Bajaj Allianz

    Health Ensure : Proposal - BAGIC & GOQii Co - pay model

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    Goqii Plan

    Quote ID : 21454598

    Personal Details

    Name : John Anderson

    • Date of birth :
    • Pincode : 123456
    • Mobile : +91-1234567891

    Plan Details

    • Policy period : 2 years
    • Sum insured :

    BMI Details

    • BMI details : Change

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    Fitness tracking with the help of the GOQii smart band

    The GOQii band is a revolutionary smart fitness band that helps you monitor your Blood pressure, Heart rate and Exercise regime

    The premium and plan I want to opt for is:

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    with a sum insured of

    • 30 lacs
    I would like to personally settle

    50%

    of the approved amount at the time of a claim.

    Note: This will reduce your premium amount.

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    Health Ensure Coverage

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      Short waiting period

      Get covered for pre-existing diseases from the fourth year of our policy

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      Cumulative bonus

      At the time of renewal if there is no claim in the previous year policy the insured would be eligible for a 5% cumulative bonus.

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      Tax benefit

      Get income tax exemption under Sec 80 D

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      Cashless treatment

      Get cashless facility at more than 6000+ network hospitals

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      Renewal duration

      Lifetime renewal benefit

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      In-patient Hospitalisation Treatment

      If You are hospitalized on the advice of a Doctor as defined under the policy, because of Illness or Accidental Bodily Injury sustained or contracted during the Policy Period, then We will pay You, Reasonable and Customary Medical Expenses incurred

    Just one more step to secure your health!

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    The pre-existing diseases are .... Read More

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    Premium Break up

    Health Goqii Premium
    30,000
    Total Goods & Services Tax (GST) 18%
    8,000
    Total Premium Amount
    38,500
    Proceed

    Thank you for the interest shown in our health insurance plan and submitting the details. On the basis of the information provided, our executive will get in touch with you.

    For future correspondence, kindly use the Quote Reference ID: ATU22731047. You can also call on our toll-free number 1800-209-0144 or mail us at websales@bajajallianz.co.in in case of any queries.

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    Hospital Cash Coverage

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      Daily Cash benefit

      Avail daily cash benefit during hospitalization along with this policy.

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      ICU Benefit

      The benefit is doubled in case of ICU admission (for up to 7 days)

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      Tax benefit

      Get income tax exemption under Sec 80 D

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      Family Discount

      Get 5% discount if 2 or more family members are covered

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    For future correspondence, kindly use the Quote Reference ID: ATU22731047.

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    Thanks for taking the time in providing us with the details. Our executive will get in touch with you shortly and assist you in making the payment. For future correspondence, kindly use the Quote Reference ID: ATU22731047. You can also call on our toll-free number 1800-209-0144 or mail us at websales@bajajallianz.co.in in case of any queries.

    You’ve taken the right step towards health insurance.

    Here, is your health policy details

    John Anderson

    Brand Name

    Sum insured :

    28,000

    Your Policy No. is :

    OG-18-9906-1801-001234

    Start date :

    29 May 2018

    End date :

    29 May 2018
    Download Policy Document

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    Thank you for the interest shown in our health insurance plan. On the basis of the information provided, our executive will get in touch with you. You can also call on our toll-free number 1800-209-0144 or mail us at websales@bajajallianz.co.in in case of any queries.

    Ok   Cancel

    Thank you for the interest shown in our health insurance plan and submitting the details. On the basis of the information provided, our executive will get in touch with you.

    For future correspondence, kindly use the Quote Reference ID: ATU22731047. You can also call on our toll-free number 1800-209-0144 or mail us at websales@bajajallianz.co.in in case of any queries.

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    1. I hereby declare, on my behalf and on behalf of all persons proposed to be insured, that the above statements, answers and/or particulars given by me are true and complete in all respects to the best of my knowledge and that I am authorised to propose on behalf of these other persons.

    2. I understand that the information provided by me will form the basis of the insurance policy, is subject to the Board approved underwriting policy of the insurer and that the policy will come into force only after full payment of the premium chargeable.

    3. I further declare that I will notify in writing any change occurring in the occupation or general health of the life to be insured/proposer after the proposal has been submitted but before communication of the risk acceptance by the company.

    4. I declare that I consent to the company seeking medical information from any doctor or hospital who/which at any time has attended on the person to be insured/proposer or from any past or present employer concerning anything which affects the physical or mental health of the person to be insured/proposer and seeking information from any insurer to whom an application for insurance on the person to be insured /proposer has been made for the purpose of underwriting the proposal and/or claim settlement.

    5. I authorize the company to share information pertaining to my proposal including the medical records of the insured/proposer for the sole purpose of underwriting the proposal and/or claims settlement and with any Governmental and/or Regulatory authority.

    6. I authorize Bajaj Allianz to share my details to GoQii for service fulfilment.