Friday, 6 January 2012

Bajaj Allianz Family Floater Health Guard

Family Floater Health Guard


 

Do you know why Health Insurance is so important?

  1. Increasingly people are being treated for rare non-communicative diseases like, CVDs due to rapid changes in lifestyle. Almost 70% of population under 40 years of age is susceptible to major illnesses that require hospitalization.

  2. Medical inflation is increasing by 15-20 % year on year. Cost of a single hospitalization due to a heart condition can take away a couple of lacs from the patient's hard-earned savings. Eg.
    Expenses for coronary bypass surgery in 2008 were around 1.5 lac; today it costs around 3 lac.
  3. Uninsured people tend to delay getting hospitalized, end-up with more complications and may shell out more money for the treatment. On the other hand, people who are insured get hospitalized immediately when required and save hard-earned money as well as get treated sooner.


 

Product Description

A floater policy considers a family as a single unit and insures it as a whole. So, each member doesn't get a separate policy. Each family member is covered for the sum insured chosen under a single policy. For example, in case the family chooses 2 lac SI then each member can take benefit upto 2 lac and the SI gets reduced for all by the amount of claim paid. The major benefit of the policy is affordability; compare the cost of an individual cover of 2lac as against a floater for the whole family for same SI.


 

Covers:

Hospitalization Medical Expenses (Min 24 hrs)

  1. Pre (60 days) & Post (90 days) Hospitalization
  2. 130 Day Care Procedures
  3. Waiver for pre-existing diseases Reimbursement of pre policy check up
  4. Income tax benefit U / S 80D


 

Age Eligibility

Age Eligibility –     90 days to 55 yrs        56 yrs to 65 yrs (Fresh cases)

SI slab    -         1. 5 lakh to 10 lakhs    1. 5 lakh to 5 lakhs

Business Process –     Age proof above age 45 yrs, clean proposal form and premium in cheque

USP's

  1. Cashless facility with over 2700 network hospitals
  2. No sub-limits on room charges or other treatment expenses
  3. Cumulative bonus
  4. In-house claim settlement through HAT. ( No TPA)

Exclusion

  1. Pre-existing diseases/injuries.
  2. Disease contracted during first 30 days of policy.
  3. Diseases such as hernia, piles, cataract, sinusitis – waiting period of 2 years. (In case of cataract claim, sub-limit of 10% of SI or Rs. 35,000/-)
  4. Non-allopathic medicine.
  5. Congenital diseases (external)
  6. AIDS/related diseases.
  7. Pregnancy /Childbirth & related Treatment
  8. Dental Treatments except due to Accidents.
  9. Cosmetic, aesthetic or related treatment.
  10. Intoxicating drugs, alcohol.
  11. Joint replacement surgery (other than due to accidents) shall have a waiting period of 4 years