Health Insurance Plans

The IRDAI has mandated that all insurers offer coverage for treatment and quarantine costs with a standard health insurance policy. However, certain exclusions may apply. They are: - Some health insurance policies may exclude epidemic or pandemic-related claims, usually specified in fine print under the terms and conditions. The coronavirus has been designated a pandemic by the WHO. - Any claims of COVID-19 that come during your waiting period will typically not be accepted. - If you are currently traveling to or from any COVID-19 affected country, and test positive for the virus, your health insurance claims for treatment may not be accepted. - If you are carrying out ‘planned treatment’, i.e. if you already had COVID-19 symptoms, and bought health insurance hoping it would cover your treatment, your claim would not be accepted.

A standard health insurance policy is expected to cover all quarantine expenses, as per IRDAI's mandate. Even those that test positive for COVID-19 but are merely quarantined with mild symptoms can avail funding with a standard policy. Do note that to be covered for coronavirus expenses, you either require standard health insurance or need-based insurance.

COVID-19 is an infectious disease that comes from the most recent or novel coronavirus. The novel coronavirus began spreading in Wuhan, China, and has now infected over 100 countries, including India. COVID- 19 is an abbreviation of Corona Virus Disease, while 19 denotes the year it started i.e. 2019. It is an RNA virus, which means it uses ribonucleic acid to encode its genetic material instead of DNA. RNA viruses, which include viruses like Ebola, influenza, rabies, and even the common cold, tend to mutate extremely frequently because the polymerase enzymes used for reproduction aren’t as good at “proofreading” for error

The most common COVID-19 symptoms, as detailed by the World Health Organisation (WHO), are dry coughing, fever, and tiredness. Patients, depending on their age, climate, and general health, may exhibit additional symptoms like nasal congestion, runny nose, diarrhea, sore throat, and aches and pains. In most cases, COVID-19 symptoms are very mild and might begin to grow more severe gradually. Some people become infected and may not exhibit any symptoms for weeks at a time. Around this time, those who are not showing signs but test positive for COVID-19 can spread the virus to non-infected individuals.

Most health insurance companies are covering pre and post hospitalization expenses occurring due to coronavirus - at least in India. However, read on for a list of situations in which you may not be covered by your policy. - You have recently traveled to and fro affected countries (such as China, Italy, Germany etc.) - Your policy is new and you contract the virus during the policy waiting period. - Your insurance provider does not cover pandemic/epidemic related claims and this has been specified in the policy’s terms and conditions. - If you apply for a policy when you have already contracted the virus

Yes of course, not just you, but your family too needs a health insurance policy. It is a well-known fact that medical expenses are increasing significantly, and it is hence sensible to invest in a Bajaj Allianz health insurance plan, irrespective of your age. The pace at which treatment costs are rising, one hospitalization event can take a huge toll on your savings. Also, there is a noteworthy increase in the number of life-threatening diseases, which makes it essential for every individual and his family (be it spouse, kids or senior citizen parents) to have the best health insurance plan available out there.

Your Bajaj Allianz health insurance premiums mainly depend upon the following factors: 1. The type of cover chosen (Individual/Family Floater) 2. Amount insured selected 3. Amount limit (if selected) 4. Add-ons you choose (optional covers).

A health check-up is required only in case of new proposals. No medical tests are required for a person up to 45 years of age if there are no adverse health conditions. Medical tests would only be conducted for the adverse health conditions given below: 1. Diabetes 2. Hypertension 3. Lipid Disorders 4. Obesity 5. Joint Disorders 6. Combination of any of the above. When applying for a health insurance, medical tests (pre-plan check-up) are necessary for members above 45 years of age. The pre-plan check-ups would be conducted at Bajaj Allianz Health Insurance's empanelled diagnostic centres. The full cost of pre-plan check-up would be refunded if the proposal is approved & policy gets issued.

Your health insurance plan will cover the pre and post hospitalization expenses for 60 and 90 days respectively. These expenses include: 1. In-hospital expenses, hospital room rent and boarding expenses 2. Cashless treatment in more than six thousand hospitals across India 3. Charges for medical examinations 4. Physician fees and doctor’s consultation fees 5. Charges for the ambulance.

Our partner Bajaj Allianz has an in-house claim settlement process, and an average claim settlement time of about 1 hour. Apart from this, Bajaj Allianz Health Insurance also provides cashless claims facility, at more than 6,000 hospitals across the country.

Yes, you will get value added services when you choose a health insurance policy available on Bajaj Finserv MARKETS. The Pro-Fit - service by Bajaj Allianz acts like your very own health portal, which helps you with: 1. Storing your personal health records 2. Setting workout goals 3. Tracking health parameters 4. Carrying out Heath Risk Assessments along with results and recommendations related to it. 5. Chatting with an experienced doctor

Now with your Bajaj Allianz General Insurance Wallet, you can easily make health insurance claims up to Rs. 20,000. It is really a simple claim process which allows you to raise claim requests easily as per your requirements. To help you navigate through the app, we have noted down the steps below and explained the process step by step: 1) Log in to ‘my insurance wallet’ 2) Go to my plans and add your plan number and other details related to the plan. 3) Go to my plans and add your plan number and other details related to the plan 4) You will then receive an OTP on your registered mobile number 5) Go to “My Claims” and select the health insurance plan for which you want to make the claim and the member details under “Register a claim” 6) After selecting the claim of the insured, select the state, city, and hospital where the insured was being treated 7) Add other required details like the email address, phone number, date of discharge and estimated expense 8) When you have added the details, proceed and upload the images of the bills and other important documents and before you upload all the images write “Claimed for Bajaj Allianz General Insurance for below 20,000”. 9) After all the documents have been uploaded successfully, you will be directed to the home page of the app.

Our partner Bajaj Allianz has a great feature known as the Bajaj Allianz Insurance Wallet App which enables you to raise claim requests on your health insurance plan up to Rs. 20,000/- through the app. It is the easiest way to make claim requests as you upload all the required documents on the app and get regular updates of your claim status. This entire process is paperless; therefore, it helps you save both, time and money.

Pre-existing disease is any ailment or health condition for which you have been diagnosed or received medical advice/treatment, before buying your first Bajaj Allianz Health insurance plan with the insurer. These could be anything ranging from blood pressure to diabetes to cancer to any other disease/ailment.

Waiting period refers to the duration only after which you can make a claim from your Bajaj Allianz health insurance plan.

A health card is a kind of identity card that comes along with your health insurance plan. This card will enable you to avail cashless hospitalization facility at any of the Bajaj Allianz Health Insurance network hospitals.

It is best to renew your health insurance plan before it’s expiry date. In this plan you have a grace period of 30 days (after the expiry date of the plan), within which you can renew the plan without having to apply afresh. During this grace period, you will not be covered for any ailments or accidents, but the same plan can be continued. However, it is suggested that you pay your renewal premium while your plan is still in force so that you can enjoy the uninterrupted coverage.

In the event of your policy getting rejected, you can avail premium reimbursements within the next seven working days. However, your medical check-up expenses will not get reimbursed.

Depending upon the situations, additional information or additional documents may be asked for the settlement of the claim. All the documents should be provided in originals unless it is agreed by the Company. Document in vernacular should be accompanied by the translation of the same in English and duly attested. The list of documents required if you want to raise a claim are as follows: 1) A copy of health card. 2) Duly filled claim form which is signed by you and a medical specialist. 3) Original bills, receipts, and discharge certificate or card from the hospital or medical practitioner. 4) Original bills from the chemists along with proper prescription. 5) Original investigation test reports and payment receipts. 6) Indoor case papers. 7) Medical practitioner's referral letter advising hospitalization in non-accidental cases.

Yes, you can renew the plan for the second year and the medical check-up is not required again at the time of renewal. Medical check-up is required to be done only once at the time of taking a Bajaj Allianz health insurance plan.

When the claim is filed and settled the coverage amount will be reduced by the amount that has been paid to you (claim). Your policy will continue to be in existence with the remaining coverage amount.

Yes, there are tax benefits under the Income Tax Act, 1961. Every taxpayer can avail an annual deduction of up to Rs. 50,000 from his/her taxable income for health insurance premium paid for self and dependent family members.

When buying any health insurance plan, you must be realistic while deciding the level of coverage. Today, even a small routine surgical procedure can easily cost up to Rs. 1,00,000. A bypass surgery at a well-reputed hospital costs more than Rs. 2,00,000 today and will certainly cost more in the next five years. A Sum Insured that appears sufficient today may be inadequate to cover your health care expenses in the next few years. The right amount of health insurance coverage depends upon several factors like the type of hospital you prefer, your current age and health conditions, your affordability etc. It is advised to have a health insurance cover of at least 50% of your annual income.

You can terminate your Bajaj Allianz Health insurance plan by visiting our online customer care portal ‘Experia’ and placing a request for the same.

Our partner, Bajaj Allianz Health Insurance has tie-ups with more than 6000 network hospitals across India and the details of those hospitals are available in the download section.

Buying Bajaj Allianz health insurance online gives you a hassle-free and an all-digital, cash-free experience. The entire process is quick and seamless as the policy is issued online, and policy documents are sent to your email id, in no time. Our partner, Bajaj Allianz offers swift claim settlements due to its in-house claim settlement team. All these factors, along with a proactive customer support centre makes buying health insurance plans online a great and convenient choice.

To make any cashless claim for a Bajaj Allianz Health insurance plan, you need to follow these steps: 1) Approach the hospital(s) in our network with your health insurance plan details. 2) The hospital will verify the details provided by you and send a pre-authorization form to your health insurance company. 3) The health insurance company will verify the pre-authorization request and convey the plan coverage and other details to the hospital 5) Now, the insurance company may approve or reject the pre-authorization request. It may also send a query to the hospital and request more details. 6) If the pre-authorization request is rejected, then you will have to bear the expenses for the treatment, which you might be able to reimburse later. 7) In case your insurer sends a query to the hospital, they will have to send the additional information as requested by the insurance company. 8) Once the pre-authorization gets approved, the treatment starts. Finally, after you get discharged from the hospital, the final bill and discharge papers are sent to the medical insurance company. They will be settling the final amount after deducting the payment and the consumable expenses.

Health Insurance Deductible is the amount that you pay for health care services before your health insurance company starts to pay for the same. For example: You are unwell and get admitted to the hospital. The medical expenses to be paid are Rs.2500 and your deductible is Rs.500, then you pay Rs.500 from your own pocket first, before your insurance company pays the balance amount of Rs.2000. Suppose your medical care expenses added up to just Rs.500, then in that case, you would pay Rs.500 and the insurance company would pay nothing.

Day care medical treatments are those medical procedures (surgeries or treatments) which can be completed in less than 24 hours. In such cases, even though you are hospitalized, you do not need to stay in the hospital for more than 24 hours.

Pre and post hospitalization medical expenses cover refers to the feature when the insured is covered as per the health insurance plan, against relevant medical expenses incurred for a certain number of days, both before and after the event of hospitalization.

re-existing diseases are diseases/conditions which a person has before buying a medical insurance plan. Therefore, any pre-existing disease/condition is supposed to be declared by a consumer at the time of buying a Bajaj Allianz health insurance in India. It is one of the key factors in deciding any health insurance premium. Another key factor to keep in mind is that the pre-existing diseases have a waiting period which may differ from company to company. To get more details on this, please refer to the product brochure in our download section.

You can pay your health insurance premium in easy installments based on your preference with the Bajaj EMI card available on Finserv MARKETS.

Using the Bajaj EMI card gives you the biggest benefit of ease of premium payment along with freedom from the burden of having to pay a lump sum amount.

Applying for the Bajaj EMI card online is a simple no fuss process. You simply need to visit the Bajaj EMI Card page on website, view all the steps and apply for the EMI card.