Bajaj Allianz Extra Care Plus
96
Claim Settlement Ratio
12500
Network Hospitals
6.6
Customer Rating
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Get a Quote
96
Claim Settlement Ratio
12500
Network Hospitals
6.6
Customer Rating
Our Verdict
Expert Review: Bajaj Health Insurance
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About
About Bajaj Health Insurance
Inclusions and Exclusions
Inclusions and Exclusions of Bajaj Insurance Company Limited
Cashless Healthcare Providers
12500+
Daycare Treatment
Day Care Treatments are Covered.
Room Rent
Normal: Up to Sum Insured
ICU: Pay up to actual ICU expenses provided by the Hospital
Advanced Treatments
Uterine Artery Embolization and HIFU (High intensity focused ultrasound)
Balloon Sinuplasty
Deep Brain stimulation
Oral chemotherapy
Immunotherapy - Monoclonal Antibody to be given as injection
Intra vitreal injections
Robotic surgeries
Stereotactic radio surgeries
Bronchical Thermoplasty
Vaporisation of the prostrate (Green laser treatment or holmium laser treatment)
IONM - (Intra Operative Neuro Monitoring)
Stem cell therapy
Waiting Period
Pre-existing Diseases waiting period: Expenses related to the treatment of a pre-existing Disease (PED) and its direct complications shall be excluded until the expiry of 36 months of continuous coverage after the date of inception of the first Health Guard Policy.
Specified disease/procedure waiting period:Expenses related to the treatment of the listed Conditions, surgeries/treatments shall be excluded until the expiry of 24 months of continuous coverage after the date of inception of the first Health Guard Policy. This exclusion shall not be applicable for claims arising due to an accident.
30-day waiting period:Expenses related to the treatment of any illness within 30 days from the first Policy commencement date shall be excluded except claims arising due to an accident, provided the same are covered.
Co-payment
Voluntary Copay Discount: Bajaj Health Extra care plus offers a voluntary copay discount of 10% or 20%. This means you can choose to pay a portion of the claim amount yourself (10% or 20%), and in return, you'll get a discount on your premium.
No Mandatory Copay: There is no mandatory copayment under the standard Bajaj Extra Care Plus. You can choose a plan with no copayment at all.
Copay Options: The copay options are typically 10% or 20% of the claim amount. The higher the copay percentage, the higher the discount on your premium.
AYUSH Treatment
AYUSH Treatments are covered up to Sum insured
Cashless Healthcare Providers
12500+
Daycare Treatment
Day Care Treatments are Covered.
Room Rent
Normal: Up to Sum Insured
ICU: Pay up to actual ICU expenses provided by the Hospital
Exclusions
Pre-existing diseases are not covered for the first 24 months.
Specific treatments such as ulcers, cataracts, hernias, and joint replacements are excluded in the first year.
Maternity expenses, including childbirth and newborn care, are excluded for the first 24 months.
Dental treatments are not covered unless required due to accidental injury.
Cosmetic or plastic surgery is excluded unless medically necessary due to burns, cancer, or accidents.
Non-allopathic treatments like Ayurveda, Homeopathy, and Unani are not covered.
Treatment for HIV, AIDS, and related conditions is excluded.
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