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    Health Insurance

    India's First State-Specific Health Insurance Plan

    HealthGuard

    Your State, Your Insurance

    State-Wise Health Insurance with GST Benefits - Local Coverage, National Standards

    Coverage Highlights

    Comprehensive coverage for a worry-free tomorrow
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    • Region-Specific Premiums

    Adjusts your premiums as per the healthcare cost of your region from a range of 25 zones for to avail fair and local pricing

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    • Festive Protection

    Provides INR 1,000/day (up to 10 days) for emergency hospital stays during your state’s festival week

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    • Healthy Life Reward - Walk to Win

    Offers a 5% renewal discount if you complete 7,500 steps/day or 10% if you complete 10,000 steps/day 24 days a month, 9 months a year

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    • Extensive Coverage Options

    Covers robotic surgeries, AYUSH, organ donor costs, and more, with flexible sum insured options ranging from INR 5 to 20 lacs

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    • Tailored Protection for You

    Offers nationwide protection tailored to your region’s culture and needs, from Kashmir to Kanyakumari

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    • Note

    Please read policy wording for detailed terms and conditions

    Inclusions

    What’s covered?
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    • In-Patient Hospitalisation Treatment

    Offers comprehensive in-patient hospitalisation cover for your planned surgery or an unexpected illness to help you focus on your recovery not on your expenses

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    • Hospital Room Coverage

    Covers the cost of standard air-conditioned room ensuring you get the best care in a comfortable setting

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    • ICU Cover

    Covers your critical care expenses while ensuring you receive the best treatment without any financial burden

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    • Pre-Hospitalisation Medical Expenses

    Provides coverage for medical expenses for 30 days leading up to your hospital stay, ensuring you're prepared for the unexpected

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    • Post-Hospitalisation Medical Expenses

    Covers your post-hospitalisation medical expenses, including follow-up treatments and consultations, for up to 60 days after discharge

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    • Day Care Treatment

    Ensures that through advanced procedures you get back on your feet in less than 24 hours

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    • Organ donor expenses

    Offers coverage for organ transplant as per the policy terms, supporting the costs involved in the treatment

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    • AYUSH Hospitalisation Cover

    Coverage for ayurvedic, yoga, Unani, Siddha, and homoeopathic (AYUSH) treatment on a doctor’s advice for treating illness or physical injury

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    • Road Ambulance

    Covers emergency ambulance services to ensure you get swift and safe transport to the nearest medical facility

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    • Domiciliary Hospitalisation

    Ensures you receive the necessary medical care in the comfort of your home

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    • Modern Treatment Methods and Advancement in Technologies

    Covers modern treatments, like robotic surgeries and stem cell therapy, ensuring you have access to the latest medical advancements

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    • Floater & Individual Sum Insured

    Option to cover your family members under shared SI in case of a floater plan or separate SI in case of an individual plan

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    • Note

    Please read policy wording for detailed inclusions

    Exclusions

    What’s not covered?
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    • Investigation & Evaluation

    Expenses related to any admission primarily for diagnostics and evaluation purposes only are excluded even if the same requires confinement at a hospital

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    • Cosmetic or Plastic Surgery

    Expenses for cosmetic or plastic surgery or any treatment to change appearance unless for reconstruction following an accident, burn(s) or cancer or as part of medically necessary treatment to remove a direct and immediate health risk to the insured are not covered

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    • Hazardous or Adventure sports

    Expenses related to any treatment necessitated due to participation as a professional in hazardous or adventure sports, including para-jumping, rock climbing, mountaineering, rafting, motor racing, horse racing, scuba diving, hand gliding, sky diving, and deep-sea diving, are not covered

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    • Dietary Supplements & Substances

    Cost of supplements that are purchased without a prescription by a certified doctor as a part of treatment, including vitamins, minerals and organic substances is not covered

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    • Treatment for Self-Inflicted Acts

    Medical expenses incurred as a result of self-harm, illegal actions, hazardous activities, etc. are not covered

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    • Refractive Error

    Expenses related to the treatment for correction of eyesight due to refractive error less than 7.5 dioptres are excluded

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    • Unproven Treatments

    Expenses related to any unproven treatment, services, and supplies in connection with any procedures or supplies that lack significant medical documentation to support their effectiveness stay uncovered

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    • Sterility and Infertility

    Expenses related to sterility and infertility, including any contraception, sterilisation and advanced reproductive technologies (such as IVF, ZIFT, GIFT, and ICSI), gestational surrogacy and reversal of sterilisation are not covered

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    • Note

    Please read policy wording for detailed exclusions

    Additional Covers/Optional Covers

    What else can you get?
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    • Sum Insured Reinstatement

    Choose one-time or unlimited reinstatements each policy year for tailored, continuous protection

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    • Procedure-wise/Disease-wise Sublimit

    On opting for this sublimit, get a discount on premium up to 20%

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    • Super Cumulative Bonus

    Choose from three flexible growth options that match your health goals, get sum insured raised up to 200% as per the policy terms

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    • No Claim Discount

    1.5% discount on your next premium payment at renewal for every claim free year

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    • Cashless Discount

    Enjoy a 5% discount on your premium by choosing cashless claims at our network hospitals for no upfront payments. Reimbursement claims will require a 20% co-pay.

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    • Accidental Death Cover

    Get financial protection for your loved ones, ensuring they're cared for even when you can't be there due to personal accident

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    • Health Prime Rider

    Get coverage for in-person or online doctor consultation, dental wellness, emotional wellness, diet & nutrition consultations as per the chosen plan

    Region-Specific Health Insurance Across 25 Zones

    Aapke Liye is India's first state-specific regional health insurance policy. It is designed to address the healthcare needs and costs of different regions. The policy is available across 25 zones and offers region-specific premiums based on local healthcare expenses.

    This helps to make health insurance more relevant and accessible. With sum insured options ranging from ₹5 lakh to ₹20 lakh, this policy combines affordability with meaningful health protection. Aapke Liye health insurance also includes features such as festive protection, walk-to-win rewards, no claim discount and super cumulative bonus. These are subject to applicable terms and conditions. It is a personalised approach to health insurance and helps consumers choose a protection suited to their location and requirements.

     

     

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    Quick Overview:

    • 1

      25 Regional Zones:

      1. Aapke Liye offers you health insurance which is designed around healthcare costs across 25 designated zones in India.

    • 2

      Region Specific Premiums:

      1. Premiums are structured according to local healthcare expenses which makes coverage regionally relevant.

    • 3

      Festive Protect:

      1. Get ₹1,000 daily for emergency hospitalisation during your state's festival week subject to terms.

    • 4

      Walk-to-Win Rewards:

      1. All eligible customers get renewal discounts by meeting particular daily step-count requirements.

    • 5

      Cashless Advantage:

      1. Get a 5% premium discount when opting for cashless treatment at network hospitals subject to conditions.

    • 6

      Super Cumulative Bonus:

      1. Increase your Sum Insured through Super Cumulative Bonus options of up to 200% of the base Sum Insured.

    • 7

      Flexible Eligibility:

      1. The plan accommodates members from newborns to senior family members subject to applicable policy conditions.

    • 8

      Nationwide Protection:

      1. The regional benefits combine with broader health protection, helping customers secure coverage suited to their location.

    Read More

    Why Should You Choose Bajaj General State-Specific Health Insurance Plans?

    Selecting the right health insurance means looking beyond just basic coverage. With a region-focused approach and customer-centric features, we offer meaningful benefits which are designed around your healthcare needs.

    • Regional Approach

      Bajaj General Insurance brings a regional perspective to health insurance through Aapke Liye, designed around healthcare costs and requirements of different regions.

    • Local Pricing

      With coverage across 25 zones, premiums are structured according to regional healthcare costs. This makes the plan more relevant to local needs.

    • Smarter Health Choice

      From region specific pricing and flexible sum insured options, Bajaj General combines practical protection with innovative features to offer a personalised experience.

    • Unique Festive Benefit

      The unique festive protection feature provides financial support for emergency hospitalisation during the state's festival week, subject to policy terms.

    • Customer Focused Protection

      We offer more than just a one-size-fits-all approach. Aapke Liye is designed to consider regional healthcare requirements. This helps customers choose an aligned protection.

    • Rewards for Staying Active

      The Walk-to-Win feature rewards eligible customers for maintaining an active lifestyle with renewal premium discounts based on daily step counts.

    North Eastern Region

    Health

    North Eastern Region Health Insurance

    Assam

    বাজাজ এলায়েঞ্জ জেনেৰেল ইঞ্চুৰ

    • Aponar Babe- Assam
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    Mizoram

    I MIZORAM, I INSURANCE

    • I tan- Mizoram
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    Tripura

    আপনার ত্রিপুরা,আপনার বীমা

    • Apnar Jonyo- Tripura
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    Nagaland

    Toi la Nagaland la nam,toi la insurance

    • Opuni Karoni- Nagaland
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    Sikkim

    तपाईंको सिक्किम,तपाईंको बीमा

    • Tapainko Lagi- Sikkim
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    North Region

    Health

    North Region Health insurance

    Uttarakhand

    आपका उत्तराखंड,आपका इंश्योरेंस

    • Aapke Liye- Uttarakhand
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    Uttar Pradesh

    आपका उत्तरप्रदेश,आपका इंश्योरेंस

    • Aapke Liye- Uttar Pradesh
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    Punjab

    ਤੁਹਾਡਾ ਪੰਜਾਬ, ਤੁਹਾਡਾ ਬੀਮਾ

    • Tuhade Lai- Punjab
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    Himachal Pradesh

    आपका हिमाचल प्रदेश,आपका बीमा

    • Aapke Liye- Himachal Pradesh
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    J & K

    تُہُنٛد جۄم تٕ کٔشِر، تُہُنٛد بیمہٕ۔

    • Tuhund Khatir- Jammu & Kashmir
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    Ladakh

    ཁྱོད་ཀྱི་ལ་དྭགས། ཁྱོད་ ཀྱི་སྨན་བཅོས་སྲུང་སྐྱོབ།

    • Khyed kyi ched du- Ladakh
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    South Region

    Health

    South Region Health Insurance

    Andhra Pradesh

    మీ ఆంధ్రప్రదేశ్, మీ తెలంగాణ, మీ బీమా

    • Mee Kosam- Andhra Pradesh & Telanga
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    Karnataka

    ನಿಮ್ಮ ಕರ್ನಾಟಕ, ನಿಮ್ಮ ವಿಮೆ

    • Nimagagi- Karnataka
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    Kerala

    നിങ്ങളുടെ കേരളം, നിങ്ങളുടെ ലക്ഷദ്വീപ് നിങ്ങളുടെ ഇൻഷുറൻസ്

    • Ningalkkayi- Kerala (incl. Lakshadw
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    Tamil Nadu

    உங்கள் தமிழ்நாடு (புதுச்சேரி உட்பட), உங்கள் காப்பீடு

    • Ungalukkaga-Tamil Nadu
    Know More

    Andaman & Nicobar

    आपका अंडमान और निकोबार,आपका इंश्योरेंस

    • Aapke Liye- Andaman & Nicobar
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    East Region

    Health

    East Region Health Insurance

    Odisha

    ତୁମର ଓଡ଼ିଶା, ତୁମର ବୀମା

    • Apananka Pain- Odisha
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    West Bengal

    আপনার পশ্চিমবঙ্গ,আপনার বীমা

    • Apnar Jonyo- West Bengal
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    Meghalaya

    Meghalaya nangni chiangna, nangni Insurance

    • Na Ka bynta jong phi- Meghalaya
    Know More

    Manipur

    ꯑꯗꯪꯝꯒꯤ ꯃꯅꯤꯄꯨꯔ, ꯑꯗꯪꯝꯒꯤ ꯏꯟꯁꯨꯔꯦꯅ꯭ꯁ

    • Adomgidamak - Manipur
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    Bihar & Jharkhand

    आपका बिहार,आपका झारखंड, आपका इंश्योरेंस

    • Aapke Liye- Bihar & Jharkhand
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    West Region

    Health

    West Region Health Insurance

    Rajasthan

    आपका राजस्थान, आपका बीमा

    • Aapke Liye- Rajasthan
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    Madhya Pradesh

    आपका मध्यप्रदेश, आपका छत्तीसगढ़ आपका इंश्योरेंस

    • Aapke Liye- Madhya Pradesh & Chhatt
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    Goa

    तुजो गोवा, तुजी इंश्योरेंस

    • Tujya Khatir- Goa
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    Buy AapKe Liye Health Insurance in 5 Easy Steps

    Purchasing Aapke Liye health insurance is pretty simple when you are ready to protect yourself and your loved ones. Once you have understood the plan and its benefits, follow these five steps to complete your purchase
    1
    1. Choose your state or zone to view the applicable Aapke Liye offering.
    2
    Provide required information to get a personalised premium quote.
    3
    1. Select a sum insured from available options of ₹5 lakh to ₹20 lakh.
    4
    1. Check for premium, benefits, coverage and applicable terms before proceeding.
    5
    1. Make online payment and get your policy details subject to successful processing and issuance.
     

    How State-Specific Health Insurance Works?

    State-specific insurance takes a regional approach to health protection. Aapke Liye by Bajaj General is designed around healthcare expenses, needs and regional requirements of people across 25 zones in India. This makes the policy more relevant to where you live while offering nationwide protection. 
    1
    1. Your premium is based on healthcare costs of your applicable zone.
    2
    1. Features such as festive protection are designed around state-specific cultural needs.
    3
    1. The plan offers coverage for hospitalisation, AYUSH, organ donor expenses, modern treatments and more. 
    4
    1. Additional covers and benefits allow you to tailor your protection according to your needs.
     

    State-wise Health Insurance Coverage

    • 1

      Region-Specific Pricing:

      1. Premiums are adjusted according to healthcare costs in your region.

    • 2

      Local Relevance:

      1. The coverage is designed to reflect regional lifestyles and healthcare requirements.

    • 3

      Festive Protection:

      1. You can get ₹1,000 per day up to 10 days for emergency hospitalisation during your state's festival week.

    • 4

      Flexible Coverage:

      Choose a sum insured between ₹5 lakh and ₹20 lakh.

    • 5

      Healthy Rewards:

      Get renewal discounts through walk-to-win programmes.

    • 6

      Cashless Advantage:

      1. Get a 5% premium discount when choosing cashless claims at network hospitals subject to applicable terms.

    • 7

      Growing Protection:

      1. Choose Super Cumulative Bonus options that can enhance your Sum Insured by up to 200%, subject to policy terms.

    • 8

      Nationwide Protection:

      1. Enjoy a region-tailored benefit with protection designed for customers across India.

    Read More

    Eligibility Criteria for AapKe Liye Health Insurance

         Wondering what is the eligibility criteria of Aapke Liye health insurance? Here is an overview of the criteria:

    Eligibility Criteria Specifications

    Nationality

    Indian citizens with a valid Aadhaar card can avail Aapke Liye health insurance in their applicable zone.

    Age Limit

    There is no age limit for the plan.

    Children and Newborns

    Coverage is available from newborn babies to eldest members of the family subject to policy terms.

    Geographical Availability 

    Aapke Liye is available across 25 designated regions with premiums adjusted according to regional healthcare costs. 

    Sum Insured

    Customers can choose from ₹5 lakh, ₹7.5 lakh, ₹10 lakh, ₹15 lakh and ₹20 lakh options.

    Identification

    A valid Aadhaar card is specified as a requirement for availing the plan.

    Documents Required for Aapke Liye Health Insurance

         Purchasing Aapke Liye health insurance is a very simple process. You only need a few basic documents to complete your application and verify your details. 
    1
    1. Policy Proposal Form: A duly completed policy proposal form provided by Bajaj General Insurance.
    2
    1. Residential Proof: Aadhaar card, passport, voter ID, electricity bill, driving licence or ration card.
    3
    1. Age Proof: Aadhaar card, passport, birth certificate, PAN card, 10th/12th marksheets or ration card.
    4
    Identity Proof: Aadhaar card, PAN card, driving licence, voter ID or passport.
     

    Step-by-Step Guide

    How to Buy Aapke Liye Health Insurance Online?

    How to Buy

    • 1

      Visit Bajaj General website

    • 2

      Enter personal details

    • 3

      Compare health insurance plans

    • 4

      Select suitable coverage

    • 5

      Check discounts & offers

    • 6

      Add optional benefits

    • 7

      Proceed to secure payment

    • 8

      Receive instant policy confirmation

    How to Renew

    • 1

      Login to the app

    • 2

      Enter your current policy details

    • 3

      Review and update coverage if required

    • 4

      Check for renewal offers

    • 5

      Add or remove riders

    • 6

      Confirm details and proceed

    • 7

      Complete renewal payment online

    • 8

      Receive instant confirmation for your policy renewal

    How to Claim

    • 1

      Notify Bajaj General about the claim using app

    • 2

      Submit all the required documents

    • 3

      Choose cashless or reimbursement mode for your claim

    • 4

      Avail treatment and share required bills

    • 5

      Receive claim settlement after approval

    How to Port

    • 1

      Check eligibility for porting

    • 2

      Compare new policy benefits

    • 3

      Apply before your current policy expires

    • 4

      Provide details of your existing policy

    • 5

      Undergo risk assessment by Bajaj General

    • 6

      Receive approval from Bajaj General

    • 7

      Pay the premium for your new policy

    • 8

      Receive policy documents & coverage details

    Download Policy Document

    Get instant access to your policy details with a single click.

    FAQ's

    What is AapKe Liye Health Insurance?

    AapKe Liye Health Insurance is a comprehensive health insurance plan to provide tailored coverage across 16 unique regions in India. It offers region-specific premiums, festive protection, and rewards for healthy habits among other benefits.

    How does the region-specific premium work for this policy?

    The premiums for AapKe Liye Health Insurance adjust according to the healthcare costs in your specific region. This ensures fair and local pricing across 16 zones in India.

    What is Festive Protection in this policy?

    During your state's festival week, AapKe Liye provides INR 1,000 per day (up to 10 days) for emergency hospital stays, ensuring you have extra support during festive times.

    How can I earn a renewal discount with the Walk to Win program?

    You can earn a 5% renewal discount by walking 7,500 steps daily or a 10% discount by walking 10,000 steps daily for 24 days a month, 9 months a year.

    What types of treatments are covered in AapKe Liye Health Insurance?

    The plan covers a wide range of treatments, including robotic surgeries, AYUSH treatments, organ donor costs, and more. You can choose from flexible sum insured options ranging from INR 5 lacs to INR 20 lacs.

    What are the waiting periods for pre-existing diseases in this policy?

    The waiting period for pre-existing diseases is 36 months, while the waiting period for specific diseases and procedures is 24 months.

    What is the Super Cumulative Bonus feature in this policy?

    This feature allows your health insurance coverage to grow over time. You can choose from three options: 25% of SI every year up to 100% of SI, 25% of SI every year up to 200% of SI, or 50% of SI every year up to 100% of SI. This means your coverage can increase significantly, providing you with enhanced protection as you maintain your health.

    How is AapKe Liye Health Insurance different from other policies?

    This policy is unique because it offers region-specific premiums, festive protection, and rewards for healthy habits. It also provides comprehensive coverage tailored to the cultural and healthcare needs of different regions across India.

    Which festivals are covered under the Festive Protection benefit?

    AapKe Liye has listed region-wise festivals for its festival week hospitalisation cover, making it the most apt regional health insurance. Along with festivals like Diwali, Eid, Christmas, Holi, and others celebrated across India, regional specials like Gangaur, Durga Puja, Bihu, Ugadi, etc., are also covered.

    What is the coverage range offered under this plan?

    With AapKe Liye state-wise health insurance plan, you have the option to choose the sum-insured from 5 lakhs to 20 lakhs, depending on your needs.

    How is the festival benefit applicable?

    Yes, if a person buys a policy from Bihar with a Bihar pincode and is travelling to Mumbai during Chhat Puja and happens to meet with an emergency situation, they will be eligible for Festive Protect.

    Does the policy cover AYUSH treatments and robotic surgeries?

    Yes, from Ayurveda to Homeopathy, AapKe Liye health insurance supports traditional treatments that complement modern medicine for a balanced approach. The regional health insurance also covers robotic surgeries and advanced treatment methods like stem cell therapy among others.

    Is organ donor expense included in the coverage?

    Yes, AapKe Liye cover supports the organ donor’s treatment for harvesting of the donated organ up to In-Patient Hospitalization Treatment.

    What sum insured options are available in this plan?

    AapKe Liye has the following sum-insured options to choose from: 5 lakhs/7.5 Lakhs/10 Lakhs/15 Lakhs/20 Lakhs

    How does the cashless discount work if the claim is reimbursed due to no cashless facility?

    If this cover is opted for, a 5% discount will be applied. In case the policyholder goes for a non-cashless facility voluntarily, a co-pay of 20% will apply for each claim. However, if the cashless facility cannot be extended to the insured due to circumstances beyond their control, we will not enforce the co-pay. This will be decided on a case-by-case basis.

    How does the ‘Walk to Win’ reward affect my policy renewal premium?

    At each renewal of AapKe Liye Policy with us, you are eligible for a wellness discount as per the below-mentioned criteria that should be fulfilled by you during the preceding policy year. Steps can be tracked through our mobile application — 7,500 steps daily for 24 days of every month, for a minimum of 9 months in a policy year, to get 5% & for 10,000 steps daily for 24 days of every month, for a minimum of 9 months in a policy year, get 10%.

    What is the Eligibility Criteria to earn the “Walk to Win” Discount?

    This discount and criteria are applicable for members aged 21 years and above. In case of long-term policy and floater policies, the criteria for the steps count mentioned here have to be met by each Insured Person every year in a long-term policy to be eligible for a discount at renewal — 7,500 steps daily for 24 days of every month, for a minimum of 9 months in a policy year, to get 5% & for 10,000 steps daily for 24 days of every month, for a minimum of 9 months in a policy year, get 10%.

    In a long-term policy, how will the discount be calculated if the number of parameters achieved every year is different?

    During renewal of long-term policies, the discount for each year will be calculated as per the corresponding parameters achieved in the previous tenure.

    Can sum-insured reinstatement be carried forward to the next policy year?

    The sum-insured reinstatement will not be carried forward in subsequent year. If the Date of Admission falls within the policy period, the SI reinstatement can be utilized to pay the claim for that hospitalisation, subject to other policy terms and conditions.

    What are the waiting periods for pre-existing diseases in this policy?

    The waiting period for pre-existing diseases is 36 months, while the waiting period for specific diseases and procedures is 24 months.

    What is the Super Cumulative Bonus feature in this policy?

    This feature allows your health insurance coverage to grow over time. You can choose from three options: 25% of SI every year up to 100% of SI, 25% of SI every year up to 200% of SI, or 50% of SI every year up to 100% of SI. This means your coverage can increase significantly, providing you with enhanced protection as you maintain your health.

    How is AapKe Liye Health Insurance different from other policies?

    This policy is unique because it offers region-specific premiums, festive protection, and rewards for healthy habits. It also provides comprehensive coverage tailored to the cultural and healthcare needs of different regions across India.

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