Room Rent : No capping on Room Rent, available upto Sum Insured.
Co-pay : Co-pay options of NIL / 20% based on Zonewise treatment availed.
Restoration Benefit : NIL Restoration Benefit.
Cashless hospitalization across network of quality hospitals
Direct claim settlement, no third party involved
Get 5% Cumulative Bonus benefit for each claim free year, Maximum up to 50%
Income Tax Benefit as per Sec 80 D of the IT Act on the premiums paid for this policy
Bajaj Allianz Insurance Review
Bajaj Allianz Insurance sum insured
3 lacs − 50 lacs options available
Incurred Claims Ratio * 85.00%
Bajaj Allianz Insurance tenure options
For a period of 3 years
Claims Settlement Ratio ** 94.55%
List of network hospitals
Number of policies issued *
Maximum family floater coverage
Self, Spouse + 4 dependent children
Number of lives covered *
* As per IRDAI report for 2018-19 | ** As per NL25 data published on the Insurance Company website
Bajaj Allianz Silver Health insurance review
Bajaj Allianz Silver Health insurance key features
Pre-existing diseases covered from the second year of the policy.
3% of admissible hospitalization expenses are paid towards pre & post hospitalization expenses.
Cashless facility : With Silver Health plan, the member has access to cashless facility at various network of over 2400 plus hospitals across India (subject to exclusions and conditions)
If admission in non-network hospitals the expenses incurred would be reimbursed within 14 days from the submission of all documents.
20% of co-payment of the admissible claim to be paid by the member if treatment is taken in a hospital other than a network hospital.
Waiver of co-payment is available on payment of additional premium.
Bajaj Allianz Silver Health insurance benefits
Cumulative bonus of 5 % added to your sum assured for every claim free year.
Health Check up at the end of continuous four claim free years.
Family discount of 5 % is applicable.
Income tax benefit on the premium paid as per section 80-D of the Income Tax Act as per existing IT law.
Bajaj Allianz Silver Health insurance coverage
Policy can be taken form 46-70yrs *
Renewal up to 75 yrs*
Sum insured can be opted form Rs.50,000 - 5 Lakhs.
* Conditions apply.
Bajaj Allianz Silver Health insurance exclusions
Any Pre-existing condition, ailment or injury, will not be covered until 24 months of continuous coverage have elapsed,after the date of inception of the first Health Care Supreme policy.
Any Medical Expenses incurred during the first two consecutive annual periods during which You have the benefit of a Health Care Supreme Policy with Us in connection with below ailments:
Joint replacement surgery
Surgery for prolapsed inter vertebral disc (unless necessitated due to an accident)
Surgery to correct deviated nasal septum
Congenital internal diseases or anomalies
Laser treatment for correction of eye sight due to refractive error
Exclusions applicable for Out Patient Expenses Section:
Any disease contracted and /or medical expenses incurred in respect of any disease /illness by the insured during the first 30 days from the commencement of the policy, except for accidental injuries.This exclusion will not be applicable for Health Care Supreme Renewal policies
Any expenses for investigations/ treatment taken without existence of any disease/ illness, signs /symptoms
Any expenses in excess of the maximum payable amount under the Outpatient medical expenses limit
Any expense for Treatments which is not specified under out patient expenses.
Exclusions applicable for Ayurvedic & Homeopathic Treatment Cover section:
Any expenses incurred for treatment taken for other Ayurvedic & Homeopathic therapy which is not defined & covered under the policy
Treatment exceeding the limit as specified under the Plan opted
Common Exclusions applicable to all the covers under Medical Expenses Section:
Circumcision unless required for the treatment of Illness or Accidental bodily injury, cosmetic or aesthetic treatments of any description, treatment or surgery for change of life/gender.
Medical Expenses relating to any hospitalisation primarily and specifically for diagnostic, X-ray or laboratory examinations and investigations
Treatment for any mental illness or psychiatric illness, Parkinson's Disease. This exclusion is not applicable for Out Patient Expenses.
Review Bajaj Allianz Silver Health insurance brochure to understand coverage details.