Health Insurance 473 views July 30, 2021

Bajaj Allianz Silver Health Plan protects the finances of senior citizens in a medical crisis. This plan understands that healthcare costs increase with age and offers several features that help people aged 46 years or above deal with several treatment expenses. Let’s look at the key features of this plan mentioned below before we discuss them extensively.

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  1. Flexible Sum Insured Options
  2. In-patient Hospitalization Cover
  3. Pre and Post-hospitalization Cover
  4. Ambulance Expenses Cover
  5. Coverage Against Day Care Procedures
  6. Medical Check-up Cover
  7. Coverage Against Modern Treatment Methods
  8. A 15-day Free Look Period
  9. Tax Benefits under Section 80D of the Income Tax Act, 1961
  10. Family Discounts on Premium

Continue reading this page to understand these features in detail to make a better decision.

Features and Benefits of Bajaj Allianz Silver Health Plan in Detail

Bajaj Allianz Silver Health Plan is a comprehensive individual medical insurance policy that provides coverage against critical illnesses, hospitalization, ambulance charges, etc. We have discussed its features and benefits below. Do check.

Flexible Sum Insured Options

Bajaj Allianz Silver Health Plan offers multiple sum insured options from which individuals can choose according to their convenience. These options are INR 50,000, 1,00,000, 1,50,000, 2,00,000, 3,00,000, 4,00,000 and 5,00,000.

What is the Policy Term?

You can choose the Silver Health Plan for one year only. However, you can renew the plan every year.

What is the Minimum Premium Amount?

The premium amount depends on the sum insured option and age of individuals. The minimum premium stands at INR 1,995 per year for the sum insured of INR 50,000 for individuals aged 46 to 50 years.

Medical Expenses Cover

If a policyholder needs hospitalization (on the advice of a doctor) for the treatment of an illness or accidental bodily injury during the policy term, Silver Health Plan will cover the in-patient and pre & post-hospitalization expenses.

Hospitalization Expenses

If an insured person is hospitalized as an in-patient, the plan will provide coverage against the following expenses.

  1. Accommodation charges
  2. Boarding expenses (Including patient’s diet as provided by the nursing home or hospital)
  3. Nursing Care and the attention of medically qualified staff
  4. Medically necessary procedures charges
  5. Cost of medical consumables

Pre and Post-Hospitalization Expenses

Policyholders will also get coverage against expenses incurred before and after hospitalization. The coverage amount under this benefit will be up to 3% of the sum insured (A maximum of INR 15,000).

Ambulance Expenses Cover

Once Bajaj Allianz accepts the claim under medical expenses cover, you will also get coverage against the expenses incurred on an ambulance for the insured person’s transfer to or between hospitals. The maximum coverage amount will be INR 1,000 per claim.

Medical Check-up Cover

If you don’t claim for a continuous period of 4 years, Silver Health Plan will offer you a free medical checkup at a Bajaj Allianz Diagnostic Centre. Under this checkup, you can undergo the following tests.

  1. Physician consultation
  2. Laboratory tests for fasting blood glucose and complete blood count
  3. Serum cholesterol
  4. Urine routine
  5. Chest X-ray and ECG

Modern Treatment Methods and Advancement in Technologies

The plan from Bajaj Allianz also covers the following modern treatment methods up to 50% of the sum insured or INR 5 lakh (whichever is lower).

  1. Uterine Artery Embolization and HIFU
  2. Balloon Sinuplasty
  3. Deep Brain stimulation
  4. Oral chemotherapy
  5. Immunotherapy (Monoclonal Antibody to be given as an injection)
  6. Intra vitreal injections
  7. Robotic surgeries
  8. Stereotactic radio surgeries
  9. Bronchial Thermoplasty
  10. The vaporization of the prostate (Green laser treatment or holmium laser treatment)
  11. IONM – (Intra Operative Neuro Monitoring)
  12. Stem Cell Therapy (Hematopoietic stem cells for bone marrow transplant for hematological conditions to be covered)

Sum Insured Enhancement

Policyholders can also increase the sum insured (coverage amount) at the time of renewal. The enhancement should be in proportion for all the insured members under the plan. For this, you will need to submit a fresh proposal form along with the renewal notice.

Family Discount on Premiums

Policyholders will also get a premium discount of 5% if two or more members are covered under the plan.

Bajaj Allianz Silver Health Plan Eligibility Criteria

Do check the important conditions related to this plan mentioned below.

  1. Minimum Age at Entry – 46 years
  2. Maximum Age at Entry – 70 years
  3. The policy can be renewed for a lifetime.
  4. You can choose the policy on an individual sum insured basis. You can also cover your spouse under the plan.

What is Not Covered Under the Plan?

Policyholders will not get coverage in the following situations.

  1. Dental Treatment (Cosmetic surgery, dentures, dental prosthesis, dental implants, orthodontics, etc.)
  2. War, invasion, an act of foreign enemies, hostilities, civil war, commotion, unrest, etc.
  3. Diagnostic expenses unrelated to the current diagnosis and treatment
  4. Investigation and Evaluation
  5. Rest Cure, rehabilitation and respite care
  6. Obesity or weight control
  7. Change of Gender Treatments
  8. Cosmetic or plastic surgery
  9. Participation in adventure sports
  10. Breach of law
  11. Treatment for alcoholism, drug or substance abuse, etc.
  12. Dietary supplements and substances
  13. Unproven treatments
  14. Expenses incurred on maternity and childbirth
  15. Cost of spectacles, contact lenses, etc.
  16. Intentional self-injury
  17. Circumcision unless required for the treatment of illness or bodily injury due to an accident
  18. Any treatment taken outside India

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