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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.
Co-payment
Co-payment would apply on the claim amount exceeding 100 times of the room rent limit and not on the Complete claim.
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
12402+ HealthCare Providers
Daycare Treatment
Listed daycare procedures are covered.
AYUSH Treatment
Covered Up to Sum insured.
Room Rent
Normal: Up to Sum Insured. ICU: Pay up to actual ICU expenses provided by the Hospital.
Co-payment
Co-payment would apply on the claim amount exceeding 100 times of the room rent limit and not on the Complete claim.
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.
Exclusions
Hospital admissions primarily for diagnostic purposes.
Expenses for enforced bed rest without active treatment.
Treatment for obesity or weight control.
Procedures related to gender transformation.
Cosmetic or plastic surgeries unless for reconstruction post-accident or burns.
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