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Critical Illness Insurance

Insurance against critical illness for you and your family

Critical illness cover
Critical illness insurance plans

Extended insurance for critical times

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What’s in it for you?

Covers against 10 critical illnesses

Hassle-free in-house claim settlement

Lifetime renewability

What is a Critical Illness Insurance Policy?

A Critical Illness Insurance Policy from Bajaj Allianz General Insurance Company provides comprehensive financial protection when diagnosed with life-threatening conditions like cancer, heart attacks, or major organ transplants. Unlike standard health insurance that reimburses medical bills, this policy offers a lump-sum payment upon diagnosis, providing flexibility to manage medical or personal expenses during recovery. With critical health insurance, you have peace of mind knowing that financial support is available in challenging times.

We offer a whole lot when it comes to Critical Illness Insurance

What is the Key Features of Critical Illness Policy?

With us, you can rest assured knowing that our Critical Illness Insurance cover has the following features to protect you:

  • Critical illness cover

    This policy provides comprehensive insurance cover for 10 critical illnesses.

  • Multiple sum insured options

    • Sum insured options ranging from Rs 1 lakh to Rs 50 lakh for the age group 6 years to 60 years.
    • Sum insured options ranging from Rs 1 lakh to Rs 5 lakh for the age group 61 years to 65 years.
  • Flexible

    Increase your sum insured at the time of your policy’s renewal and avail competitive premium rates.

  • 100% payout

    You can avail the payable benefit once you are diagnosed with a critical illness (given you meet the specific criteria as per the policy and survive 30 days after the disease is diagnosed).

  • Covers you and your family

    This policy covers your entire family; including children above the age of 6 years.

Why Critical Illness Insurance?  Watch the video to know more

Video

EASY, HASSLE-FREE AND QUICK CLAIM SETTLEMENT OF CRITICAL ILLNESS INSURANCE

Claim Process

  • You, or your loved one who is making the claim on your behalf, must inform us in writing within 48 hours of you being diagnosed with any of the listed critical illnesses.
  • You must immediately consult a doctor and follow the advice and treatment that they recommend.
  • You, or your loved one who is making the claim on your behalf, must, within 30 days of diagnosis of any of the listed critical illnesses, or discharge from the hospital (if admitted), give us the documentation listed below:

Documents list:

  • Critical Illness Insurance claim form duly signed by the insured along with the NEFT form signed by the claimant.
  • A copy of the discharge summary/discharge certificate.
  • A copy of the final hospital bill.
  • First consultation letter for the illness.
  • Medical certificate for the duration of the illness.
  • A copy of all the required investigation reports as per the illness.
  • Medical certification from a specialist.
  • A copy of your Aadhaar card, or any other government photo ID and PAN Card. This is not mandatory if your ID card is linked with the policy while issuance or in a previous claim.

How to Select the Best Critical Illness Cover Online?

Choosing the right critical health insurance involves considering factors such as covered illnesses, sum insured, waiting period, and renewability. Look for policies with extensive coverage for conditions that align with your health history, a sufficient benefit amount to cover possible medical costs and a reasonable waiting period. Additionally, lifetime renewability, claim ease, and portability benefits are essential for long-term protection.

Protect yourself from the threat of critical illnesses

Around 4000 customers have opted for this policy in the last 6 months.

That’s not all, here are additional benefits with your Critical Illness Insurance

We provide extensive cover against critical illnesses along with other benefits:
Renewability

Renewability

This policy comes with the benefit of lifetime renewability.

Hassle-free claim settlement

Hassle-free claim settlement

We have an in-house claim settlement team that ensures a quick, smooth and easy claim settlement process. Read more

Hassle-free claim settlement

We have an in-house claim settlement team that ensures a quick, smooth and easy claim settlement process. Also, we offer cashless claim settlement at more than 18,400 + network hospitals* across India. This comes in handy in case of hospitalisation or treatment wherein we take care of paying the bills directly to the network hospital and you can focus on recovering and getting back on your feet. 

Tax Benefit under Sec 80D

Tax saving

Avail income tax benefit under Section 80D of the Income Tax Act*. Read more

Tax saving

Avail income tax benefit under Section 80D of the Income Tax Act*.

*On opting for Critical Illness Insurance policy for yourself, your spouse, children and parents, you can avail Rs 25,000 per annum as a deduction against your taxes (provided you are not over 60 years). If you pay a premium for your parents who are senior citizens (age 60 or above), the maximum health insurance benefit for tax purposes is capped at Rs 50,000. As a taxpayer, you may, therefore, maximise tax benefit under Section 80D up to a total of Rs 75,000, if you are below 60 years of age and your parents are senior citizens. If you are above the age of 60 years and are paying a medical insurance premium for your parents, the maximum tax benefit under Section 80D is, then, Rs 1 lakh.

Portability Benefit

Portability benefit

If you are insured under any other critical illness policy, you can switch to this policy with all accrued benefits (after due allowances for waiting periods) to enjoy this policy’s benefits!

Tax Benefits under a Critical Illness Insurance Policy

Purchasing a Critical illness health Insurance Policy can provide tax benefits under Section 80D of the Income Tax Act in India. Premiums paid for such policies are eligible for deductions, which help reduce the policyholder's taxable income. These tax benefits make Critical Illness Insurance a valuable financial tool for managing healthcare costs and offering potential tax savings.
*Tax benefits are subject to changes in tax laws.

Critical Illness Insurance Plan vs. Health Insurance Plan

A Critical health Insurance Plan differs from a standard Health Insurance Plan in several key aspects. While a health insurance plan typically covers a wide range of medical expenses, including hospitalisation, surgeries, and routine medical care, a Critical Illness Insurance plan is more focused.

It provides a lump sum payment upon diagnosis of specific severe illnesses like cancer, heart attack, or organ failure. The policyholder can use this lump sum at their discretion, whether for treatment costs, rehabilitation, or even to cover daily living expenses if the illness impacts their ability to work.

Health insurance usually involves reimbursement or direct settlement with hospitals, while Critical Illness Insurance offers a one-time payout irrespective of actual medical costs, providing more financial flexibility during recovery.

Illnesses Covered under Critical Illness Insurance Plans

Critical Illness Insurance typically covers a range of severe medical conditions that can have a significant financial impact on individuals and their families. The policy offered by Bajaj Allianz, for instance, covers ten major illnesses: aorta graft surgery, cancer, coronary artery bypass surgery, first heart attack (myocardial infarction), kidney failure, major organ transplant, multiple sclerosis with persisting symptoms, permanent paralysis of limbs, primary pulmonary arterial hypertension, and stroke. These conditions are selected due to their serious nature and the high costs associated with their treatment and care.

Factors to Keep in Mind While Opting for a Critical Insurance Policy

Several factors should be considered when choosing a critical illness insurance policy to ensure adequate coverage and financial protection.

  • Covered Illnesses:

    Evaluate the list of illnesses covered by the policy to ensure they align with your health history and potential risks.

  • Benefit Amount:

    Check the policy's lump sum benefit to ensure it adequately covers potential medical expenses and provides sufficient financial support during recovery.

  • Waiting Period and Survival Period:

    Understand the waiting period before benefits become payable upon diagnosis. Additionally, note the survival period after diagnosis to qualify for the benefit payout.

  • Renewability:

    Review the policy's renewability options, including whether it offers lifetime renewability to ensure continuous coverage as you age.

  • Portability Benefits:

    Consider portability benefits if you anticipate switching insurers in the future. These allow you to carry over accrued benefits without restarting waiting periods.

  • Exclusions and Limitations:

    Examine the policy's exclusions and limitations to understand what conditions or circumstances are not covered by the insurance.

  • Claim Settlement Process:

    Evaluate the insurer's reputation for hassle-free and timely claim settlements. Look for reviews and feedback regarding the ease of filing claims and the efficiency of the settlement process.

How to File a Claim for Critical Illness Policy?

Filing a Critical Illness Policy claim involves several steps to ensure a smooth and successful process.

  • Documentation:

    Submit necessary documents such as a completed claim form, medical reports, and diagnostic test results. Ensure all information is accurate and comprehensive.

  • Claim Review:

    The insurer’s claim settlement team will assess the claim based on the provided documentation and policy terms.

  • Approval and Payout:

    The insured will receive a lump sum payout according to the policy terms if the claim is approved.

  • Understanding Procedures:

    Familiarise yourself with the insurer’s specific claim settlement procedures to facilitate a smooth process.

  • Document Management:

    Keep copies of all submitted documents for personal records and future reference.

  • Communication:

    Maintain prompt and clear communication with the insurer throughout the claim settlement process to expedite proceedings.

Eligibility Criteria for Purchasing a Critical Illness Plan

Criteria

Details

Age

Adults (18-65 years), Dependents (6-21 years)

Eligible Policyholders

Self, spouse, children, and close relatives

Sum Insured Options

Up to INR 50,00,000 based on age group

Medical Examination

Required based on age and chosen sum insured

Why Choose Bajaj Allianz Critical Illiness Insurance?

A critical illness can have a huge impact on your life. You may not only have to make major lifestyle changes but also cope with unexpected and often, exorbitant medical expenses. The cost of medical aid is soaring and so are the incidents of critical illnesses, which bring with them mounting costs of hospitalisation and medical treatment.

It is, thus, imperative for every individual to equip themselves with a health insurance policy that covers critical illnesses, because in some cases, these illnesses may lead to the unemployment of a family’s sole earning member. Our Critical Illness Insurance cover is designed to protect you and your family against the financial burden of such life-threatening illnesses.

Our Critical Illness Insurance plan provides protection against major life-threatening conditions such as cancer, organ transplant, heart attack and more. Let’s look at the 10 medical conditions that are covered under this policy:

  • Aorta graft surgery
  • Cancer
  • Coronary artery bypass surgery
  • First heart attack (myocardial infarction)
  • Kidney failure
  • Major organ transplant
  • Multiple sclerosis with persisting symptoms
  • Permanent paralysis of limbs
  • Primary pulmonary arterial hypertension
  • Stroke

Important points to note before buying Critical Illness Insurance

  • Inclusions

  • Exclusions

Critical illness cover

Provides cover against 10 critical illnesses and life-threatening conditions.

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Any critical illness for which care, treatment or advice was recommended or which was diagnosed or contracted before the policy issuance.
Any critical illness diagnosed within the first 90 days of policy issuance.
Death within 30 days following the diagnosis of the critical illness.
Presence of HIV/AIDS infection.
Treatment arising from or traceable to pregnancy or childbirth, including caesarean section and birth defects.

Treatment arising due to war, invasion, an act of foreign enemy, terrorism, hostilities (whether war be declared or not), civil war, rebellion or revolution.

Any injury due to naval or military operations of the armed forces or air force and participation in operations requiring the use of arms or which are ordered by military authorities for combating terrorists, rebels, etc.

Consequential losses of any kind, by way of loss of profit, loss of opportunity, loss of gain, business interruption, etc.

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Documents Required for Critical Illness Insurance Claim

Document

Purpose

Claim Form

For formal claim submission

Medical Reports

Proof of diagnosis

Diagnostic Test Results

Verification of illness severity

Identity Proof

Verification of policyholder identity

FAQs

FAQ's

What are the documents required for Critical Illness Insurance?

The required documents typically include a claim form, medical reports confirming the diagnosis of the critical illness, and diagnostic test results, as per Bajaj Allianz's claim submission requirements.
*Claims are subject to terms and conditions set forth under the health insurance policy.

Why do we need Critical Illness Insurance Coverage?

Critical Illness Insurance Coverage is essential to protect against severe health conditions like cancer, heart attacks, and organ failure. It provides financial support through a lump sum payout upon diagnosis, helping cover medical expenses and other financial needs during recovery.

How much critical illness benefit is required for an individual?

The critical illness benefit required varies based on individual circumstances. Bajaj Allianz offers multiple sum insured options, ensuring flexibility to match coverage needs.

Is it worth buying a critical illness benefit?

A critical illness benefit offers financial protection against high medical costs associated with severe illnesses, ensuring peace of mind and financial stability during challenging health situations.

Is there any medical test required before purchasing a critical illness rider?

Medical tests may be required before purchasing a critical illness rider with Bajaj Allianz. The specific tests and requirements will depend on the applicant's age and health condition per the insurer's underwriting guidelines.

Does the critical illness policy offer tax benefits?

Yes, premiums paid for Bajaj Allianz General Insurance Company Critical Illness Insurance are eligible for tax deductions under Section 80D of the Income Tax Act, reducing taxable income and providing valuable financial savings.

What is the age limit?

The policy covers adults aged 18 to 65, with eligibility extending to dependents aged 6 to 21, ensuring comprehensive coverage for you and your family across different life stages.

What is the waiting period for critical illness insurance?

A 90-day waiting period applies from the start date of the policy, meaning claims can be made only after this period for newly diagnosed critical illnesses as per policy terms.

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Customer Reviews & Ratings

Average Rating:

4.75

(Based on 3,912 reviews & ratings)

Satish Chand Katoch

Satish Chand Katoch

Hassle Free through web with all option we can review while taking policy.

Ashish Mukherjee

Ashish Mukherjee

Easiest for anyone, no hassle, no confusion. Great work. Good luck.

Jaykumar Rao

Jaykumar Rao

Very user friendly. I got my policy in less than 10 minutes.

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I hereby authorize Bajaj Allianz General Insurance Co. Ltd. to call me on the contact number made available by me on the website with a specific request to call back at a convenient time. I further declare that, irrespective of my contact number being registered on National Customer Preference Register (NCPR) under either Fully or Partially Blocked category, any call made or SMS sent in response to my request shall not be construed as an Unsolicited Commercial Communication even though the content of the call may be for the purposes of explaining various insurance products and services or solicitation and procurement of insurance business. Furthermore, I understand that these calls will be recorded & monitored for quality & training purposes, and may be made available to me if required.

Disclaimer

I hereby authorize Bajaj Allianz General Insurance Co. Ltd. to call me on the contact number made available by me on the website with a specific request to call back at a convenient time. I further declare that, irrespective of my contact number being registered on National Customer Preference Register (NCPR) under either Fully or Partially Blocked category, any call made or SMS sent in response to my request shall not be construed as an Unsolicited Commercial Communication even though the content of the call may be for the purposes of explaining various insurance products and services or solicitation and procurement of insurance business. Furthermore, I understand that these calls will be recorded & monitored for quality & training purposes, and may be made available to me if required.

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