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Disclaimer

The opinions expressed herein are my own personal opinions and do not represent my employer's view in anyway.
© Copyright 2012

Health care costs are high & getting higher in India now. So it essential to plan for protecting your Health. Generally many Health Insurance companies allowing age period for Health Insurance policy is between 5yrs. to 60yrs. Then, What about the Senior Citizens? How will they get a benefit of Health Insurance where now a day this becomes basic need for them?

 

 
 

Senior Citizens have to pay out of their hard earned savings to meet the expenses.

But Bajaj Allianz designed Silver Health Insurance plan specifically for Senior Citizens by considering their problems. Eligible Age for this policy is from 46yrs. to 75 yrs. And Age at entry restricted to 70yrs.

Special Features :

  • Eligible Age from 46yrs. to 75 yrs
  • Maximum Age for the entry is 70yrs.
  • Cumulative bonus of 5% to your limit of indemnity for every claim free year.
  • Family Discount 5%.
  •  Income Tax Benefit on premium paid as per Sec.80D of the Income Tax Act.
  • Pre-existing illness is covered from the 2nd year of the policy.
  • Health Check up at the end of continuous four claim free years.

The Benefits Coverage under the policy:

  • Pre-acceptance medical tests at the cost of the proposer. However if the proposal is accepted the company will reimburse the cost of medical tests.
  • The policy covers hospitalisation expenses & an amount equivalent to 3% of admissible hospitalisation expenses in respect of any & all pre-post hospitalisation expenses. (Pre-Post hospitalisation expenses: – relevant medical expenses incurred during a period up to the no of days specified in the policy, prior & after the hospitalization for treatment of disease, illness or injury sustained and considered a part of a claim admissible under the policy.)
  • Ambulance charges in an emergency.
  • Cashless facility at various network hospitals across India.

Important Points:

  • 20% of co-payment of the admissible claim to be paid by the member if treatment is taken in a hospital other than a network hospital. (Co-Payment : Deduction from claim amount )
  •  If admission in non-network hospitals the expenses incurred would be reimbursed within 14 days from the submission of all documents.
  •  The Company’s liability on case of any pre-existing illness from the second year of the policy would be restricted to 50% of the Limit of Indemnity in a policy year.
  •  The policy has a lifetime indemnity limit of three times the Limit of Indemnity specified in the earliest senior citizen plan, if the policy is renewed continuously. 

Claim Process:

  • Call helpline or e-mail for assistance
  • Inform ID card number and the current policy number
  •  Hospitalization & other Documents details

Exclusions:

  • Any disease contracted during the first 30 days of commencement of policy
  • Certain diseases such as hernia, piles, cataract, benign prostatic hypertrophy, shall be covered after a waiting period of 1 year
  •  Non-allopathic medicine
  • All expenses arising from AIDS and related disorders
  • Cosmetic, aesthetic or related treatment
  • Use of Intoxicating drugs, alcohol
  •  Joint replacement surgery (other than due to accidents shall have a waiting period of four years)
  • Treatment of any mental illness or psychiatric illness

 Conclusion:

With the glance at special features i.e. Cumulative Bonus, Family Discount will be affect much for the reduction in the premium amount. This will be beneficial for Senior Citizens.

 

To understand the nuances of different types of policies and its price, feel free to seek the help of InsuranceMall to select the right products based on your need. Or you can directly call them on +91-22-30503050

InsuranceMall is the leading and first online insurance broker in India. With the motto to make our customer delighted and proud about their decisions, we’re always there to help them with best possible policy

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May 22. 2012 01:25

 

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