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Bajaj Allianz Family Floater Health Guard
Family Floater Health Guard
Do you know why Health Insurance is so important?
- 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.
- 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. - 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)
- Pre (60 days) & Post (90 days) Hospitalization
- 130 Day Care Procedures
- Waiver for pre-existing diseases Reimbursement of pre policy check up
- 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
- Cashless facility with over 2700 network hospitals
- No sub-limits on room charges or other treatment expenses
- Cumulative bonus
- In-house claim settlement through HAT. ( No TPA)
Exclusion
- Pre-existing diseases/injuries.
- Disease contracted during first 30 days of policy.
- 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/-)
- Non-allopathic medicine.
- Congenital diseases (external)
- AIDS/related diseases.
- Pregnancy /Childbirth & related Treatment
- Dental Treatments except due to Accidents.
- Cosmetic, aesthetic or related treatment.
- Intoxicating drugs, alcohol.
- Joint replacement surgery (other than due to accidents) shall have a waiting period of 4 years