Bajaj Allianz Health Ensure
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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
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 Bronchial Thermoplasty Vaporization of the prostrate (Green laser treatment or holmium laser treatment) IONM - (Intra Operative Neuro Monitoring) Stem cell therapy
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.
Waiting Period
Initial Waiting Period: 30 days for most illnesses. This means you can't claim for any hospitalization within the first 30 days of your policy, except for accidents.Pre-existing Diseases: 2 years. If you have a pre-existing condition at the time of policy purchase, you'll have to wait 2 years before it's covered.Specific Illnesses: 1 or 2 years for certain conditions like hernia, piles, cataract, etc.Maternity Benefits: 9 months to 2 years.Accidental Hospitalization: No waiting period, you're covered from day one.
Cashless Healthcare Providers
12,500+ network hospitals
Daycare Treatment
Covers all day care treatments
AYUSH Treatment
Covers all AYUSH treatments
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 Bronchial Thermoplasty Vaporization of the prostrate (Green laser treatment or holmium laser treatment) IONM - (Intra Operative Neuro Monitoring) Stem cell therapy
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 until the completion of the waiting period.
Injuries or illnesses due to alcohol, drug abuse, or substance misuse are excluded.
Self-inflicted injuries, suicide, or attempted suicide are not covered.
Treatments related to infertility, sterilization, or any assisted reproductive procedures are excluded.
Cosmetic or plastic surgery unless required due to accidents or burns is not covered.
Congenital diseases or birth-related anomalies are excluded from coverage.
Treatment for HIV/AIDS or other sexually transmitted diseases is not covered.
Experimental, unproven, or alternative treatments not recognized by medical authorities are excluded.
Add ons
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