Bharti AXA Smart Health Insurance Policy

Product Overview

Bharti Axa Smart Health Insurance Plan is an inpatient hospitalization policy. It covers benefits like - Parent Accommodation for Child during hospitalisation, Children education fund, hospital cash allowance, etc.

Unique Features of Bharti AXA Smart Health Insurance Policy

• This product does not has any co-payment clause
• Dread disease recuperation, Hospital cash allowance, Home Nursing expenses are covered under this policy.
• In-patient physiotherapy expenses, Recovery grant, Accompanying person expenses, etc. are covered under the plan
• Parent Accommodation as companion for child is also covered under the policy
• Children Education fund and Transportation of mortal remains are also covered under the policy.

Critical features of Bharti AXA Smart Health Insurance Policy

• Room rent:
  Limits imposed towards room and ICU rent expenses

1. This Plan has 3 variants Basic Plan, Premium Plan, Optimum Plan.
2. Basic Plan: Sum Insured 2 Lacs and 3 Lacs Room rent limit is Rs 2000/- and Rs 3000/- per day and ICU- Rs 3000/- and Rs 4500/- per day
3. Basic Plan: Sum Insured 5 lacs there is no limit on room rent
4. Premium Plan: Room rent limit is Rs 3000/- per day and ICU- Rs 4500/- per day
5. Optimum Plan: Sum Insured 4 lacs and 5 lacs there is no limit on room rent

• Co-Pay:
  Specific % of admissible claim amount to be borne by Insured
  This plan does not have copayment clause
• No Claim Bonus:
  This plan does not offer no claim bonus benefits However, in the event of no claim 5 % to 25% discount will be available in renewal premium(The cumulative discount will be Zero once a claim is made)
• Pre-Existing Diseases:
  Means any condition, ailment or injury or related condition(s) for which you had signs or symptoms, and / or were diagnosed, and / or received medical advice/ treatment, within 48 months prior to the first policy issued by the insurer

1. This plans has a waiting period of 4 years is case of pre-existing diseases
2. Waiting period of 60 days is applicable for critical illness

Eligibility Criteria

• Minimum Age of Entry:- Children-91 days to 23 years/Adults-18 years
• Maximum age of Entry:-
  Basic Plan- 65 years
  Premium Plan- 55 years
  Optimum plan- 45 years
• Renewal Age:- Life Long Renewal
• Sum Insured:-
  Basic Plan- 2 Lakhs,3 Lakhs,5 Lakhs
  Premium Plan- 3 Lakhs
  Optimum plan- 4 Lakhs, 5 Lakhs
• Policy Tenure:- 1 year
• Premium Calculated on Basis of:- Age, (i.e. sum Insured Chosen)

Add-ons

• Critical Illness:
  This benefit provides for coverage of treatment for critical illness and the coverage depends on the type of critical illness cover basis.
• List of Critical Illness: Cancer, First Heart Attack, Coronary Artery Diseases, Open Heart Replacement or Repair of Heart Valves, Surgery to Aorta, Open Chest CABG (Coronary Artery By-pass Graft), Stroke Resulting In Permanent Symptoms, Kidney Failure Requiring Regular Dialysis, End Stage Lung Disease, End Stage Liver Failure, Coma of Specified Severity, Major Burns, Major Organ/Bone Marrow Transplant, Multiple Sclerosis, Fulminant Hepatitis, Motor Neurone Disease With Permanent Symptoms, Primary Pulmonary Hypertension, Terminal Illness, Bacterial Meningitis, Transplantation of Organs

Waiting Period

• Covered from Day 1:
  Accidental Injuries.
• Covered after 30 Days:
  All incidences apart from specified surgeries, Permanent exclusion & Pre-existing diseases (if any)
• Covered after 2 Years:
  Cataract, piles, congenital internal disease, dialysis for chronic renal failure, hysterectomy, joint replacement surgery, unless caused by accident, etc.

Exclusions

• Pregnancy and childbirth related complications
• Suicide, self-inflicted injury or illness, mental disorder,anxiety, stress or depression, use of alcohol or drugs
• Diseases such as HIV or AIDS
• Cost of spectacles, contact lenses and hearing aids
• Dental treatment or surgery of any kind unless requiring hospitalization
• Experimental or unproven treatment
• Treatment by a family member, self-medication or any treatment that is not scientifically approved
• Disease that commences during the first 30 days of inception of the first policy (60 days in case of critical illness benefit)
• Treatment taken from a person not registered as medical practitioner
• Any hospitalization expenses incurred outside India

 

Note: Any claims arising out of or attributable to any of the following is not covered

Tax Benefits

The premium paid for health insurance policy is liable to get a tax rebate under section 80D of the Income Tax Act, 1961.

Claim Process

In case you would like to know about the Claim Process or would like to register a Claim please click the link below

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