Arogya Sanjeevani Policy by Bajaj Allianz Health Insurance protects you and your family from the financial burden and stress during hospitalization. With this plan, you don't have to worry about your savings and can deal with any kind of medical emergency. A co-payment of 5% applies to every admissible claim under this policy. on the way. With this plan, you can protect your healthcare needs, by paying affordable premiums.
This plan caters to various health and medical needs of their customers by providing coverage for AYUSH treatments, pre and post-hospitalization, modern treatment methods, and advancements.
No doubt, Bajaj Allianz is a trustworthy insurance company among customers and delivers amazing products and services. But what ideal plans does it offer? which is the best plan for you? Nowadays, health insurance is a necessity but very few of us are aware of the terms and conditions, benefits, and features of our policy. Here we are discussing the key features of this Arogya Sanjeevani plan, let's see how these features help you to lead a financially happy and healthy life,
If you renew your Arogya Sanjeevani Policy without a break and do not file any claim for the previous year, the basic sum insured will be increased by 5% in respect of each claim-free policy year.
Arogya Sanjeevani Health Insurance Plans are available in two types: Individual and Family Floater.
Bajaj Allianz offers flexible payment modes. You can pay the amount either in full or in instalments i.e., Half-yearly, quarterly and Monthly.
This plan offers a lifetime renewability option with a quick and smooth process.
You are eligible for the free look period at the starting period of the policy and not at the time of renewals or porting the policies. A period of 15 days is allowed to an insured person from the date of the policy receipt.
The policyholder or the insured has the option to port the policy to other insurers. If the insured is currently covered and has been continuously covered without having any lapses under any health plan, then the proposed person will get all the benefits in the waiting periods.
Get a variety of discounts with this plan such as family discounts and Online/Direct Business discounts.
If 2 eligible family members are covered under a single plan, then you are eligible for a 10% of the family discount. Also, a 15 %discount shall be offered if more than 2 of any eligible members of the family are covered under this plan. One of the amazing benefits is that this family discount will be offered for both new policies and the renewed policies.
Discounts for Online or Direct Business - 5% of Discount will be offered for policies that are underwritten via direct/online media.
|Entry Age|| For Adults - 18-65 years|
For Dependent Children - 3 months -25 years
|Policy Term||1 year|
|Premium Paying Term||Pay the premium on an installment basis: Annual, Health Yearly, Quarterly, or Monthly.|
|Members covered under this plan||Self, Spouse, Dependent Children, Parents, parent-in-laws|
**Last Updated on 26-04-2021
|Coverage||Minimum Sum Insured||Maximum Sum Insured||Details|
|Hospitalization||Rs. 1,00,000||Rs. 25,00,000|| For Room rent, Boarding and Nursing - 2% of sum insured , maximum of Rs. 5000/ day|
For ICU - 5% of sum insured for a maximum of Rs.10,000/day
For Road Ambulance - Maximum of Rs. 2000/ hospitalization
|AYUSH||Rs. 1,00,000||Rs. 25,00,000|
|Cataract||This plan provides coverage of 25% of the sum insured or up to Rs. 40,000/ eye in 1 policy year - whichever is lower|
|Pre-Hospitalization||Covered up to the sum insured||30 days|
|Modern Treatment Approaches||Covers 50% of Hospitalization sum insured||All the treatment methods are listed in the Policy Brochure.|
|Co-Pay||5% co-pay on all claims|
**Last Updated on 26-04-2021
The benefits of the Arogya Sanjeevani Plan are as follows :
Aarogya Sanjeevani health insurance provides coverage for the medical expenses incurred on hospitalization that involves:
Medical expenses incurred for patient care treatment under AYUSH that involves Ayurveda, Yoga and Naturopathy, Unani, Sidha, and Homeopathy system of Alternative medicine. This provides coverage during each policy year up to the limit of the sum insured in any AYUSH listed hospital. For more information, please refer to the policy documents and brochures on the company's website.
It covers the medical treatment expenses incurred on cataracts that are subject to a limit of 25% sum insured or Rs. 40,000/-
In pre-hospitalization, this plan provides coverage for medical expenses up to 30 days before the policyholder is admitted to the hospital
It covers medical costs up to 90 days after the policyholder is discharged from the hospital. Arogya Sanjeevani Health Insurance plan covers the expenses of the following medical procedures:
This table illustrates the premium payable by individuals and families for 1 year at different ages of the sum insured Rs. 5 Lakhs. The age of an individual and the eldest member is assumed to be 30 years. Family members include spouse and 2 children.
|Age||Premiums of Individuals||Premiums of Family Floater|
**Last Updated on 26-04-2021
Premium Rates of Individual and Family health insurance at different ages under Arogya Sanjeevani Plan
After seeing this graph of premium payable by individuals and family at different ages, What do you think? Which is the best option for you and your family? Let's understand this in detail.
Based on certain factors such as age, medical expenses, treatment cost, medical history, profession, gender, or any alcohol/substance abuse, the premium amounts vary with age. As you see, with the increase in age, the premium is also increasing for both individual and family floater basis. Above we have discussed in detail this plan and why the plan is the best option for you, so in continuation with that What if you want to cover your family members under a single policy? Then go for the family floater plan offered by Arogya Sanjeevani Policy.
Bajaj Allianz Arogya Sanjeevani Family health insurance plan protects you and your family members under a single plan. Unlike Individual policies where there is a dedicated sum insured amount, here there is a single sum insured amount that is shared between the family members. For example, If there are a couple and their 2 children having a family health plan with a sum insured of Rs. 5 lakh, then all 4 members of the family share the Rs. 5 lakh sum insured. This simply means that the maximum liability of the policyholder towards the entire family for a particular year stands at Rs. 5 lakh irrespective of which individual is admitted to the hospital.
The sum insured options in the Arogya Sanjeevani Family plan is 1.5 -5 lakh whereas for individuals it is 1-5 lakh. At the age of 30 years, the individual is required to pay Rs. 5320 for the sum insured Rs. 5 Lakh and the in case of a family plan, Rs. 14,896 is to be paid. The premium amount in a family plan to be paid is more in comparison to an individual, but it offers more benefits and caters to all your medical and financial needs. A family floater health insurance plan can be a smart and ideal option for both financial and overall health.
So based on all these factors which are discussed above, we can say that both are the ideal plans but what to choose, solely depends on your requirements like whether you want affordable premium rates with a good coverage amount or you want different sum insured options or renewability. This is to remind you that Bajaj Allianz is a trusted insurance company that provides various products and plans keeping the benefits of the customers in mind. Therefore, it is always advisable to go through your insurance company policies, wordings, and brochures.
The major exclusions are as follows:
Here is a simple process of buying a Health Guard plan online. Let's take a look at it.
Note- You can also contact the nearest Bajaj Allianz branch to purchase this policy.
For more information about this plan, please get in touch with the customer care team of PolicyX.com at 1800-4200-269.
Bajaj Allianz Insurance offers two types of claim processes for the convenience of its customers. They are as follows-
In this cashless claim, you are not required to pay a single penny to the hospital at the time of hospitalization. The policyholder has to seek treatment at the insurance company's network hospitalto avail of the cashless treatment facility. This process is described below-
What if? when you get hospitalized in a non-network hospital for medical treatment,
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Yes. This plan provides an option of 5% co-payment to every admissible claim under this plan.
es, you can pay the premium for this policy on a monthly, quarterly, half-yearly, or annual basis.
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