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Get Lowest Rates for Bajaj Allianz Silver Health Plan

Mediclaim Plans starting @ Rs 250* / month

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50+ Lakhs Happy Customers
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Save Upto ₹75k Under 80D
Save Upto ₹75k
Under
80D*
4.4/5 stars Customer Rating
4.4/5⭐
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Bajaj Allianz Silver Health Plan

It is a collaboration between Bajaj Finserv Limited and Allianz SE. Both brands are well-known for their expertise, stability, and durability. Bajaj Allianz earned the Insurance Regulatory and Development Authority (IRDA) certificate of Registration on 2nd May 2001 to carry out several businesses (including health insurance business) in India.

Health care costs are increasing by the day. As the age of individual advances, the medical expenses increase manifold and are a strain on the pocket. Senior Citizens have to spend their hard-earned savings to meet these costs. Bajaj Allianz's Silver Health Plan for Senior Citizens shields you and your spouse in case you require costly medical care.

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Buy Health Insurance Plans as Per Your Need

5 Lakh Health Insurance Cover 10 Lakh Health Insurance Cover 20 Lakh Health Insurance Cover 1 Cr Health Insurance Cover

Highlights Bajaj Allianz Silver Health Plan

  • Available for Sum Insured between Rs.50,000 and Rs.5,00,000
  • Covers hospitalization expenses and an amount equivalent to 3% of allowable hospitalization costs in respect of any pre and post hospitalization expenses.
  • Compensates for ambulance charges in an emergency subject to a limit of Rs 1000
  • Covers pre-existing illnesses from the second year of the policy up to 50% of the sum insured
  • Offers Tax Benefits as per the prevailing Income Tax Law

Scope of cover

Indivdual Plan

Entry Age

For children : Nil

Adults :

Minimum : 46 years

Maximum : 70 years

Number of Members Covered

Maximum Members : 2

Maximum Adults : 2

Maximum Children : 0

Sum Insured

50,000 - 5 Lakh


Discount

Family Discount

Policy Periods Available

Annual


Pre-Policy Medical Check-up

Above 46 years

Family Floater Plan

Entry Age

For children : Nil

Adults :

Minimum : 46 years

Maximum : 70 years

Number of Members Covered

Maximum Members : 2

Maximum Adults : 2

Maximum Children : 0

Sum Insured

50,000 - 5 Lakh


discount

Family Discount

Policy Periods Available

Annual


Pre-Policy Medical Check-up

Above 46 years

Important Features

Day Care Treatments
Definition
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Day Care Treatments

Includes surgical processes conducted using local or general anaesthesia which requires less than 24 hours of hospitalization because of technological advancement in healthcare. Each company has a specific list of processes which are covered under this category.

The plan covers the expenses towards 130 day-care procedures that would otherwise require hospitalization of a minimum of 24 hours.

No-Claim Benefits
Definition
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No-Claim Benefits

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For every claim-free year, you will be entitled to a 10% cumulative bonus for the next policy year up to a maximum of 50%.

Pre Hospitalization
Definition
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Pre Hospitalization

Medical expenses incurred immediately before the insured individual is hospitalized are covered under this benefit. Usually, expenses up to 30 to 90 days before hospitalization are covered under the policy only after the in-patient hospitalization claim is accepted by the insurance company.

Compensates for the Pre-Hospitalisation expenses for consultations, investigations and medicines incurred up to 3% of allowable Hospitalisation expense.

Post Hospitalization
Definition
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Post Hospitalization

Medical expenses incurred immediately after the hospitalization are covered under this benefit.The coverage under this benefit would be available only for approved in-patient hospitalization claim is accepted by the insurance company. Usually, expenses up to 30 to 180 days post discharge are covered under the policy.

Compensates for the Post-Hospitalisation expenses for consultations, investigations and drugs incurred up to 3% of eligible hospitalization costs.

Good to Have Benefits

PORTABILITY
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PORTABILITY

If you are currently insured with a different insurer and wish to switch to Bajaj Allianz Silver Health Plan, you can do the same without losing your accrued benefits after the waiting periods.

TAX BENEFITS
Definition
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TAX BENEFITS

You can avail tax benefits for the premium amount paid towards this plan under Section 80D of the Income Tax Act,1961.

SUM ASSURED ENHANCEMENT
Definition
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SUM ASSURED ENHANCEMENT

You can apply for enhancement of Sum Insured at the time of renewal by submitting a new proposal form to the company.

HEALTH CHECK-UP
Definition
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Health Check-up

Includes complimentary health check-up provided by the insurance companies for certain health insurance plans.

The plan allows you for a complimentary health check at every four claim-free years for the list of tests defined as per the eligibility. The check-up can be carried out at an empaneled diagnostic center.

EMERGENCY AMBULANCE
Definition
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Emergency Ambulance

Includes coverage for expenses on ambulance for hospitalization of the insured.

Covers ambulance charges in an emergency subject to a limit of Rs 1000/- per claim.

Non - Allopathic Treatment Expense Cover
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Definition
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Non - Allopathic Treatment Expense Cover

Includes coverage for expenses on treatment which do not use allopathic methods like Aurveda, Homeopathy, etc. The terms and conditions are different for different policies. This benefit is also refered to as Ayush benefit or Alternative treatment by some the insurers.

Not applicable

Value Adds

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Eye-cover

Includes coverage for expenses on out-patient treatment of eyes. In some cases cost of spectacle is also covered under this benefit.

DENTAL COVER
Definition
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Dental Coverage

Includes coverage for out-patient dental treatment expenses.

Not applicable unless required due to an accidental injury.

FREE LOOK PERIOD
Definition
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FREE LOOK PERIOD

For any reason, should you decide not to proceed with the policy, you can return the same and request for a refund within 15 days from the date of receipt of the policy document.

Add-on Covers

WAIVER OF CO-PAYMENT IN NON-NETWORK HOSPITALS
Definition
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WAIVER OF CO-PAYMENT IN NON-NETWORK HOSPITALS

Waiver of the co-payment clause is available on payment of 15% loading on premium thus eliminating the co-payment requirement even if you choose to get treated in a non-network hospital.

PERSONAL ACCIDENT COVER
Definition
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PERSONAL ACCIDENT COVER

For any reason, should you decide not to proceed with the policy, you can return the same and request for a refund within 15 days from the date of receipt of the policy document.

Terms & Conditions

CO-PAYMENT
Definition
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Co-Payment

The fixed amount the policyholder has to pay for covered services when they get the service. When both insured and insurer pay part of the medical expenses, it is called as cost sharing. This is applicable based on the policy you choose.

20% co-payment applicable for any treatment sought in a non-network hospital.

CATARACT CLAIMS
Definition
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CATARACT CLAIMS

Payment in respect of surgery for cataracts (after the expiry of 1 year waiting period), will be restricted to 10% of the Sum Insured for each claim, subject to a minimum of Rs 12,000 and a maximum of Rs 25,000.

Waiting Period

Cooling off period
Definition
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Cooling Off Period

The period begins right after commencement of the policy within which you cannot claim for any illness except claims related to accident. This period is not applicable for subsequent renewals.

A 30 days cooling off period for all claims except any arising out of accidental injuries.

Listed Diseases
Definition
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Listed Diseases

One year waiting period for few listed conditions like any types of gastric or duodenal ulcers, Benign prostatic hypertrophy, Endometriosis, Fibromyoma, etc.

Pre-existing
Definition
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Pre-existing

The ailments that the insured was already diagnosed with before taking the policy.

You can claim for any pre-existing conditions expenses after 12 months from the policy start date.

4 Years exclusion for joint replacement surgery unless necessitated by accidental Bodily Injury.

Permanent Exclusions

The Plan will not cover any liabilities towards the treatments of following conditions-

  • Attempted suicide
  • Use of alcohol or drug
  • Pregnancy, childbirth or related complications
  • Hospitalization primarily and specifically for diagnostic, X-ray or laboratory examinations and investigations
  • AIDS
  • The cost of spectacles, contact lenses, hearing aids, crutches, artificial limbs, dentures, dental prostheses and all other external medical equipment or devices used at home as post-hospitalization care.
  • Cosmetic or aesthetic treatments, Plastic surgery (unless necessary for the treatment of Illness or accidental Bodily Injury)
  • Hospitalization out of war, riot, strike and nuclear weapons

The detailed list of what the policy does not cover is available in the policy wording.

Review of Bajaj Allianz Silver Health Plan

Bajaj Allianz Silver Health Plan is tailor-made to tackle any healthcare costs for the senior citizens. It offers valuable benefits like coverage for 130 day-care treatments, cashless hospitalization & a cover for any pre-existing ailments from second policy year. If you prefer to overlook a steep co-payment of 50% on claims related to pre-existing condition and a limit on claims related to Cataract, this plan is packed with benefits that are worth considering. Moreover, if you opt for an increased cover for critical Illness concurrently with this policy, it will give you a broad coverage against major exigencies.

**Reviews and ratings are based only on Benefits and Conditions. Things like Claim Settlement Ratio, Hospital Network have not been covered under product ratings. These are covered under Company ratings.

Documents Required To Buy & Claim Bajaj Allianz Silver Health Plan

Documents Required To Buy Bajaj Allianz Silver Health Plan

  • KYC Documents - Proof of ID and Address.
  • Proof of Age
  • Income Statement
  • Medical check-up report

Documents Required for Claim under Bajaj Allianz Silver Health Plan

  • First Consultation letter from the Doctor.
  • Duly completed claim form and NEFT Form signed by the Claimant.
  • Original Hospital Discharge Card.
  • Original Hospital Bill giving detailed break up of all expense heads mentioned in the bill. Clear break ups have to be mentioned for OT Charges, Doctor’s Consultation and Visit Charges, OT Consumables, Transfusions, Room Rent, etc.
  • Original Money Receipt, duly signed with a Revenue Stamp.
  • All original Laboratory and Diagnostic Test Reports. E.g. X-Ray, E.C.G, USG, MRI Scan, Haemogram etc.
  • In case of a Cataract Operation, IOL Sticker will have to be enclosed.
  • Other documents as may be required by Bajaj Allianz to process the claim.
  • Aadhaar card & PAN card Copies (Not mandatory if the same is linked with the policy while issuance or in previous claim).

How Can I Renew Bajaj Allianz Silver Health Policy?

You can easily renew your Bajaj Allianz Silver Health Policy from the official website of Bajaj Allianz. Simply follow these steps:

  • Visit the website of Bajaj Allianz and select the Renew Online option.
  • Fill in your details such as the existing policy number, pin code of your current residence and contact details.
  • Pick your quote and make the payment.

How to File a Claim with Bajaj Allianz Silver Health Policy?

You can file a claim with Bajaj Allianz Silver Health Policy by contacting the customer service centre at 1800-209-5858 and make a claim intimation.

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