With the massive outbreak of Coronavirus (COVID-19) across the globe, it is vital to understand how the pandemic can be curbed. While the government does its part in providing continuous medical care to citizens, managing the subsequent healthcare costs remains a challenge. In light of this, the Insurance Regulatory and Development Authority of India (IRDAI) has issued an advisory to all health insurance providers to reimburse the claims made in relation to the coronavirus disease. Believe it or not, but only 11% of India’s population have reliable health insurance. Having said this, with such a pandemic creating an alarming situation, it is all the more essential to be financially secured.

So, in case you have already purchased or are planning to buy Bajaj Allianz Health Insurance available on Finserv MARKETS, you will be covered for claims made related to COVID-19. All the claims made will be handled as per the following norms -

  • The policy covers you for the hospitalization costs related to COVID-19 disease
  • The medical expenses incurred during the treatment of the disease, including the treatment during the quarantine period, will be reimbursed by the insurer
  • Bajaj Allianz will continue to follow the standard claim review process for the COVID-19 claims 

These instructions were issued under Section 14(2)(e) of the IRDAI Act, 1999, and have come into effect from March 04, 2020.

Moreover, medical costs are no longer cheaper with a significant increase in the rate of healthcare inflation. The rise in the price of medications and surgical treatments are also estimated to increase. Medical emergencies can arise at any moment, and it is better to be financially prepared during such testing times.

For instance, imagine that you are in your 20s and lead a perfectly healthy life. In a few years, you find it challenging to maintain a work-life balance and increased responsibilities along with changing lifestyles, start taking a toll on your health. Falling sick often and frequent hospital visits are now part of your routine, which is draining your savings.

So, what do you do?

This is where a health insurance plan comes in handy, and that is when Finserv MARKETS come in the picture. With us, safeguard the medical needs of you and your family members in case of medical emergencies. You get access to some best in class medical insurance coverage and stay on top of your life with comprehensive health insurance plans available on Finserv MARKETS.

Get health coverage for self and your loved ones – at affordable premiums – and benefit from features like:

  • Personalized health insurance plans that suit your medical needs

  • Swift claim settlements within 60 minutes

  • Sum Insured up to 50 Lacs

  • Sum insured Restoration even for Same Illness

  • No medical check-up to age 55 Years

  • No capping on room rent

  • Cashless facilities in 6500+ Network Hospital

  • Pre- and Post-Hospitalization Expenses

  • Maternity and New Born Baby expenses

  • Optional Air Ambulance Cover up to 50 Lacs

  • Organ donor expenses

  • Free Health check-ups and guidance after 3 years

  • Ayurvedic and Homeopathic Treatment Cover

  • Cumulative bonus up to 100% of sum insured

What is Health Insurance?

Get access to the best medical insurance coverage and stay on top of life with a comprehensive health insurance policy. Get coverage for yourself and your family against medical exigencies and deal with sudden illnesses without adversely affecting your finances.

Individual Health Insurance

Individual Health Insurance Plan

With healthcare costs on the rise, having a good health insurance plan to help deal with medical emergencies is important. Get comprehensive individual health insurance plans that provide the best-in-class healthcare options, cashless facility and timely assistance to help tackle medical emergencies, without affecting your finances.

insurance plans that provide the best-in-class healthcare options, cashless facility and timely assistance to help tackle medical emergencies, without affecting your finances.

Family Health Insurance Plan

Family Health Insurance Plan

Protect your loved ones from unforeseen incidents with health insurance. Get coverage for your child, spouse, best health insurance for parents, siblings and even your parents-in-law when you buy the best family health insurance plans offered by Bajaj Allianz.

siblings and even your parents-in-law when you buy the best family health insurance plans offered by Bajaj Allianz.

Individual Health Insurance vs Family Health Insurance

We all know the importance of health insurance, and buying the right policy can be an overwhelming task. Generally, when you seek health insurance, you will come across two variants-

  1. Individual Health Insurance

  2. Family Health Insurance

Both these plans are unique in their way. However, choosing the right one solely depends on the healthcare needs of you and your family members.

Refer the following table to understand these two policies.

 

INDIVIDUAL HEALTH INSURANCE

FAMILY HEALTH INSURANCE

DEFINITION

As the name suggests, the health plan will be issued to a single person with a dedicated medical coverage. Only you (the policyholder) will be able to avail the benefits offered under this plan.

Hence, in case you have four family members, then you need to purchase four individual health plans to secure them against medical exigencies.

Here, a single health insurance plan will cover the medical needs of you and your loved ones. However, no dedicated coverage is offered to individuals under this plan.

For instance, if you buy a family health plan of INR 10 Lakhs that includes you, your spouse and dependent children, then the total sum insured limit can be used by any of the insured members during the policy term.

COVERAGE OFFERED

The sum insured can be used only by the policyholder.

The sum insured can be utilized by you and your family members that are mentioned in the plan.

PREMIUMS

The premium amount is dependent on your (the policyholder’s) age.

A single premium amount covered all the listed members.

The amount is calculated based on the age of the eldest member of the family health insurance plan.

CLAIMS

When you make a claim, the amount that you are compensated with is utilized from the sum insured.

If the entire sum insured is utilized in a single year, you will be left with no cover.

In that case, you can avail our sum insured restoration benefit – wherein you will receive 100% restoration of the sum insured.

Similar to individual health insurance claims made are compensated from the sum insured.

So, if more than one claim is made in a single year, other family members will be left with little to no claim.

Here, you can avail our sum insured restoration benefit as well. With this benefit, you will receive 100% restoration of the sum insured.

 

Individual health insurance plans can be bought for individuals only.

Most insurance providers have a limit on the number of people covered under family health insurance. Hence, you may not be able to include all the family members under this plan.

Note: Check the limit with your insurer before you choose the family health insurance plan.

Key things to consider when buying Health Insurance

Buy Health Insurance Online
  • Are you aware of your insurers Claim Settlement Ratio?

    Claim Settlement Ratio or CSR is an indication of the number of claims an insurance company has settled against the total number of claims received. A health insurance provider with a high CSR is what you should look for. Bajaj Allianz General Insurance boasts a claim settlement ratio of 94% and promises to settle claims within an hour - the best across the industry

  • How to choose the best health insurance policy?

    your policy and especially what’s not, is important. Bajaj Allianz General Insurance offers plans that offer health insurance for a host of medical related issues and expenses. Also, the claims by Caringly Yours App - an insurance wallet app by Bajaj Allianz General Insurance that allows you to settle claims up to Rs. 20,000.

  • Are you picky about your insurance provider?

    You should be! After all, protecting yourself and your loved ones is important, isn’t it? Bajaj Allianz General Insurance offers individual and family health insurance plans with coverage for a dependent child up to the age of 30 and medical insurance coverage up to Rs. 50 lacs.

  • What are your coverage options?

    The insurance plan that you opt for provides cashless facility and covers pre- and post-hospitalization, diagnostic and medical expenses. Bajaj Allianz Health Insurance offers cashless facility across 6500+ empaneled hospital in India and provides a number of coverage options – organ donor expenses, reinstatement benefits, homoeopathic and ayurvedic hospitalization cover and covers you and your children/family (Self, Spouse, Dependent Children & Dependent Parents**).

About Bajaj Allianz Health Insurance

The different Bajaj medical insurance plans available on Finserv MARKETS are explained below based on certain parameters -

Parameters

Health Guard –Silver Plan

Health Guard - Gold Plan

Extra Care Plus

Min Entry Age

3 Months, 18 Years for proposer

3 Months, 18 Years for proposer

3 Months, 18 Years for proposer

Max. Entry Age

30 years for children, 65 years for adults

30 years for children, 65 years for adults

25 Years for Children, 80 Years for adults

Renewal Age

Lifelong

Lifelong

Lifelong

Exit age for Children from Parents policy

Greater than 35 years

Greater than 35 years

Greater than 35 years

Sum Insured

2 Lacs

3/4/5/7.5/10/15/20/25/30/35/40/45/50 Lacs

3/5/10/15/20/25/50 Lacs

Aggregate Deductible

Not Applicable

Not Applicable

2/3/5/10 Lacs

Room rent Capping*

1%* of Sum Insured per day, No capping on ICU charges

Not Applicable

Not Applicable

Cumulative Bonus

10% of base sum insured per claim free year maximum 100%

10% of base sum insured per claim free year maximum 100%

Not Applicable

Family Definition

  • Individual option- Self, Spouse & Dependent Children
  • Floater option- Self, Spouse, dependent children
  • Individual option- Self, Spouse & Dependent Children
  • Floater option- Self, Spouse, dependent children

Self, Spouse, Dependent Parents and Dependent Children

Medical Test

  • No Medical tests up to 55 years, subject to no adverse health conditions
  • No Medical tests up to 55 years, subject to no adverse health conditions
  • No Medical tests up to 55 years, subject to no adverse health conditions

Policy Term

1 year, 2 years & 3 years

1 year, 2 years & 3 years

Not Applicable

Organ Donor Expenses

Yes

Yes

Yes

Sum Insured Reinstatement Benefit

Yes

Yes

Not Applicable

Preventive Health Check up**

1% of the sum insured max up to Rs. 2000/-

to1% of the sum insured max up to Rs. 5000/-

Not Applicable

Ayurvedic/ Homeopathic Hospitalization Expenses

Not Applicable

Liability is maximum up to Rs. 20000/-per policy year

Not Applicable

PAN India Cover (Optional)

Yes

Yes

Yes

Air Ambulance Cover (Optional)

Not Applicable

Not Applicable

Available

Long Term Policy Discount

  • 4% discount is applicable if policy is opted for 2 years
  • 8% discount is applicable if policy is opted for 3 years
  • 4% discount is applicable if policy is opted for 2 years
  • 8% discount is applicable if policy is opted for 3 years

Not Applicable

Details of Waiting Period

 

All treatments except any accidental injury

First 30 days

First 30 days

First 30 days

Any Pre-existing conditions

36 Months

36 Months

12 Months

Specific disease like- Cataracts, Hernia of all types, Fistulae, Fissure in ano, Hysterectomy etc

24 Months

24 Months

12 Months

Joint replacement surgery

36 Months

36 Months

12 Months

Surgery for prolapsed inter vertebral disc (unless necessitated due to an accident)

36 Months

36 Months

12 Months

Surgery to correct deviated nasal septum

36 Months

36 Months

12 Months

Hypertrophied turbinate

36 Months

36 Months

12 Months

Congenital internal diseases or anomalies

36 Months

36 Months

12 Months

Treatment for correction of eye sight due to refractive error recommended by Ophthalmologist for medical reasons

36 Months

36 Months

12 Months

Maternity Cover

Not Applicable

72 Months

12 Months

Bariatric Surgery Cover

Not Applicable

36 Months

Not Applicable

Reasons to Buy Bajaj Allianz Health Insurance

Here are a few reasons why you should purchase Bajaj Allianz Health Insurance available on Finserv MARKETS-

  • Rising Medical Expenses

Managing medical expenses is #1 reason to buy health insurance. The healthcare costs across the country have risen by 15% over the law few years. With a sound health plan, you will be able to financial deal with unforeseen emergencies, treatments, and hefty medical bills.

  • Rising Health Issues

With hectic work schedules and unhealthy eating habits have led to an increase in diabetes and cardiovascular-related illnesses. An appropriate health insurance plan will cover you against such conditions and bear the medical treatment expenses.

  • Tax Benefits

For salaried individuals who are having health insurance plans can save up to INR 75,000 in tax under Section 80D of the Income Tax Act, 1961.

  • Coverage for Self and Family Members

Health emergencies can arise anytime and anywhere. With our family health insurance plans, you can safeguard yourself as well as your loved ones – all under a single policy.

  • Unforeseen Medical Emergencies

The need for hospitalization can arise at any hour. Thus, choosing the right health insurance plan will help you protect yourself and family members from unexpected health emergencies.

  • Save on Premiums

Age is a determining factor when calculating health insurance premiums. Thus, the younger you are, the lower premiums you need to pay.

Key Features of Bajaj Allianz Health Insurance Plans

Here, we will be mainly focusing on Individual Health Plans and Family Health Plans available on Finserv MARKETS. Following are some key features offered by Bajaj Allianz health insurance plans.

KEY FEATURES

INDIVIDUAL HEALTH INSURANCE

FAMILY HEALTH INSURANCE

Entry Age

Individuals within the age group of 18 years and 65 years can seek this policy.

Also, children above the age of 3 months and under the age of 30 years can be covered under the plan.

The primary policyholder should be between the age of 18 years and 65 years old.

Children between the age of 3 months and 30 years old can be added to the policy.

Pre-Hospitalization And Post-Hospitalization Expenses

You are covered for all the expenses incurred 60 days before the hospitalization.

On the other hand, pre-hospitalization charges are covered for 90 days from the discharge date.

All the pre-hospitalization expenses of up to 30 days before the admission to the hospital are covered.

Also, the policy covers the post-hospitalization expenses of up to 90 days after the discharge.

Tax Benefits

The premiums paid towards individual Bajaj Mediclaim are exempted for tax under Section 80D of the Income Tax Act for up to INR 1 Lakh.

The premiums paid towards family health insurance are tax-deductible. A maximum amount of INR 1 lakh can be availed under Section 80D of the Income Tax Act, 1961.

Sum Insured

The sum insured amount can be between INR 1.5 lakh and INR 50 lakh. Choose a value depending on the coverage you need.

The sum insured amount start from INR 1.5 lakhs and goes up to INR 50 lakhs. Depending on your affordability and necessity, choose adequate coverage for family Bajaj Allianz medical insurance.

Cashless Services

Cashless claims can be availed at any of the network hospitals.

Cashless claims can be availed across more than 6000 network hospitals in India.

Ambulance Cover

The policy also provides maximum coverage of up to INR 20,000 annually for ambulance charges.

The policy also provides maximum coverage of up to INR 20,000 annually for ambulance charges.

Why Choose Finserv MARKETS For Health Insurance?

Trusted Companion

We have a customer base of 100+ million across the country. It’s time you choose us as your financial partner.

Swift Claim Settlement

With no third party involved, Bajaj Allianz Insurance boasts a 94% settlement success rate and promises to settle your claims within an hour!

Reinstatement Benefit

If your sum insured gets exhausted, this plan offers reinstatement for the same illness, unlike other health insurance companies.

Tailor-made Insurance Plans

From bariatric surgery to offering medical coverage for your parents-in-law too, Bajaj Allianz offers customized plans like no other!

Extensive Coverage

With 6500+ empaneled hospitals across India and plans that offer medical coverage from 1.5 lakh to 50 lakh, why look elsewhere?

Claim Process for Health Insurance

Filing a claim with us at Finserv MARKETS is simple. Just follow these steps and you are done.

  • 1

    Register your claim at Finserv MARKETS online

  • 2

    Upload the necessary documents

  • 3

    Your insurer will assess the claim

  • 4

    Check claim status online

 For further information, refer to the ‘Process’ section below.

  • Process
  • Download
  • Emergency Contact
  • Cashless Claims
  • Claim Intimation
  • Claim Reimbursement
  • Cancellation Process

  • You need to approach the network hospital along with your policy details.

  • The network hospital verifies the details provided by you and sends a pre-authorization form to the network hospital.

  • The insurance provider verifies the pre-authorization request and informs the network hospital about your policy's coverage. If needed, the insurance provider may send a query letter to the network hospital requesting more details. The network hospital needs to respond to this query with the information requested for.

  • Once the network hospital receives approval from the insurance provider, treatment begins. Upon discharge from the network hospital, the final bill, along with the discharge papers, are sent to the insurance provider. The insurance provider will settle the final amount with the network hospital after deducting co-payment (if applicable) and other consumable expenses.

  • Should the pre-authorization request get rejected; you will have to bear all treatment expenses which can be reimbursed later.

  • Claim Intimation

    • Claims should intimated within 48 hours in case of emergency hospitalization*
    • Claims should be intimated within 24 hours in case of planned hospitalization*

  • Claims can be intimated on the following platforms:

    • Contact the executes at the Call Center- 1800 209 5858 (Main Toll Free) and dedicated health toll free (1800 103 2529)
    • Email on health.admin@bajajallianz.co.in
    • Branch walk-in at the customer care desk
    • Visit the website- https://general.bajajallianz.com/BagicHCM/cstprtl/getCustDtls.do
    • Download the Caringly Yours App on App store/Play store

  • Following details are required for claim intimation:

    • Policy Number
    • Name of the Patient
    • Hospital Name
    • Hospital Address
    • Date of Admission
    • Diagnosis
    • Mobile Number
    • Email Id

    *Note: Relaxations in the timelines mentioned above may be considered in the extreme cases of hardship where it is proved to our satisfaction that under the circumstances in which you were placed, it was not possible for you or any other person to give notice or file claim within the prescribed time limit.

  • Once discharged from hospital, you need to collect all original documents and bills and submit them to the insurance provider.

  • The insurance provider initiates scrutiny of all claim-related documents. If additional documents are needed, you will be intimated about the additional documents required.

  • Once all necessary documents are received, the insurance provider approves the claim.

  • Payment will be released to you based on what is admissible under the insurance policy.

  • Company Cancellation

    The insurance provider may cancel your insurance policy providing a written notice 15 days prior to cancellation date. If no claim has been made, a refund of the premium for the unexpired policy period shall be provided on a pro-rata basis.

    Your insurance policy will be cancelled for reasons such as non-disclosure of material facts, misrepresentation, fraud and non-cooperation.

  • Customer Cancellation

    As a customer, you may cancel your insurance policy by providing a written notice 15 days prior to cancellation date. If you've made no claims, the insurer will refund short-term rates for the unexpired policy period as per the rates detailed below.

    Period of Risk Premium Refund - 1 Year Policy Period
    Exceeding 15 days but less than 3 months 65.00%
    Exceeding 3 months but less than 6 months 45.00%
    Exceeding 6 months but less than 12 months 00.00%
    Period of Risk Premium Refund - 2 Year Policy Period
    Exceeding 15 days but less than 3 months 75.00%
    Exceeding 3 months but less than 6 months 65.00%
    Exceeding 6 months but less than 12 months 45.00%
    Exceeding 12 months but less than 15 months 30.00%
    Exceeding 15 months but less than 18 months 20.00%
    Exceeding 18 months but less than 24 months 00.00%

  • Cashless Claims
  • Claim Reimbursement
  • Other Health Insurance Related Claims
  • Links for Claim Settlement Forms
  • List of Network Hospitals
  • Brochure

Link to redirect customers to links category.

  • Cashless Claims Request Form
  • Reimbursement Form
  • Self Declaration of KYC Document Submission - For Individual Partner
  • Non-Medical Expenses List of Exclusions
  • Personal Accident Claim Form
  • Cashless Claims Request Form
  • Reimbursement Form
  • Self Declaration of KYC Document Submission - For Individual Partner
  • Personal Accident Claim Form
  • Non-Medical Expenses List of Exclusions
  • List of Network Hospitals
  • Health Guard Brochure
  • Extra Care Plus Brochure

Need further assistance? Reach out on the Toll-Free Number: 1800-209-5858 to connect with an insurance expert.

Health Insurance Tax Benefits

You can save taxes on your Bajaj Allianz Health Insurance available on Finserv MARKETS.

1. Deductions for Family and Self:

  • A deduction allowed for self and family (Spouse, dependent children) is a maximum amount of Rs. 25,000 per year on health insurance premium.

  • A deduction allowed if you are a senior citizen is a maximum amount of Rs. 50,000 per year.

2. Deductions for Parents:

  • Maximum deduction of Rs. 25,000 per year on health insurance premium paid on behalf of parents.

  • Maximum deduction of Rs. 50,000 per year on premium payments for senior citizen parents.

Note: This deduction is in addition/ over and above the maximum deduction allowed for an individual and his family.

3. Additional Deductions:

  • A yearly deduction on expenses related to health check-ups of Rs. 5,000 can be claimed. This limit is inclusive of the check-up expenses of all members in a family, including spouse, kids and parents and forms part of the applicable deduction limit.

Bajaj Allianz Health Insurance Renewal

  •  We understand that you are busy with your life and checking-off your to-do list every day can be overwhelming. Hence, we have made Bajaj health insurance renewal quite an easy and straightforward process. It is a quick and hassle-free process. Just follow these steps
  • Visit us online

  • Fill in your basic details like existing policy number and date of birth

  • Pick your renewal quote and review the policy terms and conditions before agreeing

  • Make an online payment

  • You are done! The renewed health insurance plan will be sent to you in no time

  • This is all it takes for Bajaj Allianz health insurance renewal at Finserv MARKETS online. The renewal can be done anytime and on the go. It eliminates the need of visiting us in person at our branch.

Factors Affecting Health Insurance Premiums

 When purchasing health insurance plans or health insurance top ups, it is necessary to be aware of different factors that may affect your premiums. Here’s a list of factors that can have an impact on your health insurance premiums-

Type of Plan

The type of plan you choose have a direct impact on the premiums. The premium amount for people choosing an individual health plan is relatively low compared to those choosing a family health plan.

Pre-Existing Health Conditions

Most insurers demand medical checkup before accepting your health insurance application. Your medical record helps them determine the premium to be charged. However, if you have certain pre-existing medical conditions, it can thus increase the premium rates.

Age

If you are buying health insurance at a young age, the premiums will be low as you are less likely to have any severe health issues.

Area of Residency

Most insurance providers calculate premiums based on the area you stay in. Factors like lack of healthy food options, severe weather conditions, cultural aversion to exercise, etc. can have an impact on premiums charged. 

Add-on Covers

Finserv MARKETS offers Extra Care Plus as a top-up cover. It comes in handy in case your primary health plan falls short of covering the expenses. The plan acts as an extension of your basic health insurance and thus offers a high sum insured with low deductibles at a nominal premium.

How to Reduce Health Insurance Premiums?

Here’s how you can reduce your health insurance premiums and save a significant amount of money –

  • Purchase health insurance at an early age

  • Choose adequate coverage in the beginning

  • You can opt for deductibles and copayments

  • Choose long-term health insurance plans

Bajaj Allianz Health Insurance – Exclusions

  • Three years of the waiting period will be applicable in case of pre-existing illnesses

  • Diseases arising in the first 30 days of the policy are not covered

  • Medical expenses incurred due to criminal activities, suicide or self-injuries

  • Medical care or hospitalization needed due to war or war-like situations

  • Medical attention required when under the influence of alcohol and other intoxicants

  • For sexually transmitted diseases like AIDS

  • For participating in naval, military or air force operations or dangerous sports like racing and driving.

  • Mental disorders

  • Maternity/New-born baby expenses have a waiting period of six years

  • Medical emergencies arising due to consumption of intoxicants and/or addictive substances like drugs, alcohol, etc. are not covered

Pradhan Mantri Jan Arogya Yojana (PMJAY)

The Pradhan Mantri Jan Arogya Yojana (PMJAY) is a government-managed national healthcare program which is also famously known as Ayushman Bharat Yojana. Through the PMJAY scheme, our government want to make the primary healthcare facilities available to all citizens in all parts of the country. Under this scheme, over 10 crore families that are the below the poverty line are covered with health insurance of INR 5 Lakh.

A list of schemes under the PMJAY program are as follows –

  • Central Government Health Scheme (CGHC)

  • Employee State Insurance Scheme (ESIS)

  • National Health Protection Scheme (NHPS)

Health Insurance in Depth

Keep your health in safe hands with Bajaj Allianz Health Insurance which offers extensive coverage at affordable premiums. Whether you need a policy for yourself or your family, Finserv MARKETS hosts a range of comprehensive medical plans with attractive health insurance benefits. Apply for a health insurance plan today! Have a look at our exclusive products to stay healthy and protected. Below are blogs by Finserv MARKETS to help you understand health insurance in depth.

Why Buy Health Insurance from Finserv MARKETS?

Health Insurance

Tackle any medical emergency head on by availing world-class medical care, cashless facility and timely assistance with a comprehensive Bajaj Allianz Health Insurance policy. Enjoy tailor made health insurance plans at affordable premiums and get extensive coverage across 6500+ network hospitals.

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Manage all your Health Insurance Questions Here

  • ✔️Does health insurance cover coronavirus?

    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.

  • ✔️Can someone who has been quarantined for Covid-19 be covered under Health insurance?

    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.

  • ✔️What is COVID-19?

    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

  • ✔️What are the signs and symptoms of COVID-19?

    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.

  • ✔️In which situations will my health insurance policy not cover coronavirus?

    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

  • ✔️If I am young, fit, and healthy, do I need health insurance?

    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.

  • ✔️What factors are considered while calculating my health insurance premiums?

    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).

  • ✔️Is there a health check-up required before applying for any health insurance in India?

    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.

  • ✔️What is covered under my Bajaj Allianz Medical insurance plan?

    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.

  • ✔️Are the claims easily accessible? Is the settlement process quick?

    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.

  • ✔️Will I get any value-added services with my Bajaj Allianz health insurance plans?

    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

  • ✔️What is the procedure for Claim by Direct Click (CDC) for a Bajaj Allianz health insurance claim?

    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.

  • ✔️What can I do if I have a small claim amount and need it immediately?

    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.

  • ✔️What is meant by pre-existing disease?

    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.

  • ✔️What is a waiting period?

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

  • ✔️What is meant by a health card?

    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.

  • ✔️When am I supposed to renew my Bajaj Allianz Health Insurance plan?

    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.

  • ✔️Will I be able to avail medical and premium reimbursements in case my policy gets rejected?

    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.

  • ✔️What documents will be required for a Bajaj Allianz Health Insurance claim?

    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.

  • ✔️In case of a claim being already made, can I renew the health insurance plan for the second year? Or will I have to undergo a medical check-up again?

    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.

  • ✔️After the claim is filed, what happens to the Bajaj Allianz health insurance policy?

    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.

  • ✔️Are there any tax benefits that I can avail by purchasing Bajaj Allianz health insurance plans?

    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.

  • ✔️How should I decide the amount of coverage while purchasing any good health insurance plan?

    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.

  • ✔️How can I terminate my medical insurance plan?

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

  • ✔️Where can I get the details of the hospitals covered under the network of the insurance company?

    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.

  • ✔️Why should I buy a health insurance online?

    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.

  • ✔️What is the procedure to make a cashless claim?

    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.

  • ✔️What are ‘Health Insurance Deductibles’?

    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.

  • ✔️What is meant by day care medical treatment?

    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.

  • ✔️What are pre and post hospitalization medical expenses?

    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.

  • ✔️What do you mean by pre-existing disease and waiting period applicable?

    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.

  • ✔️Using my Bajaj EMI card, how frequently do I need to make the premium payment?

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

  • ✔️Are there any added benefits of paying via the Bajaj Finserv EMI Network card?

    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.

  • ✔️How to apply for Bajaj Finserv EMI Network card?

    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.

Health Insurance Reviews

Health Insurance Reviews

4.2out of 5

5 reviews

Really Appreciate The Quick Response and Guidance

I applied for a health insurance policy at Bajaj Allianz Health Insurance. I appreciate the quick response of the customer support team. They responded immediately to my recent follow up for my insurance policy.

Keep up The Good Work

My 2 year daughter was admitted in the hospital this was my first experience with Bajaj health insurance. The response was very quick and the Bajaj Allianz team responded to the initial claim request within hours.

Customer Friendly Health Insurance Policy

I got a health insurance policy from Bajaj Allianz health insurance. I had a really good experience they have customer friendly policies and the service support team is very good. Their health insurance renewal and claim process is very smooth.

Satisfied with the service

I experienced the benefits of the health insurance policy when I got hospitalized last year. Since the post-hospitalization costs were covered, it really helped me save up on my monthly budget.

Renewing policy was very easy

The process of renewing my Bajaj Allianz health insurance policy at Finserv MARKETS was very quick. Thanks for the quick service.

Satisfied with the service

I experienced the benefits of the health insurance policy when I got hospitalized last year. Since the post-hospitalization costs were covered, it really helped me save up on my monthly budget.

Renewing policy was very easy

The process of renewing my Bajaj Allianz health insurance policy at Finserv MARKETS was very quick. Thanks for the quick service.