Health Guard
96
Claim Settlement Ratio
12500
Network Hospitals
7.2
Customer Rating
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Get a Quote
96
Claim Settlement Ratio
12500
Network Hospitals
7.2
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
Room Rent
Normal: Max 1% per day of Sum Insured opted.
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: Hematopoietic stem cells for bone marrow transplant for haematological conditions to be covered.
Co-payment
Zone A city will have to pay 20% copayment on admissible claim amount. This Co – payment will not be applicable for Accidental Hospitalization cases.
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.
Cashless Healthcare Providers
18,400+ Network Hospitals across India.
Daycare Treatment
Covers treatment or surgery that requires less than 24 hours hospitalization.
AYUSH Treatment
Covers in-patient medical expenses up to the limit of Sum Insured towards non-allopathic treatments such as Ayurveda, Yoga & Naturopathy, Unani, Siddha & Homeopathy for hospitalization arising due to accident or illness undertaken in a government hospital or government recognised institute or registered AYUSH hospital.
Room Rent
Normal: Max 1% per day of Sum Insured opted.
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: Hematopoietic stem cells for bone marrow transplant for haematological conditions to be covered.
Co-payment
Zone A city will have to pay 20% copayment on admissible claim amount. This Co – payment will not be applicable for Accidental Hospitalization cases.
Exclusions
Pre-existing diseases not disclosed during policy inception.
Cosmetic or aesthetic treatments, unless medically necessary due to injury.
Treatment for self-inflicted injuries or attempted suicide.
Expenses related to substance abuse, including drugs and alcohol.
Medical costs arising from participation in hazardous activities or sports.
Treatment for illnesses or injuries resulting from war, terrorism, or civil unrest.
Procedures related to fertility, sterilization, or contraception.
Non-allopathic treatments, unless specified otherwise in the policy.
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