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Kids Cover

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When it comes to providing medical treatment to your children, the costs of treatment should be the least of your worries. With an insurance policy covering medical treatments for your child, you can get coverage against the expenses incurred during any unforeseen situations. Bajaj Finance brings to you Group Activ Health- Kids Comprehensive Insurance Cover from Aditya Birla Health Insurance Co. Ltd. that offers a payout in the event of kids’ hospitalization.

Plan Details

Policy Sum Insured up to

Premium incl. taxes

Rs. 1 lakh

Rs. 1358

Eligibility: You are eligible for the Kids Cover if your child is between 5 and 18 years of age as on his/her last birthday.

Plan Validity: The plan is valid for a tenor of one year.

What's Covered

  • Money-in-bank

    Room Rent Cover

    Get coverage against expenses incurred during hospitalization due to typhoid, tuberculosis, and meningitis.

  • Money-in-bank

    Daycare Procedures

    527 daycare procedures are covered.

  • Money-in-bank

    Hospitalization Cover

    Domiciliary hospitalization is covered as defined in GHI policy wordings.

    The pre and post-hospitalization period is 30 and 60 days respectively.

  • Money-in-bank

    Transportation by Ambulance Cover

    Road ambulance charges are covered up to Rs. 1000 per incident in case of emergency.

  • Money-in-bank

    Consultations with A Doctor Cover

    The charges for a doctor on call are covered. The costs to consult a general physician and psychological counselling are covered.

    Note: Pre-existing diseases are covered after a waiting period of 4 years.

What's not covered?

  • Physical consultation (OPD)
  • Pre-existing condition
  • Adults

*For a complete list of exclusions, please refer to the policy wordings.

List for Surgeries having 2 years exclusions:

Body System

Illness

Treatment/ Surgery

1

Eye

Cataract

Cataract Surgery

Glaucoma

Glaucoma Surgery

2

Ear Nose Throat

Serous Otitis Media

Sinusitis

Sinus Surgery

Rhinitis

Surgery for the nose

Tonsillitis

Tonsillectomy

Tympanites

Tympanoplasty

Deviated Nasal Septum

Surgery for Deviated Nasal
Septum

Otitis Media

Surgery or Treatment for Otitis
Media

Adenoiditis

Adenoidectomy

Mastoiditis

Mastoidectomy

Cholesteatoma

Resection of the Nasal Concha

3

Gynaecology

All Cysts & Polyps of the female Genito urinary system

Dilatation & Curettage

Polycystic Ovarian Disease

Myomectomy

Uterine Prolapse

Uterine prolapse Surgery

Fibroids (Fibromyoma)

Hysterectomy unless
necessitated by malignancy

Breast lumps

Any treatment for Menorrhagia

Prolapse of the uterus

Dysfunctional Uterine Bleeding(DUB)

Endometriosis

Menorrhagia

Pelvic Inflammatory Disease

4

Orthopaedic / Rheumatological

Gout

Joint Replacement Surgery for Prolapse of the intervertebral disc

Rheumatism, rheumatoid arthritis

Non-infective arthritis

Osteoarthritis

Osteoporosis

Prolapse of the intervertebral disc

Spondylopathies

5

Gastroenterology (Alimentary Canal and related Organs)

Stone in Gallbladder and Bile duct

Cholecystectomy / Surgery for Gallbladder

Cholecystitis

Surgery for Ulcers (Gastric / Duodenal)

Pancreatitis

Fissure, Fistula in Ano, haemorrhoids (piles), Pilonidal Sinus, Ano-rectal & PerianalAbscess

Rectal Prolapse

Gastric or Duodenal Erosions orUlcers + Gastritis & Duodenitis

Gastroesophageal Reflux Disease(GERD)

Cirrhosis

6

Urogenital (Urinary and Reproductive system

Stones in Urinary system (Stone in the Kidney, Ureter, UrinaryBladder)

Prostate Surgery

Benign Hypertrophy /Enlargement of Prostate (BHP / BEP)

Hernia, Hydrocele,

Surgery for Hydrocele, Rectocele and Hernia

Varicocele / Spermatocele

Surgery for Varicocele /Spermatocele

7

Skin

Skin tumour (unless malignant)

Removal of such tumour unless malignant

All skin diseases

8

General Surgery

Any swelling, tumour, cyst, nodule, ulcer, polyp anywhere in the body (unless malignant)

Surgery for cyst, tumour, nodule, polyp unless malignant

Varicose veins, Varicose ulcers

Surgery for Varicose veins and Varicose ulcers

Congenital Internal Diseases or anomalies

How to apply

Click on ‘Apply Now’ button and share your basic details in the online application form.

Check and confirm your application by entering the OTP received on your mobile number.

Pay the premium via credit/debit card, UPI, mobile wallet, or any other available online payment mode.

You will receive the details of your membership via email/whatsapp.

Claim process

You can raise a claim by reaching out to the insurer via one of the following ways:

In case you have any queries about coverage, exclusions, or claims, please write to us at wecareinsurance@bizsupportc.com.

Disclaimer - *Conditions apply. This product is offered under the Group Insurance scheme wherein Bajaj Finance Limited is the Master policyholder. The insurance coverage is provided by our partner Insurance Company. Bajaj Finance Limited does not underwrite the risk. IRDAI Corporate Agency Registration Number CA0101. The above-mentioned benefits and premium amount are subject to various factors such as age of insured, lifestyle habits, health, etc (if applicable). BFL does NOT hold any responsibility for the issuance, quality, serviceability, maintenance and any claims post sale. This product provides insurance coverage under Aditya Birla Health Insurance Co. Ltd.Group Activ Health Policy, UIN: ADIHLGP21134V022021. Please refer insurer's website for Policy Wordings. Purchase of this product is purely voluntary in nature. BFL does not compel any of its customers to mandatorily purchase any third-party products.”

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