Bajaj Allianz General Health Insurance
Bajaj Allianz general insurance company limited is a joint venture between Bajaj finserve limited and the alliance both enjoy a reputation of expertise, stability, and strength. This joint venture company incorporates global expertise with local experience. The comprehensive innovative solutions combine the technical expertise and experience of alliance and in-depth market knowledge and goodwill of the Bajaj brand in India. Competitive pricing and quick, honest response have earned the company the customer’s trust and market leadership in a very short time.
Disclaimer
Dr Nasir Physiotherapy and Rehabilitation or Dr Nasir or any other member of the team isn’t liable for any claims.
What is covered under the health care supreme policy?
The policy has two sections-
- Medical expense section (mandatory)
- Add on benefits section (optional)
The medical expenses section covers the below-listed benefits:
- Hospitalization expenses
- Pre-hospitalization expenses
- Post hospitalization
- Road ambulance
- Air ambulance
- Day-care procedures
- Outpatient expenses
- Organ donor expense
- Recovery benefit
- Physiotherapy expenses
- Sum insured reinstatement benefit
- Ayurvedic and homeopathic treatment hospitalization expenses
- Maternity expenses
- New born baby cover
- Free annual preventive health check up
Add On benefits section covers below listed benefits:
- Ancillary expenses benefit
- Personal accident cover
- Critical illness
Types of policy:
- Individual healthcare supreme policy
- Floater healthcare supreme policy
- Group health care supreme policy
Bajaj Allianz General Health Insurance Coverage details
The hospitalization sum ensured under the medical expenses section covers the below-listed expenses.
The claim pay-out under the below headings should not exceed the hospitalization.
Sum insured hospitalization expenses:
• Pre – hospitalization
• Post hospitalization
• Road ambulance
• Day-care expenses
• Ayurveda and homeopathic treatment hospitalization expenses
A separate sum insured has been specified for the below-mentioned section:
• Air ambulance
• Outpatient expenses
• Organ donor expenses
• Recovery benefit
• Physiotherapy expenses
• Sum insured reinstatement benefit
• Maternity expenses and newborn baby care.
Medical expenses
Hospital expenses
If a patient is hospitalized on the advice of a doctor because of illness or accidentally bodily injured, sustained, or contracted during the policy. Then the policy will pay you inpatient treatment medical expenses for the below-listed items up to the sum in short, as specified under the policy schedule
In-patient treatment medical expenses for-
• Room rent
• Boarding expenses
• Nursing intensive care unit
• Consultation fees
• Anaesthesia, blood oxygen, operation theatre charges, surgical appliances
• Medicines, drugs, and consumables
• Diagnostic procedures
• The cost of prosthetics and other devices or equipment if implanted internally during a surgical procedure.
Bajaj Allianz General Health Insurance Free hospitalization
The medical expenses incurred during the 60 days immediately before you were hospitalized provided that such medical expenses were incurred for the same illness or injury for which subsequent hospitalization was required and the policy has accepted an inpatient hospitalization claim under benefit hospitalization expenses.
Post hospitalization
The medical expenses incurred during the 90 days immediately after the patient has been discharged post hospitalization provided that such costs are incurred in respect of the same illness or injury for which the earlier hospitalization was required and the policy has accepted an inpatient hospitalization claim under benefit hospitalization expenses.
Road ambulance
The policy will reimburse the expenses incurred on an ambulance offered by a healthcare or ambulance service provider for transferring the patient to the nearest hospital with adequate emergency facilities for the provision of health services following an emergency provided that the policy has expected an inpatient hospitalization claim under benefit hospitalization expenses.
Air ambulance
The policy will pay for ambulance transportation in an airplane or helicopter for emergency life-threatening health conditions that require immediate and rapid ambulance transportation from the site of the first occurrence of the illness or accident to the nearest hospitals the claim would be reimbursed up to the actual expenses subjected to a maximum limit as specified under the air ambulance section in the policy schedule. Return transportation to the client’s home by air ambulance is excluded.
Daycare Procedures
The policy will pay you the medical expenses listed above under the hospitalization section for daycare procedures. Surgery is taken as an impatient in a hospital or daycare center but not in the outpatient department.
Outpatient Expenses
• Specialist consultations
• Investigations related to the injury or illness as prescribed by the specialist.
- Medicine related to the illness or injury as prescribed by the specialist
- Dental procedures
- Consultation for psychiatric disorders
Organ Donor Expenses
The organ donor is any person whose organ has been made available in accordance and compliance with the Transportation of Human Organs Amendment Bill 2011 and the organ donated is for the use of the insured person and the policy has expected an inpatient hospitalization claim for the insured member under the hospitalization expenses section. Then the policy will pay a one-time lump sum of the benefit amount as specified in the policy schedule.
Recovery Benefit
In the event of an insured member’s hospitalization for a disease, illness or injury for a continuous period exceeding seven days, the policy will pay a one-time lump sum amount per policy. As specified under the recovery benefit in the policy schedule, the benefit will be triggered provided that the hospitalization claim is accepted under section hospitalization expenses.
Physiotherapy Expenses
The policy will pay the expenses incurred towards physiotherapy treatment taken on an outpatient basis for illness or injury contacted during the policy period and maximum to the amount specified under the physiotherapy expenses in the policy schedule provided. But the treatment should be prescribed by this specialist consultant for muscular-skeletal, neurosurgical, neurological diseases or injuries or any other systemic diseases. The treatment should be carried out in a hospital as defined under the policy and during the first year of health care supreme policy, 90 days waiting period would be applicable for all the claims. However, the waiting period would not be applicable during subsequent renewals.
Add On Benefits
• Ancillary expenses benefit
• Health care supreme vital plan
• Healthcare supreme smart plan
• Healthcare supreme Ultimo plan
• Personal accident care
• Critical illness cover
What is the entry age?
Entry age for Medical Expenses Section-
• Proposer/ spouse /parents- 18 years to lifetime
• Dependent children- 3 months to 25 years
Entry age for add-on covers-
• Proposer /Spouse/ parents- 18 years to 65 years
• Dependent children -3 months to 25 years
For information about Bajaj Allianz, Visit their website.
Also At DNPR, our associated hospitals provide almost 49+ Health Insurance Panels.
Disclaimer
Dr Nasir Physiotherapy and Rehabilitation or Dr Nasir or any other member of the team isn’t liable for any claims.