Bajaj Allianz Silver Health (Health Cover for Seniors)

Objective

While most of the health insurance plans cap the entry age at 60 years, this is a special policy which aims at covering senior citizens against cost of inpatient hospitalisation.

Our View

This is the age when probability of falling ill increases resulting in higher medical costs. Anyone seeking a senior citizen cover must go for a plan that covers up to lifetime or up to a higher age. Do not get boggled by the capping on different benefits under senior citizens policy. Concentrate on lifetime and adequate insurance cover. Along with a basic health insurance policy, an add on cover for critical illness is a must, especially as you approach your golden years.
The policy though asserts to cover senior citizens, the cover ceases at 75 years of age itself. Co-payment clause applies if insured member gets treated in a non-network hospital. Above all, the capping on Lifetime Limit of Indemnity acts as a deterrent.

Suited for

Any individual between age group of 46 and 70 years is eligible to take this policy.

What does it do?

A special policy meant to serve health insurance needs of elderly persons who are usually not allowed to enter general health insurance policies at that age. It covers expenses related to inpatient care including diagnostic procedures, medical consumables, boarding expenses and nursing care. Pre and post hospitalisation are covered with a ceiling on the benefits. Certain treatments that do not require a 24-hour stay in hospital such as radiotherapy and chemotherapy are covered under day care procedures. Besides these, health check up at the end of four continuous claim-free years and emergency ambulance are provided. The total coverage during lifetime of the policy however is capped up to three times the initial sum insured bought which means it will not cover any expenses beyond that limit anytime during lifetime of the policyholder.

Pros

Family discount of 5 per cent is available.

A bonus of 5 per cent on each claim-free year is available.

Premium paid towards this policy is eligible for tax benefit under section 80D of Income Tax Act.

Cons

Co-payment clause of 20 per cent in case treatment taken in non-network hospital is applicable.

There is a ceiling on pre and post hospitalisation benefits.

It does not allow policy renewal for lifetime.


Eligibility

Entry Age (years)

46
70
75
Senior Citizens

Sum Insured (Rs)

5 lakh
50000
1
Premium paid is eligible for tax benefit under section 80D of the Income Tax Act
Family discount of 5% is applicable
5% on each claim free year
Required; reimbursement by insurer in case of acceptance of proposal
20% of admissible claim to be borne by policyholder in case of treatment in a non empanelled hospital. Waiver of co payment clause is possible on payment of extra payment.
Both insurance company and Policyholder are 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

Bajaj Allianz General Insurance Company Limited. GE Plaza, Airport Road, Yerawad, Pune - 411006
1800 22 5858(BSNL/ MTNL); 1800 209 5858 (Any mobile/ landline) or 020 30305858

Additions to the Plan

Cost Details