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Expert Review: Bajaj Health Insurance
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Inclusions and Exclusions
Inclusions and Exclusions of Bajaj Insurance Company Limited
Room Rent
This limit could be a fixed amount or a percentage of the sum insured.
Advanced Treatments
The plan covers advanced treatments like Uterine Artery Embolization, HIFU, Balloon Sinuplasty, Robotic Surgeries, Oral Chemotherapy, Immunotherapy, Stem Cell Therapy, and Stereotactic Radio Surgeries for precise, minimally invasive, and effective medical care.
Co-payment
Voluntary Copay Discount: Bajaj Health Ensure 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 Health Ensure policy. 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.
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.
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About the company
About the company
This content has been reviewed by Karthik Jairam, Senior Insurance Advisor | BQP code: 38325
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