All About Health Insurance Covers & Medical Insurance Coverage by Bajaj Allianz
Jul 21, 2020

Health Insurance Coverage in India

Health Insurance is a service which looks after your finances in case of medical emergencies. When you're involved in a medical emergency, you are already in a distressed state of mind. At these times, having a simple assurance that your medical bills are being taken care of, can be a huge relief. However just having an insurance policy is not sufficient, it is equally important to understand what all is covered in your health insurance policy.

A health insurance policy, in general, must provide the following features and benefits:

  • Hospitalization expenses
  • Pre-post hospitalization expenses
  • Daycare procedure charges
  • Ambulance charges
  • Cumulative bonus at each claim-free renewal year
  • Minimal waiting periods for pre-existing diseases
  • Competitive premium rates

There are numerous health insurance plans available in the market. All of these plans offer different coverages and varying health insurance benefits, which cater to people with different medical needs.

Individual Health Insurance Plan This plan is most suitable for you if you are single and are looking for a policy that will cover only yourself. Furthermore, this policy also gives you an option to extend the cover to include your family members. The coverages offered by this plan are:

  • Pre & Post hospitalization expenses
  • Expenses for all day care treatments
  • Free health checkup
  • Ambulance charges
  • Coverage for organ donor expenses
  • Bariatric surgery cover
  • Cover for ayurvedic and homeopathic hospitalization expenses
  • Coverage for maternity and newborn baby expenses

The benefits of this plan include:

  • Cashless facility at over 6000+ network hospitals across India
  • SI (Sum Insured) range from INR 1.5 lakhs to INR 50 lakhs
  • Policy term options of 1, 2 and 3 years
  • Lifelong renewal option
  • Quick claim settlement via Insurance Wallet App - Health CDC (Claim by Direct Click) benefit
  • Discount for long term policies for up to 8% for 3 years
  • Tax saving under section 80D of the Income Tax Act

Health Insurance Plan for Family - Health Guard

Health Guard is a family health insurance plan which is custom-made to cover you and your family under a single policy. You can purchase this plan to cover yourself, your spouse, parents and children.

The coverages offered by this plan are:

  • Pre & Post hospitalization expenses
  • Expenses for all day care treatments
  • Organ donor expenses
  • Bariatric surgery cover
  • Coverage for ayurvedic and homeopathic hospitalization expenses
  • Miscellaneous medical expenses
  • Coverage for maternity and newborn baby expenses

The benefits of this plan include:

  • Single policy to cover yourself and your loved ones
  • Freedom from multiple premium payments for each family member
  • SI (Sum Insured) range from INR 1.5 lakhs to INR 50 lakhs
  • Policy term options of 1, 2 and 3 years
  • Cashless facility at over 6000+ network hospitals across India
  • Lifelong renewal option
  • Quick claim settlement via Insurance Wallet App - Health CDC (Claim by Direct Click) benefit
  • Tax saving under section 80D of the Income Tax Act
  • Convalescence benefit up to INR 7500 per year

Critical Illness Insurance Policy

This insurance policy is specially designed to cover you in case of critical illnesses like Cancer, stroke, kidney failure etc. The entry age for this policy is from 6 years to 59 years.

The coverages and benefits under this plan are:

  • 10 critical illnesses covered:
    1. Stroke
    2. Kidney Failure
    3. Cancer
    4. Permanent Paralysis of Limbs
    5. Coronary Artery Bypass Surgery
    6. First Heart Attack (Myocardial Infarction)
    7. Aorta Graft Surgery
    8. Primary Pulmonary Arterial Hypertension
    9. Major Organ Transplant
    10. Multiple Sclerosis with Persisting Symptoms
  • Lump sum amountpaid to the insured
  • Coverage for donor expenses in a transplant surgery
  • Coverage provided in India and abroad
  • SI (Sum Insured) options start from INR 1 lakh
  • Tax saving under section 80 D of the Income Tax Act
  • Competitive premium rates

Silver Health Insurance Plan

This health insurance plan is specially designed for senior citizens and it covers you and your spouse. The entry age for this plan is 46 years to 70 years.

The coverages offered by this plan are:

  • Coverage provided for most of the day care procedures
  • Pre-existing illnesses covered from the second year of the policy
  • Coverage for pre and post hospitalization expenses
  • Covers ambulance charges in case of an emergency
  • Miscellaneous medical expenses

The benefits of this plan include:

  • Cashless claim settlement at 6000+ network hospitals
  • Quick payout of claim amount
  • Income tax benefit under section 80 D of the Income Tax Act
  • Waiver of co-payment is available
  • Custom-made plans available for individuals

Extra Care Plus Policy

This is the top up health insurance plan offered by Bajaj Allianz, which is beneficial in the event when you exhaust the SI (Sum Insured) offered by your basic health insurance plan.

This plan can be opted as a stand-alone policy as well as a top-up on any other health insurance plan.

The coverages offered by this plan are:

  • Pre-existing illnesses covered after 12 months of getting the policy
  • Coverage for maternity expenses
  • Organ donor Expenses
  • Free health check-up
  • Coverage for all day care treatments expenses
  • Pre and post hospitalization expenses
  • Ambulance charges

The benefits of this plan include:

  • Free look period of 15 days
  • Lifelong renewal option
  • Income tax benefit under section 80 D of the Income Tax Act
  • Cashless claim settlement at 6000 + network hospitals
  • Quick claim settlement via Insurance Wallet App - Health CDC (Claim by Direct Click) benefit

Having health insurance is imperative in today's world, where the cost of health care is rising every day. A suitable health insurance plan can provide you with the financial stability you require when undergoing medical treatment. However, it is equally important to understand what is covered and excluded, along with details on list of diseases not covered under health insurance .

A final word of advice would be to choose a plan that best suits your insurance needs. We also recommend you to carefully read the policy wordings to have a clear understanding of the inclusions and exclusions of the policy.

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