Bajaj Allianz Health Guard - Individual Plan Posted: 17 Nov 2013 04:12 AM PST Invest In Tax Saving Mutual Funds Online Call 0 94 8300 8300 (India) Bajaj Allianz Health Guard- Individual | | Objective | | This is an online health insurance policy and aims to provide for medical expenses incurred if the insured person gets hospitalized. It covers pre and post hospitalisation expenses as well. USP of the policy is that it covers Lasik eye surgery after a waiting period of four years. It comes along with a voluntary deductible option that gives a pre-specified discount on premium. | | | Suited for | | This policy is suitable for anyone who wants to insure against hospitalisation cost. | | | What does it do? | | Though this policy facilitates both, cashless claim settlement for treatment in empanelled hospital and reimbursement of medical expenses incurred during treatment in a non-empanelled hospital, availing reimbursement facility should be avoided as there is a co-payment clause where 10 per cent of each claim has to be paid by the insured person. In this case insurance company will be liable to pay only 90 per cent of admissible claim. To get rid off this clause, you need to shell out an additional premium. It covers all relevant medical expenses where insured is admitted in a hospital for more than 24 hours. Apart from this, the policy covers 130 day care treatment which takes less than 24 hours to complete the treatment procedure due to technological advancement which would otherwise require admission to hospital. Emergency ambulance charges are also covered. It gives an advantage to policyholders covered for sum insured of Rs 5 lakh and above where, in case of critical illness, policyholder may ask for a second opinion from any doctor empanelled with insurance company. Health check up at the end of four continuous claim-free years are also done. Besides these, there is a voluntary Deductible option where if policyholder agrees to bear a certain initial amount of each admissible claim, insurance company offers him a discount on premium. | | | Pros | | It covers lasik eye surgery after a waiting period of four years. No sub-limits on room rent and boarding. Second opinion in case of critical illness is an useful option. The policy gives a discount if two or more family members are covered under the same policy. Discount on premium is available if opted for a deductible. It gives a special bonus of 5 per cent for each claim-free year upto maximum of 50 per cent. It covers pre and post hospitalisation expenses. This policy can be purchased online. Premiums paid under this policy qualify for deduction under section 80D of Income Tax Act. | | | Cons | | Co-payment clause of 10 per cent in case treatment is taken in a non-network hospital. Co-payment clause where any insured person above 55 years of age has to bear 20 per cent of medical bills each time medical services are accessed. In case, bonus has been passed and a claim arises during that year, bonus would be reduced by 10 per cent in the subsequent year. | | | Our View | | This is a decent policy that covers hospitalisation expenses of insured. A unique benefit is that it covers lasik eye surgery though after a waiting period of four years. As far as top up option in this policy is concerned, do not go for it. The simple reason is because the deductible limit applies to each claim amount. | | | Eligibility | | | | | Entry Age (years) | | | | | Minimum | | 18; 3 Months for Children | | | Maximum | | 65; 5 for Children | | | Maximum Policy Renewal Age (years) | | 80 | | | Policy Term (years) | | 1 | | | Sum Insured (Rs) | | | | | Maximum | | 10 lakh for entry age upto 55 years and 5 lakh for higher age group | | | Minimum | | 1.5 lakh | | | Tax Benefit | | Premium paid is eligible for tax benefit under section 80D of the Income Tax Act | | | Discount | | Family discount of 10% is applicable | | | No Claim Bonus | | 5% cumulative bonus benefit for each claim free year, maximum up to 50%. CB would be passed for Sum Insured Rs 2,00,000 and above when continuously renewed. In case of a claim during the year, the cumulative bonus will be reduced by 10% | | | Pre Policy Medical Check Up | | There is no need to go through medical check up below 46 years of entry age | | | Grace Period for Policy Renewal | | 15 days grace period is allowed to policyholder for payment of premium. If policyholder fails to make payment within the grace period, the 2 year or 4 year waiting period shall start afresh | | | Co Payment Clause | | 10% of the medical bills have to be borne by the policyholder himself for medical treatment in non empanelled hospital. Any applicant above 55 years of age will be required to pay 20% of medical bills each time medical services are accessed. Waiver of co payment clause is possible on payment of extra payment. | | | Policy Termination | | Policyholder is allowed to terminate the policy at anytime by giving a 15 day written notice. In case no claim has been made under the policy, percentage of premium will be refunded | | | Customer Service | | | | | Address | | Bajaj Allianz General Insurance Company Limited. GE Plaza, Airport Road, Yerawad, Pune - 411006 | | | Mail to | | customercare@bajajallianz.co.in | | | Call to | | 1800 225858(BSNL/ MTNL); 1800 1025858 (Bharti users- mobile/ landline) or 020 30305858 | | | Network Hospitals | | Https://general.bajajallianz.com/BagicNxt/hm/hmSearchState.do | | | | | | | | | | | |
| | Scope Of Cover | | | Cashless facility | | Available at empanelled hospitals in India | | | Re-imbursement | | In case policyholder opts for non empaneled hosiptal , expenses are re-imbursed withing 14 working days from date of submission of all records. Moreover, insurance company will bear the expenses in excess of 10% of total claim amount | | | Pre-post hospitalisation | | Relevant medical expenses covered from 60 days prior and 90 days post hospitalisation | | | In-patient treatment | | Covered | | | Day Care Procedures | | 130 day care procedures are covered subject to conditions | | | Emergency Ambulance | | Covered; subject to maximum limit of Rs 1,000 | | | E-Opinion (Second opinion) in respect of a Critical Illness | | Covered, for Sum Insured of Rs 5 lakh, Rs 7.5 lakh and Rs 10 lakh | | | Health Check Up | | Covered; for a maximum amount of Rs 1000 at the end of 4 continuous claim free years | | |
| | Exclusions and Waiting Period | | | Pre-existing disease | | 4 years waiting period is applicable for Pre-existing diseases | | | No claim period | | Any disease contracted during the first 30 days of commencement of the policy will not be covered | | | Waiting Period | | Certain diseases such as hernia, piles, cataract , sinusitis shall be covered after a waiting period of 2 years.Certain diseases such as joint replacement surgery, laser treatment for correction of eye sight due to refractive error and certain other conditions will have a waiting period of 4 years. | | | General Exclusions | | Non allopathic treatment.Expenses related to AIDS and other related diseases.Cosmetic, beauty, weight reduction and other likely treatments.Any illness or deisease contracted due to intake of alcohol or other addictive substances.War, participation in any criminal activity or any other related condition.Treatmenmt of any mental or related disease. | | |
Happy Investing!! We can help. Call 0 94 8300 8300 (India) Leave your comment with mail ID and we will answer them OR You can write back to us at PrajnaCapital [at] Gmail [dot] Com --------------------------------------------- Invest in Tax Saving Mutual Funds ( ELSS Mutual Funds ) to upto Rs 1 lakh and Save tax under Section 80C. Invest Tax Saving Mutual Funds Online Tax Saving Mutual Funds Online These links can be used to Purchase Mutual Funds Online that are regular also (Investment, non-tax saving) Download Tax Saving Mutual Fund Application Forms from all AMCs Download Tax Saving Mutual Fund Applications These Application Forms can be used for buying regular mutual funds also Some of the best Tax Saving Mutual Funds available ( ELSS Mutual Funds ) - ICICI Prudential Tax Plan Invest Online
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Religare Health Insurance Care Posted: 16 Nov 2013 10:06 PM PST Invest In Tax Saving Mutual Funds Online Call 0 94 8300 8300 (India) Religare Health Insurance Care | | Objective | | This policy can be bought online and aims at providing adequate medical insurance even after the initial sum insured is exhausted. It restores the sum insured if exhausted by a family member's claim. The reinstated sum can be used subject to certain conditions. | | | Suited for | | Being a sum insured reinstatement policy, though available to individuals, it is more beneficial as a family floater cover. Even if an elderly insured member avails the sum insured, other members will not be deprived of insurance benefit, in the hour of need. It can cover up to six family members in a single policy. | | | What does it do? | | Religare Health Insurance Care is a unique policy among its peers as it can reinstate the sum insured, if depleted in a policy year. The restored sum insured, however, cannot be utilized for treatment of illness(es) for which the claim was made in the policy year. Any remaining restored sum insured at the end of a policy year cannot be carried forward to the next year. Another exclusive offer is Care Anywhere benefit that allows to avail treatment for specific critical illnesses anywhere in the world. This policy is a comprehensive package of inpatient treatment that covers hospitalisation expenses with sub-limits on room rent and ICU charges. It covers other incidental expenses like ambulance cost, daily cash allowance and organ donor hospitalisation expenses in case of organ transplantation. Apart from hospitalisation expenses, it provides for domiciliary hospitalisation, i.e. treatment taken at home on advice of a doctor. Second opinion from a medical consultant on company's panel is available if one is diagnosed with stated critical illness. | | | Pros | | It offers Automatic Policy Recharge at no extra premium if initial sum insured gets depleted . It allows to avail treatment anywhere in the world for certain diseases. It offers sum insured up to Rs 60 lakh and allows lifelong policy renewal. This policy can be bought online and provides a premium discount on selecting a higher policy term. It also offers a family discount and premiums paid towards this policy enjoy a tax benefit under Section 80D. | | | Cons | | Restored sum insured cannot be used for treatment of the illness for which a claim has already been made. | | | Our View | | This is a recommended family floater policy. It provides wide and extended coverage at reasonable rates. The policy can take care of insurance needs of all members by restoring the insurance benefits. If the need arises, it can also provide for treatment of certain chronic diseases, anywhere in the world. | | | Eligibility | | | | | Entry Age (years) | | | | | Minimum | | 91 days | | | Maximum | | No age limit | | | Maximum Policy Renewal Age (years) | | Life long renewal | | | Coverage Type | | Individual / Family floater | | | Policy Term (years) | | 1/ 2/ 3 | | | Sum Insured (Rs) | | | | | Maximum | | 60 lakh | | | Minimum | | 1 lakh | | | Discount | | 7.5% on selecting a 2 year policy term and 10% if opted for 2 years policy term and Rs 250 on buying policy online. 5% on a policy covering 2 or 3 family members or 10% for a policy covering more than 3 members. 10% in case of cross sell. 15% in case of co-pay clause of 20% per claim for every insured member above 60 years of age | | | No Claim Bonus | | 10% for each claim free year till it reached 50% of sum insured | | | Pre Policy Medical Check Up | | Compulsory for entry age 46 years and above under all sum insureds. For 7 and 10 lakh policy: medical check up is required for entry age 19 years and above. For sum insured above 10 lakh: medical tests are required for entry age 6 years and above | | | Free look Period | | 15 days | | | Grace Period for Policy Renewal | | 30 days | | | Customer Service | | | | | Address | | Religare Health Insurance Company Limited, GYS Global, Plot No. A3, A4, A5,Sector - 125, Noida, U.P. – 201301 | | | Mail to | | customerfirst@religarehealthinsurance.com | | | Call to | | 1800 200 4488 (toll free) | | | SMS | | Religare' to 56677 | | | Network Hospitals | | Http://www.religarehealthinsurance.com/health-plan-network-hospitals.html | | | | | | | | | | | |
| | Scope Of Cover | | | Plan | | Care 1 | | Care 2 | | Care 3 | | Care 4 | | Care 5 | | Care 6 | | | Sum Insured (Rs) | | 1 lakh | | 2 lakh/ 3 lakh/ 4 lakh | | 5 lakh/ 7 lakh/ 10 lakh | | 15 lakh/ 20 lakh/ 25 lakh | | 50 lakh/ 60 lakh | | 2 lakh/ 3 lakh/ 4 lakh | | | Cashless facility | | available if treatment availed in empanelled hospitals | | | Reimbursement facility | | available if treatment taken in a non-network hospital | | | Pre and Post Hospitalisation expenses | | covered from 30 days before hospitalisation and 60 days post hospitalisation | | | Hospitalisation expenses | | | | | | | | | | | | | | | Room rent | | covered for upto 1% of Sum Insured per day | | Single private room | | Single private room(upgradable to next level) | | Single private room (upgradable to next level) | | Single private room | | | ICU charges | | covered for upto 2% of sum insured per day | | covered without any sub-limit | | | Doctor's fees and other medical charges | | 25% of sum insured per claim | | Covered without any sub-limit | | | Day Care Treatment | | covered | | | Daily Cash Benefit | | Rs 250 per claim for upto 5 days | | Rs 500 per claim upto 5 days | | Not allowed | | | Ambulance expenses | | covered upto Rs 750 per claim | | covered upto Rs 1500 per claim | | covered upto Rs 2000 per claim | | covered upto Rs 2500 per claim | | covered upto Rs 3000 per claim | | covered upto Rs 1500 per claim | | | Domiciliary hospitalisation | | covered upto 10% of Sum Insured | | | Organ donor hospitalisation expenses | | not covered | | covered upto Rs 50000 | | covered upto Rs 100000 | | covered upto Rs 200000 | | covered upto Rs 300000 | | covered upto Rs 50000 | | | Second opinion | | Not allowed | | provided in case of critical illnesses mentioned in policy document | | Not allowed | | | Annual Health Check up | | allowed for every adult covered under the policy | | | Sum Insured reinstatement benefit | | not allowed | | available upto initial sum insured | | | Care Anywhere (for medical expenses incurred in respect of Cancer, Benign tumour, Major Organ Transplant/ Bone Marrow Transplant, heart Valve Replacement or Coronary Artery Bypass Graft) | | Not allowed | | allows to avail treatment anywhere in the world. Prior written notice of 7 days is required | | Not allowed | | | Add-on Benefits | | | Everyday Care-Wellness Package | | allows unlimited consultations at reduced rates from its empanelled consultants, specialists and surgeons. Maximum of 4 visits for same illness. | | | No Claims Bonus Super | | not allowed | | a 50% increase in Sum Insured if no claims was made during the year upto maximum of 100% of initial sum insured. | | not allowed | | a 50% increase in Sum Insured if no claims was made during the year upto maximum of 100% of initial sum insured. | | |
| | Exclusions and Waiting period | | | Pre-existing diseases | | covered after 4 years of continuous policy renewal | | | No claim period | | 30 days from the policy start date | | | Waiting period | | 24 months for specific illnesses namely, surgery on tonsils/ adenoids, cataract, Hernia Sinusitis, Varicose veins etc. | | | Co-payment clause | | 20% of claim amount for insured member(s) above 60 years of age. This is not applicable under Crae 1 and Care 2. | | | Other exclusions | | non allopathic treatmentDental treatment, laser surgery | | |
Happy Investing!! We can help. Call 0 94 8300 8300 (India) Leave your comment with mail ID and we will answer them OR You can write back to us at PrajnaCapital [at] Gmail [dot] Com --------------------------------------------- Invest in Tax Saving Mutual Funds ( ELSS Mutual Funds ) to upto Rs 1 lakh and Save tax under Section 80C. Invest Tax Saving Mutual Funds Online Tax Saving Mutual Funds Online These links can be used to Purchase Mutual Funds Online that are regular also (Investment, non-tax saving) Download Tax Saving Mutual Fund Application Forms from all AMCs Download Tax Saving Mutual Fund Applications These Application Forms can be used for buying regular mutual funds also Some of the best Tax Saving Mutual Funds available ( ELSS Mutual Funds ) - ICICI Prudential Tax Plan Invest Online
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Star Accident Care Insurance Plan Posted: 16 Nov 2013 06:56 PM PST Invest In Tax Saving Mutual Funds Online Call 0 94 8300 8300 (India) Star Accident Care Insurance | | Eligibility | | | | | Entry Age (years) | | | | | Minimum | | 18; 3 years for children | | | Maximum | | 70 | | | Maximum Policy Renewal Age (years) | | 70 | | | Policy Term (years) | | 1 | | | Sum Insured (Rs) | | | | | Maximum | | 5 lakh | | | Minimum | | 1 lakh | | | Tax Benefit | | Not Available | | | Discount | | Offers discount on premium for including two or more members. 5% for group of 2 to 100 10% for a group of 101 to 1000 12.5% for a group of 1001 to 5000 15% for a group of 5001 to 10000 20% for bigger groups | | | No Claim Bonus | | 5% increase in Sum Insured would be applicable for every claim free year till it reaches to a maximum of 50% of initial Sum Insured. Not valid for group policies. | | | Customer Service | | | | | Address | | Star Health and Allied Insurance Company Limited Corporate Office: No.1, New Tank Street, Valluvar Kottam High Road, Nungambakkam, Chennai - 600034. | | | Mail to | | support@starhealth.in, info@starhealth.in | | | Call to | | 1800 425 2255/ / 044 2826 3300 | | | SMS | | STAR to 56677 | | | | | Scope of Cover | | | Cashless Facility | | available at empanelled hospitals | | | Reimbursement Facility | | available if treatment taken in non network hospital | | | Accidental Death (AD) | | Covered; pays Sum Insured | | | Permanent Total Disablement [PTD] | | Covered | | | Permanent Partial Disablement [PPD] | | Covered | | | Temporary Total Disablement | | weekly benefit of 1% of the Sum Insured subject to a maximum of Rs 5000 per week upto 100 weeks | | | Family Transportation to hospital (NA for group policies) | | Rs 1000 | | | Transportation of Mortal Remains | | Rs 3000 | | | Education Fund (NA for group policies) | | Rs 5000 for one child and Rs 10000 for two children(maximum 2 children) | | | Medical Expenses | | Covered on payment of additional premium | | | | | Exclusions and Waiting Period | | | Pre-existing condition | | Not coveerd | | | Physically or mentally challenged people | | Not covered | | | General Exclusions | | Accident as a result of drunkenness or addictionNuclear, Chemical and biological terrorismSuicide | | | Happy Investing!! We can help. Call 0 94 8300 8300 (India) Leave your comment with mail ID and we will answer them OR You can write back to us at PrajnaCapital [at] Gmail [dot] Com --------------------------------------------- Invest in Tax Saving Mutual Funds ( ELSS Mutual Funds ) to upto Rs 1 lakh and Save tax under Section 80C. Invest Tax Saving Mutual Funds Online Tax Saving Mutual Funds Online These links can be used to Purchase Mutual Funds Online that are regular also (Investment, non-tax saving) Download Tax Saving Mutual Fund Application Forms from all AMCs Download Tax Saving Mutual Fund Applications These Application Forms can be used for buying regular mutual funds also Some of the best Tax Saving Mutual Funds available ( ELSS Mutual Funds ) - ICICI Prudential Tax Plan Invest Online
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