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Family Floater Health Guard Policy
Nov 24, 2023

Family Floater Health Guard Policy: A Comprehensive Guide

Taking care of one’s family is both a privilege as well as a responsibility. To ensure that you do your part on both aspects, you should opt for a family floater health insurance plan. It can provide comprehensive coverage to your nearest loved ones against a variety of medical events and risks.

 If you are looking for a suitable family floater health plan, then you should consider the Health Guard policy by Bajaj Allianz General Insurance Company. It is designed to suit the healthcare needs of a family and can be availed in three variants - silver, gold, and platinum. Let’s learn more about the Health Guard Policy below

 Features of the Family Floater Health Guard Policy 

If you opt for the Health Guard plan from Bajaj Allianz General Insurance Company, you can avail several features.   ᄋ You can choose between three plans available within the policy: *

￘ Silver Plan

￘ Gold Plan

￘ Platinum Plan

 ᄋ The maximum sum insured under the plan can be decided as per the type of plan chosen: *

￘ Silver plan: ₹ 1.5 / 2 lakhs.

￘ Gold plan: ₹ 3 / 4 / 5 / 7.5 / 10 / 15 / 20 / 25 / 30 / 35 / 40 / 45 / 50 lakhs

￘ Platinum plan: ₹ 5 / 7.5 / 10 / 15 / 20 / 25 / 30 / 35 / 40 / 45 / 50/ 75 lakhs / 1 Crore. 

 ᄋ The coverage offered under the policy depends on the type of plan chosen.   ᄋ The Health Guard policy can be availed on an individual basis as well. Under the floater plan, you can choose to cover yourself, your spouse, and dependent children. *  ᄋ This health insurance  policy can be taken for a period of 1/2/ or 3 years. For long-term policies, the premium must be paid annually, while for regular-term plans, the premium can be paid on a half-yearly, quarterly, and monthly basis as well. 

 Claims are subject to terms and conditions set forth under health insurance policy.

 Now that you have an idea of the plan’s basic features, let’s note down the important coverage points.   

Coverage offered under the Health Guard Family Floater Plan 

While the entire scope of the plan’s coverage can be understood by reading the policy wordings, we list down some essential coverage points. 

 In-patient hospitalisation treatment *

The Health Guard plan offers coverage for in-patient hospitalisation. The expenses covered can include charges for room rent and boarding, ICU, nursing, surgeon, anaesthetist, specialists, operation theatre, and more as listed in the policy wordings.   For gold and platinum plan policyholders, the room rent and boarding expenses may be as follows:

ᄃ Sum insured of ₹ 3 to 7.5 lacs – the maximum eligible room is a single private air-conditioned room.

ᄃ Sum insured of ₹ 10 lacs and above - eligible for any room category. 

 For silver plan users, the expenses may be limited to 1% of the sum insured amount per day. Claims are subject to terms and conditions set forth under health insurance policy.

 Pre- and post-hospitalisation  *

If an in-patient hospitalisation claim has been accepted by the insurance company, then one can also claim for the pre-hospitalisation expenses (up to a maximum of 60 days before the hospitalisation) and post-hospitalisation expenses (up to a maximum of 90 days after hospitalisation), subject to limits mentioned in policy wordings.  Claims are subject to terms and conditions set forth under health insurance policy.

 Day-care procedures *

The Health Guard policy can provide financial support to the covered members in the event of day-care procedures taken only as an in-patient at a hospital or a day-care centre. The expenses covered are the same as those listed in the in-patient hospitalisation wordings.  Claims are subject to terms and conditions set forth under health insurance policy.

 Preventive health check-ups *

A free preventive health check-up can be availed by the insured members at the end of a block of every continuous period as mentioned in the policy wordings, as per the plan chosen:

ᄃ Silver Plan: 1% of the SI, maximum up to Rs. 2000/- for each member in an individual plan during a block of 3 years

ᄃ Gold Plan: 1% of the SI, maximum up to Rs. 5000/- for each member in an individual plan during a block of 3 years

ᄃ Platinum Plan: 1% of the SI, maximum up to Rs. 5000/- for each member in an individual plan during a block of 2 years.

 Under a floater plan, this coverage can only be availed for the proposer and the spouse.  Claims are subject to terms and conditions set forth under health insurance policy.  Other coverages provided under the Health Guard plan include road ambulance, organ donor expenses, bariatric surgery cover, convalescence benefit, daily cash benefits for accompanying an insured child, sum insured reinstatement benefit, wellness benefits, maternity expenses, new-born baby cover, ayurvedic/ homoeopathic hospitalisation cover, and more. The coverage may differ based on the plan chosen and the wordings mentioned in the policy document. * Claims are subject to terms and conditions set forth under health insurance policy.  Before you opt for a family floater health insurance plan such as the Health Guard policy, we advise you to go through its exclusions, waiting period, sub-limits, and more.  *   * Standard T&C apply. Insurance is the subject matter of solicitation. For more details on benefits, exclusions, limitations, terms, and conditions, please read the sales brochure/policy wording carefully before concluding a sale.

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