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Health Insurance

Group Health Insurance for Startups

HealthGuard

Key Features

This Time, Prioritise Your Health

Coverage Highlights

Comprehensive coverage for a worry-free tomorrow
  • Choose 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

Group Health Insurance Solutions for Startups 

Startups face unique challenges in attracting and retaining top talent, and offering group health insurance can be a strategic move. Health insurance provides employees with peace of mind, knowing that they have access to medical care when needed. For startups, offering a comprehensive health plan not only boosts employee satisfaction but also fosters loyalty.
Bajaj Allianz Health Insurance offers tailored solutions to meet the specific needs of startup companies. With over 18,400+ hospitals in its network, it ensures a wide range of healthcare options for employees. Moreover, group health insurance plans are generally more affordable than individual policies, making them a cost-effective choice for startups.

Why Startups Should Offer Health Insurance? 

Offering health insurance demonstrates a startup's commitment to employee well-being. It attracts top talent, provides financial protection, and promotes overall job satisfaction. Health insurance ensures employees have access to timely medical care, reducing absenteeism and improving productivity.
For startups, this benefit can serve as a competitive advantage when competing with larger firms. Bajaj Allianz Health Insurance plans offer flexible and affordable group plans that can be customised to meet the needs of growing businesses, allowing startups to focus on what matters most – innovation and growth.

Need for Startup Health Insurance 

Startups often work with lean teams, and each employee’s health is vital to the success of the company. Providing health insurance helps mitigate the financial burden of medical expenses, especially for those with young families or chronic health conditions. A comprehensive health plan can also reduce stress among employees, knowing they are covered in case of illness or accidents.
Health insurance in startups isn’t just about health, it's also about attracting and retaining talent in a competitive job market. Health benefits are one of the top considerations for prospective employees when evaluating job offers. Bajaj Allianz Health Insurance provides a range of options, ensuring startups can find an ideal policy to meet their employees' needs. Moreover, offering group health insurance fosters a sense of security and well-being, contributing to higher employee morale. It is also an effective way to reduce healthcare-related absenteeism, which can affect business operations.

Key Features of Startup Health Insurance Plans 

●      Comprehensive Coverage: Includes hospitalisation, maternity benefits, preventive care, and emergency treatment.

●      Customisation: Plans can be tailored to the specific needs of the startup, offering flexibility in terms of coverage, limits, and add-ons.

●      Cashless Network: Bajaj Allianz Health Insurance provides access to over 18,400+ hospitals nationwide for cashless treatment.

●      Affordable Premiums: Group policies are generally more affordable than individual health plans, making them budget-friendly for startups.

●      Employee Well-being: Covers not just hospitalisation, but also outpatient treatments, mental health services, and wellness programmes.

●      Tax Benefits: Premiums paid for group health insurance can be claimed as tax deductions under the Income Tax Act.

●      Family Coverage: Many plans allow employees to extend coverage to their families, ensuring complete protection.

Benefits You Deserve

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Region-Specific Premiums

Avail fair and local pricing for premiums as per the healthcare cost of 16 diffe

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Walk to Win

Enjoy up to 10% discount on policy renewal by completing regular step goals

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Super Cumulative Bonus

Get your Sum Insured raised by up to 50% every year up to 200% of Sum Insured

Benefits for Employers and Employees 

Health insurance offers numerous benefits for both employers and employees. For employers, it serves as a tool to attract and retain top talent, fostering a sense of loyalty and job satisfaction. It helps reduce absenteeism by ensuring employees can access healthcare when needed, thus improving overall productivity. Health insurance plans like those offered by Bajaj Allianz Health Insurance can be tailored to suit the needs of a startup, making it a cost-effective solution. For employees, it provides access to quality medical care, reducing the financial burden of healthcare expenses. With family coverage options, employees also have peace of mind knowing their loved ones are protected. This increases employee morale and strengthens the employer-employee relationship.

Types of Startup Health Insurance 

●      Individual Health Insurance: Covers only the employee and provides individual benefits tailored to their health needs.

●      Family Floater Plans: Includes coverage for the employee’s spouse, children, and sometimes parents, offering a family-oriented solution.

●      Group Health Insurance: Covers all employees under a single policy, offering uniform benefits and often at a more affordable rate than individual plans.

●      Critical Illness Coverage: Covers life-threatening illnesses such as cancer, heart disease, or kidney failure, offering financial support during difficult times.

●      Maternity Benefits Plans: Essential for startups with a significant number of young families, this plan offers coverage for maternity-related expenses. Each type of plan offers distinct benefits, and Bajaj Allianz Health Insurance provides solutions that cater to various needs and budgets.

How Startup Health Insurance Works? 

Startup health insurance typically works by providing a group policy that covers all employees under a single plan. The company pays a portion or all of the premiums, while employees may have the option to contribute. The coverage generally includes hospitalisation, outpatient care, and wellness benefits, with some policies offering additional perks like mental health support and maternity care.

Bajaj Allianz Health Insurance offers customisable plans that suit the size and nature of the startup, ensuring comprehensive protection for employees. The claims process is typically straightforward, and many plans offer cashless treatment at network hospitals for added convenience.

Download Policy Documents

Get instant access to policy details with a single click

Cost of Health Insurance for Startups 

The cost of health insurance for startups depends on various factors, such as the size of the team, the type of coverage, and the insurer chosen. Group health insurance is generally more affordable than individual plans, especially for startups with fewer employees. Bajaj Allianz Health Insurance offers affordable premium options for startups while ensuring comprehensive coverage. The cost can be further reduced by opting for a plan with a higher deductible or fewer add-ons. Startups can also negotiate with insurers for group discounts based on the number of employees covered under the plan.

Difference Between Individual and Group Health Insurance 

Individual health insurance is tailored to a single person and is ideal for freelancers or small businesses without many employees. It provides personalised coverage but tends to be more expensive than group insurance. Group health insurance, on the other hand, covers a group of employees under one policy, often at a lower cost per person. Bajaj Allianz Health Insurance offers both individual and group plans, but for startups, group insurance is typically the most cost-effective solution, offering a wider range of coverage options at a lower premium.

Digital Onboarding and Claims Process 

Digital onboarding and claims processes have streamlined health insurance for startups. With Bajaj Allianz Health Insurance, employees can easily sign up for coverage online, choosing from a variety of plans that suit their needs. The claims process is equally simple, with most claims being processed electronically for quick resolution. Employees can submit their claims through a mobile app or website, reducing paperwork and wait times. This digital approach saves time and ensures that employees can focus on their health, while startups benefit from simplified administration.

Tax Implications and Benefits 

Offering health insurance can provide tax benefits for both startups and employees. For the startup, health insurance premiums paid for employees can be claimed as a business expense, reducing taxable income. For employees, the premiums paid by the employer on their behalf are typically not taxed, making it a tax-efficient benefit. Bajaj Allianz Health Insurance plans also allow employees to claim deductions under Section 80D of the Income Tax Act for premiums paid on their policies. This creates a win-win situation for both employers and employees.

Tips for Choosing the Right Group Health Insurance 

When selecting group health insurance for a startup, consider the following factors:

●      Coverage: Ensure the plan offers comprehensive coverage, including hospitalisation, maternity, outpatient care, and wellness programmes.

●      Flexibility: Choose a plan that allows for customisation based on employee needs.

●      Affordability: Look for a cost-effective plan that fits within the startup’s budget while offering sufficient coverage.

●      Network Hospitals: Check if the insurer has a wide network of hospitals for easy access to care. Bajaj Allianz Health Insurance, for example, has access to over 18,400+ hospitals nationwide.

●      Customer Support: Opt for an insurer with reliable customer support to assist with claims and other queries. By considering these factors, startups can ensure they choose the right health insurance plan that benefits both the company and its employees.

Step-by-Step Guide

To help you navigate your insurance journey

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

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What Our Customers Say

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.

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Amagond Vittappa Arakeri

Mumbai

4.5

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. 

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Ashish Jhunjhunwala

Vadodara

4.7

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!

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Sunita M Ahooja

Delhi

5

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.

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Arun Sekhsaria

Mumbai

4.8

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!

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Vikram Anil Kumar

Delhi

5

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.

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Prithbi Singh Miyan

Mumbai

4.6

27th Jul 2020

FAQs

How does the digital claims process work for startup health insurance?

The digital claims process allows employees to submit claims via an online portal or mobile app, uploading necessary documents. Claims are processed quickly, with cashless treatment options available at network hospitals, and reimbursements directly handled by the insurer.

What are the typical costs associated with startup health insurance plans?

Costs depend on factors like employee count, coverage levels, and additional benefits. Group health insurance plans are typically more affordable than individual ones, with premiums varying based on coverage options, employee health, and the number of people covered.

Are there any minimum employee requirements to avail group health insurance?

Yes, most group health insurance providers require a minimum number of employees to qualify. Typically, startups with 3 to 5 employees are eligible, but requirements may vary depending on the insurer and plan.

Can startups add optional benefits to their health insurance plans?

Yes, startups can often add optional benefits like critical illness cover, maternity benefits, and outpatient care. Customising plans ensures employees receive the coverage they need, based on the specific requirements of the business.

What is the maximum number of employees that can be included in a group health insurance policy?

The maximum number of employees varies by insurer and plan, but generally, there is no upper limit. Larger groups may benefit from additional coverage options and more competitive premiums, depending on the insurer.

Are there any drawbacks to offering employee health insurance in startups?

Potential drawbacks include the cost of premiums and administrative efforts involved in managing the plan. Startups may face challenges balancing affordability with comprehensive coverage, but the long-term benefits typically outweigh the initial challenges.

Which key factors determine the premium cost of a group health insurance plan?

Premium costs are influenced by factors such as the group size, employee age and health, the chosen coverage levels, optional benefits, and geographic location. Larger, healthier groups tend to attract lower premiums compared to smaller, riskier groups.

Does health insurance offer options for covering my whole family?

Yes, many health insurance plans offer family coverage. However, the exact definition of 'family' can differ between providers. Generally, family health insurance covers you, your spouse, and dependant children (up to 2); you may need to get seperate policies for parents.

What are the common inclusions of health insurance?

Health insurance commonly covers hospitalisation costs, medical treatments, emergency services, and expenses related to pre- and post-hospitalisation care. Coverage for daycare procedures is also frequently included in health insurance plans; however, specific policy inclusions may vary from one plan to another.

Are pre-policy medical examinations common in health insurance?

Yes, many health insurance providers asks for pre-policy medical examinations for certain age groups, when applying for higher amount of coverage, or in other scenarios. Such examinations help insurers assess your current health conditions and potential risks. The specific tests and requirements can vary based on the provider and the policy chosen.

Do health insurance providers offer discounts for healthcare workers?

Health insurance providers may offer discounts on special concessions to healthcare workers on special occasions. The availability and specific details of these discounts can vary between insurers and different policies.

Is there any co-payment at the time of raising claims in health insurance?

If you have opted for the co-payment option in your policy, you will be required to bear part of your hospitalisation expenses based on the policy terms.

To whom should I submit claim documents, third party administration or my insurance provider?

You can submit your claim documents to the third-party administrator (TPA) managing your claim process or directly to your insurer depending on the procedure specified by your insurance provider.

Why do some health insurance policies include co-payment requirements?

Health insurance policies may include co-payment requirements to strike a balance between affordability and comprehensive coverage.

How can I raise my health insurance claim after hospitalisation?

You can file your claim after hospitalisation in case of an emergency hospitalisation. However, you must notify your insurance provider or third-party administrator (TPA) as soon as possible; the usual timeline for informing the insurer or third-party administrator is within 24 hours of being hospitalised. Make sure to gather all necessary documents, including medical bills, reports, and discharging summary for your claim. Once you are done with all of the paperwork, submit the completed claim form and supporting documents to your insurer. Remember to consult your specific policy documents for detailed procedures and deadlines.

What are the standard renewal terms for health insurance plans?

Many health insurance plans offer long-term or lifetime renewal, requiring for consistent annual renewals and adherence to policy terms. However, policy renewal might get denied in case of misrepresentation, fraud, or non-compliance. Thus, it is important to renew your insurance plan within the insurer's provided grace period. Contact your insurance provider for specific renewal details.

If there is any claim in my existing policy, is there any exclusion during renewal of my policy?

Depending on your policy teams a 60-day cooling off period may be applicable if the policy is renewed within 60 days from the date of admission of the previously paid claim. However, usually there isn't a waiting period for other listed vector-borne diseases. In case, the policy is renewed post 60 days from the date of admission of the previously paid claim, a fresh waiting period of 15 days may be applicable for all listed vector-borne diseases.

Can I enhance my sum insured during policy renewal?

You may be able to apply for sum insured enhancement during policy renewal depending on the guidelines shared by your insurance provider. You may have to submit a fresh proposal form to your insurance provider. Based on the terms and conditions you may get enhanced sum insured.

What is the process of renewing health insurance plans?

Here is a simple guide to help you in your policy renewal: 1. Login to the app 2. Enter your current policy details 3. Review and update coverage if required 4. Check for renewal offers 5. Add or remove riders 6. Confirm details and proceed 7. Complete renewal payment online 8. Receive instant confirmation for your policy renewal
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