10 Lakh Health Insurance Plan

In today's world, where healthcare costs are continuously on the rise, having a comprehensive health insurance plan is crucial. Bajaj General Insurance Limited offers an ₹ 10 Lakh Health Insurance policy designed to provide extensive coverage for various medical expenses. This policy ensures that you and your family are financially protected in the event of a medical emergency, allowing you to focus on recovery without worrying about the costs. With a sum insured of ₹10 Lakhs, this health insurance plan covers a wide range of medical treatments, hospitalisation expenses, and other healthcare-related costs, providing peace of mind and financial security.

Opting for an ₹10 Lakh Health Insurance plan from Bajaj General Insurance Limited comes with numerous benefits that make it a smart choice for individuals and families alike. Here are some key advantages:

No Claim Bonus

The health insurance of ₹10 lakh cover rewards insured for not making any claims during the policy period. This reward comes in the form of a no claim bonus, which can increase your sum insured, providing added benefits and financial protection.

Cashless Hospitalisation

One of the standout features of this health insurance plan is the cashless hospitalisation benefit. insureds can receive medical treatment at any of the network hospitals without having to worry about upfront payments. The insurance company settles the bill directly with the hospital, making the process smooth and hassle-free.

Tax Benefits

Premiums paid for the ₹10 Lakh Health Insurance plan are eligible for tax deductions under Section 80D of the Income Tax Act. This means you can save on your taxable income while securing comprehensive health coverage, making it a financially savvy decision.

Health insurance plans with a sum insured up to ₹10 lakh offer robust protection against medical expenses without its higher-premium bracket. These mid-range plans typically include hospitalisation costs, daycare procedures, pre- and post-hospitalisation expenses, ambulance charges, and coverage for specialist consultations. Plans from Bajaj  General Insurance include added advantages like room rent waivers, no claim bonus (NCB) benefits, and optional add-ons such as critical illness cover, maternity benefits, and wellness programmes.

This coverage band strikes a good balance—substantial enough to meet most hospitalisation needs, yet affordable for salaried professionals and middle-class families. It often comes with flexible sum insured options, daily cash allowance during hospital stays, and health check-up benefits. Policyholders also get access to a wide network of cashless hospitals, simplifying claim settlement via cashless billing. Such structured benefits help insured members focus on recovery, not finances.

Eligibility Criteria for ₹10 Lakh Health Insurance Coverage

To qualify for a ₹10 lakh sum insured, you should be aged between 18–65 years (sometimes up to 70 for renewals). Applicants should be medically fit and truthful in their disclosures—existing illnesses may lead to waiting periods or loadings. Some insurers may offer coverage to students aged 91 days and up. Family floater plans may include spouses, children up to age 25, and sometimes parents via a three-generation benefit. Policies typically require candidates to undergo preventive health screenings based on age and medical history.

Add-ons for ₹10 Lakh Health Insurance Policy

The ₹10 Lakh Health Insurance policy from Bajaj General Insurance Limited comes with several built-in add-ons that enhance the coverage and provide additional benefits to the insureds.

Non-medical Expenses Waiver:

This add-on covers non-medical expenses such as syringes, gloves, and other consumables that are usually not covered by standard health insurance policies. It ensures that you do not have to bear these additional costs out of pocket.

Room Rent Waiver:

The Room Rent Waiver add-on allows you to choose any type of hospital room without worrying about out-of-pocket expenses. Whether you prefer a private room or a suite, the entire room rent is covered under this plan.

Doctor On Call:

This feature allows insureds to schedule teleconsultations with doctors. It provides quick and convenient access to medical advice, making healthcare more accessible and efficient.

Choosing the Best ₹10 Lakh Health Insurance Plan

When selecting a ₹10 lakh health insurance plan, consider the coverage balance, claim settlement ratio, network hospitals, and add-ons. Start by verifying whether the insurer covers critical needs—room rent waiver, maternity, outpatient (OPD), and mental health. Check claim experience and customer reviews. A claim settlement ratio above 95% often indicates reliable performance.

Evaluate the policy's flexibility: Can you choose sub-limits, restore benefits, or select deductibles? Bajaj General Insurance offers plans with multi-tiered coverage, including restore and top‑up options, making it easier to scale benefits as per life stage. Compare premiums across individual versus floater options as well.

Network hospital coverage is vital. Ensure your city is well-covered under the insurer’s cashless network. Lastly, use a trusted premium calculator to compare quotes, adjust add-ons, and check for discounts—especially when applying online.

Why Choose an ₹10 Lakh Health Insurance Policy?

Investing in an ₹10 Lakh Health Insurance policy from Bajaj General Insurance Limited is a wise decision for several reasons. The policy provides extensive coverage, protects against rising healthcare costs, and ensures access to quality medical care, all while offering peace of mind.

Comprehensive Coverage

The policy covers a wide range of medical expenses, including inpatient and outpatient treatments, surgeries, diagnostic tests, and post-hospitalisation care. This ensures that you are well-protected against various medical contingencies.

Protection Against Rising Healthcare Costs

Healthcare inflation is a reality, and medical treatments are becoming increasingly expensive. An ₹10 Lakh Health Insurance policy provides a buffer against these rising costs, ensuring that you can afford quality healthcare without depleting your savings.

Peace of Mind

Knowing that you have a substantial health insurance of ₹10 lakh cover in place brings peace of mind. In the event of a medical emergency, you can focus on recovery instead of worrying about financial strain.

Access to Quality Healthcare

With a wide network of empanelled hospitals, the ₹10 Lakh Health Insurance policy ensures that you have access to quality healthcare facilities and treatments. You can receive the best possible care without worrying about the costs.

A ₹10 lakh sum insured is well-suited for working professionals, young families, and self-employed individuals. Here’s who benefits most:

●      Young couples or small families: Covers maternity, child vaccinations, and specialist visits.

●      Working parents: Good for managing day-care procedures and minor surgeries.

●      Middle-class employees: Protects against hospitalisation and lifestyle disease-related expenses.

●      Self-employed earners: Helps ensure uninterrupted cash flow in emergencies.

●      Pre-existing health conditions: Ideal for conditions that need regular monitoring or minor interventions.

●      Freelancers and entrepreneurs: Reduces financial stress due to high medical costs.

For anyone seeking substantial coverage without opting for higher-cost plans, a ₹10 lakh policy under Bajaj  General Insurance offers clarity, strong benefits, and easy access to medical services.

What is the Cost of Health Insurance for ₹10 Lakhs?

The cost of health insurance for an ₹10 lakh coverage can vary significantly based on multiple factors, making it essential to consider various elements before finalising a policy. Bajaj General Insurance Limited provides a range of health insurance options with competitive ₹10 lakh medical insurance premium rates and flexible payment plans, ensuring comprehensive coverage tailored to individual needs. Following are the factors affecting the same:

Age of the Insured

Age is one of the most crucial factors in determining the premium. Younger individuals generally pay lower premiums compared to older adults due to the lower risk of health issues. As age increases, the likelihood of requiring medical attention rises, thus increasing the premium amount.

Number of Dependents

The number of family members included in the policy also affects the premium. A policy covering multiple dependents will have a higher premium compared to an individual plan. This ensures that all family members are protected under a single policy, which can be more cost-effective than purchasing separate plans for each member.

Overall Health Condition

The health status of the insured at the time of purchasing the policy can impact the premium. Individuals with pre-existing conditions or a history of chronic illnesses may have to pay higher premiums due to the increased risk of claims.

How an ₹10 Lakh Health Insurance Plan Works

When you buy a ₹10 lakh plan, you select a base sum insured, policy tenure, co-payment, and optional add-ons. If hospitalised, you rely on a cashless or reimbursement process. In a cashless scenario, the insurer settles the bill directly with the hospital (subject to T&C and network status). For reimbursement, pay upfront and claim later via the insurer, submitting documents like bills, reports, discharge summaries, and prescriptions.

Many policies offer restoration benefits, where sum insured is reinstated post-claim, ensuring continued cover. Riders such as critical illness or maternity enhance protection for specific needs. Co-pay and deductibles lower your premium but require out-of-pocket contributions during claims.

Annual premium depends on age, city, health history, and optional benefits. At renewal, maintaining a claim-free record earns NCB—typically 10% per year—maxing out at 50%. This ₹10 lakh plan strikes a good reasoned balance between comprehensive protection and affordability offered by insurers like Bajaj General Insurance.

Factors That Affect Premiums for ₹10 Lakh Health Insurance

Multiple variables influence the price of a ₹10 lakh policy:

●      Age and health status: Older age and pre-existing conditions raise premiums.

●      Geographic location: Urban centres tend to have higher premiums due to higher healthcare costs.

●      Plan structure: Individual plans cost more than family floaters, but provide dedicated coverage.

●      Sub-limits & asylum: Adding room rent waiver, maternity, OPD, and daycare benefits escalate cost.

●      Riders: Including critical illness, personal accident, or restore benefit increases premium.

●      Deductibles/co-payments: Higher co-pay lowers your premium but adds claim-time expense.

●      Claim history and NCB: Claim-free applicants earn discount, while claim incidents may increase premium.

●      Coverage tenure: Longer policy terms may come with premium flexibility or discounts.

●      Insurer underwriting norms: Loadings for health risks, war-zone travel, or occupation impact pricing.

Understanding these factors helps tailor your ₹10 lakh health insurance to best suit both need and budget.

How to Use the ₹ 10 Lakh Premium Calculator?

Using a ₹10 lakh health insurance premium calculator helps you get an immediate estimate of your yearly cost. Begin by selecting whether you need an individual plan or a family floater. Enter basic details: age, city, number of insured members, and pre-existing health conditions.

Choose the sum insured as ₹10 lakh, then add optional coverages like room rent waiver, maternity, or critical illness. Select deductible or co-payment options, if available, to adjust your premium expectations. Online calculators from platforms associated with insurers like Bajaj General Insurance provide accurate quotes based on the most current product parameters.

The tool also allows for real-time comparison between insurers, showing how different add-ons or age brackets impact premiums. Once your preferred setup is ready, you can save or share the quote before proceeding. This ensures clarity on costs and lets you explore options without obligation.

While the calculator delivers a strong approximation, its accuracy hinges on the data entered. Basic metrics like age, city, and family size produce a ballpark figure, but actual underwriting may refine premiums further.

Factors affecting final pricing include medical history, declared pre-existing conditions, lifestyle (smoking, alcohol), and diagnostic test results (if required). Choosing additional riders or sub-limits also adjusts the premium from the base estimate.

However, calculators provided by reputed insurers like Bajaj General Insurance use up-to-date rates and regulatory norms to closely reflect prevalent market pricing. The tool’s flexibility allows you to toggle between coverage options, riders, and plan types to better plan your financial needs.

Always verify policy terms, waiting periods, and claim processes post-calculation. Use the estimate as a budgeting aid, then finalise the purchase only after reviewing the full policy documentation. This approach helps you secure quality ₹10 lakh health coverage at the right price.