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Health Insurance
Health Insurance is a shield for you and your family from unforeseen medical bills
Coverage Highlights
Select from multiple insurance plans like Indemnity, Personal Accident, Critical Illness & othersComprehensive Health insurance
Extensive coverage for a wide range of medical expenses including room rent, doctor’s fees, nursing charges, surgery costs, medical tests and other healthcare needs
Personal Accident Insurance
Provides financial protection in case of Accidental Death, Disability, Hospitalisation, Adventure Sports benefit
Critical Illness
Provides financial support if the insured is diagnosed with a serious illness like cancer, heart-attack, stroke
Health Insurance Riders
To enhance your basic health insurance coverage, you can buy Riders that offers benefits like tele-consultation, non-medical consumables, dental wellness
Discounts
Benefit from Online Discount, Fitness and Wellness Discount, Family Member Discount, and Zone Wise Discount
Preventive Check-Ups
Avail preventive health check-ups every year with select plans from the first year of your policy to stay ahead of health issues
Note
*For age group of 0-20 premium starts at ₹5,426 annually which is about ₹15 per day
Inclusions
What’s covered?Coverage Scope
Covers hospitalisation expenses due to illness, accidents, and surgeries
Pre & Post-Hospitalisation Expenses
Pre & post hospitalisation expenses with flexible customisation options to suit your needs are covered
In-patient Hospitalisation Expense
Coverage for medical expenses like Room Rent, ICU are covered
Advanced Treatment Charges
Any medical expenses incurred while undergoing advanced treatment methods and modern technological procedures are covered
Organ Donor Expenses
Medical expenses for an organ donor’s in-patient treatment during organ harvesting are covered, provided the insured is the recipient of the donated organ
AYUSH Hospitalization cost
Coverage for ayurvedic, yoga, unani, siddha and homeopathic (AYUSH) treatment on a doctor’s advice for treating illness or physical injury
Maternity & Newborn Care
Coverage for expenses incurred during treatment for maternity, surrogacy, complications of assisted reproductive technologies (ART) and newborn
Baby Care
Additional sum insured for covering hospitalisation expenses of a newborn is provided
External Medical Aid Expenses
Covers expenses incurred for items such as wheelchair, crutches, walker, and hearing aid required after an illness or injury
Floater & Individual Sum Insured
Option to cover your family members under shared Sum Insured in case of a floater plan or separate Sum Insured in case of an individual plan
Many More Covers
Additional coverage options like cumulative bonus, airlift cover, family visit, renewal premium waiver, and consumables cover among others are available with select plans
Note
Please read policy wording for detailed terms and conditions
Exclusions
What’s not covered?Initial Waiting Period
Treatment expenses during the first 30 days except for treatment of accidental injuries
Pre-Existing Diseases
Treatment expenses for pre-existing diseases, including diabetes, asthma, and thyroid, during the pre-defined, continuous waiting period of 12/ 24/ 36 months
Specific Illness Treatment
Expenses incurred during treatment of certain illnesses, including hernia, gout, endometriosis, and cataract for the pre-defined, continuous waiting period of 12/ 24/ 36 months
Maternity Expenses
Coverage for maternity treatment for a pre-defined, continuous waiting period of 12/ 24/ 36 months unless specifically optec
Expenses for Medical Investigation & Evaluation
Cost of diagnostic procedures and medical evaluation unrelated to the current diagnosis or treatment
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
Cosmetic Surgery Expenses
Treatment to change appearance unless it is for reconstruction required for a medically essential treatment or following an accident or burns
Treatment for Self-Inflicted Acts
Medical expenses incurred as a result of self-harm, as a result of intoxication, illegal actions, hazardous activities, etc.
Deductibles & Co-pays
Part of the claim will be covered by you (the policyholder) if you have opted for deductibles or co-pay
Note
Please read policy wording for detailed exclusions
Additional Covers
What else can you get?International Cover (Emergency Care Only)
Select plans cover medical expenses incurred overseas in case of emergency care (up to the sum insured limit)
Respect Rider (Senior Care)
Senior citizens can avail emergency assistance with services such as SOS alert, doctor on call, and 24/7 ambulance service with select plans
Health Prime Rider
Coverage for in-person or online doctor consultation, dental wellness, emotional wellness, diet and nutrition consultations as per the chosen health insurance plan
Hospital Cash Allowance
Pays an agreed daily cash amount in case of in patient hospitalisation
Non-Medical Expense Rider
Covers cost of consumable items (e.g., gloves, syringes, bandages) used during treatment, up to specified limit
Health insurance, alternatively known as medical insurance, protects you against unexpected medical fees and covers hospitalization, treatment, surgeries, and maternity. It is important to have health insurance in India to ensure that you can access quality healthcare without undue pressure on your finances. Choosing the right policy can protect your health and finances and will relieve the stress of taking care of everything when health emergencies occur. Bajaj Allianz General Insurance Company boasts a complete range of plans with cashless treatment benefits at 18400+ network hospitals with an in-house health administration team. You may also select your additional benefits with the Health Prime Rider, which offers nine plans.
Every day, healthcare costs rise. You can stay healthy without the fear of large hospital bills with a good health insurance plan. Here’s what to look for in the best health insurance in India:
- Medical emergencies can happen anytime.
- Health insurance pays for hospital bills, doctor visits, medicines, and surgeries.
- This saves your savings for other needs.
- You don’t need to pay money at the hospital during treatment.
- The insurance company pays the hospital directly.
- This means you can get treated fast and without stress.
- Good health plans tie up with many top hospitals.
- You can choose where to get treated from many trusted places.
- This helps you find the right doctor or hospital near you.
- It includes:
- Hospital stays
- Tests and scans
- Surgeries
- Pre and post-treatment care
- Critical illnesses like cancer or heart problems
- Under Section 80D of the Income Tax Act, you can save money on tax.
- The premium you pay for health insurance reduces your taxable income.
- So you stay healthy and also save money.
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Health insurance plans are designed to meet the diverse needs of individuals and families, ensuring that everyone has access to the necessary medical care. Understanding the different types of health insurance plans can help you choose the one that best suits your requirements.
What is it? This health insurance plan is for one person only. It helps cover medical expenses like hospital stays, surgeries, and treatments. It's best for those who want their own separate health cover. Key Benefits:
- You get your own sum insured (coverage amount) — not shared with anyone.
- Choose how much coverage you want based on your health needs.
- Covers both before and after hospitalisation (tests, follow-ups, etc.).
What is it? This plan covers your entire family under one policy. You pay a single premium, and the total coverage is shared by all members (like parents, spouse, and children). Key Benefits:
- One plan for the whole family – very affordable and easy to manage.
- A single sum insured shared among all covered members.
- Includes cover for day-care treatments (like surgeries that don't need overnight stay).
What is it? This plan is made specially for people aged 60 years and above. It helps cover health issues that come with age and provides extra support for older individuals. Key Benefits:
- Higher sum insured options to match senior health needs.
- Coverage starts for pre-existing diseases (after a waiting period).
- Pays for before and after hospitalisation costs like tests, follow-ups, and medicines.
- Designed for age-related illnesses and special care.
Health insurance in India provides essential medical coverage and tax benefits under Section 80D of the Income Tax Act, making it a wise financial decision.
- Individuals under 60 can claim up to INR 25,000 per year for premiums covering themselves, their spouse, and dependent
children.
- Senior citizens (60+) can claim up to INR 50,000 annually.
- If paying for senior citizen parents' insurance, an additional INR 50,000 deduction applies, allowing a total deduction of
INR 75,000 if the individual and parents are above 60.
- Preventive health check-ups up to INR 5,000 are also covered within these limits.
These tax benefits reduce the financial burden of health insurance while ensuring savings and comprehensive healthcare protection.
Selecting the best medical insurance policy in India requires careful consideration of several factors to ensure you receive comprehensive coverage that meets your needs.
The most important part of a health insurance policy is coverage. You want to make sure that the policy covers as many medical expenses as possible. This would include hospitalisation, treatments, surgeries and even critical illness. The sum insured should also be responsible for any potential medical costs. For example, a person living in a metropolitan area where health costs are high should choose a higher sum insured to avoid paying out of pocket.
Check the insurer's network of hospitals. A broad network makes sure you can access quality healthcare facilities and take advantage of cashless treatment, where the insurer pays the hospital directly. The value of cashless treatment can not be overstated in an emergency as it reduces the immediate need to source funds.
While adequate coverage is very important, so is the affordability of the premium. Use the internet to be able to compare premium rates of a number of policies to find the best deal for coverage. The policy must provide good coverage for a price you can afford.
Your insurance policy will include waiting periods for pre-existing conditions and certain types of treatment before you can make a claim. Waiting periods can be anywhere from a few months to a few years, so make sure you choose a policy with a shorter waiting period when it comes to pre-existing medical conditions. This is especially important if you have a pre-existing medical condition.
The claim settlement ratio shows the proportion of claims that an insurer has settled relative to the total number of claims received. A high claim settlement ratio shows that you can depend on the insurer to process your claims. Always choose an insurance company with a high claim settlement ratio to be assured of a hassle-free settlement. Bajaj Allianz General Insurance Company has a great reputation in the market with a claim settlement ratio of 98%.
Consider other benefits too, like free health check-ups, no-claim bonuses, wellness programs, and coverage for alternative treatments, such as AYUSH treatment (Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homeopathy). These perks elevate the overall value of your policy, and you will also benefit from a more holistic approach to healthcare.
Health insurance premiums are determined by various factors that insurers use to assess the risk associated with providing coverage. Understanding these factors can help you make informed decisions and possibly find ways to reduce your premiums. Here are the key factors that influence health insurance premiums:
Young adults carry lower rates because they are less likely to need health care. As they grow older, the chances of needing medical care increase and so do their long-term premium costs. If you purchase insurance earlier, you will be less likely to pay increased premiums later.
Health conditions, particularly pre-existing conditions such as diabetes, hypertension, and heart disease, create risk for the insurance company and as a result, premium rates are higher. Regular check-ups, being mindful of your health, living a healthy lifestyle, and using your health insurance all contribute to limiting additional costs.
Health risks and premiums can also be influenced by lifestyle health risks like smoking, drinking and lack of exercise. Being mindful of your lifestyle and making an active decision to have a healthy lifestyle that includes living and eating healthy is important.
When purchasing health insurance in India, you'll need to provide several documents to complete the process. Here are the essential documents you must submit:
1. Passport-Size Photographs: Provide recent passport-sized photographs as part of your application.
2. Policy Proposal Form: Complete and submit the policy proposal form provided by the insurance company.
3. Residential Proof: You can submit any of the following documents as proof of residence:
- Voter ID
- Passport
- Aadhaar card
- Electricity bill
- Driving license
- Ration card
4. Age Proof: Any of the following documents can serve as proof of age:
- Passport
- Aadhaar card
- Birth certificate
- PAN card
- 10th and 12th class marksheets
- Ration card
5. Identity Proof: The following documents are acceptable as proof of identity:
- Aadhaar card
- PAN card
- Driving license
- Voter ID
- Passport
Feature |
![]() Comprehensive Health Insurance (CHI) |
Personal Accident Insurance (PA) |
Critical Illness Insurance (CI) |
---|---|---|---|
Coverage Scope | Covers hospitalization expenses due to illness, accidents, and surgeries | Covers accidental death, disability, and medical expenses due to accidents | Provides a lump sum payout for specific critical illnesses like cancer, heart attack, stroke etc |
Payout Structure | Reimburses actual medical expenses | Lump sum payout or reimbursement for accident-related injuries | Lump sum payout upon diagnosis of covered critical illnesses |
Key Benefits | Cashless hospitalization, pre & post-hospitalization,daycare treatments | Death & disability benefits, loss of income protection, education benefits for dependents | Financial cushion for long-term treatment, can be used for any purpose |
Premium Cost | Based on age, sum insured, and medical history | Based on occupation, sum insured, and coverage options | Based on age, medical history, and sum insured |
Waiting Period | Usually 30 days for illnesses, 2-4 years for pre-existing diseases | No waiting period for accidental coverage | 30-90 days for critical illness benefits |
Hospitalization Requirement | Yes, for claim reimbursement or cashless benefits | Not required for disability or death claims | Not required; payout is based on diagnosis |
Renewability | Lifelong | Usually up to 70 years | Usually up to 70 years |
Add-ons/Riders | Maternity cover, OPD, wellness benefits, room rent waiver | Temporary total disability, broken bone benefits | Increasing cover benefit |
Tax Benefits (India) | Eligible for tax benefits under Section 80D | Eligible for tax benefits under Section 80D | Eligible for tax benefits under Section 80D |
Bajaj Allianz General Insurance Company offers health insurance plans that provide complete protection against COVID-19, including new variants like Omicron. These plans help you get the care you need without worrying about big hospital bills, whether you're in a hospital or at home.
If you are hospitalised due to COVID-19, your Bajaj Allianz health insurance plan will cover:
- Room rent
- ICU charges
- Doctor's consultation fees
- Medicines and COVID-related treatments Whether you're admitted to a network hospital or non-network hospital, the insurance will help manage your expenses.
The policy also pays for:
- COVID tests and scans done before hospitalisation
- Doctor visits and medicines needed after discharge This makes sure your full treatment—before and after your hospital stay—is covered.
If hospital beds are not available, you can still get treated at home. Bajaj Allianz health insurance covers:
- Medical treatment taken at home (as advised by a doctor)
- Costs for nurse care, oxygen support, and home equipment (if needed) This is helpful when hospitals are full, especially during COVID waves.
You can get cashless treatment at any Bajaj Allianz network hospital. This means:
- You don’t need to pay upfront
- The insurance company directly settles the bill with the hospital This is very helpful in emergencies when arranging money is difficult.
For those with mild COVID symptoms, home care may be enough. Bajaj Allianz health insurance plans cover:
- Doctor consultations over phone/video
- Nurse visits and care at home
- Cost of medicines used during recovery This makes sure you’re still protected even without hospitalisation.
The COVID-19 pandemic has caused a lot of stress and anxiety. Bajaj Allianz General Insurance Company’s health insurance plans also offer:
- Coverage for mental health counselling
- Teleconsultations with mental health professionals This helps you take care of your mind and body during tough times.
Bajaj Allianz General Insurance Company provides extensive health insurance coverage, ensuring comprehensive protection for the insured against various medical expenses. The broad range of coverage options is designed to cater to diverse healthcare needs, offering peace of mind and financial security.
Bajaj Allianz General Insurance Company provides rich health insurance coverage with broad coverage options to cover the insured for many medical expenses. The coverage options are broad to give many individuals peace of mind, restructuring for the financial aspect and for different health coverage needs.
Pre and post-hospitalisation expenses are also covered under Bajaj Allianz General Insurance Company health insurance policies. This could include costs for diagnostic tests, consultations, medications, and other expenses incurred before or after being admitted to the hospital. This type of coverage offers the insured peace of mind when it comes to exploring other health/diagnostic or medical expenses that may happen prior to going into the hospital, and those costs after being released from the hospital.
Bajaj Allianz General Insurance Company's health insurance plans include transport or any other means of getting the insured to the hospital. This would include transporting from one hospital to another if needed. Basically, any costs incurred for transport of the insured to a hospital would be covered. This includes emergency ambulance services and others, to ensure access to a health or medical facility without concern for how to obtain the services should any emergency occur.
Many medical treatments and procedures no longer require extended hospital stays. Bajaj Allianz General Insurance Company health insurance plans cover day-care procedures, which are treatments that require less than 24 hours of hospitalisation. This includes surgeries and other medical procedures that can be completed on the same day. By covering day-care procedures, Bajaj Allianz General Insurance Company ensures that the insured can access necessary treatments without the need for prolonged hospital stays.
One of the standout features of Bajaj Allianz General Insurance Company health insurance is the cashless treatment facility available at network hospitals. This allows the insured to receive treatment without having to make any upfront payments. The insurer directly settles the bills with the hospital, making the process seamless and stress-free. This feature is particularly beneficial during emergencies when immediate financial arrangements can be challenging.
Bajaj Allianz General Insurance Company health cover plans often include coverage for preventive health check-ups. These check-ups help in the early detection and management of potential health issues, promoting overall well-being. Regular health check-ups can prevent major health problems and ensure timely medical intervention.
Get instant access to your policy details with a single click.
Reducing health insurance premiums is a key concern for many individuals and families. While comprehensive coverage is essential, there are ways to manage and lower the cost of premiums. Here are some effective strategies:
One of the simplest ways to reduce your health insurance premium is by opting for a higher deductible. A deductible is the amount you pay out-of-pocket before your insurance coverage kicks in. By choosing a higher deductible, you can significantly lower your premium because the insurer's risk is reduced. However, it’s important to ensure that the deductible amount is manageable for you in case of a medical emergency. This approach works well for individuals who are generally healthy and do not anticipate frequent medical expenses.
Your lifestyle choices directly affect your health insurance premiums. If you smoke cigarettes, drink, or are sedentary, your premiums will be higher because you will have higher chances of issues arising. If you want to lower your premiums, consider eating a healthy diet, exercising regularly, not smoking, and drinking alcohol moderately. Insurers will frequently offer lower premiums to those who exhibit good health behaviours because they will be less risky. It will also help lower your cost if you have regular check-ups for your health or control chronic conditions.
If you need health insurance for your whole family, consider a family floater plan rather than individual plans for each member. Family floater plans cover each family member under one sum insured. These plans generally have a lower premium compared to every member having an individual policy. With a family floater plan, you will be able to provide total health coverage assurance for the whole family, for a minimum premium. The premium is based on the eldest member's age, which will help to keep premiums low for the family. Moreover, family floater plans are convenient, as you only need to manage a single policy instead of multiple ones.
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Purchasing health insurance at an early age is a strategic decision that comes with numerous benefits, ensuring long-term financial protection and peace of mind. Here are several compelling reasons why it’s advantageous to secure a health insurance plan early:
One of the most significant benefits of buying health insurance early is the lower premium costs. Insurance premiums are calculated based on the risk profile of the insured, which typically increases with age. Younger individuals are generally healthier and less likely to have pre-existing conditions, leading to lower premiums. By securing a policy at a younger age, you lock in these lower rates, potentially saving a substantial amount over the life of the policy.
Health insurance plans purchased at an early age often provide more comprehensive coverage. Younger insured are less likely to have pre-existing conditions that require waiting periods or exclusions. This means you can benefit from a broader range of coverages, including preventive care, maternity benefits, and critical illness coverage, without significant limitations.
Unexpected medical emergencies can occur at any age. Having health insurance ensures that you are financially protected against high medical costs, including hospitalisation, surgeries, and treatments. Early coverage means you are prepared for unforeseen health issues without facing the financial burden that can deplete your savings.
Knowing that you have a health cover plan in place provides peace of mind. It allows you to focus on maintaining a healthy lifestyle and achieving your personal and professional goals without the constant worry of potential medical expenses. Early investment in health insurance means you are proactive about your health and financial security.
Many health insurance policies offer cumulative benefits for claim-free years, such as no-claim bonuses that increase your sum insured without additional cost. Starting early means you can accumulate these bonuses over a longer period, enhancing your coverage as you age.
Health insurance is a critical aspect of financial planning and health management, yet several myths often prevent people from investing in it. Understanding the facts behind these myths can help you make informed decisions and ensure you have the necessary coverage.
One common misconception is that health insurance is too costly and beyond the reach of many. However, the truth is that there are numerous affordable health insurance plans available in the market. These plans offer various levels of coverage, allowing you to choose one that fits both your budget and healthcare needs. For instance, basic plans cover essential medical expenses at lower premiums, while comprehensive plans offer wider coverage for a higher premium.
Many young and healthy individuals believe they do not need health insurance. This myth can lead to significant financial strain if an unexpected health emergency occurs. Health issues can arise at any age, and accidents or sudden illnesses can lead to high medical costs. Having health insurance provides financial protection and ensures that you receive timely and quality medical care without worrying about expenses. Moreover, purchasing health insurance at a young age can be more cost-effective, as premiums are typically lower for younger, healthier individuals.
Employees often rely solely on their employer-provided group health insurance, assuming it offers adequate coverage. While group health insurance is beneficial, it often comes with limitations such as lower sum insured and fewer benefits compared to individual health plans. Additionally, group insurance coverage ends when you leave the job, leaving you uninsured during job transitions. An individual health insurance policy provides more comprehensive coverage tailored to your specific needs and ensures continuous protection regardless of employment status.
Calculating health insurance premiums is a simple process, thanks to the availability of online premium calculators. These tools help you estimate the cost of your health insurance policy based on several key factors. Here’s how to calculate your health insurance premiums:
Bajaj Allianz General Insurance Company offers an online premium calculator on the website. These tools are designed to provide quick and accurate premium estimates.
Start by entering your basic personal information, such as age, gender, marital status, and smoking habits. These details are crucial in determining your risk profile, as younger individuals and non-smokers typically pay lower premiums.
Choose the sum insured or coverage amount you desire. This is the maximum amount your insurer will pay for your medical expenses. Generally, higher coverage amounts lead to higher premiums.
Some calculators may require details about your medical history, including any pre-existing conditions or chronic illnesses. This information helps assess risk and can influence the premium amount.
If you want to include add-on benefits such as critical illness cover, maternity benefits, or personal accident cover, select these options. While additional benefits increase the premium, they provide enhanced coverage.
After entering all the required information, the premium calculator will generate an estimate of your health insurance premium. Review the quote to ensure it fits your budget and meets your coverage needs.
Choosing the right health insurance policy is crucial for ensuring that you have adequate coverage and financial protection in the event of a medical emergency. Here are some important factors to consider before making a decision:
One of the most critical aspects to look at when buying a health insurance policy is the extent of coverage it provides. Ensure the policy covers major medical expenses such as hospitalisation, surgeries, treatments, and pre and post-hospitalisation costs. Comprehensive coverage should also include critical illnesses, maternity benefits, outpatient treatments, and day-care procedures. Evaluate your and your family’s health needs and choose a plan that covers potential medical expenses without leaving any significant gaps. Opting for a policy with broader coverage might mean a slightly higher premium, but it ensures peace of mind knowing that you are well-protected.
The convenience of obtaining medical services depends largely on the insurer's network of hospitals. The health insurance provider must have a large network covering hospitals in your area with high-quality health care facilities. If they have a large number of hospitals in their network, then you are more likely to receive cashless treatment where the insurer pays the hospital directly. This is a benefit during hospitalisation since immediate arrangements for payment can be difficult, if not impossible. In addition, a large network can give you the ability to choose from a list of hospitals and specialists who are able to provide necessary services.
A good claims process is key to a smooth experience during a medical emergency. Find out if the insurer has a good and transparent claim settlement process for its insured. Look out for insurers with a high claims settlement ratio, as it helps to identify these insurers and determine any type of risk that can occur. Understand the claim process, along with documentation and a timeframe for claim settlements. Also, it would be wise to read reviews and testimonials from the insured, since they can explain the claims process's effectiveness or ineffectiveness. An insurer with a simple and timely claim process can help lower the stress and financial burden of hospitalisation, as the insured would hopefully receive care in a timely manner.
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
Selecting the right health insurance company is crucial to ensure that you receive reliable coverage and efficient service. Here are some key factors to consider when choosing the best health insurance provider:
The reputation of the company's presence in the market speaks volumes about its dependability and reliability. Just think of insurers with that type of track record and long standing history in the market. Companies with this type of positive reputation are usually best for reliable and trustworthy service. The more you research a specific company's foundation, history, and awards will help you formulate the company's credibility. In the case of companies that have a strong established success, they probably have more infrastructure and resources to assist the insured.
The claim settlement ratio (CSR) is the percentage of claims an insurance company has settled compared to the total claims received in a given period. A high CSR indicates that the insurer is reliable and prompt in settling claims. When evaluating health insurance companies, opt for those with a high CSR, as it reflects their commitment to honouring claims. This ratio can typically be found on the insurer's website or through regulatory bodies' reports. A CSR above 90% is generally considered good.
Customer reviews and testimonials represent the opinions of the insured. Simply looking on the internet for reviews on independent websites can provide an indication of customer satisfaction, or note any common issues or praises. Be sure to highlight the reviews that consistently praise the insurer's customer service, timely claim processing, and broad experiences. If reviewing a health insurer and there are several or numerous negative reviews, be cautious of an insurer where there are clearly lots of issues e.g., long delays in reviews of claims or claims not being settled, unhelpful service when calls are made by the insured, and little clarification on undisclosed conditions.
A quality health insurance company should provide various plans for many consumer needs and budgets. Check whether the insurer offers comprehensive health plans, family floater health plans, critical illness plans, and more add-ons. The variety of available plans can allow you to find a plan for your specific needs.
Efficient customer support is essential for a smooth experience, especially during emergencies. Choose insurers known for their responsive and helpful customer service. Check if they offer multiple channels of support, such as phone, email, chat, and social media, ensuring you can reach them easily when needed.
Diverse more policies for different needs
Understanding key terms in health insurance is essential for selecting the right policy and making informed decisions.
The sum insured is the maximum amount that the insurer will pay for your medical expenses during a policy year. It is the coverage limit of your health insurance policy. Choosing an adequate sum insured ensures that you have sufficient coverage to meet potential medical costs without significant out-of-pocket expenses.
The waiting period is the amount of time you must wait before certain recruitments kick in. The waiting period may be a few months to a few years, depending on the given policy and the condition. Most waiting periods relate to pre-existing conditions, maternity benefits, and some specific treatments. Knowing the waiting period allows you to make decisions about any possible healthcare needs and not encounter surprises when it's time to file a claim.
The premium is the amount you pay on a recurring basis (monthly, quarterly, half-yearly, or annually) to maintain your health insurance policy. It varies depending on age, health condition, how much coverage you want, and lifestyle choices.
Co-payment, or co-pay , is the percentage of the medical bill that you must pay out-of-pocket while the insurer covers the rest. It helps reduce the premium cost but means you share the cost of treatment.
A deductible is a fixed amount you need to pay each year before the insurer starts covering the expenses. Higher deductibles generally lead to lower premiums but require you to pay more out-of-pocket initially.
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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 2020
Smooth Process
The online health insurance policy renewal on your website is excellent, user-friendly, and smooth.
Rama Anil Mate
Pune
25th May 2019
Customer Support
Bajaj Allianz’s executive has provided extreme support and would like to appreciate the same. Kudos.
Suresh Kadu
Nagpur
25th May 2019
Health Claim on Direct Click (CDC) simplifies claim initiation and tracking via an app. Policyholders can easily claim medical expenses up to ₹20,000 through this feature.
Family Floater Health Insurance is a single policy that covers the entire family under one sum insured. Instead of individual limits, the insured amount is shared among all members. For example, if a ₹10 lakh policy covers four members, any one person or multiple members can use up to ₹10 lakh collectively in a year.
Senior Citizen Health Insurance is designed for individuals above 60, covering age-related medical conditions and treatments. It offers a higher sum insured, pre-existing disease coverage after a waiting period, and specialised elderly care.
Under Section 80D, individuals can claim tax deductions on health insurance premiums for themselves, their families, and parents. The maximum deduction is ₹25,000 per year for those under 60. For senior citizens, this limit increases to ₹50,000. If paying for senior citizen parents’ insurance, an additional ₹50,000 can be claimed.
The waiting period in health insurance is the time an insured must wait before certain claims become valid. It varies by policy and applies to pre-existing diseases, maternity benefits, and specific treatments. Typically, it ranges from 30 days to four years.
To reduce health insurance premiums, choose a higher deductible, opt for family floater plans, and maintain a healthy lifestyle. Buying policies at a younger age, selecting long-term plans, and comparing insurers for the best rates also help. Additionally, using the No Claim Bonus (NCB) and opting for co-payment options can significantly lower premiums.
A cumulative bonus in health insurance is a reward for not making claims during a policy year. With this bonus, your sum insured can increase by 5% to 50% per claim-free year, without raising the premium.
Medical insurance provides financial protection against unexpected medical expenses, ensuring access to quality healthcare without depleting your savings.
You can add your spouse, children, parents, and other dependents as per the policy terms, ensuring comprehensive family coverage.
Online comparison helps you find the best plan that suits your needs and budget, offering a clear understanding of coverage and benefits.
Delaying premiums can result in policy lapse, losing coverage benefits and financial protection, and may lead to difficulties in renewing the policy.
Request a physical copy from the insurer or take a printout of the digital policy document received via email.
Claims should be made within the stipulated time as per the policy terms to avoid rejection and ensure timely processing.
Pre-existing conditions are medical conditions you had before buying your Individual Health Insurance plan. Coverage for these might require waiting periods or exclusions. Be transparent about your health history.
Insurers cover hospital bills through reimbursement (you pay upfront and get reimbursed later) or cashless hospitalisation (insurer settles bills directly with network hospitals).
Individual Health Insurance premiums often qualify for tax deductions under Section 80D of the Income Tax Act (India).
Personal medical insurance offers financial protection against unexpected medical expenses due to illness, accidents, or hospitalisation. It provides peace of mind and safeguards your savings.
The easiest and quickest way to renew your health insurance policy is online. Topping up your health cover ensures you are protected against heavy medical expenses.
Your renewal premium is calculated based on your age and coverage. Buying health insurance early helps keep premiums lower.
Yes. Bajaj Allianz offers a grace period of 30 days from the expiry date during which you can still renew your policy.
Absolutely! You can renew health insurance policies online with just a few clicks and also buy new policies for your family and friends.
Yes, as per IRDAI regulations, insurance portability between providers is allowed. This includes the transfer of benefits like Cumulative Bonus and credits relating to the waiting period for pre-existing diseases.
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