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    Accident Insurance

    Personal Accident Insurance Policy

    Key Features

    Secure Your Future Against Accidents

    Coverage Highlights

    Key Benefits of this Plans
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    • Assured Payout

    Acts as a financial cushion by paying a lumpsum amount in case of accidental death/ disability to protect you or your dependents from hardships of life

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    • Financial Peace of Mind

    Provides financial security to the insured's family in the event of the insured's Accidental Death and Permanent Total Disability

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    • Cover Types

    Offers financial protection by covering Accidental Death, Disabilities, Medical Expenses, and other related costs due to accidents

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    • Note

    Please read Policy wording for detailed terms and conditions

    Inclusions

    What’s covered?
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    • Personal accident cover

    Provides cover in case of death or disability caused due to an accident.

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    • Children education benefit

    In case of death or disability caused due to an accident, up to 2 dependent children are eligible to receive the children education benefit.

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    • Hospital confinement allowance

    In case of death or disability caused due to an accident, a cash benefit is applicable for each day of hospitalisation.

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    • Medical expenses due to an accident

    If the claim is accepted under death or disability, reimbursement of the cost of medical expenses is applicable up to 40% of the valid claim amount or actual medical bills, whichever is lesser.

    Exclusions

    What’s not covered?
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    • 01

    Accidental bodily injury as a result of suicide, attempted suicide or self-inflicted injury or illness.

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    Accidental injury/death under the influence of liquor or drugs.

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    Accidental injury/death caused as a result of committing any breach of law with criminal intent.

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    Accidental injury/death as a result of engaging in aviation or ballooning, while mounting into, dismounting from or travelling in any balloon or aircraft other than as a passenger (fare paying or otherwise) in any duly licensed standard type of aircraft anywhere in the world.

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    Accidental injury/death as a result of participating as the driver, co-driver or passenger of a motor vehicle during motor racing or trial runs.

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    Any curative treatments or interventions that you carry out or have carried out on your body.

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    Participation in any naval, military or air force operations whether in the form of military exercises maintained without a break or war games or actual engagement with the enemy, whether foreign or domestic.

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    Your consequential losses of any kind or your actual or alleged legal liability.

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    Venereal or sexually transmitted diseases.

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    HIV and/or any HIV related illness including AIDS and/or mutant derivatives or variations thereof however caused.

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    Pregnancy, resulting childbirth, miscarriage, abortion, or complications arising out of any of these.

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    • 12

    Treatment arising due to war (whether declared or not), civil war, invasion, an act of foreign enemies, rebellion, revolution, insurrection, mutiny, military or usurped power, seizure, capture, arrest, restraint or detainment, confiscation or nationalisation or requisition of or damage by or under the order of any government or public or local authority.

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    • 13

    Treatment arising due to nuclear energy, radiation.

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    • Note

    Please read Policy wording for detailed exclusions

    Additional Covers

    What else can you get?
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    • Transportation of Mortal Remains Cover

    Pays up to 2% of Death Cover sum insured for expenses of transporting mortal remains

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    • Children's Education Benefit

    Pays agreed amount as educational cost in case of Death or Permanent Total disability of proposer towards dependent children under the age of 19

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    • Hospital Confinement Allowance

    Pays upto INR 2500 per day in case of hospitalization resulting from accidental bodily injury

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    • Accidental Hospitalization Expenses Cover

    Pays agreed amount in case of accidental hospitalization

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    • Cumulative Bonus

    10% cumulative bonus of Sum insured for every claim free year

    Key Features

    A policy that offers protection against accidents with the following features :

    Extensive Cover 

    ●        Death: In case of death due to an accident, 100% of the sum insured will be payable to your nominee.

    ●        Permanent total disability (PTD): In case of PTD due to an accident, avail compensation of 125% of the sum insured.

    ●        Permanent partial disability (PPD): In case of permanent partial disability due to an accident, we will pay the percentage of sum assured as applicable:

    Scale of benefits description

    Compensation as % of sum insured

    An arm at the shoulder joint

    70

    An arm above the elbow joint

    65

    An arm beneath the elbow joint

    60

    A hand at the wrist

    55

    A thumb

    20

    An index finger

    10

    Any other finger

    5

    A leg above the mid-thigh

    70

    A leg up to mid-thigh

    60

    A leg up to beneath the knee

    50

    A leg up to mid-calf

    45

    A foot at the ankle

    40

    A large toe

    5

    Any other toe

    2

    An eye

    50

    Hearing loss in one ear

    30

    Hearing loss on both ears

    75

    Sense of smell

    10

    Sense of taste

    5

    ●        Temporary total disability (TTD): In case of TTD, you are eligible to receive 1% of the sum insured or Rs 5,000 per week, whichever is lesser.

    This policy insures:

    1. Hospital confinement allowance: If the claim is accepted under death, permanent total disability, permanent partial disability, or temporary total disability, then, we will pay you Rs 1,000 per day of hospitalisation, maximum up to 30 days per policy period.

    2. Children education benefit: In case of death or permanent total disability, one-time payment of Rs 5,000 will be payable towards the cost of education for each dependent child, up to 2, who are under 19 years on the date you met with the accident.

    3. Covers medical expenses due to accidental injury: If the claim is accepted under death, permanent total disability, permanent partial disability, or temporary total disability, then, we will reimburse the cost of medical expenses due to the accidental injury up to 40% of the valid claim amount or actual medical bills, whichever is lesser.

    Benefits You Deserve

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    Comprehensive Coverage

    Offers protection through base and optional covers

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    Cumulative Bonus

    Avail a cumulative bonus of 10% of the sum insured for every claim-free year

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    High Sum Insured

    Choice of sum insured from INR 10 Lacs to INR 25 Lacs

    Claim Process

    In case of any accidental bodily injury/death that may result in a claim, please follow the below mentioned process:

    ●        You, or your loved one who is making the claim on your behalf, must inform us in writing within 30 days.

    ●        You must immediately consult a doctor and follow the advice and treatment that they recommend.

    ●        You must take reasonable steps to lessen the consequence of the bodily injury.

    ●        You must have yourself examined by our medical advisors (if required).

    ●        You, or your loved one who is making the claim on your behalf, must provide all the documentation and information required to investigate and settle the claim.

    ●        In case of your death, a loved one who is making the claim on your behalf, must inform us in writing and send us a copy of the post-mortem report within 30 days (if required).

    The other relevant documents to be submitted along with the claim form are as follows:

    Death 

    ●        Duly completed claim form signed by the nominee/legal heir.

    ●        A copy of the police Panchanama/inquest Panchanama, FIR, post-mortem report, and death certificate.

    ●        Attested copy of the viscera report (only if it is preserved and sent for further analysis which is mentioned on the post-mortem report).

    ●        NEFT details and cancelled cheque of the nominee/legal heir of the insured person.

    ●        A copy of your Aadhaar card, or any other government photo ID and PAN Card. This is not mandatory if your ID card is linked with the policy while issuance or in a previous claim.

    PTD (Permanent Total Disability), PPD (Permanent Partial Disability) and TTD (Temporary Total Disability) 

    ●        Duly completed claim form signed by the insured.

    ●        Attested copy of the disability certificate from a civil surgeon of a government hospital stating percentage of disability.

    ●        X-ray and medical examination reports supporting the disability.

    ●        Attested copy of FIR (if any).

    ●        Photograph of the patient before and after the accident, supporting the disability.

    ●        NEFT details and cancelled cheque of the insured person.

    ●        A copy of your Aadhaar card, or any other government photo ID and PAN Card. This is not mandatory if your ID card is linked with the policy while issuance or in a previous claim.

    Children Education Bonus 

    ●        Bonafide certificate from school/college or certificate from the educational institution.

    ●        A copy of your Aadhaar card, or any other government photo ID and PAN Card. This is not mandatory if your ID card is linked with the policy while issuance or in a previous claim.

    Hospital Confinement Allowance/Medical Expenses Reimbursement 

    ●        First consultation letter from the doctor.

    ●        Duly completed claim form signed by the claimant.

    ●        Hospital discharge card.

    ●        Hospital bill giving detailed break-up of all expense heads mentioned in the bill. Clear break-ups have to be mentioned for OT charges, doctor’s consultation and visit charges, OT consumables, transfusions, room rent, etc.

    ●        Money receipt, duly signed with a revenue stamp.

    ●        All original laboratory and diagnostic test reports, for example, X-ray, ECG, USG, MRI Scan, haemogram, etc.

    ●        Other documents may be required by Bajaj General Insurance to process the claim.

    ●        A copy of your Aadhaar card, or any other government photo ID and PAN Card. This is not mandatory if your ID card is linked with the policy while issuance or in a previous claim.

    Download Policy Document

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

    Why Choose Bajaj General Personal Guard?

    An accident can take less than 60 seconds to irrevocably change your life. It can happen to you or any of your family members; anywhere and at any time and you need to be prepared for it. We don’t know what is in store for us in the unforeseeable future but we can always stay ready to face it.

    We, at Bajaj General Insurance, understand this and our Personal Guard insurance policy is designed to cover you from the consequences of any unforeseen accidents. This health insurance policy helps you get your life back to normal after an accident, by paying your medical bills, providing children education benefit and much more.

    Your financial security is in the right hands with our Personal Guard policy that covers you and your family against any accidental bodily injury, disability or death.

    To understand the different types of covers available under this policy,

    Sl / Age

    Basic

    Wider

    Comprehensive

    Death

    Yes

    Yes

    Yes

    Permanent Total Disability

    No

    Yes

    Yes

    Permanent Partial Disability

    No

    Yes

    Yes

    Temporary Total Disability

    No

    No

    Yes

    Children's Education Bonus

    Yes

    Yes

    Yes

    Sum Insured

    Yes

    Yes

    Yes

    Medical Expenses + Hospital Confinement

    Yes

    Yes

    Yes

    We offer a whole lot when it comes to Personal Guard.

    Health Companion

    Healthassessment

    Track, Manage & Thrive with Your All-In-One Health Companion

    From fitness goals to medical records, manage your entire health journey in one place–track vitals, schedule appointments, and get personalised insights

    Healthmanager

    Take Charge of Your Health & Earn Rewards–Start Today!

    Be proactive about your health–set goals, track progress, and get discounts!

    Healthassetment

    Your Personalised Health Journey Starts Here

    Discover a health plan tailored just for you–get insights and achieve your wellness goals

    Healthmanager

    Your Endurance, Seamlessly Connected

    Experience integrated health management with us by connecting all aspects of your health in one place

    Step-by-Step Guide

    To help you navigate your insurance journey

    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 renewal portal

    • 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

    • 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

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    What Our Customers Say

    Helpful in Emergencies

    "The claim process was quick and hassle-free. I received my hospital cash benefit within days!"

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    Anand Sharma

    Mumbai

    4.2

    29th May 2021

    Good Coverage

    "This policy gave me peace of mind knowing my family is protected. Highly recommend it!"

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    Priya Moorthy

    Bengaluru

    4.0

    26th Jul 2021

    Instant Policy Issuance

    "The education support helped us cover school fees after my accident. Truly a lifesaver."

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    Ravi K.

    Delhi

    4.3

    25th Mar 2019

    Affordable & Reliable

    "I was impressed by the quick reimbursement for my medical expenses. Great service!"

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    Shweta T

    Pune

    4.4

    22nd Apr 2019

    Instant Policy Issuance

    "The policy's comprehensive coverage ensured I had

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    Vikram Ramesh

    Chennai

    4.4

    4th Feb 2023

    FAQ's

    Why should I have a personal accident cover?

    Personal accident policies provide financial support in case of death/injury/disability as a result of an accident. Unexpected medical expenses can be a major setback financially. A comprehensive personal accident insurance allows you to be financially secure, even after an unforeseen event.

    How do I submit my claim?

    If you meet with an accident and injure any part of your body that may result in a claim, you or a loved one who is making the claim on your behalf must inform us in writing immediately or within 14 days. In case of death due to an accident, it must be informed to us in writing immediately and a copy of the post-mortem report should be sent to us within 14 days.

    How soon will my claim be settled?

    Bajaj General Insurance believes in quick processing of claim settlements. Claims are processed within seven working days from the date of fulfilling all the requirements.

    Does the Personal Guard policy cover natural death or death due to some illness/disease?

    No, Personal Guard policy only covers death occurring due to accidents or accidental injuries.

    What is the entry age under Personal Guard policy?

    The eligibility to opt for Personal Guard policy is as given below: Entry age for proposer and spouse is between 18 years to 65 years. Entry age for dependent children is between 5 years to 21 years.

    Why is medical insurance necessary for your health?

    Medical insurance provides financial protection against unexpected medical expenses, ensuring access to quality healthcare without depleting your savings.

    How many dependent members can I add to my family health insurance pla

    You can add your spouse, children, parents, and other dependents as per the policy terms, ensuring comprehensive family coverage.

    Why should you compare health insurance plans online?

    Online comparison helps you find the best plan that suits your needs and budget, offering a clear understanding of coverage and benefits.

    Why should you never delay the health insurance premium?

    Delaying premiums can result in policy lapse, losing coverage benefits and financial protection, and may lead to difficulties in renewing the policy.

    How to get a physical copy of your Bajaj General Insurance Com

    Request a physical copy from the insurer or take a printout of the digital policy document received via email.

    Is there a time limit to claim health cover plans?

    Claims should be made within the stipulated time as per the policy terms to avoid rejection and ensure timely processing.

    What exactly are pre-existing conditions in an Individual Health Insur

    Pre-existing conditions are medical conditions you had before buying your Individual Health Insurance plan. Coverage for these might require waiting periods or exclusions. Be transparent about your health history.

    How is the insurer going to pay my hospital bills?

    Insurers cover hospital bills through reimbursement (you pay upfront and get reimbursed later) or cashless hospitalisation (insurer settles bills directly with network hospitals).

    Are there any tax advantages to purchasing Individual Health Insurance

    Individual Health Insurance premiums often qualify for tax deductions under Section 80D of the Income Tax Act (India).

    Why should I need Personal Medical Insurance?

    Personal medical insurance offers financial protection against unexpected medical expenses due to illness, accidents, or hospitalisation. It provides peace of mind and safeguards your savings.

    How do I go about renewing health insurance plans?

    Don’t stress the small things in life! The easiest and quickest way to renew your life insurance policy is by doing it online. Topping up your health cover gives you freedom from worrying about heavy medical expenses.

    How is the health insurance renewal premium calculated?

    We know that reading through the ponderous terms and conditions section of a health insurance policy isn’t always easy. So, here is the quick answer. Your renewal premium is calculated based on your age and coverage. As always, you can put the power of compounding to good use by investing in health insurance as early as possible.

    Can I renew my expired health insurance policy?

    Yes, of course. Life can get really busy and even things as important as renewing your health insurance plan can get side-lined. With Bajaj General, we turn back the clock to give a grace period where you can renew your expired policy. For 30 days from the expiry date, you can still renew your health cover with ease. Now, you can run the race at yo

    Can I renew health insurance online?

    Absolutely! All you have to do to renew your health insurance is click or tap a few times! You can definitely renew health insurance policies online and also buy new policy for your family & friends click here to know more.

    Will I be able to transfer my health insurance policy from another pro

    Yes, as per IRDAI regulations, insurance portability between providers is allowed. This also includes transfer of benefits like Cumulative Bonus and credits relating to waiting period for pre-existing diseases.
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