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Health Insurance
This Time, Prioritise Your Health
Coverage Highlights
Comprehensive coverage for a worry-free tomorrowChoose from Best of Plans
Choose from multiple plans to meet your requirements
Wide Sum Insured Options
Select adequate sum insured that suits you starting INR 3 lacs to INR 1 crore
Unlimited Reinstatement Benefit & Recharge
Get the option of unlimited reinstatement of sum insured even after it is exhausted after claims
Maternity & Newborn Care
Medical expenses related to delivery of baby and towards treatment of the new born baby are covered under select plans
Preventive Health Check-Up
Start receiving annual preventive health check-ups after 2/3 policy renewals as per the chosen plan
Online Discount
Get flat 5% discount when you buy a policy on our website or our Caringly Yours app
Zone Discount
Avail discounts of 20% for Zone B and 30% for Zone C depending on where you live
Fitness Discount & Wellness Discount
Avail up to 12.5% wellness discount for healthy habits on renewal
Note
Please read policy wording for detailed terms and conditions
Inclusions
What’s covered?In-Patient Hospitalisation Treatment
Offers comprehensive in-patient hospitalisation cover for your planned surgery or an unexpected illness to help you focus on your recovery not on your expenses
Hospital Room Coverage
Covers the cost of standard air-conditioned room ensuring you get the best care in a comfortable setting
ICU Cover
Covers your critical care expenses while ensuring you receive the best treatment without any financial burden
Pre-Hospitalisation Medical Expenses
Provides coverage for medical expenses for 30 days leading up to your hospital stay, ensuring you're prepared for the unexpected
Post-Hospitalisation Medical Expenses
Covers your post-hospitalisation medical expenses, including follow-up treatments and consultations, for up to 60 days after discharge
Day Care Treatment
Ensures that through advanced procedures you get back on your feet in less than 24 hours
Organ donor expenses
Offers coverage for organ transplant as per the policy terms, supporting the costs involved in the treatment
AYUSH Hospitalisation Cover
Coverage for ayurvedic, yoga, Unani, Siddha, and homoeopathic (AYUSH) treatment on a doctor’s advice for treating illness or physical injury
Road Ambulance
Covers emergency ambulance services to ensure you get swift and safe transport to the nearest medical facility
Domiciliary Hospitalisation
Ensures you receive the necessary medical care in the comfort of your home
Modern Treatment Methods and Advancement in Technologies
Covers modern treatments, like robotic surgeries and stem cell therapy, ensuring you have access to the latest medical advancements
Floater & Individual Sum Insured
Option to cover your family members under shared SI in case of a floater plan or separate SI in case of an individual plan
Note
Please read policy wording for detailed inclusions
Exclusions
What’s not covered?Investigation & Evaluation
Expenses related to any admission primarily for diagnostics and evaluation purposes only are excluded even if the same requires confinement at a hospital
Cosmetic or Plastic Surgery
Expenses for cosmetic or plastic surgery or any treatment to change appearance unless for reconstruction following an accident, burn(s) or cancer or as part of medically necessary treatment to remove a direct and immediate health risk to the insured are not covered
Hazardous or Adventure sports
Expenses related to any treatment necessitated due to participation as a professional in hazardous or adventure sports, including para-jumping, rock climbing, mountaineering, rafting, motor racing, horse racing, scuba diving, hand gliding, sky diving, and deep-sea diving, are not covered
Dietary Supplements & Substances
Cost of supplements that are purchased without a prescription by a certified doctor as a part of treatment, including vitamins, minerals and organic substances is not covered
Treatment for Self-Inflicted Acts
Medical expenses incurred as a result of self-harm, illegal actions, hazardous activities, etc. are not covered
Refractive Error
Expenses related to the treatment for correction of eyesight due to refractive error less than 7.5 dioptres are excluded
Unproven Treatments
Expenses related to any unproven treatment, services, and supplies in connection with any procedures or supplies that lack significant medical documentation to support their effectiveness stay uncovered
Sterility and Infertility
Expenses related to sterility and infertility, including any contraception, sterilisation and advanced reproductive technologies (such as IVF, ZIFT, GIFT, and ICSI), gestational surrogacy and reversal of sterilisation are not covered
Note
Please read policy wording for detailed exclusions
Additional Covers/Optional Covers
What else can you get?Sum Insured Reinstatement
Choose one-time or unlimited reinstatements each policy year for tailored, continuous protection
Procedure-wise/Disease-wise Sublimit
Unlock your full sum insured for key procedures and diseases (with no limitations on critical care)
Super Cumulative Bonus
Choose from three flexible growth options that match your health goals, get sum insured raised up to 200% as per the policy terms
No Claim Discount
Get accumulated bonus (Cumulative Bonus/Super Cumulative Bonus) with an immediate 1.5% discount on your next Premium payment at renewal
Cashless Discount
Enjoy a 5% discount on your premium by choosing cashless claims at our network hospitals for no upfront payments. Reimbursement claims will require a 20% co-pay.
Accidental Death Shield
Get financial protection for your loved ones, ensuring they're cared for even when you can't be there due to personal accident
Health Prime Rider
Get coverage for in-person or online doctor consultation, dental wellness, emotional wellness, diet & nutrition consultations as per the chosen plan
In a world where hospital bills can rise in the blink of an eye, a strong safety net becomes not just an option, but a necessity. That’s where a mediclaim policy steps in. It is a plan that covers your hospitalisation expenses, gives you peace of mind, and protects your savings.
Whether you're planning for unforeseen emergencies or seeking dependable medical insurance for parents, a mediclaim policy can ease the financial burden during tough times. Let’s explore everything you need to know about mediclaim health insurance and how Bajaj Allianz General Insurance Company can be your trusted partner in this journey.
A mediclaim policy is a type of health policy that reimburses you for medical expenses incurred during hospitalisation due to illness, disease, or an accident. It can be availed as an individual policy or as a family floater, ensuring protection for the entire family under a single sum insured.
Bajaj Allianz General Insurance Company offers a wide range of mediclaim health insurance options designed to meet the varying needs of individuals, families, and senior citizens, who require medical insurance for their parents with enhanced benefits and flexibility.
Let’s take a closer look at the standout features of a Bajaj Allianz General Insurance Company’s Mediclaim Policy:
It covers medical costs when you're admitted to a hospital for over 24 consecutive hours due to sickness or an accidental injury.
Expenses incurred 30 days before and 60 days of hospitalisation are reimbursed, provided they relate to the same medical condition.
Access over 18,400+ network hospitals where bills are settled directly with the provider, saving you from upfront payments during emergencies.
Coverage for alternative treatment systems like Ayurveda, Yoga, Unani, Siddha, and Homoeopathy.
Bajaj Allianz General Insurance Company directly manages claim settlements, ensuring faster, smoother, and more transparent service.
Still wondering why you should buy mediclaim online? Here are some solid benefits of investing in mediclaim health insurance from Bajaj Allianz General Insurance Company:
A single surgery or extended ICU stay can cost lakhs. A mediclaim policy absorbs these costs, keeping your savings intact.
Enjoy worry-free treatments at top hospitals, including private multispecialty hospitals, without stressing about the bill.
Family floater plans make it economical to cover your spouse, children, and parents all at once.
Need solid medical insurance for parents? Bajaj Allianz General Insurance Company offers policies with no co-pay, higher sum insured options, and tailored benefits for senior citizens.
Get instant access to policy details with a single click
A mediclaim health insurance plan is suitable for:
● Young professionals starting their financial journey.
● Families seeking budget-friendly protection.
● Senior citizens looking for dependable medical insurance for their parents.
● Employees who want extra cover beyond what their corporate insurance offers.
No matter your life stage, there’s a Bajaj Allianz General Insurance Company’s mediclaim policy designed just for your needs.
Mediclaim health insurance is a type of health policy, but it's more focused. Here’s how it differs:
Feature | Mediclaim Policy | Health Insurance Policy |
Coverage | Hospitalisation, Pre- and Post-Hospitalisation, Modern Treatment Methods. | Hospitalisation + day care + critical illness + OPD |
Claim Type | Reimbursement / Cashless | Reimbursement / Cashless / Lump sum (for critical illness) |
Premium | Lower | Comparatively higher due to broader coverage |
Add-ons | Limited | Offers optional coverage (maternity, global, etc.) |
Scope | Narrower | Wider scope with more customisation |
So, if your focus is on protection against hospitalisation costs only, a mediclaim policy offers great value. For broader needs, Bajaj Allianz General Insurance Company also offers comprehensive health policy options.
Understanding the scope of your mediclaim policy from Bajaj Allianz General Insurance Company is crucial. While it offers valuable financial protection for hospitalisation, certain situations and treatments are typically not covered. Knowing these exclusions helps you manage expectations when you buy mediclaim online or utilise your existing mediclaim health insurance. Below are some key instances where coverage may not apply.
● Hospital stays are primarily for investigations or diagnostic purposes only.
● Admission is mainly for enforced rest, without active medical treatment.
● Treatment for obesity or weight control programs.
● Change-of-gender procedures.
● Cosmetic or plastic surgery solely to alter appearance (unless reconstructive after accidents or burns).
● Treatment for injuries from professional hazardous or adventure sports.
● Treatment arising from illegal acts committed by the insured.
● Treatment for alcoholism, drug, or substance abuse.
● Treatments at health hydros or nature cure clinics for domestic reasons.
● Dietary supplements unless part of hospitalisation or daycare.
● Eye correction for refractive errors below 7.5 diopters.
● Unproven medical treatments or services.
● Treatment for sterility and infertility.
● Medical expenses related to pregnancy and its complications.
● Cosmetic dental procedures (unless due to accidental injury).
● Medical expenses where inpatient care isn't required.
● Treatment for war, invasion, or acts of foreign enemies.
● Costs of spectacles, contact lenses, hearing aids, etc.
● Certain congenital conditions, growth hormone therapy, and stem cell treatments (with specific exceptions).
● Intentional self-injury.
● Vaccination or inoculation.
● Non-medical items as listed in the policy.
● Treatment received outside India.
● Treatment under systems other than modern medicine (allopathy) and AYUSH.
Today, you can easily buy mediclaim online in just a few clicks. Here's why it makes sense:
● No paperwork
● Instant policy issuance
● Premium calculators for better planning
● Easy comparison of plans
● Transparent terms and inclusions
● 24/7 support via chat, email, or toll-free calls
Here are some factors to consider:
Assess whether you want basic hospitalisation or more benefits like modern treatments.
Opt for an individual or family floater depending on how many people need coverage.
Choose a sum insured that reflects current healthcare costs in your city.
Always check if your preferred hospitals are in Bajaj Allianz General Insurance Company's network.
You can raise claims in two ways:
● Available at any Bajaj Allianz General Insurance Company’s network hospital.
● Requires a pre-authorisation form before admission.
● Bills are settled directly by the insurer.
● Applicable for non-network hospitals.
● You pay the bills first, then file a claim with all documents.
● Settlement usually occurs within 15–30 days.
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 app
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 using app
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
● Age proof (Aadhaar, Voter ID, Passport).
● Identity proof.
● Duly filled application form.
● Medical history (if required).
Bajaj Allianz General Insurance Company stands out as a trusted provider for your mediclaim policy due to several key strengths:
● Award-Winning Customer Service: Experience consistently high-quality and supportive assistance.
● Transparent and Fast Claim Processing: Benefit from a straightforward and efficient process when you need your mediclaim health insurance.
● Flexible Premium Payment Options: Manage your health policy costs with convenient payment choices.
● Wide Range of Health and Mediclaim Policy Variants: Find the perfect plan to suit your needs, including options for medical insurance for parents.
● Strong Network of Cashless Hospitals Across India: Access quality treatment without upfront payment at 18,400+ facilities nationwide.
● Easy Portability and Migration Options: Seamlessly switch to Bajaj Allianz General Insurance Company if you're looking to buy mediclaim online or move from another insurer.
Medical emergencies don’t come with a warning. A mediclaim policy ensures that when they strike, your financial stability doesn’t take the hit. Whether you're planning for your own health or need medical insurance for parents, Bajaj Allianz General Insurance Company offers dependable, flexible, and affordable coverage.
With seamless digital processes, cashless treatment options, and expert customer support, it’s never been easier to buy mediclaim online. So why wait? Invest in your health today with a Bajaj Allianz General Insurance Company mediclaim policy and let peace of mind be your constant companion.
Excellent Service
Bajaj Allianz provides excellent service with user-friendly platform that is simple to understand. Thanks to the team for serving customers with dedication and ensuring a seamless experience.
Amagond Vittappa Arakeri
Mumbai
27th Jul 2020
Swift Claim Settlement
I am extremely happy and satisfied with my claim settlement, which was approved within just two days—even in these challenging times of COVID-19.
Ashish Jhunjhunwala
Vadodara
27th Jul 2020
Quick Service
The speed at which my insurance copy was delivered during the lockdown was truly commendable. Hats off to the Bajaj Allianz team for their efficiency and commitment!
Sunita M Ahooja
Delhi
3rd Apr 2020
Outstanding Support
Excellent services during COVID-19 for your mediclaim cashless customers. You guys are COVID warriors, helping patients settle claims digitally during these challenging times.
Arun Sekhsaria
Mumbai
27th Jul 2020
Seamless Renewal Experience
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
Delhi
27th Jul 2020
Quick Claim Settlement
Good claim settlement service even during the lockdown. That’s why I sell Bajaj Allianz Health Policy to as many customers as possible.
Prithbi Singh Miyan
Mumbai
27th Jul 2020
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