Suggested
Health Insurance
Comprehensive cover for all
Coverage Highlights
Key benefitsWide Options
Choose a sum insured that fits your budget, ranging from ₹1 lakh to ₹25 lakhs.
Quick Claim Settlement
Claims are processed directly by us, ensuring faster and more efficient settlements.
Lifetime Renewal
Enjoy uninterrupted health coverage for yourself and your family by renewing your policy every year.
No Medical Tests
No medical tests are required for individuals up to 45 years of age.
Preventive Check-ups
Avail free preventive health check-ups to encourage regular health monitoring and early detection of potential health issues.
Reinstatement Benefit
Get your sum insured reinstated after exhaustion due to a claim.
Key Inclusions
What’s covered?Hospitalisation Expenses
Covers hospitalisation costs, including a choice of room types and all types of daycare procedures and surgeries.
Pre and Post-Hospitalisation Expenses
Covers medical expenses for up to 60 days before and 90 days after hospitalisation, with options for customisation as needed.
AYUSH Hospitalisation
Covers medical expenses for alternative treatments such as Ayurveda, Yoga, Unani, Siddha, and Homeopathy when prescribed by a doctor for illness or injury.
In-patient Hospitalisation
Includes expenses for room and boarding, ICU, nursing care, surgeon fees, anaesthesia, and other necessary treatments as prescribed by a doctor.
Road Ambulance
Reimburses reasonable ambulance expenses per valid hospitalisation claim when availing services from a healthcare or ambulance provider.
Organ Donor Expense
Covers the medical costs for an organ donor's in-patient treatment when harvesting an organ for the insured person.
Reinstatement Benefit
Restores 100% of the base sum insured for in-patient hospitalisation, ensuring full coverage for the policy year.
Daily Cash Allowance
Provides a fixed daily cash benefit during hospitalisation to help cover incidental expenses not included in the primary health insurance.
Modern Treatment
Covers medical expenses for treatments using modern technologies and advanced procedures
Key Exclusions
What’s not covered?Waiting Period
A mandatory initial waiting period of 30 days applies for hospitalisation due to illness or sickness. However, accidental hospitalisation is covered from day one.
Pre-Existing Disease
A waiting period of 36 months applies to pre-existing conditions such as diabetes, high blood pressure, thyroid disorders, asthma, etc.
Specific Disease/Procedure
A 24-month waiting period applies to expenses related to the treatment of specified conditions, surgeries, and medical procedures.
Investigation & Evaluation
Medical expenses solely for diagnostic or evaluation purposes that are not related to the current diagnosis and treatment are not covered.
Dietary Supplements
Expenses for vitamins, minerals, and organic supplements purchased without a prescription are excluded unless prescribed by a medical practitioner as part of hospitalisation or daycare treatment.
Cosmetic Surgery
Any treatment undertaken for aesthetic purposes is not covered unless it is required for reconstruction following an accident, burns, or medically necessary treatment.
Self-Inflicted Injuries
Expenses arising from self-inflicted injuries, suicide attempts, insanity, or involvement in illegal activities are not covered.
Deductibles & Co-Pays
A portion of the claim will need to be borne by the policyholder, as per the terms of the policy.
Additional Services
What else can you get?Non-Medical Expense
Covers typically excluded non-medical items in standard health insurance policies.
Maternity Cover
Provides financial support for delivery expenses, prenatal and postnatal care, and newborn medical costs
Bariatric Surgery Cover
Provides financial support for weight-loss procedures like gastric bypass, covering expenses if medically necessary due to obesity-related health conditions, as per policy terms.
Compare Insurance Plans Made for You
Feature |
![]() Family Health Care - Gold |
Family Health Care - Silver |
---|---|---|
Sum Insured Options | INR 1 Lakh to INR 25 Lakhs | INR 50,000 to INR 10 Lakhs |
Room Rent Limit | As per actual expenses | Up to 1% of the sum insured |
Pre & Post Hospitalisation | 60 days pre-hospitalisation & post-hospitalisation | 30 days pre-hospitalisation & post-hospitalisation |
Organ Donor & AYUSH Treatments | Covered up to the sum insured | Covered up to the sum insured |
Modern Treatment Methods & Tec | Covered up to 50% of the sum insured | Covered up to 50% of the sum insured |
Sum Insured Reinstatement Bene | 100% of the base sum insured | Not covered |
Hospital Cash Benefit | INR 500 per day (for each 24-hour hospitalisation) | INR 300 per day (for each 24-hour hospitalisation) |
Road Ambulance Cover | Up to INR 3,000 per hospitalisation | Up to INR 1,500 per hospitalisation |
Get instant access to your policy details with a single click.
Insurance benefits and rewards
Earn points for health activities and get benefits as premium discounts & policy upgrades. Improve your health to reduce claims & maximize benefits.
Complete health assessment and data integration
Start with a detailed health evaluation and sync your medical records & wearables for real-time data on activity, sleep & vital metrics.
Insurance benefits and rewards
Earn points for health activities and get benefits as premium discounts & policy upgrades. Improve your health to reduce claims & maximize benefits
Complete health assessment and data integration
Start with a detailed health evaluation and sync your medical records & wearables for real-time data on activity, sleep & vital metrics.
Step-by-Step Guide
How to Buy
0
Visit Bajaj Allianz website
1
Enter personal details
2
Compare health insurance plans
3
Select suitable coverage
4
Check discounts & offers
5
Add optional benefits
6
Proceed to secure payment
7
Receive instant policy confirmation
How to Renew
0
Login to the renewal portal
1
Enter your current policy details
2
Review and update coverage if required
3
Check for renewal offers
4
Add or remove riders
5
Confirm details and proceed
6
Complete renewal payment online
7
Receive instant confirmation for your policy renewal
How to Claim
0
Notify Bajaj Allianz about the claim
1
Submit all the required documents
2
Choose cashless or reimbursement mode for your claim
3
Avail treatment and share required bills
4
Receive claim settlement after approval
How to Port
0
Check eligibility for porting
1
Compare new policy benefits
2
Apply before your current policy expires
3
Provide details of your existing policy
4
Undergo risk assessment by Bajaj Allianz
5
Receive approval from Bajaj Allianz
6
Pay the premium for your new policy
7
Receive policy documents & coverage details
Diverse more policies for different needs
Critical Illness Insurance
Health Claim by Direct Click
Personal Accident policy
Global Personal Guard Policy
Claim Motor On The Spot
Two-Wheeler Long Term Policy
24x7 Roadside/Spot assistance
Caringly Yours (Motor Insurance)
Travel Insurance Claim
Cashless Claim
24x7 Missed Facility
Filing a Travel Insurance Claim
My Home–All Risk Policy
Home Insurance Claim process
Home Insurance Simplified
Home Insurance Cover
Cashless Claims
Excellent service for your mediclaim cashless customers during COVID. You guys are true COVID warriors, helping patients by settling claims during these challenging times.
Arun Sekhsaria
Mumbai
29th May 2021
Instant Renewal
I am truly delighted by the cooperation you have extended in facilitating the renewal of my Health Care Supreme Policy. Thank you very much.
Vikram Anil Kumar
Mumbai
27th Jul 2020
Quick Claim Settlement
Good claim settlement service, even during the lockdown, has enabled me to sell the Bajaj Allianz Health Policy to more customers.
Prithbi Singh Miyan
Pune
27th Jul 2020
Instant Policy Issuance
Very user-friendly. I got my policy in less than 10 minutes.
Jaykumar Rao
Bhopal
25th May 2019
Download Caringly your's app!
Family Health Plan Insurance Limited (FHPL) is a leading Third-Party Administrator (TPA) in India. It offers a range of health insurance services designed to cater to families' medical needs. With an extensive network of hospitals and customer support services, FHPL ensures that policyholders have access to quality healthcare.
Their health plans cover medical expenses, hospitalisation costs, and preventive care, providing families with the financial security they need in times of medical emergencies. FHPL's user-friendly mobile app and widespread presence across India make it a convenient and reliable choice for health insurance.
FHPL TPA offers several key benefits, making it one of the top TPAs in India:
Available on iOS and Android, this mobile application allows users to access policy details, download TPA cards, check the list of network hospitals, and manage claims efficiently.
FHPL has a strong presence across 25 states in India with over 50 offices, ensuring easy access to services and support for policyholders.
FHPL operates a multilingual call centre that handles over 12 lakh calls, ensuring customer queries are promptly addressed in their preferred language.
With over 7,000 hospitals, FHPL provides comprehensive coverage, allowing policyholders to avail of cashless treatment at numerous facilities across India.
You can check your FHPL claim status by following these simple steps:
To use FHPL TPA services for a cashless treatment request, follow these steps:
Confirm that the hospital you seek treatment is listed in the FHPL or your insurer's network.
For identity verification, show your insurance ID card, corporate ID, and a government-issued ID (such as Aadhaar or voter ID).
Fill out the pre-authorization form at the hospital, which will then forward the cashless request to FHPL TPA.
FHPL TPA will issue the cashless authorisation upon verification. The member must sign the final bill before leaving the hospital.
Here's a guide to help you through the steps of FHPL Claim:
✓ Contact your insurance provider within the specified timeframe after hospitalisation.
✓ Provide them with the necessary details, such as the date of admission, hospital name, and your policy number.
✓ Collect all relevant medical documents, including hospital bills, prescriptions, test reports, and discharge summary.
✓ Ensure the documents are clear, legible, and properly organised.
✓ Submit your claim form along with the required documents to your insurance provider.
✓ You can usually submit claims online, by mail, or in person.
✓ Your insurance provider will review your claim and verify the information provided.
✓ The processing time may vary depending on the complexity of your claim and the insurer's efficiency.
✓ If your claim is approved, you will receive reimbursement for eligible expenses.
✓ In some cases, you may be eligible for cashless settlement at network hospitals.
For any assistance or queries related to group health insurance, you can contact FHPL TPA:
For any assistance or queries related to group health insurance, you can contact FHPL TPA: