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02 জুন 2026

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While describing health insurance vs critical illness insurance, the difference in coverage comes to mind at first. Whereas a normal health insurance covers a range of diseases and illnesses, including hospitalisation costs, a critical illness insurance only provides coverage for a specific range of serious illnesses, including kidney failure, cancer, sensory organs care, neuro care, heart issues, and so on.
Having clarity between these two is crucial. That is why, here is a blog that highlights how these two types of insurance policies differ in terms of coverage, features, claim process and exclusions. This will help you to make an informed decision while investing in the right insurance plan.
A health insurance policy is a contract between you and an insurer that covers medical expenses incurred due to illness, injury, or hospitalisation. It helps reduce out-of-pocket healthcare costs and includes benefits like hospital stays, surgeries, doctor consultations, and diagnostic tests.
The best health insurance providers in India such as Bajaj General Insurance, offer wide coverage, cashless hospitalisation benefits at network hospitals at an affordable premium.
Depending on the plan chosen, policies may also offer pre- and post-hospitalisation coverage, day-care procedures, and wellness services. Health insurance is essential for ensuring timely and affordable care.
A critical illness policy provides a lump-sum payout upon diagnosis of specific life-threatening diseases like cancer, heart attack, kidney failure, or stroke. Unlike standard health insurance, it doesn’t reimburse bills—it provides funds you can use as needed, whether for treatment, home care, or income replacement.
For example, products such as Criti Care Policy from Bajaj General Insurance are designed to protect your finances whenever there is a major health crisis, especially advanced treatments involving higher costs. So, investing in this type of plan ensures peace of mind for you and your family.
এছাড়াও পড়ুন: List of Common Exclusions in Health Insurance Policy
According to a report published by the Economic Times, critical illness insurance is complementary to a standard health insurance plan to cover extravagant costs associated with illnesses like heart attack, stroke, and cancer.
So if you are wondering, “What is health insurance vs critical illness insurance”? Here is a table of differences between regular health insurance and critical illness cover that can help you get a clear picture.
পার্থক্য সম্পর্কিত পয়েন্ট | রেগুলার হেলথ ইনস্যুরেন্স | ক্রিটিকাল ইলনেস কভার |
কভারেজ করে |
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পরিশোধ | A normal health insurance policy will pay for the expenses incurred for a medical treatment, and your SI will change accordingly. | A critical illness insurance will pay you a lump sum amount once any of the listed critical illnesses is diagnosed, and then the policy will cease to exist. |
ক্লেমের সংখ্যা | You can make multiple claims with your health insurance policy and also top it up with add-on covers like our Extra Care Plus policy. | You can make only a single claim during the policy duration, after which the policy will cease to exist. |
পলিসির মেয়াদ | A regular health insurance policy has a policy term of 1, 2, or 3 years. So, if you get a health insurance policy for 3 years, then it will need renewal once every 3 years. | The critical illness policy is an annual policy, and it needs renewal every year. This policy comes with the benefit of a lifetime renewal option. |
ক্যাশলেস ক্লেম | You can avail the benefit of cashless claims at network hospitals with your regular health insurance policy. | The critical illness policy is an annual policy, and it needs renewal every year. This policy comes with the benefit of a lifetime renewal option. |
প্রিমিয়ামের পরিমাণ | The premium costs of regular health insurance plans are a little on the higher side, as they provide extensive coverage. | The premium rates of a critical illness plan are comparatively lower as the coverage is limited to the number of illnesses covered in the policy. |
We're sure that this comparison must have cleared many of your doubts. However, if you still have some questions, do not hesitate to get in touch with us either online or offline (customer care executives).
You can also read our brochures published on our site and get a deeper knowledge about the various health insurance plans various health insurance plans. We hope that knowledge about the various health insurance plans will help.
এছাড়াও পড়ুন: List of Critical Illnesses Covered in Health Insurance
Now that you have an understanding of health insurance vs critical illness insurance, you are aware that both of these serve different purposes.
Whereas health insurance manages routine and emergency medical expenses, a critical illness cover provides a lump sum when a policyholder gets diagnosed with a specific serious illness. Health insurance experts recommend combining both these coverages to avail holistic protection.
Whether you own a health insurance or a critical illness insurance, here is how to make a claim:
Step 1: Notify the insurer immediately (in case of hospitalisation).
Step 2: Submit required documents – claim form, ID proof, doctor’s advice, medical bills, etc.
Step 3: For critical illness, submit diagnostic reports confirming the illness.
Step 4: Choose between cashless or reimbursement mode.
Step 5: The insurer will verify and approve the claim as per policy terms.
Using the Bajaj General Insurance Limited’s Bajaj General App simplifies the process with easy uploads and real-time updates.
এছাড়াও পড়ুন: Factors to Consider When Buying Health Insurance for Parents
With a consistent rise in healthcare costs and lifestyle diseases being increasingly prevalent, having only a single type of health insurance coverage is not sufficient. This is where understanding health insurance vs critical illness insurance becomes crucial.
Where the standard health plan will cover hospitalisation and basic medical expenses, the critical illness insurance will take care of serious medical conditions. A combination of both will ensure financial stability and peace of mind.
Looking for the best health insurance providers in India? Choose Bajaj General Insurance’s আমার হেলথ কেয়ার প্ল্যান for a tailored health cover and combine it with the Criti Care plan to create a solid financial shield that protects against all kinds of medical concerns.
It is not mandatory, but highly recommended. Combining critical health insurance cover with your standard health insurance plan will not only protect you during pre- and post-hospitalisation, but it will also cover a policyholder financially if a serious illness strikes.
Most of the insurance providers in India cover cancer, kidney failure, paralysis, coma, heart ailments, and so on under the critical illness insurance. To learn the names of all the diseases, you can visit the official website of your insurer or contact the customer service providers directly.
Whereas health insurance covers a wide range of health issues, including hospitalisation, medications and treatment costs, a critical illness insurance provides a lump sum amount when a policyholder gets diagnosed with a critical illness.
It is hard to say which one is better while discussing health insurance vs critical illness insurance since their purposes vary. However, experts recommend getting both for extended coverage.
Yes, you can purchase critical illness insurance separately. Purchasing this policy will allow you to get a lump sum payout that you can use as per your will. For example, you can use it to cover treatment expenses or to replace lost income upon being diagnosed with a severe disease.
*Standard T&C apply. Insurance is the subject matter of solicitation. For more details on benefits, exclusions, limitations, terms, and conditions, please read the sales brochure/policy wording carefully before concluding a sale.
With GST waiver, individual and family floater policies for health, personal accident, and travel insurance (on retail basis) are 18% cheaper from 22 September 2025. Secure what matters at an affordable price!
