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Plan Name
Guardian Assurance Plus
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Coverage
৳140,000
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Insurance Provider
Guardian Life Insurance
Guardian Assurance Plus
Back to Quotes
৳140,000
180 days waiting period.
30 days waiting period.
60 days waiting period.
0 days waiting period.
Waiting Periods:
- Hospitalization: 30 days. Not applicable in case of accident-related treatment or insurance coverage renewal in subsequent years.
- Out-Patient (OPD) Service: 60 days. Not applicable in case of accident-related treatment or insurance coverage renewal in subsequent years.
- Critical Illness: 180 days. Not applicable in case of coverage renewal in subsequent years.
- An extended waiting period of 180 days is applicable for selected ENT, Gynecological, Orthopedic, Gastrointestinal, Urogenital, and other conditions. Please refer to section 4.6, Waiting Period of the Policy Wording, for further details.
Limitations:
- A Medical Practitioner’s recommendation is required for any Hospitalization.
- A minimum of 24 (twenty-four) hours of hospital stay shall require for any Hospitalization claims. No minimum period of Hospitalization is required if such Hospitalization is in connection with a surgical procedure.
- Maximum coverage for Hospitalization coverage shall be for 5 consecutive nights per hospital admission for each Insured Person. Successive Hospitalization within 90 days due to the same or different disability is considered as a single confinement.
- No pre & post Hospitalization expenses shall be covered under IPD.
- Pro Rata Payment of Inpatient/ Outpatient Claim: If any Policyholder is also covered for similar benefits under any other insurance contract, then payment of the claim shall be made on pro-rata basis after taking into account the coverages under all contracts.
- Maximum 5 Doctor Visits shall be covered under Out-Patient Service (OPD) Coverage.
- One person can avail of a maximum aggregated Death Coverage of Five Lac Taka (BDT. 500,000) from Guardian Life Insurance.
- One person can avail of a maximum aggregated Hospitalization Coverage of Fifty Thousand Taka (BDT. 50,000) from Guardian Life Insurance.
- One person can avail of a maximum aggregated OPD Coverage of Ten Thousand Taka (BDT. 10,000) from Guardian Life Insurance.
Exclusions: Death
- Suicide
- HIV/AIDS
Exclusions: Hospitalization/Out-Patient Service (OPD)
- Any treatment during the applicable Waiting Periods
- Pre-existing Conditions
- Congenital Conditions/Congenital infirmity
- Non-Allopathic and Experimental Treatment
- Treatment provided by a medical practitioner who is not recognized by the Bangladesh Medical and Dental Council
- Hospitalization or Injury due to any illegal activities/breach of law
- War, or any act of war, invasion, act of foreign enemy, warlike operations (whether war be declared or not), civil war, usurped act, rebellion, revolution, insurrection, nuclear weapons/materials, chemical and biological weapons and radiation of any kind
- Military Services - Involvement in the naval, military, or air force operations
- A direct consequence of participation by the Policyholder in any flying activity other than on a scheduled commercial airline as a bona fide passenger (whether fare paying or not), pilot, or crew member
- Hazardous Activities - participation or involvement in racing, diving, scuba diving, parachuting, hanggliding, rock or mountain climbing
- Self-Inflicted injuries or attempted suicide
- Substance Misuse and De-addiction
- Rehabilitation and Convalescence
- Cosmetic treatments
- Sleep and obesity treatments
- Hormone Replacement Therapy
- Dental and optical treatments
- Routine eye and ear examinations, cost of spectacles, laser surgery for correction of refractory errors, contact lenses, hearing aids, dentures, and artificial teeth
- HIV/AIDS
- Sexually transmitted diseases and other sexual problems
- Circumcision - unless necessary for the treatment of a disease or necessitated by an accident
- Birth Control and Assisted Reproduction/Infertility
- Pregnancy, childbirth, maternity
- Psychological disorders - treatment of mental illness, stress, psychiatric or psychological disorder
- Charges incurred primarily for diagnostic, X-ray, or laboratory examination not consistent with or not incidental to the diagnosis and treatment of positive existence or presence of any Illness or Injury for which inpatient hospitalization is required
- Expenses of Insured Person as Donor, or cost of Donor
- Failure to take Reasonable Medical Care
- Any treatment or part of a treatment that is not of a reasonable and customary charge, not medically necessary, drugs or treatments which are not supported by a prescription
- Immunization & Nutritional treatment
- Nuclear Reaction - injury, destruction, or damage caused by nuclear fission, nuclear fusion, or irradiation
*Please read the policy wording document for detailed terms and conditions of this insurance policy.
Policy Wording File
Download - guardian-assurence-plus-self.pdf1. Online Method: Browse the claim portal (Click Here) from the Easylife/Guardianlife website for online claim submission and then select the claim button with the following information:
- Policy ID/Member ID.
- Insert 6-digit OTP to verify the mobile number (which is given in policy inception time).
- Select the Claim Type.
- Insert the Date of Admission and Discharge.
- Input the amount of the claim as per the contract paper.
- Upload the required documents.
- Place the claim
2. Offline Method: Call the Company’s (Guardian Life) hotline number: 16622, to notify regarding the claim by the Policyholder or his/her nominee. An executive will call back that number and verify some information in line with the online claim request.
Guardian Life Insurance Executive shall then guide the Policyholder/Nominee to send the necessary documents. It can be a soft copy by email/portal upload or a hard copy of required documents by post/courier depending on the claim type.
DOCUMENTS REQUIRED FOR SUBMITTING THE CLAIM
1. For Death Claim:
- Death Claim Application Form duly fill-up by Nominee/ Guardian of Nominee.
- Bank details and a photocopy of the Nominee/ Guardian of Nominee.
- Copy of Death Certificate from Union Parishad/Paurashava/City Corporation/Cantonment Board/Hospital
- Copy of NID of Policyholder and Nominee/ Guardian of Nominee.
- In case of Accidental Death FIR, Post Mortem Report, Inquest Report, (if post-mortem report is unavailable, Magistrate or Officer In-charge permission to conduct burial without post-mortem)
- Copy of other supporting medical documents (If Applicable)
2. For Hospitalization/Hospicash/IPD/OPD:
- Claim Application Form
- Copy of doctor’s prescription
- Copy of diagnostic reports with X-Ray film (When applicable)
- Original bills/money receipt (Copy/ Scan copy)
- Discharge Certificate from Hospital/Clinic
- Physician‘s written advice/prescription for hospital admission except in case of emergency situation
- Any supporting documents as per merit of the disease /condition
What is Health Insurance?
Health insurance is a type of insurance policy that provides financial coverage against illness, diseases, and accident-related treatments. That means the insured person can get medical expense reimbursement or fixed cash benefit (based on the type of insurance policy) for treatments received due to the medical conditions.
Health insurance usage is relatively new in Bangladesh, and most of the insurance companies in Bangladesh do not offer retail health insurance policies to individual customers. Instead, insurance companies provide group health insurance plans to enterprises and corporates for their employees and workforce. For this reason, access to health insurance plans is still difficult for the mass people of Bangladesh. Bimafy is working with selected insurance companies to make health insurance easy and accessible for everyone. Bimafy offers different types of health insurance plans on its website and mobile app for you to choose from.
Why does everyone need a Health Insurance policy?
Everyone should have a health insurance policy because:
- Health insurance provides coverage against unexpected illness or accidental injuries to better manage your financial situation in case of an emergency hospitalization or treatment.
- Health insurance helps you to afford better healthcare services as you have the financial independence to seek quality healthcare services.
- Health insurance provides peace of mind as you are covered against unexpected situations and do not need to worry about spending your savings on treatment.
Types of Health Insurance policies available in Bangladesh
Regardless of the scarcity of up-to-date health insurance coverage and plans, mostly there are 3 types of health insurance products/plans available in our country, as per the following:
1. Hospital Reimbursement Plans
Hospital reimbursement plans are the most commonly used health insurance coverage by enterprises/corporates for their employees and workforce. These plans usually come with a yearly total coverage (sum-insured) amount up to which the policyholder or insured person can claim back the medical expenses incurred due to hospitalization. Sometimes, these plans come with bundled life insurance coverage and OPD (outpatient department services) coverage so that you can have peace of mind in case of any mishaps.
For example, if a reimbursement plan provides BDT. 50,000 yearly coverage for hospital treatment, and you had to spend BDT. 35,000 in total for an in-patient hospital treatment, the insurance company shall provide up to BDT. 35,000 as reimbursement against the claim. Some expenses may be excluded from the coverage on your policy, and those bills will not be paid back by the insurance company. Check the policy wording, coverage limits, and exclusions before buying a health insurance plan.
An important note to consider here is that reimbursement policies give back the medical expenses (subject to exclusion and deductibles) as per the hospital bill. You need to properly collect and preserve the medical documents and bills at the time of discharge to submit an insurance claim.
2. Hospital Cash Plans
Hospital Cash plans, or simply “hospicash” plans, are a more straightforward type of health insurance policy that provides daily fixed benefits per night of hospitalization. These plans do not consider the medical expenses incurred by the insured/policyholder. Instead, this health insurance policy provides a daily cash benefit to meet the lost income due to illness or accident. Often, these plans come with bundled life coverage, OPD coverage, and other benefits and are priced reasonably lower than reimbursement plans.
For example, if a hospital cash policy provides BDT. 3,000 per night of hospitalization, then you can get BDT. 9,000 benefits if you had to take treatment in a hospital for 3 consecutive nights. These plans usually come with waiting periods for claims and specific exclusions against particular diseases. So, please check the waiting periods and exclusions before buying a health insurance policy for yourself or your family members.
An important note to consider is that you must properly collect all medical documents, including hospital bills, to raise insurance claims. The insurance company will need these documents to verify the authenticity of your claim.
3. Critical Illness Plans
A critical illness (CI) plan is a type of health insurance policy that provides a fixed benefit or reimbursement of expenses up to the coverage amount in case of a diagnosis of a life-threatening illness. Hence it is called critical illness insurance. These plans usually cover severe or life-threatening diseases such as cancer, heart attack, stroke, coronary artery bypass surgery, major organ transplantation, etc. This list may include more diseases or illnesses based on the insurance company or plan. Critical illness health insurance policies are affordable and can be a lifesaver for you in an unfortunate situation.
Sometimes, critical illness coverages are bundled with reimbursement or hospital cash policies so that you can get complete coverage simply by purchasing a single policy. Otherwise, you can buy a reimbursement or hospital cash plan and get critical illness coverage separately to ensure better financial safety in an emergency.
Why is Bimafy the best place to buy health insurance policies?
Bimafy (bimafy.com) is the first digital insurance platform in Bangladesh, from where you can easily order the insurance policy you prefer or need and submit your insurance claims using the same platform digitally. Bimafy is not an insurance company; it is a digital platform through which you can take the insurance services provided by various insurance companies using digital channels. It is a new solution offered by Bimafy for the people of Bangladesh to make insurance easily accessible and more user-friendly.
Bimafy promotes and markets the insurance services of reputed insurance companies using its website and mobile app. People can now get many services through digital platforms like e-commerce, ride-sharing, doctor consultation, etc. But, before Bimafy, insurance was not available to people through digital channels, and Bimafy made it available to Bangladeshi people.
Through Bimafy, you can get the following insurance services: Health Insurance, Travel Insurance, Accident Insurance, Motor insurance, Life Insurance, and many more.
Bimafy is the best platform to get a health insurance policy for yourself and your loved ones. As it provides various insurance policies in one place, you can easily compare and select the best policy suited to your needs and budget.
Bimafy not only helps you get the best insurance policy for you but also assists you in submitting the insurance claims digitally and getting the settlement as fast as possible.
Various reputed insurance companies provide their insurance services through Bimafy. You can get your suitable health insurance plan today without any hassle through online purchases or with just a phone call. Bimafy considers customer satisfaction the highest priority and aims to provide the best insurance experience you have ever enjoyed.
To know more about health insurance and for any other information, send us an email or call Bimafy Customer Support.
Customer Support Hotline: +88 09606991991
Email address: cs@bimafy.com
