In-house Claim Settlement | Cashless Claim Settlement within 60 Minutes | Cashless Facility at over 6,500+ Hospitals
Health insurance plans from Bajaj General Health Insurance can protect you from the financial repercussions of unexpected medical emergencies or extended healthcare treatments you may need later in life. The different types of policies offered by Bajaj General Health Insurance come with affordable premiums, various benefits, and a high claim settlement ratio of 98%. You can compare your options online before deciding which kind of plan from Bajaj General Health Insurance may be right for you.
Bajaj General health insurance plans are designed to cater to the diverse and specific requirements of customers pertaining to health insurance in order to keep pace with the changing lifestyle and rising medical costs. Bajaj General health insurance offers various health insurance plans. Here are the different plans offered by Bajaj General Health Insurance, along with the Bajaj General health insurance premium chart:
| Health Insurance Plans | Features | Check Plans |
|---|---|---|
Bajaj General Health Guard Policy floater) |
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Bajaj General Health Infinity (Individual policy) |
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Bajaj General Arogya Sanjeevani (Available as individual and family floater) |
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Bajaj General Critical Illness |
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Bajaj General Criti Care |
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Bajaj General Global Personal Guard |
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Bajaj General Extra Care Plus Policy |
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Refer the table below:-
| Key Features | Highlights |
|---|---|
Incurred Claim Ratio |
77.61% |
Network Hospitals |
8,000+ |
Renewability |
Lifelong |
Waiting Period |
Up to 3 years |
Here are some of the benefits of buying Bajaj General health insurance plans:
Personalised health insurance plans that suit your medical needs.
With a smooth and quick claim settlement process, the company claims to settle cashless claims within 60 minutes of the claim request.
With a smooth and quick claim settlement process, the company claims to settle cashless claims within 60 minutes of the claim request.
Bajaj General health insurance offers a daily cash benefit of ₹500 per day for up to 10 days.
With a network of 8,000+ partnered hospitals and cashless claims offered at these hospitals, you can rest assured.
Bajaj General Health Insurance lets you enjoy significant tax benefits of up to ₹75,000 on the premiums paid under the Income Tax Act’s (1961) Section 80D.
Listed below are a few inclusions and exclusions of Bajaj General health insurance plans,
| Inclusions | Exclusion |
|---|---|
Pre & post hospitalisation costs like check-ups, recovery treatments, and more |
Pre-existing diseases will be excluded till the end of the 3-year waiting period. |
Expenses incurred during organ donor treatment |
Any disease contracted during the first 1 month of the commencement of the health insurance policy will not be covered. However, accidental injuries are taken care of during the waiting period |
Expenses incurred for Ayurvedic/Homoeopathic hospitalisation for up to ₹20,000 |
Diseases like cataracts, piles, hernia, and sinusitis will be excluded from the Bajaj General health insurance coverage till the end of the 2-year waiting period |
Convalescence benefits up to ₹5,000 per year for more than 10 days of continuous hospitalisation |
Treatment for the use of intoxicating and/or harmful substances like drugs or alcohol |
Free preventive health check-up at the end of a continuous period of 3 years in case of an individual health insurance plan |
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Expenses incurred due to treatments and diagnosis, ICU charges, fees of specialists, medical consultants, and practitioners during in-patient hospitalisation. |
_ |
It is essential to keep yourself and your family, including your parents, insured with a suitable health insurance policy. However, before you purchase any plan, read the terms and conditions carefully and jot down the insurance premium.
Bajaj General provides a free online premium calculator that is easy to use and calculates the premium amount in real time with accuracy. If you are planning to purchase health insurance or are going to renew your plan and want to know how much it will cost you. Here you go,
Bajaj General health insurance premiums can be easily calculated on Bajaj Markets. Here is all you need to do:
Visit the ‘Health Insurance Premium Calculator’ page on Bajaj Markets.
Enter the necessary details of the person to be insured like age, address, mobile number etc.
Once you hit the ‘Get Quote’ button, the available plans for you shall be displayed.
Pick the plan that best suits your requirements.
Based on your choice, the premium amount you are liable to pay for the Bajaj General health insurance cover will be displayed.
Not just this! You can customise your plan too! Choose from the add-on covers to enhance your medical coverage.
Every online premium calculator offered by various insurers asks for the following basic information to calculate your premium:
Your name, age, gender, location details, and contact information
Your habits, like whether you are a smoker, consume alcohol, or use tobacco
Medical history
Your policy preferences and tenure
At Bajaj Markets, buying your Bajaj General Health Insurance is a very seamless process. The online portal makes it easy for you to get your policy in just a few clicks online! Here’s how you can go about it:
Click on any View Plans button mentioned in the table as per requirement.
Provide the necessary details about whom you wish to insure, their age, date of birth and your mobile number.
Pick a suitable plan as per your needs.
You can also enhance your coverage by selecting the add-on covers available.
Make the Bajaj General health insurance premium payment.
Your policy will be sent to you after confirmation of the successful payment of the premium.
Bajaj General health insurance policies provide you access to the best healthcare facilities while keeping you financially secure. With these policies, you can enjoy the best medical treatments at any of the 8,000+ network hospitals without worrying about medical bills. With health insurance plans at affordable premiums and a high claim settlement ratio of 98%, Bajaj General health insurance policies are ideal for you if you are looking for the highest coverage at a low cost.
Bajaj General Health Insurance Policies not only protect you during medical emergencies, but they also save you money on taxes, lets understand how,
| Condition | You, your legal partner and kids | Senior Citizens (Parents) | Total Tax benefits |
|---|---|---|---|
If you and every member of your family including your parents are below 60 years |
₹25,000 |
₹25,000 |
₹50,000 |
Suppose everyone in family are below 60 years but your parents are above 60 years age |
₹25,000 |
₹50,000 |
₹75,000 |
When everyone in your family including your parents are above 60 years are |
₹50,000 |
₹50,000 |
₹1,00,000 |
You can enhance your health insurance coverage widely by opting for additional riders. Let's understand,
What is a rider?
Riders are the additional protection that you may opt for on your base plan. It enhances your protection against medical emergencies.
Listed below are a few optional riders/ add-ons by Bajaj General Insurance
Under this add-on the policyholder is entitled to receive money for the days he or she was admitted in the hospital. This amount is based on the plan you choose. The minimum requirement is, the insured has to be admitted to the hospital for at least 24 hours.
If the policyholder suffers from a partial or complete disability due to an accident, the insurance company will pay a part or the entire sum insured, however, it completely depends on the level of injury.
Critical Illnesses are usually not covered in the usual health insurance policies hence, it is a good idea to opt for a critical illness add-on.
Health insurance policies does not cover maternity-related expenses, however, if you have the maternity cover add on your maternity expenses during the birth of your child, vaccination, post-delivery expenses.
Before choosing the add-on always ensure to read the terms and conditions, because the add-on cover varies from plan to plan and insurer to insurer. Be sure about which cover you actually need then only opt for it because, the more add-on you will opt for, the higher premium you will have to pay along with wider coverage.
The claim settlement ratio is a percentage of total claims settled or resolved by a company in a particular financial year.
CSR = (total number of claims paid by the insurer / total number of claims received in that fiscal year) multiplied by 100.
You must wonder why people are so concerned about the claim settlement ratio of an insurance company. Well, there are so many lucrative plan options, it is challenging to choose one.
l year 2021–2022, Bajaj General Health Insurance stands at a claim settlement ratio of 98.48%.
Before you buy any health insurance or life insurance, you must check the claim settlement ratio of the insurer you are choosing. It is your right to know about the company's financial position, reliability, and other important aspects before you invest your hard earned money in it.
Claim settlement is the metric used to evaluate the worthiness of the insurance provider. It reflects whether the insurer is capable of paying the maturity benefits, healthcare claims, death benefits, etc. If an insurance company is unable to resolve claims, the entire investment will be for nought.Therefore, the higher the claim settlement ratio, the better positioned the company is to pay off its claims.
You pay the premium for any insurance you purchase now, but you receive the benefit later. Same with health insurance. Medical emergencies cannot be predicted in advance. Hence, it is important that, wherever there is a need, your insurance provider fulfils your claims as per the agreement.
In the financial year 2021–2022, Bajaj General Health Insurance stands at a claim settlement ratio of 98.48%.
Apart from checking the coverage of a health insurance plan, it is important to understand the claim process. This way, you are aware of what needs to be done when a claim is to be made. Bajaj General health insurance claim filing hardly takes any time. Just follow these quick steps, and you’re done!
You need to provide your health insurance policy details to the Bajaj General network hospital and fill out the pre-authorisation form.
We will verify the form and provide the details of your policy benefits and coverage to the hospital.
The hospital will commence the treatment once we approve the claim.
When you are discharged, the hospital will send the bill along with discharge papers to us, and we will settle the claim after reducing the co-payment, if any.
Submit all original documents and hospital bills.
Our team will scrutinise the data and may ask for any additional information that is needed.
On reviewing all the documents, your claim is approved.
You will receive the payment based on the policy terms and conditions.
Bajaj General health insurance claim filing will need the following documents:
Duly filled and signed hospitalisation claim form
First consultation letter from doctor
All lab and test reports
Original discharge summary document
Original hospital bills with detailed cost breakup
Copy of barcode/invoice/stickers in case of implants
KYC form
Some of the awards bagged by Bajaj General Health Insurance in the past years are listed below:
Asia Insurance Technology Award
Insurance Review and Celent
Marketer of the Year
Money Today Award
People Matters Best Recruitment Technology & Analytics Award
People Matters Talent Acquisition
The Insurance India Summit & Awards 2019
Asia Insurance Industry Awards 2018
Banking Frontiers
Dale Carnegie & Associates
Dale Carnegie Global Leadership Award
Dale Carnegie Global Leadership Award
Distributor of the Year
ET Now
Finnoviti Award
General Insurance Company of the Year
Herald Global & BARC Asia
Synnex Group
The Most Trusted Global Brand 2018
Non-Life Insurer of the Year Award
Outlook Money Awards 2017
Health insurance companies have a collaboration with hospitals, hospital chains and other helathcare centres. In these hospitals when a policyholder goes for treatment, he/ she has the advantage of getting cashless treatment. he/ she only pays for their share of treatment, the remaining is carried out by the company directly.
Bajaj General has partnered with over 8,000 hospitals across the country to provide cashless treatment facilities to their health insurance policyholders. With such a wide network of hospitals, you can ensure that in your time of need you would never far be away from getting the best medical facilities.
In the event of your policy getting rejected, you are eligible for premium reimbursements within the next seven working days. However, your medical check-up expenses will not get reimbursed.
Bajaj General Health Insurance plan must be renewed before its expiry date. With our 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 health insurance is still in force so that you can enjoy uninterrupted coverage.
Bajaj General health insurance allows you to pay your premium online using the following modes of payment:
Net banking
Credit card
Debit card
Digital wallets
UPI
If you (the policyholder) are hospitalised before you receive your health insurance card, all you need to do is inform Bajaj General Health about it and give them the details like your membership number, the name of the hospital where you are being treated, etc. The company will then send a request to the hospital to begin the cashless treatment.
Here are the steps for the Bajaj General health insurance policy download online:
Go to the Bajaj General Health Insurance E-Policy login page.
To log in, enter your policy number and mobile number and click on ‘Generate OTP’.
Enter the OTP received on your registered mobile number along with other necessary details.
After logging in to the customer account, you can download your Bajaj General health insurance policy from the given options.
The Bajaj General Health Guard policy offers a sum insured ranging from ₹2 Lakh to ₹1 Crore.
1. Visit the company's official page
2. To log in, enter your user ID and password.
3. Input the medical insurance policy number or application number
4. Put your contact details in, and you will get the status of your medical insurance plan
You can also download Bajaj General mobile application called ‘Customer Portal’ to check your policy status.
To cancel or terminate your Bajaj General Health Insurance plan, you need to fill up a policy surrender form and submit it on the company’s portal with the original papers related to your policy. Following verification, you will receive a refund of your premium in accordance with the terms and conditions
Yes, Bajaj General has more than 8000 network hospitals across the country. You can easily get cashless treatment with the Bajaj Medical Insurance Plan.