Bajaj Allianz Silver Health 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 Silver Health Plan

Under Bajaj Allianz Silver Health Plan, the room rent is covered, Actual Up to Single Private Air Conditioned room.

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

Coverage status under Bajaj Allianz Silver Health Plan

Under Bajaj Allianz Silver Health Plan, the ICU charges are covered up to the Actual value.

Medical expenses incurred before the hospitalization of the policyholder.

Coverage status under Bajaj Allianz Silver Health Plan

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 Silver Health Plan

This plan covers medical expenses incurred during post-hospitalization for up to 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 the financial coverage.

Coverage status under Bajaj Allianz Silver Health Plan

Under Bajaj Allianz Silver Health Plan, domiciliary hospitalization is covered up to 10% of Sum Insured for Plan B and is not available under Plan A.

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

Coverage status under Bajaj Allianz Silver Health Plan

This plan covers the expenses of daycare procedures.

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

Coverage status under Bajaj Allianz Silver Health Plan

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 Silver Health Plan

Covid-19 Covered.

A common eye condition in which your vision gets blurred.

Coverage status under Bajaj Allianz Silver Health Plan

The plan covers cataract 10% of the Sum Insured, Max up to 40,000 per claim (whichever is lower).

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 Silver Health Plan

The cumulative Bonus will be increased by 10% in respect of each claim-free policy year to a maximum of 100% 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 Silver Health Plan

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 Silver Health Plan

Under the plan, Organ Donor expenses are not covered.

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 Silver Health Plan

Under this plan, ambulance expense is covered Up to INR 1K per claim.

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 Silver Health Plan

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 Silver Health Plan

Not available

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

Coverage status under Bajaj Allianz Silver Health Plan

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 Silver Health Plan

The plan does not cover the expenses for e-consultation.

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 Silver Health Plan

Not Covered

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 Care SupremePlan?

Applicable,

For Plan B, 10% co-payment (Each and every admissible claim)

For Plan A, Co-payment on a Non-network hospital is applicable for 20% of each and every admissible claim if Treatment is availed in a Non-Network Hospital. This co-payment can be waived subject to payment of an extra premium.