years.
*conditions apply
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Plan Details
Learn more about the finer points of the policy like eligibility, restrictions, voluntary deductibles, etc.
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Plan Details
Eligible Age:
- Entry age for proposer is 18 years-65 years. The policy can be renewed upto 80 yrs.
- Children aged 3 months to 5 years are eligible if both parents are insured with Bajaj Allianz.
Restrictions on the Value of the Sum Insured:
- Sum insured from Rs.1.5 lakh to Rs.10 lakh can be opted from the age of 3 months to 55 years.
- Sum insured from Rs.1.5 lakh to Rs.5 lakh can be opted from the age of 56 years to 65 years.
- No tests are required for a sum insured of upto Rs.10 lakh till the age of 45 years (subject to a clean proposal form).
Pre-policy Check-ups:
- No medical tests are required upto the age of 45 years, subject to a clean proposal form.
- Medical tests (pre-policy check-ups) are mandatory for members aged 46 years and above.
- The pre-policy check-up is arranged at one of our empanelled diagnostic centres.
- The cost of the pre-policy check-up is refunded in full, if the proposal is accepted and the policy is issued.
Voluntary Deductibles:
This policy has an option of voluntary deductibles where discounts are applied, as given below:
| Deductible Amount |
Discount (%) |
| 10,000 |
10.0% |
| 15,000 |
15.0% |
| 25,000 |
17.5% |
| 50,000 |
20.0% |
| 75,000 |
22.5% |
| 1,00,000 |
25.0% |
| 1,50,000 |
27.5% |
| 2,00,000 |
30.0% |
| 2,50,000 |
32.5% |
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Find a Network Hospital
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Learn How to Save Tax with Your Health Insurance Premium
It's common knowledge that buying health insurance helps you to save tax. Under Section 80D of the Income Tax Act 1961, you can get a maximum tax benefit of Rs.15000 on health insurance premium paid. The exemption limits are as follows:
- An individual can avail an annual deduction of Rs.15000 from taxable income for health insurance premium paid for self and dependants. 'Dependents,' in this case, refers to spouse and children.
- In the case of senior citizens (aged 56 years and above), the annual deduction from taxable income goes up to Rs.20000.
But here's a tidbit that might help you save more tax than you think:
- If you are paying the premium for your parents' health insurance, you can claim an additional tax benefit up to Rs.15000 under the provisions of Section 80D.
- If your parents are senior citizens (aged 56 years and above), the benefit goes up to Rs.20000.
Put together, the two facts listed above come down to this:
The health insurance premium that you pay for yourself, your dependents (spouse and children) and your parents, are all considered for tax benefit under Section 80D of the Income Tax Act 1961.
Therefore, you can claim a deduction up to Rs.30000 on your taxable income, and if your parents are senior citizens, the deductible amount goes up to Rs.35000.
However, there are a few conditions:
- You cannot claim tax benefit on health insurance premium paid for your in-laws.
- Proof of payment of premium has to be furnished, in order to avail the tax benefit.
- Except cash, any mode of payment is acceptable for claiming tax benefit.
- The health insurance premium must be paid from your taxable income of that year only if you want to claim a deduction. If you have paid the premium from your savings or from gifts of money received by you, then you will not be eligible to claim tax benefit under Section 80D.
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