Bajaj Allianz Women Specific Critical Illness Insurance- Eligibility & Features

Updated: 23-01-2024 05:50:08 AM

Bajaj Allianz Women Specific Critical Illness Insurance is a health insurance plan specifically designed for women by Bajaj Allianz. This plan is offered to provide customers with protection against the risk of critical illnesses. This plan gives the security to the policyholder of knowing that some guaranteed cash will be paid by the insurer in case they have to diagnose with a serious illness. A life-threatening disease, illness or injury can be cured, but could cause financial burden or financial instability.

Since the hospitalisation and medical charges are so high these days, it is not possible for everyone to handle those additional expenses with ease. To counter this, Bajaj Allianz is offering this special plan to cover the expenses of critical illnesses and other possible risks specifically faced by females.

Eligibility Criteria for Women Specific Critical Illness Insurance Plan

The following are the eligibility details for the plan:

• Entry Age: Anyone who is between 21 years to 55 years of age can buy this plan
• Renewal Age: Under normal circumstances, this plan offers lifetime renewal benefit
• Policy Period: This health insurance plan designed for women is an annual policy
• Sum Assured/ Sum Insured: This health plan provides the policyholders with sum insured. The available options are Rs. 50,000, Rs. 1 lakh, Rs. 1.50 lakhs and Rs. 2 lakhs.

Medical Tests Needed to Buy Women Specific Critical Illness Insurance

While purchasing this women specific insurance plan, the applicant will have to undergo certain medical tests. However, it depends on their entry age as well as sum insured chosen. Look at the table below for more:

Sum Insured Amount	Entry Age of the Applicant
	21-25 Years	26-35 Years	36-40 Years	41-45 Years	46-50 Years	51-55 Years
Rs. 50,000	Nil	Nil	Nil	Nil	Nil	Nil
Rs. 1 Lakh	Nil	Nil	Nil	Nil	USG and FMR	USG and FMR
Rs. 1.50 Lakh	Nil	Nil	Nil	USG and FMR	PAP, USG and FMR	PAP, USG and FMR
Rs. 2 Lakh	Nil	Nil	Nil	USG and FMR	PAP, USG and FMR	PAP, USG and FMR

Here USG stands for Ultrasonography of Abdomen and Pelvis, FMR for Full Medical Report (as per the format of Bajaj Allianz) and PAP for PAP Smear Test.

Features of Women Specific Critical Illness Insurance Plan

Mentioned below are some of the important features of Women Specific Critical Illness Insurance Plan:

• This plan solely made for females
• Lifetime renewability
• Under this plan, policyholders are provided with lump sum benefit amount
• Easy claim procedures

Benefits of Women Specific Critical Illness Insurance Plan

The health insurance plan for women offered by Bajaj Allianz comes with a range of unique benefits as mentioned below:

Cover for Critical Illness: This health plan offers 100% of the sum insured chosen to the insured member if they are diagnosed with any of the critical illness listed below:

• Breast cancer
• Ovarian cancer
• Fallopian tube cancer
• Cervical or uterine cancer
• Vaginal cancer
• Multi-trauma
• Permanent paralysis of limbs
• Burns

However, this benefit is a subject to certain policy terms and conditions. The insured needs to fulfil all those conditions to avail this benefit.

Congenial Disability Benefit: Up to 50% of the sum insured chosen would be paid by the insurer if the policy owner gives birth to a baby who is having congenital disorder/ disease. Congenital diseases are covered under the policy. However, the benefit is only available on the first 2 children. Congenital diseases that are covered under the plan are:

• Down’s syndrome
• Congenital cyanotic heart disease
• Transposition of great vessels
• Tetrology of fallot
• Tricuspid Atresia
• Truncus Arteriosus
• Total Anomalous pulmonary venous drainage
• Hypoplastic Left Heart Syndrome
• Cleft Palate with or without cleft lip
• Tracheo-esophageal fistula
• Spina bifida

Child Education Bonus: In the event, if the claims for listed critical illnesses have already been paid under the policy, Bajaj Allianz will still pay additional Rs. 25,000 to the policyholder. This additional amount is paid towards the education of the dependent child or children (if any).

Loss of Employment: In case the policy owner lost their job within the 3 months from the date of their diagnosis of any specified critical illness, the insurer will pay a sum of Rs. 25,000 to the insured towards the loss of their job. Loss of job due to resignation (voluntary) is excluded.

Income Tax Benefits: The health insurance plan for women offers certain tax benefits on the premiums paid towards the plan. These benefits are provided as per the prevailing income tax laws. Under this policy, these benefits are provided under section 80D of the Income Tax Act. Section 80C benefits are not included in this plan.

Annual Premium Chart of Women Specific Critical Illness Insurance

The health insurance policy for women critical illness is an annual plan. The annual breakup of premium depends on the entry age and sum insured chosen. Look at the following table for more details:

Sum Insured Amount	Entry Age of the Applicant
	Up to 25 Years	26-35 Years	36-40 Years	41-45 Years	46-50 Years	51-55 Years
Rs. 50,000	Rs. 250	Rs. 375	Rs. 688	Rs. 1,000	Rs. 1,500	Rs. 2,188
Rs. 1 Lakh	Rs. 375	Rs. 563	Rs. 1,031	Rs. 1,500	Rs. 2,250	Rs. 3,281
Rs. 1.50 Lakh	Rs. 500	Rs. 750	Rs. 1,375	Rs. 2,000	Rs. 3,000	Rs. 4,375
Rs. 2 Lakh	Rs. 625	Rs. 938	Rs. 1,719	Rs. 2,500	Rs. 3,750	Rs. 5,469

Exclusions under Women Specific Critical Illness Insurance

The health insurance plan for women specific illnesses comes with the exclusions listed below:

• Any sort of pre-existing disease, injury, illness or condition
• Any type of sexually transmitted issue or condition which is directly or indirectly associated with or caused by Lymphadinopathy Associated Virus (LAV), Human T-Cell Lymphotropic Virus type III (LB III) or the Mutants Derivative or Variations Deficiency Syndrome or HIV AIDS or related conditions
• Medical expenses arising from or easily traceable to pregnancy, postpartum complications including, but not restricted to C-section, congenital anomalies and birth defects. This particular exclusion is not applicable to Section-C II, Congenital Disability Benefit
• All occupational diseases
• War, invasion, hostilities, act of terrorism, civil war, foreign enemies, insurrection, revolution, rebellion, military, mutiny, lockout, strike, riot, civil commotion, popular uprising, martial loot or law, destruction or confiscation by any public authority or government, pillage or sack in connection therewith and related conditions
• Military or naval operations of the air force or armed forces
• Any kind of natural peril (including but not restricted to tempest, storm, earthquake, avalanche, hurricane, volcanic eruptions, etc.)
• Consequential losses – loss of opportunity, loss of profit, business interruption, market loss, loss of gain and any legal liability
• Radioactive contamination and related conditions
• Intentional self-harm, attempted suicide, suicide or the misuse of alcohol or intoxicating drugs.

Filing Claims for Women Specific Critical Illness Insurance

Making claims for Bajaj Allianz plans including Women Specific Critical Illness Insurance is quite an easy and hassle-free process. Look at the following simple steps to make claims for this plan:

• The policyholder or someone of their behalf should inform the insurer in writing immediately within 2 days (48 hours) of the diagnosis of any of the specified critical illnesses.
• The insured must keep all the recommendations i.e. prescriptions with them for future references
• The policy owner or the claimant should submit the claim form along with other essential documents within 30 days of the diagnosis to avail the claim benefit.

Documents Required

The following is the list of documents required for the claim:

• A duly filled and signed (by the policy owner) critical illness claim form along with the NEFT form (signed by the claimant)
• Discharge is given by the hospital or copy of the discharge summary
• Copy of the final bill
• Copy of the policy
• First consultation letter which is given by the doctor for illness
• Medical certification indicating the duration of illness/ disease
• All investigation reports
• Medical certificate from the specialist
• Copy of FIR (in case the claims being made due to Burns)
• Certification from the policyholder’s organisation HR department (in case of job loss)
• Copies of Aadhaar card and PAN card

Contact Details

The following are the contact details of Bajaj Allianz:

• Call: 1800-209-5858 (BSNL), 1800-22-5858 (TATA), 1800-102-5858 (Bharti), 020-30305858 (Others)
• Email: bagichelp@bajajallianz.co.in
• Website: bajajallianz.com
• Address:
  Bajaj Allianz House, Airport Road, Yerawada,Pune- 411006Bajaj Allianz General Insurance Company Ltd.

FAQs

Q1. What is the entry age under Bajaj Allianz Women Specific Critical Illness Insurance?

Under this plan, entry age ranges from 21 years to 55 years.

Q2. How many critical illnesses are covered under Bajaj Allianz Women Specific Critical Illness Insurance?

There are eight critical illnesses that can be covered under the plan. These critical illnesses are-

1. Breast Cancer
2. Fallopian Tube Cancer
3. Cervical cancer
4. Ovarian Cancer
5. Vaginal Cancer
6. Congenital Cancer
7. Burns
8. Multi-Trauma

Q3. What is the maximum sum insured under Bajaj Allianz Women Specific Critical Illness Insurance plan?

Under this plan, maximum sum insured is Rs. 2 Lakhs.