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Family Floater Health Guard - Health Insurance Plan Online

Covers the insurance needs of your entire family

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A family floater is the best health insurance plan, when it comes to covering your loved ones. Having a single policy removes the hassle of maintaining multiple policies for your family members, by covering all of them under a single health insurance plan. Family floater is the best plan to cover your parents, spouse and kids, all under one single mediclaim policy.

 

Features:

  • Long term policy discount of 4% for 2 yrs, 8% for 3 yrs

  • Organ donor expenses covered up to the sum insured

  • 10% cumulative bonus benefit for every claim free year up to 100%

  • Discount of upto 20% for co-payment option

  • Tax saving up to Rs. 60000/- under Sec 80D*

  • No medical tests up to 45 years, subject to clean proposal form

  • Bariatric surgery cover

  • Convalescence benefit up to Rs. 7500/- per year

  • Ayurvedic and Homeopathic hospitalization cover

  • Free preventive health checkup every 3 years, irrespective of a claim

  • Maternity and new born baby expenses cover which makes this a very useful plan for young couples

  • This family health plan reduces your hassle as it is a single policy that covers the entire family. This health plan helps you to avoid paying multiple premiums for multiple members. This also helps you to cover your entire family under one health policy and makes sure that every member gets the best medical treatment possible.

 

UIN:

IRDAI/HLT/BAGI/P-H/V.II/113/16-17

 

Bajaj Allianz General Insurance Co. Ltd.

GE Plaza, Airport Road, Yerawada, Pune - 411006. Reg No.: 113. | CIN - U66010PN2000PLC015329  | UIN -

For more details, log on to : www.bajajallianz.com or call at : Sales - 1800 209 0144 / Service - 1800 209 5858 (Toll Free No.)

 

BUY ONLINE

 

YES BANK Limited is the Corporate Agent of Bajaj Allianz General Insurance Company Ltd.  Registered Office: YES BANK Limited, Nehru Centre, 9th Floor, Discovery of India, Dr. A.B. Road, Worli, Mumbai – 400 018. IRDAI Corporate Agent Registration No: CA0125 The purchase of a Bajaj Allianz General Insurance Company Ltd product by YES BANK’s customer is purely on a voluntary basis. As YES BANK is not in the business of insurance, there is no link either direct or indirect between the banking services offered by the bank to its customers and use of the insurance products. The benefits/features of products are indicative and for more details on risk factors and Terms and Conditions, please read the sales brochure before concluding a sale.

features and benefits

FEATURES

With the Family Floater Health Guard, you will have access to cashless facility...

  • With the Family Floater Health Guard, you will have access to cashless facility at various empanelled hospitals across India (subject to exclusions and conditions)

  • In case you opt for a hospital not among the list of empanelled ones, the expenses incurred by you shall be reimbursed within 14 working days from the date of submission of all documents

  • 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 INR 1000 /-

  • 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

  • 130 daycare procedures are covered, subject to terms and conditions

  • 20% co-payment applicable for any insured person aged 56 years and above, if they are being covered for the first time in the Health Guard policy

BENEFITS

Income tax benefit on the premium paid as per section 80-D of Income Tax Act as per existing IT law

  • Income tax benefit on the premium paid as per section 80-D of Income Tax Act as per existing IT law

  • Health Check up in designated Bajaj Allianz Diagnostic Centres or reimbursement for maximum amount of Rs.1000 /- at the end of 4 continuous claim-free years. This benefit can be availed by only one member of the family

Exclusions

  • A 4-year waiting period will be applicable for pre-existing diseases

  • All diseases/injuries existing at the time of proposing this insurance

  • Any disease contracted during the first 30 days of commencement of the policy

  • Certain diseases such as hernia, piles, cataract (liability restricted up to 10% of the sum insured, maximum up to INR 35,000), sinusitis shall be covered after a waiting period of 2 years.

  • Non-allopathic medicine

  • Congenital diseases

  • All expenses arising from AIDS and related diseases

  • Cosmetic, aesthetic or related treatment

  • Use of intoxicating drugs and/or alcohol

  • Joint replacement surgery (other than due to accidents) shall have a waiting period of four years

Claim Procedure

There is a set of steps to be followed for the Claim procedure.

1. The illness/claim should be reported to Bajaj Allianz General Insurance Company Ltd. with an immediate notification by telephone or in writing (email/ letter)

2. On receipt of claim intimation, Bajaj Allianz General Insurance Company Ltd. will forward a claim form and check list for the documents to be submitted by the claimant

3. After receiving the claim form the claimant should submit the completed claim form, mentioning the following mandatory details

  • Details of the insured (Name/ Address/ Age/ Sex/ Contact No.)

  • ID card number and the current policy number

  • Hospitalization details (Date and time of admission and discharge)

  • Details of other Mediclaim policies in force (if any)

  • Signature of the claimant

4. The other relevant documents to be submitted along with the claim form are as follows:

  • A photocopy of your policy details prior to taking your Health Guard policy from Bajaj Allianz (if applicable)

  • A photocopy of your present policy document with Bajaj Allianz

  • First prescription from the doctor

  • The Claim Form duly signed by the claimant or family member

  • The Hospital Discharge Card

  • The Hospital Bill giving a detailed break up of all expense heads mentioned in the bill. (For example - If INR 1,000/- has been charged towards medicines in the bill, the names of the medicines, the unit price and the quantity used should be mentioned. Similarly, if INR 2,000/- has been charged towards Laboratory Investigations, then the names of the investigations, the number of times each investigation has been performed and the rate should be mentioned. In this way clear break-ups have to be mentioned for OT Charges, Doctor's Consultation and Visit Charges, OT Consumables, Transfusions, Room Rent, etc.)

  • The Money Receipt, duly signed, with a Revenue Stamp

  • All Original Laboratory and Diagnostic Test Reports, such as X-Ray, E.C.G, USG,MRI Scan, Haemogram etc.(Please note that it is not mandatory to enclose the films or plates; a printed report for each investigation is sufficient)

  • If the medicines have been purchased in cash and if this has not been reflected in the hospital bill, a prescription from the doctor and the supporting medicine bill from the chemist must be enclosed

  • If the insured has paid in cash for Diagnostic or Radiology tests and it has not been reflected in the hospital bill, it is mandatory to enclose a prescription from the doctor advising the tests, the actual test reports and the bill from the diagnostic centre for the tests

  • In case of a Cataract Operation, please enclose the IOL Sticker

Note: Only original documents should be enclosed (except for policy copy), duplicates and/or photocopies will not be entertained.

Hospital Expenses

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.

*conditions apply

*(YES BANK Limited is a corporate insurance agent of Bajaj Allianz General Insurance Company Limited under Corporate Agent's license no.1977696 issued by Insurance Regulatory & Development Authority of India and does not underwrite the risk or acts as an insurer. The insurance is underwritten by Bajaj Allianz General Insurance Company Limited. This policy is issued to you by Bajaj Allianz General Insurance Company Limited and is subject to the terms and conditions governing such policy. The contract of insurance is between Bajaj Allianz General Insurance Company Limited and the insured).

 

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What is the eligible age?

Entry age for proposer is 18 years - 65 years. Policy can be renewed up to 80 yrs.* Children aged 3 months to 25 years are eligible if both the parents are insured with Bajaj Allianz Any restrictions on value of sum insured? Sum insured from INR 2 lakhs to INR 10 lakhs can be opted for a period of 3 months to 55 years Sum insured from INR 2 lakhs to INR 5 lakhs can be opted for a period of 56 months to 65 years No tests required for a sum insured of INR 10 lakhs, as long as the insured is under 45 years of age (subject to a clean proposal form)

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Q.Any restrictions on value of sum insured?

Sum insured from INR 2 lakhs to INR 10 lakhs can be opted for a period of 3 months to 55 years.Sum insured from INR 2 lakhs to INR 5 lakhs can be opted for a period of 56 months to 65 years.No tests required for a sum insured of INR 10 lakhs, as long as the insured is under 45 years of age (subject to a clean proposal form)

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