Bajaj Allianz Health Infinity Plan
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Bajaj Allianz Health Infinity Plan

Bajaj Allianz General Insurance has come up with a unique health plan, Bajaj Allianz Health Infinity, that is designed to give the best health insurance facilities to the families with the option of the unlimited sum insured. Under this policy, an insured person can claim all the hospitalisation costs.

Let's get to know more about this plan.

Eligibility:

Minimum Entry Age for Adults

18 years

Maximum Entry Age for Adults

65 years

Minimum Entry Age for Dependent Children

3 months

Maximum Entry Age for Dependent Children

25 years

Which National can apply

Indians only (This policy can be opted by Non-Resident Indians including PIOs and OCIs. However, the policy will be issued during their stay in India, and the premium is paid in Indian currency & by Indian Account only)

Coverage

Treatment availed in India. Compensation will be in Indian currency and Indian accounts only.

Who Can Be Covered

Self, Spouse, Dependent Children & Parents.

Policy Period

1 / 2 / 3 Year(s)

**Last Updated on 18-12-2020

List of diseases covered under this policy after the waiting period is over:

1. Any type of gastrointestinal ulcers

11. Dysfunctional uterine bleeding

2. Cataracts

12. Fibromyoma

3. Any type of fistula

13. Endometriosis

4. Macular Degeneration

14. Hysterectomy

5. Benign prostatic hypertrophy

15. Uterine Prolapse

6. Hernia of all types

16. Stones in the urinary and biliary systems

7. All types of sinuses

17. Surgery on ears / tonsils / adenoids / paranasal sinuses

8. Fissure in ano

18. Surgery on all internal and external tumors /cysts/nodules/polyps of any kind including breast lumps with exception of malignant tumor or growth.

9. Hemorrhoids, piles

19. Parkinson's diseases.

10. Hydrocele

20. Alzheimer's disease

**Last Updated on 18-12-2020

Coverage details:

Bajaj Allianz Health Infinity Plan helps you to benefit in multiple ways. Let us have a look at the below table to understand the coverage.

Parameters

Coverage

Pre-hospitalization

60 days

Post-hospitalization

90 days

Road ambulance facility

Yes, up to 5000 INR per hospitalization

Day Care facilities

Yes

Pre-existing disease

Covered after 36 months from your first Health Policy

Income tax benefits

Yes

Grace Period

15 & 30 days

Family discount

5% family discount is offered if 2 or more eligible family members are covered under a single Policy

Wellness discount

5% discount at each renewal if (s)he submits certain medical test reports & if all the reports are falling within the normal range.

Long term policy discount

  • 4 % discount if the policy is opted for 2 years.
  • 8 % discount if the policy is opted for 3 years

Employee discount

20% discount on premium rates to employees of Bajaj Allianz & its group companies. (Applicable only if the policy is booked in direct office code).

Online discount

5% discount for the policies purchased online/ through website/direct customers.

**Last Updated on 18-12-2020

What are the key features of the Bajaj Allianz Health Infinity Plan?

The major features of this policy are listed below.

  • This is a comprehensive health plan without any limit on the sum insured.
  • It offers an opportunity to choose a health policy as per the day room rent.
  • This medical plan provides in-patient hospitalization treatment expenses without any sub-limit.
  • Pre and post-hospitalization facilities up to 60 and 90 days respectively.
  • Preventive Health Check-Up at the end of every 3 policy years, equal to per day room rent opted up to Rs.5000/person (whichever is less).
  • Under this medical policy, no pre-policy medical tests are required for up to 45 years (subject to clean proposal form).
  • Pre-existing disease covered after 36 months from your first Health Policy.
  • Offers lifetime renewal facility.
  • The policyholder may cancel this health policy by giving 15 days' written notice and in such an event, the company shall refund the premium for the unexpired policy period.

What are the major benefits of the Bajaj Allianz Health Infinity Plan?

Under this medical plan, you can avail of a handsome number of benefits and facilities. Let's have a look at them.

In-patient Hospitalization Expenses - If the insured is hospitalized due to illness or accidental bodily injury sustained or contracted during the policy period, then the company will compensate for the reasonable, and customary medical expenses.

Pre-hospitalization Costs – If the medical costs incurred during the 60 days immediately before the policyholder was hospitalized and if such medical expenses were incurred for the same illness/injury for which subsequent hospitalization was required, is born by the company.

Post-hospitalization Expenses – If the medical expenses incurred during the 90 days immediately after the insured is discharged and if such costs are incurred in respect of the same illness/injury for which the earlier hospitalization was required, is born by the company.

Per Day Room Rent – Under this medical plan, one can avail of room rent options ranging from Rs.2000 to 50,000 per day.

Emergency Road Ambulance – If an emergency arises and you need to hurry to the hospital, your ambulance costs are compensated up to Rs.5000 per hospitalization.

Day Care Facility - The insurer will pay the insured medical expenses for day care procedures/surgeries taken as an inpatient in a hospital or day care center but not in the outpatient department.

Discounts – You can avail of discounts on different grounds as mentioned in the earlier 'Coverage Details' section.

What are the key exclusions under Bajaj Allianz Health Infinity Plan?

The major exclusions are mentioned below.

  • Any expenses due to dental reasons.
  • Hospitalization due to war or due to a nuclear, chemical, or biological weapon and radiation of any kind.
  • Self-inflicted injuries.
  • Expenses arising due to HIV or AIDS and related diseases.
  • External congenital diseases, cosmetic surgery, and weight control treatments.
  • Circumcision unless required for the treatment of illness or accidental bodily injury.
  • Surgery conducted without the advice of the doctor.
  • Expenses related to any treatment necessitated due to participation in hazardous or adventure sports.
  • The cost of spectacles, hearing aids, crutches, contact lenses, dentures, artificial teeth, and some other external appliances and/or devices.
  • Experimental, investigative, and unproven treatment devices and pharmacological regimens.
  • Problems arising from taking any intoxicating substances.
  • Dietary supplements and substances that can be purchased without a prescription.
  • Pregnancy or maternity-related expenses.
  • Treatment for any other system other than modern medicine (also known as Allopathy).
  • Any treatment received outside India is not covered.

How to Buy Bajaj Allianz Health Infinity Plan?

Follow the below-stated steps to buy this health plan online.

  • Go to the official website of Bajaj Allianz General Insurance.
  • Click on 'Insure' and then on 'Health Infinity' plan under the 'Health' tab.
  • Enter your name and click on 'Get a Quote'.
  • Fill in all the details and check the premium details.
  • Pay the premium online and the policy document will be mailed to your registered email id.

For more information about this plan, please get in touch with the customer service team of PolicyX.com at 1800-4200-269.

What is the claim procedure of the Bajaj Allianz Health Infinity Plan?

The claim process can be of two types – Cashless Claim and Reimbursement claim. Both the claim processes are discussed here with proper steps. Have a look.

Cashless Claim:

  • The insured or his/her representative must inform the company (Health Administration Team) for pre-authorisation of treatment in a written manner.
  • In the case of planned hospitalization, intimate admission 48 hours before hospitalization.
  • In case of emergency hospitalization, intimate within 24 hours of hospitalization.
  • After receiving the insured's pre-authorization duly filled and signed form along with other documents, the company's representative will respond with approval, rejection, or with more information.
  • After reviewing and scrutinizing the insured's request, the company may (if satisfied) send the insured or the network hospital an authorization letter.
  • If the procedure above is followed correctly, the insured doesn't have to pay the bill amount to the hospital. The company is liable to pay the expenses of in-patient hospitalization.

Disclaimer: Pre-authorization does not guarantee that all costs and expenses will be covered. The company reserves the right to review each claim for medical expenses and accordingly, coverage will be determined on the terms and conditions of this policy. The insured needs to pay the deductibles (if any).

Reimbursement Claim:

Here, you can get admitted to any non-network hospital according to your convenience. The amount will be paid directly by you, not the hospital.

  • After discharge, collect all the documents (along with the claim form) and submit the same to BAGIC HAT.
  • The team will review your claim request and may demand more documents (if required).
  • After the verification is over and if the claim is approved, the company will settle your claim.

Documents required for filing a claim:

  • Claim form with NEFT details & canceled cheque duly signed by insured.
  •  Original/Attested copies of Discharge Summary / Discharge Certificate / Death Summary with Surgical & anesthetics notes.
  • Attested copies of indoor case papers (Optional).
  • Original copies final hospital bill with the break-up of surgical charges, surgeon's fees, OT charges, etc.
  • Original paid receipt against the final hospital bill.
  • Original bills towards investigations done/laboratory bills.
  • Original copies of investigation reports against investigations done.
  • Original bills and receipts paid for transportation from a Registered Ambulance Service Provider. Treating medical practitioner certificate to transfer the injured person to a higher medical center for further treatment (if applicable).
  • First consultation letter for the current ailment.
  • In case of implant surgery, invoice & sticker.
  • In cases where fraud is suspected, the company may call for any additional document(s) in addition to the documents listed above.
  • Aadhar card & PAN card copies.
  • Others requested by the company.

You need to send all the documents to the below-mentioned address:

Bajaj Allianz General Insurance Company

2nd Floor, Bajaj Finserv Building,

Behind Weikfield IT park,

Off Nagar Road, Viman Nagar

Pune 411014| Toll free: 1800-103-2529, 1800-22-5858

Note: For safety, it would be advisable to keep the documents both in original form and photocopied form.

How to contact Bajaj Allianz General Insurance?

Contact Address:

Health Administration Team,

Bajaj Allianz General Insurance Co. Ltd.

2nd floor, Bajaj Finserv Building, Behind Weikfield IT Park, Off Nagar Road, Viman Nagar-Pune - 411 014.

Contact Number:

Toll Free No. 1-800-225858 (for for BSNL/MTNL lines only) or 1-800-1025858 (for Bharti users - mobile / landline) or 020-30305858

Official Email ID - www.bajajallianz.com

24*7 helpline number- 1800-103-2529 (toll free) / 020-30305858

Health toll-free number- 1800-103-2529

Exclusive Email address (for senior citizens) - seniorcitizen@bajajallianz.co.in

FAQs:

It is an individual policy.

Yes, you can. The premium can be paid on an installment basis- Annual (for long term policies), Half-yearly, Quarterly, or Monthly.

Annual premium payment for the 1-year policy and long term policies of 2/ 3 years, the total long term premium will be collected at the time of risk inception and renewal.

Grace Period is 30 days in general. Grace Period of 15 days would be given to pay the installment premium due to the policy.

Yes, in that case, the insured beneficiary has the option to port the policy to other insurers by applying to such insurers to port the entire policy along with all the members of the family, if any, at least 45 days before, but not earlier than 60 days from the policy renewal date.

Yes, you can. But this should be done at least 30 days before the policy renewal date as per IRDAI guidelines on migration.

No, that won't be possible.

Last updated on 18-12-2020