Bajaj Allianz General Insurance
Health Guard
Sum insured options: 3L, 5L, 10L, 15L, 20L, 50L
Feature DNA
Coverage Basics
Room Rent Limit
1% of SI per day
Room rent at 1% of SI triggers proportionate deductions on the entire bill. Claims scrutiny is notably thorough on room upgrades.
Co-Payment
Nil (standard variant)
Network Hospitals
12,300+
Daycare Procedures
540+ listed procedures
Waiting Periods
Pre-Existing Waiting
48 months
Maternity Cover
Not covered
Wellness Benefits
Mental Health
Covered per Mental Healthcare Act
AYUSH Coverage
Covered up to 25% of SI
Annual Health Checkup
Included after claim-free year
Domiciliary Treatment
Covered with conditions
Claims Features
No Claim Bonus
Up to 50% (10% per year)
Very slow NCB build-up at 10% per year. Most modern plans offer 25-50% per year.
Restoration Benefit
No restoration benefit
No restoration on Health Guard. Once SI is exhausted, you have no coverage for the rest of the year.
Ambulance Cover
Up to 2,500 per hospitalisation
Organ Donor
Covered up to SI
Score Breakdown
Premium Estimates
Indicative annual premiums for a 5 lakh sum insured individual policy. Actual premiums vary by age, location, and health status.
| Age Group | Estimated Premium (5L SI) |
|---|---|
| Age 30 | ₹5,600/yr |
| Age 45 | ₹12,200/yr |
| Age 60 | ₹25,800/yr |
Key Exclusions
Gotcha Alerts (3)
Room Rent Limit
Room rent at 1% of SI triggers proportionate deductions on the entire bill. Claims scrutiny is notably thorough on room upgrades.
Source: Health Guard Policy Wording
No Claim Bonus
Very slow NCB build-up at 10% per year. Most modern plans offer 25-50% per year.
Source: Health Guard Policy Wording
Restoration Benefit
No restoration on Health Guard. Once SI is exhausted, you have no coverage for the rest of the year.
Source: Health Guard Policy Wording
Compare With Another Plan
Oquilia Analysis: Health Guard
Health Guard from Bajaj Allianz General Insurance is a individual health insurance plan that has earned an Oquilia Score of 7/10, placing it in the “Good” category. This score is derived from our analysis of 14 critical coverage parameters, cross-referenced against industry benchmarks and the actual policy wording filed with the Insurance Regulatory and Development Authority of India (IRDAI).
Starting with the coverage fundamentals, this plan offers room rent limits that buyers should be aware of. Room rent is one of the most consequential features in a health insurance policy because exceeding the limit does not just result in paying the room rent difference — it triggers proportionate deductions across the entire hospital bill, including surgery charges, doctor fees, and medication costs. For co-payment, this plan offers nil (standard variant), which is competitive and minimises out-of-pocket expense at claim time.
The pre-existing disease waiting period stands at 48 months, which is on the longer side compared to leading plans in the market. Buyers with existing health conditions should factor this waiting period into their purchase decision, as any claim related to a pre-existing condition during this period will be outright rejected.
On the wellness and benefits front, the plan includes coverage for AYUSH treatments (Covered up to 25% of SI), mental health (Covered per Mental Healthcare Act), and domiciliary treatment (Covered with conditions). The no-claim bonus structure offers Up to 50% (10% per year), which lags behind competitors offering faster bonus accumulation. Restoration benefit is either absent or severely limited, which is a significant gap in coverage.
We flagged 3 gotcha alerts for this plan. These are fine-print conditions that most buyers overlook during purchase but discover painfully at claim time. Each gotcha is sourced directly from the policy wording and represents a material condition that could affect claim outcomes. We recommend reading each gotcha carefully and factoring them into your purchase decision.
In terms of value for money, the estimated premium for a 30-year-old at 5 lakh sum insured is ₹5,600 per year. When evaluated against the feature depth delivered at this price point, Health Guard offers reasonable value for its price segment, though buyers should weigh the gotcha alerts carefully. We recommend comparing this plan side-by-side with at least one alternative using the Oquilia comparison tool to ensure it aligns with your specific health profile and financial needs.
Frequently Asked Questions
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Not sure if Health Guard is right for you?
Compare it side-by-side with another plan to see which one wins feature-by-feature.