Health insurance is an assurance that provides financial help for your medical and surgical needs. These plans reimburse the expenses incurred on hospitalisation and medical care or pay it directly to the care provider.

 

These products can help you offset the rising medical costs and access quality healthcare. On Bajaj Markets, you can compare different health insurance plans from top insurance providers and get one at affordable premiums starting from ₹5,277/year.

Health Insurance Plans on Bajaj Markets

Unexpected medical emergencies can disrupt your finances. You can compare and get a wide range of affordable and comprehensive health insurance plans on Bajaj Markets.

Health Insurance Plan

Starting Premium Cost

Claim Settlement Ratio

Care Health Insurance

₹7,195/year

95.20%

TATA AIG General Insurance – Medicare

₹7,344/year

96.43%

Bajaj Allianz Health Insurance – Health Guard

₹5,442/year

98%

Niva Bupa- ReAssure 2.0

₹7,152/year

91.6%

Disclaimer: The premium costs mentioned above may change at the insurance provider’s discretion.

1. Care Health Insurance

  • High sum insured option (up to ₹1 crore)

  • Cashless medical services at network of 19000+ health care providers

  • 30 days pre-hospitalisation cover

2. TATA AIG General Insurance – Medicare

  • Automatically restore the Basic Sum Insured upon exhaustion of the Sum Insured and accrued Cumulative Bonus

  • Covers Medical Expenses related to inpatient & Day Care Hospitalisation of the Insured Person incurred outside India, provided that the diagnosis was made in India and the insured travels abroad for treatment

  • 50% cumulative bonus will be applied on the Sum Insured for next policy year under the Policy after every claim free Policy Year

3. Bajaj Allianz Health Insurance – Health Guard

  • In-patient Hospitalisation Treatment

  • Sum Insured Reinstatement Benefit

  • Preventive Health Check Up

4. Niva Bupa- ReAssure 2.0

  • Up to 30% discount on renewal premium basis step count

  • Covered up to Sum Insured (sub-limit of INR 1 Lac per claim on few robotic surgeries)

  • In-patient Care (including AYUSH)

Our Partners

With great expertise in the insurance sector, Bajaj Allianz General Insurance Co. brings to you, extensive insurance plans that are designed to fit your diverse needs. Their insurance expertise marrying Bajaj Markets' digital approach further offers you convenience, & great value for money!

We understand your needs and priorities. When it comes to protecting your valued assets, health is always on the top of the list. That’s why we bring you, health insurance by Aditya Birla Health Insurance, only on Bajaj Markets. With an extensive product portfolio of unique offerings like incentivized wellness and critical care, you need not look any further.

Staying healthy is not a choice! But health risks can knock at your door, anytime! Worried that such scenarios could put a burden on your pocket? Not anymore! With Care Health Insurance now available on Bajaj Markets, you can take care of your family's health, especially in times of need, without worrying about healthcare costs.

The Tata AIG General Insurance Company Limited is a joint venture between the American International Group (AIG) and the Tata Group. One of their key offerings is the Tata AIG Health Insurance, which has an outstanding claim settlement ratio of 96.43% for FY 2020-21.

Reasons to Have Health Insurance

Health is one of our most valuable assets and it is imperative to safeguard it. This is where these plans play a crucial role. A severe illness or injury can strike you at any time. The cost of treatment can cause financial strain on the savings you have accumulated over the years.


Medical costs, which are already very high, are increasing every year. Health insurance is a living benefit, which protects you financially.

Features & Benefits of Health Insurance

These plans provide financial security for you and your family in times of illness or injury. Check the key features and benefits that make health insurance an essential investment.

Offsets Rising Medical Costs

Health insurance helps mitigate rising healthcare costs and provides financial stability during challenging times

Provides Critical Illness Cover

Many health insurance plans offer this coverage, which provides a lump sum payment upon diagnosis of specified serious diseases

Allows Easy Cashless Claims

This facility allows you to receive treatment at a network hospital without having to pay upfront

Offers Added Protection

Some plans offer additional benefits like maternity cover, dental care, and outpatient treatment

Extends Tax Benefits

The premiums paid for these plans are often tax-deductible, offering financial incentives

Types of Health Insurance Plans

These plans come in different forms, each offering diverse benefits and coverage options. Knowing the types of health insurance policies can help you choose the one that best suits your needs and budget.

  • Individual Health Insurance

These plans offer comprehensive coverage for you and your family. These policies cover various medical expenses, including hospital stays, outpatient procedures, and room charges. Each individual has their own coverage limit.

  • Family Floater Health Insurance

They provide coverage for multiple family members under a single policy. Everyone in the family shares the same coverage limit. Family health insurance plans are generally more cost-effective than individual plans because of the shared coverage.

  • Maternity Insurance

This plan provides financial protection for the medical expenses associated with pregnancy. Maternity insurance covers prenatal and postnatal care, delivery, and newborn expenses.

  • Senior Citizen Health Insurance

These plans cater to the unique medical needs of older individuals. Due to the increased risk of health problems among seniors, senior citizen health insurance could be more expensive.

  • Critical Illness Health Insurance

You can purchase these policies as an add-on to your regular or separate plan. They provide coverage for specific critical illnesses and often offer a lump sum payment upon diagnosis.

  • Group Health Insurance

These plans are designed for large groups of individuals like employees of a company. Group health insurance is generally more affordable but may have limited coverage compared to individual plans.

  • Top-up Health Insurance

As its name suggests, it offers extra coverage on top of your existing health insurance policy. Top-up health insurance plans cover medical expenses beyond your primary policy's coverage limit.

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Inclusions and Exclusions of Health Insurance

To select the right policy, consider what exactly it covers. The following are some of the main inclusions and exclusions in health insurance:

Inclusions

Exclusions

Accommodation, nursing care, ICU treatment, and doctor's fees for in-patient hospital stays.

Certain medical expenses or services for diagnostics

Pre- and post-surgery expenses, including medical bills, doctor's fees, and follow-up appointments

Pre-existing conditions may have a waiting period before coverage begins

Annual check-ups, including blood sugar, renal function, ECG, and other parameters

Cosmetic procedures and dental and eye treatments

No claim bonus (NCB)

Intentional self-harm

Daycare treatments, such as cataract surgery, chemotherapy, and dialysis

Certain conditions, like joint problems, hernias, and sexually transmitted infections (STIs)

Choosing the Right Health Insurance

Choosing the right plan can be overwhelming with so many options available. Consider the following factors when selecting a health insurance policy:

  • Know the Sum Insured

Determine the appropriate sum insured based on your family size, age, and potential medical expenses

  • Look for Network Hospitals

Identify hospitals within your preferred geographical area that are part of the insurer's network

  • Read the Fine Print

Carefully read the policy documents to understand the terms and conditions

  • Check Additional Benefits

Look for additional benefits such as maternity coverage, dental care, or outpatient treatments

  • Understand Policy Exclusions

Be aware of any pre-existing conditions or specific illnesses that the policy may not cover

How to Compare Health Insurance Plans Online

Due to their online availability, comparing plans online has become easier than ever. Follow this simple process to compare various health insurance plans:

  1. Visit the official website of the insurance company

  2. Click on the ‘Buy Insurance’ or ‘Get Quote’ button

  3. Enter basic details about the person who you want to insure

  4. Choose the sum insured and include additional coverage

  5. Note down the quote along with reviews of the plan

  6. Follow the same process across different insurers

How to Calculate Health Insurance Premiums Online

The premiums that you will have to pay for a policy vary depending on several factors. You can use a health insurance premium calculator to get an estimate of the cost of a policy. Follow these simple steps to calculate premium costs:

  1. Visit the official website of the insurance provider or Bajaj Markets

  2. Locate the ‘Health Insurance Premium Calculator’ facility

  3. Enter the basic details of the person for whom you want to get the insurance

  4. Select the number of people you want to insure

  5. Click on the ‘Calculate’ button once you have entered all the relevant details to get an estimate

Factors Affecting Health Insurance Premiums

Several elements influence the cost of your policy. Understanding these key factors enables you to make informed decisions when purchasing a policy.

  • Age

Older individuals have higher premiums due to increased health risks associated with age

  • Health Status

Pre-existing medical conditions can significantly impact your premiums, as individuals with chronic illnesses may have to pay higher premiums

  • Tobacco Use

Tobacco users typically have higher premiums due to the increased risk of health problems associated with smoking

  • Location

Geographic location can also influence premiums, as areas with higher healthcare costs may have higher premiums.

  • Family History

A family history of certain diseases or conditions can affect your premium costs

  • Coverage Amount

The higher the sum insured, the higher the premium and protection you can enjoy

Eligibility Criteria for Health Insurance

Before getting a plan, it is crucial to understand the prerequisites to qualify. While these may vary, the following are the basic eligibility criteria:

  • Most plans allow you to get a plan when you turn 18 years old

  • Some policies may put forth some conditions if you have pre-existing conditions

  • Most policies also require you to undergo medical tests

Step-by-step Guide to Getting Insurance Online

On Bajaj Markets, you can compare and get a health insurance plan with ease. Follow these simple steps to get a policy of your choice:

  1. Click on the ‘CHECK PLANS’ tab at the top of the page

  2. Fill in the relevant information, such as your name, date of birth, contact details, etc.

  3. Click on ‘GET QUOTE’ after you check the terms and conditions box

  4. Select a plan and include add-ons if you require any

  5. Make online payment for the premium to receive the policy

Health Insurance Claim Process Overview

Before filing a claim, informing the insurer about hospitalisation within a specified time is crucial. If you fail to notify them within the specified time, they may reject your claim. Once you inform the insurance company, a representative will guide you through the health insurance claim process.

1. Cashless vs Reimbursement Claims

You have two primary options when it comes to filing claims for your health insurance policy. These include – cashless claims and medical reimbursement. Each has its own benefits and drawbacks.

2. Cashless Claims

It allows you to get treated at a network hospital without paying upfront. Follow these steps to file cashless claims:

  1. Inform your insurer and submit the required documents

  2. Provide the pre-authorisation forms to the insurer 

  3. The insurer will settle bills directly with the hospital

3. Reimbursement Claims

This process lets you choose your preferred hospital for treatment. Follow these simple steps:

  1. Pay bills upfront after your treatment

  2. Submit a claim with the required documents

  3. The insurer will reimburse you within 10-15 working days, subject to verification and policy terms

Read More

Reasons to Choose Bajaj Markets for Health Insurance Policy

You can compare a diverse range of health insurance plans on Bajaj Markets. These are designed to protect you and your loved ones from the financial burdens of medical emergencies.

  • Trusted Platform

It is a reliable and trusted platform for purchasing insurance policies

  • Diverse Options

The extensive network of insurance providers offers a wide range of health insurance plans to cater to various needs and budgets

  • Quick Online Process

You can compare plans, customise coverage, and get your policy in just a few clicks, saving you time and effort

Documents Required for Health Insurance Claims

Having the right paperwork can significantly streamline the health insurance claim process. The following are some of the documents you may need when filing a claim:

  • Duly filled claim form from the insurance company

  • Discharge summary of the insured

  • Prescription from the doctor, along with the receipts

  • Hospital bills duly signed and stamped by the hospital authorities

  • Medical reports, such as blood tests, urine tests, X-ray films, and others

  • Prescription bills from the pharmacy

  • Any other essential document related to the treatment

Tax Benefits on Health Insurance

You can claim tax benefits on health insurance plans bought for yourself, your spouse, children, and dependent parents. You can claim the following deductions under Section 80D of the Income Tax Act of 1961: 

  • You can claim a deduction of up to ₹25,000 if you are below 60 years old

  • For senior citizens, the maximum deduction allowed is ₹50,000

  • If you do not reach the above-mentioned deduction limit, you can also claim the Preventive Health Check-up (PHC) allowance

  • You can get a PHC allowance of ₹5,000

Government Schemes on Health Insurance

The Union Government has implemented various health insurance schemes to provide access to affordable healthcare. Check details of some of such schemes below:

1. Ayushman Bharat

The Union Government launched this scheme in 2018 to achieve Universal Health Coverage (UHC). The following are some of its notable features:

  • It is the world’s largest health insurance scheme, with over 55 crore beneficiaries

  • You can enjoy coverage of up to ₹5 Lakhs per year per family for secondary and tertiary healthcare treatment

2. Central Government Health Scheme (CGHS)

The Union Government provides this insurance policy to the Central Government employees. Check out some of its features:

  • It covers expenses incurred on hospitalisation and domiciliary care

  • This scheme provides coverage for Allopathy and Homeopathy treatment 

  • It is available in 71 cities, which will be expanded in the years to come

3. Pradhan Mantri Suraksha Bima Yojana (PMSBY)

This scheme offers accidental cover to citizens. The following are some of its features:

  • You can benefit from this scheme if you are aged between 18 to 70 years and have a bank account

  • It offers an annual cover of ₹1 Lakh for partial disability and ₹2 Lakhs for total disability or death

  • The premium cost of this policy is ₹12

Health Insurance Partners Available at Bajaj Markets

Frequently Asked Questions

How can I increase my health insurance coverage?

You can opt for an add-on cover to widen the coverage of your existing health insurance plan. The add-on covers provide coverage for areas not covered under your existing plan at an additional premium price.

Can I get health insurance plans online?

Yes, you can get health insurance plans online on Bajaj Markets. All you have to do is select a plan from the available offerings, fill in your details, and make payment for the premium.

Are there any government health insurance plans that I could opt for?

Yes, you can opt for the following health insurance plan offered by the Union Government:

  • Ayushman Bharat

  • Central Government Health Scheme (CGHS)

  • Pradhan Mantri Suraksha Bima Yojana

What is covered under my medical insurance plan?

Most medical insurance plans come with the following inclusions:

  • In-hospitalisation expenses

  • Pre- and post-hospitalisation expenses

  • Annual medical check-ups

  • No claim bonus (NCB)

  • Daycare treatments that do not require 24-hour hospitalisation

What happens to the health insurance policy once I have filed a claim?

Once you file a claim, your policy coverage will be reduced by the amount that the insurer has paid for settlement.

What are the benefits I could enjoy by getting health insurance?

The following are the advantages of getting health insurance:

  • Helps offset rising medical costs

  • Provides critical illness cover for serious diseases

  • Allows for easy cashless claims at network hospitals

  • Offers additional benefits like maternity and dental coverage

  • Extends tax benefits on premiums

Do health insurance policies cover diagnostic expenses?

Yes, most plans cover diagnostic tests, such as blood tests, X-rays, urine tests, and more.

Should I get health insurance at an early age?

While there is no right age to get health insurance, opting for it at a young age is especially beneficial. You can enjoy lower premiums on your policy if you get it at a young age.

Can I have multiple health insurance policies?

Yes, you can have multiple policies. However, note that you cannot claim the same expenses from different insurance companies.

Can I cancel my health insurance at any time?

Yes, you can cancel a policy whenever you want. However, you will receive a refund only if you cancel it within 6 months of getting a plan.

Can I claim health insurance at any hospital?

No, you can claim health insurance at network hospitals only. However, you can get reimbursement for your treatment from other hospitals.

How many times can I claim health insurance in a year?

Usually, there is no predetermined cap on the number of times you can file a claim in a year.

Can I port my medical insurance policy after expiration?

Yes, you can port your plan at the time of its renewal or after its expiration.

Which is better, Mediclaim or insurance?

For basic medical expenses, choosing a mediclaim plan is the right option. Opt for an insurance plan for coverage against serious illnesses with high treatment costs.

Is health insurance only for 1 year?

No, health insurance plans are typically available for more than one year. However, some policies may have a minimum initial term of one year.

Which health insurance is best in the market?

Determining the best plan depends on your individual needs and circumstances. Consider the sum insured, the scope of coverage, premium costs, network hospitals, and more to select the right policy.

No Room Rent Capping | No Medical Check-up up to 55yrs | Tax Benefit up to Rs. 75,000 | Buy Health Insurance starting @ ₹160 pm Check Plans
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