Plans for Individuals
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Useful Information
Bajaj TPA Information
Synopsis: Bajaj Allianz’s Health Ensure Policy comes with new comprehensive benefits at competitive premiums and is a perfect Highlight:
Benefit: Title
Description
Room Rent Limit
Maximum of 1%of Sum Insured per day or up to Rs. 5000/-, whichever is lower.
ICU Daily Rent Limit
Maximum of 2% of Sum Insured per day or up to Rs. 10000/-, whichever is lower
Pre-Hospitalization Expenses
30 days immediately before hospitalisation.
Post Hospitalization Expenses
60 days immediately after discharge post hospitalisation.
Minimum Hospitalization Period
24 hours
Day Care Procedure Coverage
Covered
Pre-Existing Disease / Illness coverage
24 months from your first Health Policy.
Waiting Period for New Policy
First 30 days from the commencement of the policy.
Co-Payment
Policyholders paying Zone A premium rates can avail treatment allover India without any co-payment. But, those, who pay zone B premium rates and avail treatment in Zone A city will have to pay 20% co-payment on admissible claim amount
Free Health Checkup
Amount equal to 1% of the sum insured max up to Rs. 1500/- for each member in Individual policy during the block of 3 years.
Ambulance Expenses
Maximum of Rs. 1000/- per Hospitalisation incurred on an ambulance offered by a healthcare or ambulance service provider
Non-Allopathic Treatments
Ayurvedic and Homeopathic Hospitalisation are covered
Donor Expenses
Organ Donor Expenses covered
Nursing Allowance
Room Rent, Boarding and Nursing Expenses as provided by the Hospital maximum of 1%of Sum Insured per day or up to Rs. 5000/-, whichever is lower.
No Claim Bonus
5% of Sum Insured per annum. The maximum cumulative increase in the Limit of Indemnity will be limited to 25% of Sum Insured
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