Group Activ Health – Kids Comprehensive Insurance Cover | Pocket Insurance

Coverage of up to Rs. 1 Lakh | Buy Kids Cover at just Rs. 1358 Buy Now

What is Group Activ Health – Kids Comprehensive Insurance Cover?

Return to school post COVID-19 has had a major impact on children. As much as this is an important step towards their cognitive and interpersonal development, returning to school after almost two years has been physically and mentally taxing for them.

The prolonged lack of physical activity, erratic sleep cycle, unhealthy eating habits, and undisciplined lifestyle are making it difficult for children to adhere to a strict routine. Skyrocketing medical expenses and rising inflation can burn a hole in your pockets. Cover your child’s medical expenses with Bajaj Markets’ Group Activ Health – Kids Comprehensive Insurance Cover from Aditya Birla Health Insurance Co. Ltd at just Rs. 1358/year. Read on to know more.

Key Features of Group Activ Health – Kids Comprehensive Insurance Cover

Wondering what makes the Group Activ Health – Kids Comprehensive Insurance Cover plan a must have? Here are its key features -

Sum of 1 Lakh Rupees insured

This Kids’ Plan will pay your child’s medical expenses up to a sum of Rs. 1 lakh @ a premium of Rs. 1358.

Validity up to 1 year

You can access the benefits of the Kids’ Insurance Cover for a period of one year.

Coverage against room rent

If your child is hospitalised for their treatment, Kids’ Insurance Policy will take care of the room expenses incurred due to tuberculosis, meningitis, and typhoid.

Coverage of day care procedures

If your child requires to go through any kind of treatment that may be finished under a span of 24 hours, then the Group Activ Health – Kids’ Comprehensive Insurance Cover will take care of 527 such day-care procedures.

How to Apply for the Group Activ Health – Kids Comprehensive Insurance Cover?

Get this cover for your kids by following these easy steps -

Click on Buy Now

Tap on ‘Buy Now’ on the product page
Fill in the Details

Enter your personal details in the online application form
Make the Payment

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

That’s it! You will receive membership details received on your registered e-mail ID.

Eligibility Criteria

Meet the basic eligibility criteria mentioned below and enjoy the benefits of the Group Activ Health – Kids Comprehensive Insurance Cover

You must be a resident of India
Your child must be between the ages of 5 years and 18 years

What’s Covered under Group Activ Health – Kids Comprehensive Insurance Cover?

Hospitalisation levies

You can get your domiciliary hospitalisation covered under this insurance cover. Pre & post hospitalisation periods of 30 – 60 days are also insured.
Ambulance charges

Worry less about travelling by the ambulance and get the road ambulance costs up-to Rs. 1,000 per incident in case of an emergency covered.
Tele-consultations are covered

You can consult a general physician or get psychological counselling conducted through our Group Activ Health – Kids Comprehensive Insurance Cover. (Note – Pre-existing diseases will be covered after a waiting span of 4 days)

Policy Plan Details & Specifications

Here are the details of the Group Activ Health – Kids Comprehensive Insurance Cover

Coverage limit

Coverage of Rs. 1 Lakh at a premium of Rs. 1358 only.

Validity

1 year

Age Limit

5-18 years

What’s not covered?

There are certain exclusions in the Group Activ Health – Kids Comprehensive Insurance Cover

Physical Consultations with the doctors
Intentional self-injuries
Treatment required due to the involvement in the hazardous adventurous sports
Treatment for drug or alcohol abuse
Treatment arising due to the breach of law
Previous health check-ups and routine examinations
Other surgeries that are permanently excluded are -

Body Part	Illness	Surgery/Treatment
Eye	Cataract	Cataract Surgery
Eye	Glaucoma	Glaucoma surgery
Ear-nose-throat	Otitis media	Surgery or treatment for otitis Media
	Serous Otitis Media	Adenoidectomy
	Mastoiditis	Mastoidectomy
	Cholesteatoma	Resection of the nasal concha
	Sinusitis	Sinus surgery
	Tympanites	Tympanoplasty
	Tonsillitis	Tonsillectomy
	Rhinitis	Surgery for the nose
	Deviated nasal septum	Surgery for deviated nasal septum Septum
	Sinusitis	Sinus surgery
	Tympanites	Tympanoplasty
Gynaecology	1 (a) Breast lumps	Any treatment for menorrhagia
	(b) Prolapse of the uterus
	(c) Dysfunctional uterine bleeding
	(d) Endometriosis
	(e) Menorrhagia
	Polycystic ovarian disease	Myomectomy
	Uterine prolapse	Uterine prolapse surgery
	Fibroids (fibromyoma)	Hysterectomy unless necessitated by malignancy
	All cysts and polyps of the female genitourinary system	Dilatation and curettage
	Pelvic Inflammatory Disease
Orthopaedic/rheumatological	1 (a) Gout	Joint replacement surgery for prolapse of the intervertebral disc
	(b) Rheumatism, rheumatoid arthritis
	(c) Osteoporosis
	(d) Prolapse of the intervertebral disc
	(e) Non-infective arthritis
	(f) Osteoarthritis
	(g) Spondylopathies
Skin	2 (a) All skin diseases	Removal of such tumour unless malignant
Skin	(b) Skin tumour (unless malignant)	Removal of such tumour unless malignant
General Surgery	3 (a) Varicose veins, Varicose ulcers	Surgery for Varicose veins and Varicose ulcers
	(b) Congenital Internal Diseases or anomalies	Surgery for Varicose veins and Varicose ulcers
	4. Any swelling, tumour, cyst, nodule, ulcer, polyp anywhere in the body (unless malignant)	Surgery for cyst, tumour, nodule, polyp unless malignant
	5. Gastric or duodenal erosions or ulcers + gastritis and duodenitis
Gastroenterology (alimentary canal and related organs)	1 (a) Gastroesophageal reflux disease(GERD)
	(b) Cirrhosis
	2 (a) Cholecystitis	Surgery for ulcers (gastric/duodenal)
	(b) Pancreatitis
	(c) Fissure, fistula in ano, haemorrhoids (piles), pilonidal sinus, anorectal and perianal abscess
	(d) Rectal prolapse
	3.Stone in gallbladder and bile duct	Cholecystectomy/surgery for gallbladder
Urogenital (urinary and reproductive system)	1 (a) Stones in urinary system (kidney/ ureter/urinary bladder)	Prostate surgery
	(b) Benign hypertrophy/enlargement of the prostate (BHP/BEP)	Prostate surgery
	2.Hernia, Hydrocele,	Surgery for Hydrocele, Rectocele and Hernia
	3.Varicocele / Spermatocele	Surgery for Varicocele /Spermatocele

Kindly refer to the policy wordings for elaborate details.

How to make a claim?

Make a claim in the following ways –

E-mail

Email the team at healthinsurance@adityabirlacapital.com stating your requirements by mentioning your policy and other personal details.

Call

Call on 1800-270-7000 to put forward your claim requirements.

Customer Care Details

Feel free to connect with us at Bajaj Markets. Just write to us at: insuranceconnect@bajajfinservmarkets.in

Disclaimer

Bajaj Finserv Direct Limited (BFDL) is merely a distributor of third- Party products from Assistance service providers such as Aditya Birla Health Insurance. Issuance of the product is at sole discretion of Assistance Company or Services provider.

The product and services or benefits assured under the product shall be governed by respective partner’s product T&C’s and BFDL does not hold any responsibility for the issuance, quality, serviceability, maintenance and any claims post sale. Your purchase of an assistance product is purely on a voluntary basis after your exercise of an independent due diligence on the suitability, viability of any product. For more details on terms and conditions, inclusions, and exclusions please read the product sales brochure carefully before purchase or subscription. All product information such as membership fees, benefits, exclusions, value added services, etc. are authentic and solely based on the information received from the respective value- added service provider or Assistance company.

Note- BFDL cannot be held liable for any direct or indirect damage/loss. We request our customers to conduct their research about these products and refer to the respective product’s sales brochures before concluding their sale.

Kids Cover Policy Brochure

Kids Cover Policy Brochure - PDF

Explore Top-Selling Products in Personal Accident Insurance
Fracture Cover	Accidental Burns & Scalds	Student's Plan Cover	Disappearance Cover
Accident - Air Ambulance Cover	Accident - Repatriation of Mortal Remains Benefit	Marriage Allowance Cover	Accidental Hospitalization (Personal Vehicle)
Adventure Cover	Personal Accident Cover 18-55 years	Accident - 2 EMI Protection	Accidental Hospitalization (Common Carrier)
Accident - Parents Benefit	Children's Education Cover	Fitness Insurance 1	Accidental Animal Attack (Domestic / Wild)

Medical Covers for Disease

Hospitalisation Insurance

Injury/Accident Covers

Are the day-care procedures included in the Kids’ Cover claim?

Yes, the day-care procedures are included in the claim. Get a total of 527 day-care procedures insured with our plan.

What is the cancellation policy for the Kids’ Cover Insurance Plan?

The policyholder needs to give a written notice of 15 days. The premium for the unexpired policy period shall be refunded by the company thereafter. Please go through the brochure to understand the break-up of the percentage of the refund amount based on the period for which the risk has been retained.

Can the insured person migrate from Kids’ Cover insurance policy to any other health policy?

Yes, the insured person can migrate to other health insurance products or plans that are offered by the company. They need to apply for the policy migration at-least 30 days prior to the policy renewal date.