Bajaj Allianz
Silver Health
Bajaj Allianz Silver Health is a decent policy if you're 46 and above. And while they only make you wait 1 year before covering complications arising out of pre-existing diseases(like diabetes), you will have to bear 50% of the costs in such cases. And it's not exactly cheap either. So maybe you could look at other alternatives?
What's good here?
You can pick any room you like
Shared room, single room, deluxe room or any room that’s available. The insurer won’t nitpick on your choice of room since the policy has no restrictions on room rent.
You always have full cover irrespective of the disease
No funny business here. If your insurer hasn’t explicitly stated they won’t cover a certain illness, you can claim the full amount up to the sum insured, irrespective of the disease you’re dealing with. Meaning this policy doesn't impose the dreaded disease wise sub-limits.
What's bad here?
Reasonable waiting period for pre-existing diseases
If you have any pre-existing condition, any complication arising out of that will be covered only upto 50%. The rest 50% will have to be paid by you. It's a 50% mandatory co-payment for pre-existing diseases.
If you have any pre-existing condition, any complication arising out of that will be covered only upto 50%. The rest 50% will have to be paid by you. It's a 50% mandatory co-payment for pre-existing diseases.
You may pay a portion of the bill
On most occasions the insurer will pay your medical bills in full up to the sum insured — no questions asked. However, if you were forced to be treated in a hospital that’s not a part of their network, then they’ll make you co-pay 20% of the final bill.
No coverage if you are forced to hospitalize at home
The insurer will not cover the costs if you are forced to hospitalize at home due to a medical condition. In insurance lingo, they call this a policy with no domiciliary cover.
What's okay here?
Pre & Post hospitalization
No worries if the doctor has to run a host of diagnostic tests before or after hospitalizing you. The insurer has your back. They will cover this amount up to 3% of your hospital bill. Oh, and it also includes the cost of medication by the way.
No worries if the doctor has to run a host of diagnostic tests before or after hospitalizing you. The insurer has your back. They will cover this amount up to 3% of your hospital bill. Oh, and it also includes the cost of medication by the way.
Day Care treatments covered
If you’re hospitalized for less than 24 hours in lieu of a minor procedure, then the insurer will cover these costs too. Think dialysis, chemotherapy or minor surgeries.
Special Bonus for being healthy and not claiming insurance
Your sum insured increases by 10% each year, so long as you make no claims during this period. But before you get too ahead of yourself, do note that they’ll stop offering you the bonus when your sum insured increases by 100%. But hey, it's still a bonus.
What's lacking here?
No Restoration Benefit
Some policies will tell you - Even after you claim part of the cover on one occasion, you will have the full cover restored, if you are hospitalized another time during the same year. So if you have a family cover and multiple members of the family are hospitalized in the same year, this feature will come in handy. Unfortunately, this policy offers no such benefit.
Some policies will tell you - Even after you claim part of the cover on one occasion, you will have the full cover restored, if you are hospitalized another time during the same year. So if you have a family cover and multiple members of the family are hospitalized in the same year, this feature will come in handy. Unfortunately, this policy offers no such benefit.
No free Health Checkups unless you wait 4 years
If you’re planning on getting a full body checkup just to make sure you’re in fine working condition, the insurer will cover the cost once in 4 years. However, just so you know, most insurance policies offer free yearly health checkups.
No Cover for Alternative Medicine
Think of getting Ayurvedic, Homeopathic or other alternative treatment to cure an illness. Tough Luck!!! Your insurer won’t cover this expense.
Frequently Asked Questions
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