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    Health Insurance

    Health Insurance In West Bengal

    HealthGuard

    Your State, Your Insurance

    INDIA'S FIRST HEALTH INSURANCE TAILORED FOR EVERY STATE

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    Comprehensive coverage for a worry-free tomorrow
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    • Festive Protect

    In the event of emergency hospitalization due to acute illness or accidental injury during a festival week of your state, policyholders receive an additional INR 1,000 per day of hospitalization, up to 10 days in a policy year.

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    • Walk to Win

    Stay active and save! Achieve 7,500 steps daily for 24 days each month (for at least 9 months in a year) and earn a 5% wellness discount at renewal. Step it up to 10,000 steps daily for a 10% discount.

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    • State specific Premiums

    Premium rates are adjusted based on regional healthcare costs, ensuring fair pricing that reflects the local healthcare ecosystem

    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

    General Exclusions

    What’s not covered?
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    • Investigation & Evaluation

    Rest Cure, rehabilitation and respite care

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    • Obesity/Weight Control

    Cosmetic or plastic Surgery

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    • Hazardous or Adventure sports

    Breach of law

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    • Excluded Providers

    Treatment for Alcoholism, drug or substance abuse or any addictive condition and consequences thereof.

    Additional Covers/Optional Covers

    What else can you get?
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    • Sum Insured Reinstatement

    Refill your hospital limit once or unlimited times after a 2-day cooling period

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    • Procedure/Disease Sublimit

    Opting for this cover earns you a 15% discount if you're under 35 years of age, or 20% off for those who are 35+

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    • Super Cumulative Bonus

    Stay claim-free, get up to 200% extra coverage (25-50% boost/year)

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    • No Claim Discount

    Swap bonus for 1.5% off renewal premium.

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    • Cashless Discount

    Use cashless hospitals for 5% off premium; 20% co-pay on reimbursement claims

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    • Accidental Death Cover

    Full base SI given to the nominee if the worst happens (proposers under 50 years of age)

    Benefits You Deserve

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    Region-Specific Premiums

    Avail fair and local pricing for premiums as per your state

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    Walk to Win

    Enjoy up to 10% discount on policy renewal by completing regular step goals

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    Super Cumulative Bonus

    Get your Sum Insured raised by up to 50% every year up to 200% of Sum Insured

    Apnar Jonyo – Health Insurance in West Bengal

    Affordable, Customised Health Insurance for Every Bengali Household

    From the bustling streets of Kolkata to peaceful towns like Siliguri, Durgapur, and Howrah, families across West Bengal are increasingly realising the importance of securing their health and finances. With rising healthcare expenses and seasonal illnesses, having comprehensive health insurance in West Bengal is no longer a luxury—it’s a necessity.

    Importance of Apnar Jonyo - Health Insurance Plans in West Bengal

    With West Bengal’s world-class hospitals, access to advanced treatment is easier—but it comes at a cost. Here’s why having health insurance is crucial in the capital:

    Rising Medical Costs: Private hospital bills in West Bengal can be overwhelming. Health insurance cushions these unexpected expenses.

    Urban Lifestyle Risks: Pollution, stress, and sedentary habits increase health risks, making preventive and curative care essential.

    Access to Wellness Benefits: Plans that support modern and AYUSH treatments empower you to choose your preferred recovery path.

    Family Coverage: With floater plans, you can safeguard your entire family under one policy.

    How Can You Buy Apnar Jonyo - Medical Insurance in West Bengal?

    Getting health insurance in West Bengal is easy and hassle-free. Here's how you can go about it:

    Assess Your Needs: Decide between individual or family floater coverage. Consider the ideal sum insured based on your lifestyle and medical history.

    Compare Plans: Evaluate features like cashless hospitals in West Bengal, room rent limits, pre- and post-hospitalisation cover, and add-ons.

    Get a Quote Online: Visit the official website or trusted aggregator portals to calculate premiums based on your West Bengal PIN code.

    Share Your Details: Fill in your basic and medical information accurately.

    Make Payment: Choose a secure online payment mode and receive policy documents instantly via email.

    Reasons to Buy Bajaj General Apnar Jonyo - Health Insurance Plan in West Bengal

    Choosing the right insurer makes all the difference. Here’s why Bajaj General Health Insurance is a smart pick for West Bengal residents:

    Region-Specific Premiums

    Pay premiums that align with West Bengal’s healthcare pricing. Get fair, localised rates across 25 medical zones.

    Festive Hospitalisation Support

    Receive ₹1,000/day (up to 10 days) for hospital stays during festival weeks—especially useful during high-traffic festive times in West Bengal.

    Healthy Life Reward – Walk to Win

    Get 5–10% renewal discounts by meeting step count targets each month. Your daily walk can reduce your insurance cost.

    Modern + Traditional Treatment Coverage

    Covers robotic surgeries, AYUSH therapies, organ donor expenses, and home treatment—giving you flexibility across West Bengal’s diverse medical network.

    Customisable Add-Ons

    Boost your policy with options like Sum Insured Reinstatement, Super Cumulative Bonus, Accidental Death Cover, and Health Prime Rider.

    Documents Required for Apnar Jonyo - Health Insurance

    When purchasing health insurance in India, you'll need to provide several documents to complete the process. Here are the essential documents you must submit:

    Passport-Size Photographs:
    Provide recent passport-sized photographs as part of your application.

    Policy Proposal Form:
    Complete and submit the policy proposal form provided by the insurance company.

    Residential Proof:
    You can submit any of the following documents as proof of residence:

    ● Voter ID

    ● Passport

    ● Aadhaar card

    ● Electricity bill

    ● Driving license

    ● Ration card

    Age Proof:
    Any of the following documents can serve as proof of age:

    ● Passport

    ● Aadhaar card

    ● Birth certificate

    ● PAN card

    ● 10th and 12th class marksheets

    ● Ration card

    Identity Proof:
    The following documents are acceptable as proof of identity:

    ● Aadhaar card

    ● PAN card

    ● Driving license

    ● Voter ID

    ● Passport

    How to Buy Apnar Jonyo – Health Insurance in West Bengal

    Buying your policy is simple, secure, and 100% digital:

    ● Step 1: Visit www.bajajgeneralinsurance.com

    ● Step 2: Enter your age, location (West Bengal), and family details

    ● Step 3: Compare premium, customise features

    ● Step 4: Make online payment and download your policy instantly

    Specific Exclusions

    1. Any dental treatment that comprises of cosmetic surgery, dentures, dental prosthesis, dental implants, orthodontics, surgery of any kind unless as a result of Accidental Bodily Injury to natural teeth and also requiring hospitalization.

    2. War, invasion, acts of foreign enemies, hostilities (whether war be declared or not), civil war, commotion, unrest, rebellion, revolution, insurrection, military or usurped power or confiscation or nationalization or requisition of or damage by or under the order of any government or public local authority. Any Medical expenses incurred due to Act of Terrorism will be covered under the Policy.

    3. The cost of spectacles, contact lenses, hearing aids, crutches, dentures, artificial teeth and similar expenses.

    4. External medical equipment of any kind used at home as post Hospitalization care including cost of instrument used in the treatment of Sleep Apnoea Syndrome (C.P.A.P), Continuous Peritoneal Ambulatory Dialysis (C.P.A.D) and Oxygen concentrator for Bronchial Asthmatic condition.

    5. Surgical treatment for Congenital external diseases or defects or anomalies which fall under the ambit of cosmetic or plastic surgery (Excl 08), growth hormone therapy, stem cell implantation or surgery except for Hematopoietic stem cells for bone marrow transplant for hematological conditions.

    Specific Exclusions applicable for “Accidental Death Cover”

    We shall not be liable to make any payment for any claim directly or indirectly caused by, based on, arising out of or attributable to any of the following

     1. Accidental Bodily Injury that You named in the schedule, meets with

            a. Through suicide, attempted suicide or self-inflicted injury or illness.

            b. While under the influence of liquor or drugs.

            c. Arising or resulting from the Insured Person committing any breach of law with criminal intent.

            d. Whilst participating as the driver, co-driver or passenger of a motor vehicle during motor racing or trial runs.

            e. As a result of any curative treatments or interventions that you carry out or have carried out on your body.

            f. Arising out of your participation in any naval, military or air force operations whether in the form of military exercises or war games or actual engagement with the enemy, whether foreign or domestic.

            g. Whilst engaging in aviation or ballooning. Whilst mounting into, dismounting from or traveling 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.

    2. Consequential losses of any kind or Insured Person’s actual or alleged legal liability.

    3. Any injury/disablement/death directly or indirectly arising out of or contributed to any pre-existing condition.

    4. Venereal or Sexually transmitted diseases

    5. HIV (Human Immunodeficiency Virus) and/or any HIV related illness including AIDS (Acquired Immune Deficiency Syndrome) and/or mutant derivatives or variations thereof however caused.

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

    7. Nuclear energy, radiation.

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

    Download Policy Documents

    Get instant access to policy details with a single click

    Expand your Coverage

    Health Prime Rider

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    Online & in-person doctor consultation and investigation

    Assistance for nutrition and emotional wellness

    Starting

    INR 907 + GST

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    Non-Medical Expenses

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    Covers the cost of consumables

    Personal care items, endoscopy instrument, etc.

    8% of Premium

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    Health Companion

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    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!

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    Your Personalised Health Journey Starts Here

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

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    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 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

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      Complete renewal payment online

    • 8

      Receive instant confirmation for your policy renewal

    How to Claim

    • 1

      Notify us about the claim

    • 2

      Submit all the required documents

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      Choose cashless or reimbursement mode for your claim

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      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

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      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

    Excellent Service

    Bajaj General provides excellent service with user-friendly platform that is simple to understand. Thanks to the team for serving customers with dedication and ensuring a seamless experience.

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    Amagond Vittappa Arakeri

    Mumbai

    4.5

    27th Jul 2020

    Swift Claim Settlement

    I am extremely happy and satisfied with my claim settlement, which was approved within just two days—even in these challenging times of COVID-19. 

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    Ashish Jhunjhunwala

    Vadodara

    4.7

    27th Jul 2020

    Quick Service

    The speed at which my insurance copy was delivered during the lockdown was truly commendable. Hats off to the Bajaj General team for their efficiency and commitment!

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    Sunita M Ahooja

    Delhi

    5

    3rd Apr 2020

    Outstanding Support

    Excellent services during COVID-19 for your mediclaim cashless customers. You guys are COVID warriors, helping patients settle claims digitally during these challenging times.

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    Arun Sekhsaria

    Mumbai

    4.8

    27th Jul 2020

    Seamless Renewal Experience

    I am truly delighted by the cooperation you have extended in facilitating the renewal of my Health Care Supreme Policy. Thank you very much!

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    Vikram Anil Kumar

    Delhi

    5

    27th Jul 2020

    Quick Claim Settlement

    Good claim settlement service even during the lockdown. That’s why I sell Bajaj General Health Policy to as many customers as possible.

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    Prithbi Singh Miyan

    Mumbai

    4.6

    27th Jul 2020

    FAQs

    What is Apnar Jonyo Health Insurance?

    Apnar Jonyo Health Insurance is a comprehensive health insurance plan to provide tailored coverage across 25 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 Apnar Jonyo Health Insurance adjust according to the healthcare costs in your specific region. This ensures fair and local pricing across 25 zones in India.

    What is Festive Protect in this policy?

    During your state's festival week, Apnar Jonyo 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 Apnar Jonyo 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 Apnar Jonyo 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.

    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 policy?

    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?

    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 Health Insurance?

    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 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 provider?

    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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