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About Family Health Insurance
Life is quite unpredictable. The only thing that matters the most is good health for you and your loved ones in every aspect. But, life-threatening illnesses and emergency hospital visits arise anytime, anywhere. During such times, you cannot solely depend on your life savings to overcome the medical expenses. This is when health insurance plans for you and your family come to play.
Due to a rise in medical inflation and an increase in work-life imbalance, having a health insurance plan is necessary. However, it is better to take a health plan for family at an early stage in life. The reason being, you pay low premiums, and a single plan covers you and your loved ones as well. Moreover, as you grow older, buying health insurance might need medical checkups, longer waiting periods for pre-existing illnesses, and the insurer might exclude some important diseases. Hence, getting health insurance when you are younger is a wise financial choice.
But we know that not everyone understands medical and financial terminologies. You, too, will have your fair share of doubts regarding family health insurance, especially if you are single and yet to start a family.
Instant Renewal of Your Family Health Insurance Plan
Renewing health insurance is as important as buying one on time. Just a few easy steps and your renewal policy will reach you. Get your family health insurance policy renewed and enjoy continuity benefits. Experience the one-click renewal process today!
Health Combo Plan
Finserv MARKETS presents the 'Health Combo Plan', a unique health insurance policy that combines the features of two products, the Health Insurance Base Plan & the Health Insurance Top-up plan.
Now you can manage medical uncertainties & rising health expenses easily, with dual benefits in the form of the Health Combo Plan. Get extensive medical coverage at affordable costs, that too without undergoing any tedious paperwork!
Let us solve some common doubts regarding family health insurance plans with the help of illustrations.
Illustration 1: You Have a Lovely Family with Spouse, and Children
Ramesh, along with his wife and one child, plans to seek health insurance. Now, he can purchase individual health plans for each family member – wherein he will have to pay premiums for three people differently.
However, he can simply cover himself and the remaining two family members, all under a single policy – family health insurance. It not only becomes easier to manage the plan, as it is a single policy but also becomes an affordable option for Ramesh.
Illustration 2: You Just Got Married and Will Be Starting A Family Soon
Janhavi recently got married. In a few years, let us assume she plans to have a baby. In this situation, having taken a family health insurance plan in advance (before getting married) will benefit her in multiple ways. She will not only be paying low premiums, as she took the policy early in life, but can also seek maternity benefits when needed.
Along with this, the family health insurance plan also provides coverage of approx. INR 25,000 for normal delivery and INR 35,000 for cesarean section.
Besides, children of the age between 90 days and 30 years can be added under the plan.
Illustration 3: You Have a Lot of Financial Responsibility
Sometimes, a health insurance plan for family can be an excellent financial investment. Especially for those in their early 20s, they can seek family health plans to avail of tax benefits and provide extra medical coverage to their parents.
For instance, Ketki, who is 22 years old, has recently started working in a multinational company. Now, she can seek family health insurance for herself and include her parents in it. This way, she can avail tax deductions under Section 80D of the Income Tax Act, 1961. Also, later in life, when she decides to start a family, she can add her spouse and children in the plan by simply paying extra premiums thereon.
Illustration 4: You Have Young Children and Old Parents to Take Care Of
As your parents grow old, health issues are going to rise. Similarly, infants and toddlers are bound to fall sick more often. Therefore, if you are someone who just had a baby and have old parents to look after, your hospital visits might be frequent. Also, you cannot always rely on your savings to overcome the medical expenses incurred.
On the other hand, if you plan to purchase individual health insurance plans for each of them, the premiums would be costly. This is because the individual plans are mainly based on the age of the policyholder. In such a situation, a health insurance plan for family comes in handy, as all your loved ones are covered under a single plan.
Benefits of Family Health Insurance
The illustrations above highlight the following family health insurance benefits –
- Having a family health insurance ensures that yours and your family’s medical expenses are covered whenever the need arises.
- The hospitalisation and treatment expenses for any lifestyle diseases will be taken care of under the family health insurance plan (unless the health condition is excluded from the policy).
- You can avail high-quality medical facilities at any of the network hospitals.
- Buying family health insurance at an early stage in life will allow you to save on premiums.
- The policy allows you to add a new family member easily to the existing plan with a nominal additional premium price.
- You have to pay a single premium towards your family health insurance every year, which will cover all the members enlisted in the plan.
- You can avail additional benefits, such as maternity cover, accidental death cover, etc., to enhance the scope of your family health insurance plan.
- The policy offers several tax benefits as well. We have discussed the family health insurance tax benefits in detail further in the section.
Best Family Health Insurance Plans at Finserv MARKETS
Partner Insurance Company |
Family Health Insurance Plan |
Sum Assured Amount (in Rs.) |
Pre- and Post- Hospitalisation |
Waiting Period for Pre-Existing Diseases |
Bajaj Allianz Health Insurance |
Health Guard Plans |
Between Rs. 1.5 Lakhs and Rs. 50 Lakhs |
Pre-hospitalisation cover of 60 days. Post-hospitalisation cover of 90 days. |
36 Months |
Why Choose Finserv MARKETS?
With so many family health insurance plans available in the market, choosing the right plan can be overwhelming. So, what makes us the right choice for you and your loved ones? Let’s find out.
How To Apply For Family Health Insurance?
No rocket science here! Follow 5 simple steps and you’re done.
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Visit us online and choose your coverage
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Fill the application form
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The insurer will assess your file
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Proceed to make an online payment
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The policy will be issued to you in no time
Claim Process for Family Health Insurance
People usually avoid taking health insurance due to longer claim processes. But filing claims with us is straightforward. Just follow these steps, and you are done.
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1
Register your claim online
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2
Upload the requested documents
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3
The insurer will assess your claim
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4
Check claim status online
For information on your health insurance policy, refer to the 'Process' section below.
- Process
- Download
- Emergency Contact
- Cashless Claims
- Claim Intimation
- Claim Reimbursement
- Cancellation Process
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You need to approach the network hospital along with your policy details.
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The network hospital verifies the details provided by you and sends a pre-authorization form to the network hospital.
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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.
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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.
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Should the pre-authorization request get rejected; you will have to bear all treatment expenses which can be reimbursed later.
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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*
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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
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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.
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Once discharged from hospital, you need to collect all original documents and bills and submit them to the insurance provider.
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The insurance provider initiates scrutiny of all claim-related documents. If additional documents are needed, you will be intimated about the additional documents required.
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Once all necessary documents are received, the insurance provider approves the claim.
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Payment will be released to you based on what is admissible under the insurance policy.
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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.
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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
- Policy Wordings
Link to redirect customers to links category.
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Cashless Claims Request Form
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Reimbursement Form
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Self Declaration of KYC Document Submission - For Individual Partner
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Non-Medical Expenses List of Exclusions
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Personal Accident Claim Form
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Cashless Claims Request Form
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Reimbursement Form
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Self Declaration of KYC Document Submission - For Individual Partner
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Personal Accident Claim Form
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Non-Medical Expenses List of Exclusions
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List of Network Hospitals
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Health Guard Brochure
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Family Health Insurance - Gold Plan Wordings
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Family Health Insurance - Silver Plan Wordings
Need further assistance? Reach out on the Toll-Free Number: 1800-209-5858 to connect with an insurance expert.
How To Renew Family Health Insurance at Finserv MARKETS?
Follow these steps to renew health insurance for family –
Visit us online
Enter policy details as requested
Enter personal information as required
Review the new policy before agreeing to the terms and conditions
Proceed to make an online payment
After successful payment, your policy will be renewed and functional to avail all the health insurance benefits in no time
Still Not Convinced? Check out the features of Bajaj Allianz Family Health Insurance
Family is your #1 priority, and choosing the right family health insurance plan can thus be overwhelming. Hence, we believe that Bajaj Allianz Family Health Insurance at Finserv MARKETS is your best chance to secure the medical needs of your loved ones.
You must be wondering what makes Bajaj Allianz Family Health Insurance unique. Here are a few features offered by the policy –
Multiple Sum Insured Options: The sum insured ranges between INR 1.5 Lakh and INR 50 Lakh, with two plan variants for you to choose from
Covers Your Loved Ones: Health insurance plan for family will cover you, your spouse, and dependent children or parents
Daycare Procedures Cover: Any medical expenses arising due to the treatment of listed daycare procedures or surgeries is covered under this plan
Reinstatement Benefit: In case you exhaust your sum insured and the cumulative bonus (if any), the insurer will reinstate it
Road Ambulance Cover: You can easily avail emergency ambulance services for up to INR 20,000 (during hospitalization or discharge)
Daily Cash Benefit: A cash benefit of INR 500 per day, for up to 10 days during each policy year will be payable as accommodation expenses for one parent/legal guardian to stay with the minor insured under the health plan. Moreover, there is no capping on room rent and ICU charges.
For additional benefits and wider coverage, you can also opt for a health insurance top up plan over and above your basic family health policy by paying a minimal premium.
What’s More? Reduce Your Tax Liability With Family Health Insurance
If you are still contemplating whether you need family health insurance or not, read on. You can save taxes on your Bajaj Allianz Health Insurance available on Finserv MARKETS. Consider the following table for better understanding.
Exemption Limit |
Health Checkup Exemption |
Total |
|
Self And Family |
INR 25,000 |
INR 5000 |
INR 25,000 |
Self And Family + Parents |
INR 25,000 + INR 25,000 = INR 50,000 |
INR 5000 |
INR 55,000 |
Self And Family + Senior Citizen Parents |
INR 25,000 + INR 30,000 = INR 55,000 |
INR 5000 |
INR 60,000 |
Self (Senior Citizen) And Family + Senior Citizen Parents |
INR 30,000 + INR 30,000 = INR 60,000 |
INR 5000 |
INR 65,000 |
Deductions for Specified Illnesses (under Section 80DDB)
You can avail up tax exemption of up to INR 1.4 lakh (INR 60,000 for senior citizens and INR 80,000 for super senior citizens) for specified illnesses.
Deduction for a Dependent with Disability (under Section 80DD)
You can avail tax benefits of up to INR 75,000 for nursing, training, medical treatment, preservation, and rehabilitation of a dependent with a disability. The amount is INR 1.25 lakh in extreme disability cases.
Manage all your queries here
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✔️What is meant by family health insurance plans?
A health insurance plan for family is one single policy that takes care of the medical expenses of your entire family. The Sum Insured can be used by any member of the family or by everyone covered in the policy, multiple number of times, till the time the limit is exhausted. It is far better than a family Mediclaim policy and is always a good choice. -
✔️Who all can be covered under a Bajaj Allianz family health insurance plan?
A health insurance for family available on Bajaj Finserv MARKETS covers self, spouse and up to 4 dependent children. -
✔️If I have a kid who is 3 years old, can I take a Bajaj Allianz family health insurance policy for her?
Children can be covered with either of the parent in a policy but are not covered individually in our health insurance plans. Dependent children from the age of 3 months up to the age of 30 years are covered under our family health insurance plans. -
✔️Is it important for me to take a family health insurance policy for my child?
As compared to adults, children are way more sensitive and therefore prone to falling ill a lot more. Since kids tend to fall ill more frequently, it is important for children to be covered under one of the best family health insurance plans. It helps you deal with the medical and hospitalization expenses better. -
✔️My wife and children are residing in Pune while I am residing in Mumbai. Can all of us be covered under one policy?
Yes, you can cover your family residing anywhere in India under one policy. You can use your Bajaj Allianz family health insurance plan in India across all cities and states. -
✔️When can I enhance the Sum Insured of my Bajaj Allianz family health insurance policy?
You can enhance the Sum Insured of your family health insurance policy only at the time of renewals. The enhancement would be subject to underwriting approval, based on the declaration on the application. -
✔️What are the Sum Insured options available to me under Bajaj Allianz family health insurance policy?
The following Sum Insured options are available to you under this family health insurance plan: 1) Health Guard Silver Plan: Rs.1.5/2 lakh. 2) Health Guard Gold Plan: 3/4/5/7.5/10/15/20/25/30/35/40/45/50 lakh. -
✔️What additional benefits do I get if I renew my Bajaj Allianz family health insurance policy with you?
If you renew your family health insurance plan with us without any break and there has been no claim in the preceding year, Bajaj Allianz will increase the ‘Sum Insured Amount’ by 10% of the base sum insured per annum. However, the maximum cumulative increase in the ‘Sum Insured Amount’ will be limited to 10 years and 100% of your first health insurance policy with us. There are tax benefits under the Income Tax Act, 1961 (in India); every taxpayer can avail an annual deduction up to Rs. 50,000 from his/her taxable income for Bajaj Allianz Medical Insurance premium paid for self and dependents in the family.
