Bajaj Allianz Health Guard Family Floater Insurance Wordings

For Health Guard Silver Plan, Sum Insured options are available for Rs. 1.5 Lakh and Rs. 2 Lakh. Whereas, for Health Guard Gold Plan, Sum Insured options are available for Rs. 3 Lakh, Rs. 4 Lakh,  Rs. 5 Lakh,  Rs. 7.5 Lakh,  Rs. 10 Lakh,  Rs. 15 Lakh,  Rs. 20 Lakh,  Rs. 25 Lakh,  Rs. 30 Lakh,  Rs. 35 Lakh,  Rs. 40 Lakh,  Rs. 45 Lakh, and  Rs. 50 Lakh

The entry age for Proposer, Spouse, Parents, Sister, Brother, Father-In-law, Mother-In-law, Aunt, or Uncle is 18 years to 65 years. For Dependent Children/Grand children, it is 3 months–30 years.

Health Guard Family Floater Plan is available for a lifetime. The children and grandchildren covered under the policy can renew it until 35 years of age. After completing the maximum age of renewal, the policy of dependent children will be renewed for a lifetime; only if a separate proposal form is submitted to the insurer at the time of renewal with the insured member as proposer. Also, if the policy is continued without a break, certain credits for waiting periods of all the previous years will be added in the new policy.

The policy can be purchased for 1, 2 or 3 years.

Premium is paid annually for 1-year policy. For policies with longer term, a one-time premium has to be paid at the time of risk inception and for renewal at the end of policy term.

Bajaj Allianz Health Guard Family Floater policy comes with the following waiting periods: 

• Waiting period for expenses related to maternity and childbirth: 72 months
• Initial waiting period: 30 days
• Waiting period for pre-existing diseases: 36 months
• Waiting period for specific illnesses: 24 months

Health Guard Gold Plan has the following coverage features- A. In-patient hospitalisation treatment B. Pre-hospitalisation C. Post-hospitalisation D. Road ambulance E. Day care procedures F. Organ donor expenses G. Convalescence benefit H. Daily cash benefit for accompanying an insured child I. Sum insured reinstatement benefit J. Preventive health check-up K. Ayurvedic/Homeopathic Hospitalisation Expenses L. Maternity Expenses M. New Born Baby Cover N. Bariatric Surgery Cover

Pre-policy check-up is applicable only for the new proposals. if there is no adverse impact on health, then tests are not required up to 45 years of age. These adverse conditions include-Diabetes, Hypertension, Lipid Disorders, a combination of any of the ones stated before, Obesity or Joint disorders. However, medical tests are necessary for members aged over 45 years. The pre-policy check-up is arranged at the empanelled diagnostic centers of the insurance company. The entire sum is refunded if the proposal is accepted and the policy is issued.

For Health Guard Silver Plan, there is a sub-limit on room rent restricted to max 1% per day of Sum Insured opted. Also, there is a Cataract limit per eye 20% of Sum Insured. For Health Guard Gold Plan, there are sub-limits on Cataract, Bariatric surgery and Maternity expenses, explained as follows. Cataract Limit per eye 20% of Sum Insured max up to Rs. 1 Lakh; Bariatric Surgery restricted to 50% of the Sum insured, subject to a maximum of Rs. 5 Lakh; and Maternity Expenses- From Sum Insured Rs. 3 Lakh to Rs. 7.5 Lakh is restricted to Rs. 15,000 for normal delivery and Rs. 25,000 for cesarean section and from Sum Insured Rs. 10 Lakh to Rs. 50 Lakh it is restricted to Rs. 25,000 for normal delivery and Rs. 35,000 for cesarean section.

Yes. The policy covers you for road ambulance expenses for up to Rs. 20,000 per policy year incurred by ambulance service provide to transfer the patient to the nearest hospital.