Network hospitals
18400+
Incurred claim ratio
74.27%
Sum insured
Up to 25 CR
No. of Plans
23
Solvency Ratio
3.6
Pan India Presence
240
Network hospitals
18400+
Incurred claim ratio
74.27%
Sum insured
Up to 25 CR
No. of Plans
23
Solvency Ratio
3.6
Pan India Presence
240
Bajaj Allianz Arogya Sanjeevani Policy Health Insurance safeguards you and your family from the financial burden and stress during hospitalization. Bajaj Allianz Arogya Sanjeevani Policy provides the insured life with comprehensive benefits at affordable premium rates. A co-payment of 5% applies to every admissible claim under this policy.
Bajaj Allianz Arogya Sanjeevani policy caters to various health and medical needs by providing coverage for AYUSH treatments, pre and post-hospitalization, modern treatment methods, and more.
Bajaj Allianz Health Insurance
Minimum: Children- 91 days to 25 years Adult: 18 years
Maximum: 65 Years
1 Year
Individual/ Family Floater
1 L | 1.5 L | 2 L | 2.5 L | 3 L | 3.5 L | 4 L | 4.5 L | 5 L | 7.5 L | 10 L| 12.5 L | 15 L | 20 L | 25 L |
30 Days*
*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.
With wide coverage options, Bajaj Allianz Arogya Sanjeevani Health plan lets you customize your health insurance plan as per your requirements:
Coverage for SI: 1 L - 25 L
Room Rent
2% of SI
ICU Charges
5% of SI
Pre-Hospitalization
Covered up to 30 days
Post-Hospitalization
Covered up to 60 days
Domiciliary Hospitalization
Not Covered
Daycare Treatment
Covered
OPD Charges
Not covered
COVID-19 Treatment
25% of SI
Cataract
Not Covered
No Claim Bonus
Available up to 50% of SI
Automatic Restoration
Not Applicable
Daily Hospital Cash
Not Applicable
Organ Donor
Not Covered
Maternity Cover
Not Available
New Born Baby Cover
Not Available
AYUSH Treatment
Covered up to SI
IVF Treatment
Not Available
Modern Treatment
50% of SI
Ambulance
Covered up to 2K
Air Ambulance
Not Available
Compassionate Travel
Not Available
Global Coverage
Not Available
E-Consultation
Not Available
Health Check-Up
Not Available
Second Medical Opinion
Not Available
Vaccination
Not Available
Co-payment
Applicable, 5% co-pay on all claims
Sub-limits
Available
The room rent limit is the maximum amount of bed charge that you can claim if you are hospitalized.
Common Room categories covered under room rent are:
Coverage status under Bajaj Allianz Arogya Sanjeevani Plan?
Under Bajaj Allianz Arogya Sanjeevani Plan, the room rent is 2% of SI to a maximum of Rs.5000/- per day.
It is a special department in the hospitals where patients with serious medical conditions are treated.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
Under Bajaj Allianz Arogya Sanjeevani Plan, the room rent is 5% of SI to a maximum of Rs.10,000/- per day.
Medical expenses incurred before the hospitalization of the policyholder.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
This plan covers medical expenses incurred during pre-hospitalization for up to 30 days.
Medical expenses incurred after the discharge of the policyholder from the hospital.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
This plan covers medical expenses incurred during post-hospitalization for up to 60 days.
Home hospitalization arrangements for the insured person due to the unavailability of medical amenities in hospitals. The treatment should last equal to or more than 72 hrs to get financial coverage.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
Under Bajaj Allianz Arogya Sanjeevani Plan, domiciliary hospitalization is not covered.
Treatments that can be treated in less than 24 hours of hospitalization like blood dialysis, cataract, etc.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
This plan covers the expenses of all daycare procedures.
Covers the cost of doctor consultation and prescribed medical tests that may not require hospitalization.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
Not covered under the plan.
COVID-19 treatment includes the cost of treatment for COVID-19 with a confirmative diagnosis from Govt. approved Centre.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
COVID-19 treatment cover is unavailable under this plan.
A common eye condition in which your vision gets blurred.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
The plan covers 25% of the Sum Insured or Rs.40,000/- whichever is lower for cataract expenses.
For every claim-free year, insurance companies reward policyholders with an increase in the Sum Insured amount as a no-claim bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage that varies from plan to plan.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
Cumulative Bonus will be increased by 5% in respect of each claim free policy year to maximum of 50% of the sum insured.
Automatic restoration is a benefit in which an insurance company restores the sum insured amount completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from plan to plan.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
Not Available.
It is a cash amount that you receive each day during the time of hospitalization.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
The daily hospital cash is not available.
It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
Under the plan, Organ Donor expenses are not covered.
It refers to the cover that includes expenses for normal and c-section procedures deliveries.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
Not covered
It takes care of the medical expenses that arise due to the hospitalization of the newborn baby in case of unforeseen circumstances. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:
Coverage status under Bajaj Allianz Arogya Sanjeevani Plan?
Not covered.
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
Covered Up to SI.
In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are for:
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
Not available.
Medical treatments that demand the use of modern technology such as robotic surgeries, stem cell therapy, etc.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
Covered up to 50% of SI.
An ambulance is used to move the patient from home to the hospital, transfer to another hospital, and take them for different tests outside the hospital.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
Available, up to INR 2K.
Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
Not Covered.
Refers to the traveling expenses of a family member of the insured person in case the policyholders get admitted to a hospital outside his/her residential city.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
Not available
Any kind of medical/health emergency when you are outside of India.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
Not available
If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
The plan does not cover the expenses for e-consultation.
A facility where the policyholder can avail free health check-ups after fulfilling the company's policies.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
Not Covered.
If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company’s network of medical practitioners.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
Not Covered.
Coverage against the expenses incurred on vaccinations is provided by the insurance companies.
Coverage status under Bajaj Allianz Arogya SanjeevaniPlan?
The plan does not cover vaccination expenses.
In the co-payment clause, policyholders have to pay a portion of the hospitalization expense on their own and the insurer will pay the rest of the amount.
Status under Bajaj Allianz Arogya SanjeevaniPlan?
Applicable, 5% co-pay on all claims.
Sub limit is a condition in which the insurer will have to pay the medical expense up to a certain percentage and the remaining amount will have to be paid by the policyholder.
Status under Bajaj Allianz Arogya Sanjeevani Plan?
Applicable.
Room rent: 2% of Sum Insured subject to a maximum of INR 5000/- per day.
ICU/ICCU expenses: 5% of Sum Insured subject to a maximum of INR 10,000/-
Cataract surgery: 25% of Sum Insured or INR 40,000/-
Road Ambulance: INR 2000/- per hospitalisation.
Listed Modern Treatment Methods: 50% of hospitalization Sum Insured.
Bajaj Allianz Network Hospitals have a vast present PAN India. A well connected network of over 7,600+ cashless hospitals, Bajaj Allianz Insurance ensures that you are medically secured, irrespective of the city you reside in.
Permanent diseases or health conditions that are not included under Bajaj Allianz Arogya Sanjeevani Plan are:
Hospitalization out of war, riot, strike, and nuclear weapons
Intentional self-injury
AIDS
Miscarriage, and abortion
Congenital disease
Infertility and in vitro fertilization
Certain diseases and treatments are covered under this plan after a certain time period. Read the details below:
Listed ailments after 24/48 Months
Pre-existing diseases after 48 Months
To understand how much premium an amount one needs to pay, let us go through the below example wherein we have illustrated the sample premiums.
Sum Insured (in Rs.) | 5 Lakhs | 15Lakhs | 20 Lakhs | 25 Lakhs |
Premium Payable | 5,100 | 7,150 | 7,650 | 8,100 |
Get tax relief under section 80D
Avail Family and Long-Term Discounts
Amount paid towards the premium of this plan is eligible for tax relief under Section 80D of the Income Tax Act, 1961.
The plan offers several discounts if one chooses to opt for a long-term policy or add more than 1 family member to their policy. The discounts available under the plan are as follows:
Avail a 10% family discount if 2 eligible family members are covered under a single Policy and 15 % if more than 2 of any of the eligible family members are covered under a single policy.
Avail 20% discount on published premium rates to employees of Bajaj Allianz & its group companies
Avail 5% discount for policies underwritten through direct/online channels.
Bajaj Allianz Health offers a wide range of health insurance plans to fulfill the medical needs of individuals, families, and senior citizens.
A plan which covers you against major life-threatening diseases such as cancer, major organ transplant, heart attack, and more. The plan covers 10 critical diseases.
Unique Features
Bajaj Allianz Extra Care is a perfect health protection plan that offers financial support to you and your family. It is a floater Policy with a single premium for the family.
Unique Features
A super top-up health plan that provides additional coverage to the existing health insurance policy. The plan provides wider health protection to you and your family.
Unique Benefits
The plan offers wide coverage and comes at an affordable price and takes care of the most common vector-borne ailments.
Unique Features
Bajaj Allianz Personal Accident Plan is designed to protect you and your family from serious financial problems in case of death, and partial and total disability
Unique Features
A plan that covers Death, Permanent Total Disability, Permanent Partial Disability, and Temporary Total disability caused due to accidental injury.
Unique Features
Premium Personal Guard covers you and your family against bodily injury or death caused due to an accident and offers a high sum assured ranging from 10 lakhs to 25 lakhs
Unique Features
A unique insurance policy that covers loan borrowers providing comprehensive protection in the event of an unfortunate incident.
Unique Features
Saral Suraksha Bima offers a sum assured up to 1 Cr and offers optional covers for temporary Total Disablement and Hospitalisation Expenses due to Accident.
Unique Features
An all-in-one family floater policy that covers health, household contents, travel baggage and much more.
Unique Features
This plan provides comprehensive coverage for planned and emergency medical treatment within and outside India.
Unique Features
A Comprehensive Plan with a wide range of benefits, ensuring a cover for maximum expenses related to Illness and Accidents offering optional add-on benefits.
Unique Features
A plan designed for senior citizens offering cashless benefits or reimbursement for hospitalisation expenses due to illness or accident.
Unique Features
A floater health policy that covers out patient expenses (OPD) & hospitalization expenses under a single policy for self and spouse.
Unique Features
A comprehensive plan that takes care of medical expenses for you and your family in case of unfortunate event of hospitalisation for illness/ injury.
Unique Features
An affordable health insurance policy, Corona Kavach, takes care of your expenses at the time of hospitalization for COVID-19 treatment.
Unique Features
Hospital Cash Daily Allowance Policy guards you and your family against hospitalization expenses.
Unique Features
This is a Women Specific Critical Illness Plan that provides you protection against the risk of serious illness.
Unique Features
A group policy that takes care of you and your family and protects you from hospitalization expenses in case of any unfortunate incident.
Unique Features
Criti-Care plan covers over 43 critical illnesses and offers you to choose from a wide range of Sum Assured.
Unique Features
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Yes. This plan provides an option of 5% co-payment to every admissible claim under this plan.
Yes, you can pay the premium for this policy on a monthly, quarterly, half-yearly, or annual basis.
No, you do not have to undergo any medical test up to 45 years of age
The policyholder is eligible to avail of a Family Discount of 10% if 2 family members are covered under a single Policy and 15 % if more than 2 family members are covered under a single Policy.
Another Online discount is also available wherein a discount of 5% will be offered if bought online.
No, the plan does not cover Maternity expenses.
During the policy tenure, all the daycare procedures are covered under the plan.
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