Bajaj Allianz
Health Guard Platinum
Health-Guard Platinum is definitely pricey. But it offers a whole host of benefits. It covers most bases. It doesn't include outrageous conditions. And it includes coverage for maternity (after 6 years of buying the policy, of course). So you definitely get a lot at this price, but maybe consider health guard gold before you lock this one?
What's good here?
Recharge Benefit
You get extra coverage of 20% of base sum insured maximum upto 5 lakhs in case the claim amount exceeds the base cover. This benefit is available once in a policy year.
You get extra coverage of 20% of base sum insured maximum upto 5 lakhs in case the claim amount exceeds the base cover. This benefit is available once in a policy year.
You’ll never have to split the bill
The insurer will bear the entire cost of treatment (up to the sum insured). You won’t have to pay a single penny. Meaning this policy has no co-payment.
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.
Covers Alternative Medicine
Think of getting Ayurvedic, Homeopathic or other alternative treatments to cure an illness? Your insurer will cover you fully, up to the sum insured.
Pre & Post hospitalization expenses covered
No worries if the doctor had to run a host of diagnostic tests before or after hospitalizing you. The insurer has your back. They will cover this amount in full for a pretty reasonable duration - 60 days before you are hospitalized and 90 days after discharge. This includes the cost of medication by the way.
Special Bonus for being healthy and not claiming insurance
Your sum insured increases by 50% each year, so long as you make no claims during this period. But you get this exorbitant benefit only for 2 years. After your cover doubles in value, it will grow at 10% each year. And they’ll keep growing until your bonus cover tallies up to 150% of the sum insured. So if you start with a cover of ₹100. Then it’ll keep growing till it reaches ₹250.
What's bad here?
Your insurer won’t pay the full bill for certain diseases
Your insurance cover won’t be fully available in case you are treated for eye related diseases like cataracts, up to 20% of base sum insured max. of ₹1,00,000 will be covered.
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?
You can pick a Single Private room but nothing fancy
You can share a room or you could have a single room for yourself. But if you are looking for anything slightly fancy, be ready to foot a part of the bill.
You can share a room or you could have a single room for yourself. But if you are looking for anything slightly fancy, be ready to foot a part of the bill.
Reasonable waiting period for pre-existing diseases
If you’re already dealing with diabetes, cardiovascular problems or any such illnesses, the insurer will cover all costs arising out of these pre-existing problems after you wait for 3 years.
Free Health Checkups every 2 years
If you’re planning on getting a full body checkup every 2 years just to make sure you’re in fine working condition, the insurer will cover the costs.
Good Restoration Benefit
Once you exhaust your entire cover, you will have 100% of the cover restored, if you are hospitalized one more time in a bid to treat a different complication. In the same year, by the way. But remember, this benefit is available once in the policy lifetime for hospitalization related to Cancer & Kidney failure requiring regular dialysis.
Maternity benefits offered
The insurer will also cover expenses related to maternity— Think hospitalization expenses incurred while giving birth. But they’ll only pay upto ₹25,000 and make you wait 6 years before covering this expense. Also, you’ll only get the benefits if both, you and your spouse are enrolled in a single-family floater plan.
Frequently Asked Questions
Talk to IRDAI-certified experts
Health is tricky, and insurance trickier. But we’ll simplify it for you - for FREE! Book a call now. Limited slots available.