Bajaj Allianz Health Ensure Plan

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:

• Private Single AC Room
• Twin Sharing
• General Ward

Coverage status under Bajaj Allianz Health Ensure Policy?

Under the Bajaj Allianz Health Ensure Policy, the room rent is covered up to 1% of SI per day or Rs. 5,000, whichever is lower.

It is a special department in the hospitals where patients with serious medical conditions are treated.

Coverage status under Bajaj Allianz Health Ensure Policy?

Under the Bajaj Allianz Health Ensure Policy, ICU charges are covered up to 2% of SI per day or up to Rs. 10,000, whichever is lower.

Medical expenses incurred before the hospitalization of the policyholder.

Coverage status under Bajaj Allianz Health Ensure Policy?

Under the Bajaj Allianz Health Ensure Policy, pre-hospitalization is covered for up to 30 days.

Medical expenses incurred after the discharge of the policyholder from the hospital.

Coverage status under Bajaj Allianz Health Ensure Policy?

Bajaj Allianz Health Ensure Policy covers medical expenses incurred during post-hospitalization for 60 Days.

Home hospitalization arrangement for the insured person due to 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 Health Ensure Policy?

Bajaj Allianz Health Ensure Policy does not cover domiciliary hospitalizations.

Treatments that can be treated in less than 24 hours of hospitalization like blood dialysis, cataract, etc.

Coverage status under Bajaj Allianz Health Ensure Policy?

Bajaj Allianz Health Ensure Policy covers the expenses of all daycare procedures listed in the policy.

Covers the cost of doctor consultation and prescribed medical tests that may not require hospitalization.

Coverage status under Bajaj Allianz Health Ensure Policy?

OPD charges are not covered under the Bajaj Allianz Health Ensure Policy.

COVID-19 treatment includes the cost of treatment for COVID-19 with a confirmative diagnosis from Govt. an approved center.

Coverage status under Bajaj Allianz Health Ensure Policy?

Bajaj Allianz Health Ensure Policy does not cover COVID-19.

A common eye condition in which your vision gets blurred.

Coverage status under Bajaj Allianz Health Ensure Policy?

Bajaj Allianz Health Ensure Policy covers Cataract Treatment.

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 Health Ensure Policy?

Bajaj Allianz Health Ensure Policy offers a Cumulative bonus of 5% of the sum insured for each claim-free year.

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 Health Ensure Policy?

Bajaj Allianz Health Ensure Policy does not offer automatic restoration..

It is a cash amount that you receive each day during the time of hospitalization.

Coverage status under Bajaj Allianz Health Ensure Policy?

The Daily hospital cash is available under the Bajaj Allianz Health Ensure Policy.

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 Health Ensure Policy?

Under Bajaj Allianz Health Ensure Policy the organ donor expenses are covered.

It refers to the cover that includes expenses for normal and c-section procedures deliveries.

Coverage status under Bajaj Allianz Health Ensure Policy?

Under the Bajaj Allianz Health Ensure Policy, Maternity Cover is not available.

Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.

Coverage status under Bajaj Allianz Health Ensure Policy?

Under the Bajaj Allianz Health Ensure Policy, AYUSH treatment is covered.

Medical treatments that demand modern technology such as robotic surgeries, stem cell therapy, etc.

Coverage status under Bajaj Allianz Health Ensure Policy?

Under the Bajaj Allianz Health Ensure Policy, modern treatments are covered up to base sum insured, subject to policy terms, conditions, coverage, waiting period and exclusions.

An ambulance is used to move the patient from home to hospital, transfer to another hospital, and take them for different tests outside the hospitals.

Coverage status under Bajaj Allianz Health Ensure Policy?

Under the Bajaj Allianz Health Ensure Policy, ambulance cover is available up to Rs 1,000/- per Hospitalization incurred on an ambulance. This benefit is applicable annually for policies with term more than 1 year.

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 Health Ensure Policy?

Under the Bajaj Allianz Health Ensure Policy, the air ambulance is 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 Health Ensure Policy?

Under the Bajaj Allianz Health Ensure Policy, compassionate travel is not covered.

Any kind of medical/health emergency when you are outside of India.

Coverage status under Bajaj Allianz Health Ensure Policy?

Under the Bajaj Allianz Health Ensure Policy, global coverage is not covered

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 Health Ensure Policy?

Under the Bajaj Allianz Health Ensure Policy, E-consultation is not covered.

A facility where the policyholder can avail free health check-ups after fulfilling the company's policies.

Coverage status under Bajaj Allianz Health Ensure Policy?

Under the Bajaj Allianz Health Ensure Policy, a health check-up is available at the end of a block of every continuous period of 3 policy years the plan will reimburse the amount equal to 1% of the sum insured max up to Rs. 1,500/- for individual policy as well as family floater.

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 Health Ensure Policy?

Bajaj Allianz Health Ensure Policy does not cover the expenses for a second medical opinion.

Coverage against the expenses incurred on vaccinations is provided by the insurance companies.

Coverage status under Bajaj Allianz Health Ensure Policy?

Bajaj Allianz Health Ensure Policy 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 Health Ensure Policy?

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.

Sub-limits are the specific limits set in an insurance policy for its various features. For example, there are usually sub-limits set on room rent, OPD, doctor’s fees, ambulance charges, family visits, etc. Small amounts of the total sum insured are allotted to different features that the policy comes with and exceeding these amounts leads to out-of-pocket expenses from the policyholder.

Status under Bajaj Allianz Health Ensure Policy?

Sub-limits are not applicable under the Bajaj Allianz Health Ensure Policy.