Health Insurance
Key Features
An All-rounder GST Free Health Cover to Guard Your Family
Coverage Highlights
Get comprehensive coverage for your healthChoose from Best of Plans
Choose from multiple plans to meet your requirements
Wide Sum Insured Options
Select adequate sum insured that suits you starting INR 3 lacs to INR 1 crore
Unlimited Reinstatement Benefit & Recharge
Get the option of unlimited reinstatement of sum insured even after it is exhausted after claims
Maternity & Newborn Care
Medical expenses related to delivery of baby and towards treatment of the new born baby are covered under select plans
Preventive Health Check-Up
Start receiving annual preventive health check-ups after 2/3 policy renewals as per the chosen plan
Online Discount
Get flat 5% discount when you buy a policy on our website or our Bajaj General App
Zone Discount
Avail discounts of 20% for Zone B and 30% for Zone C depending on where you live
Fitness Discount & Wellness Discount
Avail up to 12.5% wellness discount for healthy habits on renewal
Note
Please read policy wording for detailed terms and conditions
Inclusions
What’s covered?Hospitalisation & Day Care Expenses
Coverage for the cost of in-patient hospitalisation (including room rent type choices), all types of day care procedures, and surgeries
Pre & Post-Hospitalisation Expenses
Pre-hospitalisation expenses (up to 60 days) and post-hospitalisation expenses (up to 90 days) are covered as per policy terms
Organ Donor Expenses
Medical expenses for an organ donor’s in-patient treatment during organ harvesting are covered, provided the insured is the recipient of the donated organ
AYUSH Hospitalization cost
Coverage for ayurvedic, yoga, unani, siddha and homeopathic (AYUSH) treatment on a doctor’s advice for treating illness or physical injury
Maternity & Newborn Care
Medical expenses related to delivery of baby and towards treatment of the new born baby are covered under select plans
Sum Insured Reinstatement
Exhausted sum insured exhausted or SI will be reinstated so that you can avail full coverage for your next claim in a policy year (as per policy terms) if needed
Recharge (For SI 5 Lacs Onwards)
If an unfortunate claim exhausts Sum Insured limit, the then additional amount of 20% Sum Insured (up to 25 INR lacs) will be available
Cumulative Bonus
Sum Insured automatically increases at renewal by opted percentage if there is no claim in expiring period
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
Note
Please read policy wording for detailed terms and conditions
Exclusions
What’s not covered?Initial Waiting Period
Treatment expenses during the first 30 days except for treatment of accidental injuries
Pre-Existing Diseases
Treatment expenses for pre-existing diseases such as diabetes, asthma, thyroid and other PED, are excluded until 36 months from date of your first Health Guard Policy
Specific Illness Treatment
Treatment expenses for specified illnesses, including hernia, gout, endometriosis, and cataract are excluded until 24 months from date of your first Health Guard Policy
Maternity Expenses
Treatment expenses related to maternity are excluded until 72 months from date of your first Health Guard Policy
Expenses for Medical Investigation & Evaluation
Medical expenses primarily for diagnostic procedures and medical evaluation unrelated to the current diagnosis or treatment
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
Cosmetic Surgery Expenses
Treatment to change appearance unless it is for reconstruction required for a medically essential treatment or following an accident or burns
Treatment for Self-Inflicted Acts
Medical expenses incurred as a result of self-harm, as a result of intoxication, illegal actions, hazardous activities, etc.
Deductibles & Co-pays
Part of the claim will be borne by you if you have opted for deductibles or co-pay
Note
Please read policy wording for detailed exclusions
Additional Covers
What else can you get?Air Ambulance Cover (Available for SI 5 Lacs & Above)
Covers expenses incurred for rapid ambulance transportation to the nearest hospital in an airplane or helicopter from the first incident site of illness or accident during policy period
Voluntary Aggregate Deductible
Covers medical expenses for in-patient hospitalisation beyond the voluntary aggregate deductible limit (INR 50,000/ INR 1,00,000/ INR 2,00,000/ INR 3,00,000) as opted as per policy terms for in-patient hospitalisation treatment
Health Prime Rider
Coverage for in-person or online doctor consultation, dental wellness, emotional wellness, and diet & nutrition consultations as per the chosen plan
Respect Rider (Senior Care)
Senior citizens can avail emergency assistance with services such as SOS alert, doctor on call, and 24x7 ambulance service
Room Capping Waiver
Removes the room type restriction of "up to single private air-conditioned room" for Health Guard Gold and Platinum plans and provides coverage for actual room rent expenses without a limit
More Add-Ons
Explore more add-ons to enhance coverage
Daycare procedures are medically necessary surgeries or treatments that, thanks to modern techniques, finish in under 24 hours, so you’re discharged the same day. Typical examples include cataract removal, chemotherapy and keyhole orthopaedic repairs. By classifying them separately from inpatient admissions, insurers can reimburse bills without insisting on a 24-hour stay, making daycare procedures a vital part of any up-to-date policy.
Category | Representative Procedures | Key Notes |
Eye care | Cataract extraction, tear-duct surgery | High frequency in seniors |
Oncology | Cancer chemotherapy, radiation therapy | Often multiple cycles |
Renal | Haemodialysis, renal biopsy | Recurrent sessions possible |
Cardiac | Coronary angiography, pacemaker check-ups | Minimally invasive |
ENT | Septoplasty, tonsillectomy, sinus aspiration | Common in all ages |
Orthopaedics | Arthroscopic ligament repair, joint injections | Sports injuries |
Gastro-hepatic | Liver biopsy, endoscopic polyp removal | Day observation only |
Dermatology | Laser excision of lesions, vitiligo grafting | Cosmetic & therapeutic |
Paediatrics | Myringotomy with grommet insertion | Short-stay anaesthesia |
Urology | Lithotripsy, cystoscopy | Stone management |
This daycare treatment list reflects procedures widely accepted by Indian insurers and the IRDAI schedule.
● An active health policy with a daycare benefit selected
● The procedure appears on the insurer’s approved daycare treatment disease list
● Undertaken in a registered hospital/day-care centre
● Doctor certifies < 24-hour medical necessity
Compare Insurance Plans Made for You
| Plans |
Health Guard Silver |
Health Guard Gold |
Health Guard Platinum |
|---|---|---|---|
| Hospital & Day Care SI | INR 1.5/ 2 Lacs | INR 3 Lacs to INR 50 Lacs | INR 5 Lacs to INR 1 Cr. |
| Room Limits | Up to 1% of SI per day and ICU at actuals | Single private AC room for sum insured of SI 3 Lacs to 7.5 Lacs | Actuals for SI 10 Lacs & above | ICU at Actuals | Single private AC room for sum insured of SI 3 Lacs to 7.5 Lacs | Actuals for SI 10 Lacs & above | ICU at Actuals |
| Pre- & Post-Hospitalisation | Pre: 60 days & Post: 90 days | Pre: 60 days & Post: 90 days | Pre: 60 days & Post: 90 days |
| Organ Donor, AYUSH, Modern Treatments | Up to sum insured | Up to sum insured | Up to sum insured |
| Road Ambulance | INR 20,000/policy year | INR 20,000/policy year | INR 20,000/policy year |
| Preventive Check-Up | 1% of SI (max up to 2,000) once in 3 years | 1% of SI (max up to 5,000) once in 3 years | 1% of SI (max up to 5,000) once in 2 years |
| Maternity & Newborn Care | Not covered | As per limits specified | As per limits specified |
| Convalescence Benefit | INR 5,000/policy year | INR 5,000/policy year for sum insured up to INR 5 lacs | INR 7,500/policy year for sum insured of 7.5 lacs and above | INR 5,000/policy year for sum insured up to INR 5 lacs | INR 7,500/policy year for sum insured of 7.5 lacs and above |
| Sum Insured Reinstatement | 100% of the base sum insured | 100% of the base sum insured | 100% of the base sum insured |
| Wellness Discount | Up to 12.5% wellness discount for healthy habits on renewal | Up to 12.5% wellness discount for healthy habits on renewal | Up to 12.5% wellness discount for healthy habits on renewal |
| More Covers | See Policy documents for more details |
● Ophthalmic: cataract, glaucoma stent, corneal graft
● Cardiovascular: angiography, angioplasty, preparatory scans
● Cancer care: chemotherapy infusions, radio-frequency ablation
● Renal: dialysis, AV-fistula repair, kidney biopsy
● ENT & oral: tonsillectomy, adenoidectomy, nasal polyp removal
● Musculoskeletal: arthroscopy, carpal-tunnel release, tendon repair
● Dermatology & plastic: skin grafts, laser excision, keloid revision
● Gynaecology: laparoscopy for cysts, D&C, hysteroscopy
● Urology: lithotripsy, ureteric stent removal, TURP
● Neurology: trigeminal-nerve rhizotomy, VP-shunt adjustment
These bullets showcase the breadth of cover most modern plans now provide.
Feature | Day Care | OPD | Inpatient |
Hospital stay | < 24 hrs | None | ≥ 24 hrs |
Anaesthesia/theatre | Often | Rare | Yes |
Claim method | Cashless/reimbursement | Usually reimbursement | Cashless/reimbursement |
Typical examples | Dialysis, cataract | GP visit, X-ray | Appendectomy, bypass |
Impact on sum insured | Deducted | Usually separate OPD limit | Deducted |
Comprehensive plans usually pay medical expenses 30 days before and 60–90 days after a daycare event. This includes specialist consultations, diagnostics, pharmacy bills and follow-up physiotherapy linked to the procedure. Retaining invoices and doctors’ prescriptions is essential, as insurers reimburse only those items directly connected to the treatment episode. Such cover stops minor tests and medicines from eroding household savings while you prepare for—or recover from—a same-day surgery.
● Choose advanced procedures without a mandatory 24-hour stay
● 18,400+ cashless hospitals with Bajaj General Insurance mean hassle-free admission nationwide
● Avoid proportionate deductions tied to room classes
● Faster recovery at home reduces infection risk
● Makes high-tech care (e.g., laser, endoscopy) affordable
● Counts against main sum insured, so no separate top-up needed
● Enhances policy relevance as medical technology advances
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● Check the insurer’s day care procedures, health insurance schedule—longer lists give better future proofing
● Ensure the sum insured comfortably covers high-cost oncology or cardiac sessions
● Verify cashless network size; Bajaj General Insurance, for example, publishes one of the largest lists in India
● Compare sub-limits on consumables and surgeons’ fees
● Look for add-ons like a recovery benefit or an OPD rider for holistic cover
● Read waiting-period clauses for pre-existing conditions carefully
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
Take Charge of Your Health & Earn Rewards–Start Today!
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Experience integrated health management with us by connecting all aspects of your health in one place
The process for filing a claim for a daycare procedure is simple. If you require a medical procedure at a moment’s notice, you must safely store your medical bill. You must submit the bill and any other necessary documents to your health insurance provider for reimbursement.
If you are undergoing a planned daycare procedure, it is advisable to notify your health insurance company first and then proceed with the cashless system of claiming.
Step-by-Step Guide
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
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Mumbai
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Most modern comprehensive policies include day care, but basic or budget covers may not—always read your policy schedule.
Yes, age is no barrier. However, premiums and pre-policy health checks may differ for seniors.
OPD usually pays for consultations, routine diagnostics, minor dressings and prescribed medicines without hospital admission.
Most corporate/group policies do, but the procedure list and limits depend on employer negotiations—check your certificate of insurance.
Generally, costs are covered up to the remaining sum insured; specific sub-limits are rare but can apply to high-end equipment charges.
Certain rapid tests or monoclonal antibody infusions qualify if done in a registered facility and listed by the insurer.
Once the overall limit is exhausted, any additional expenses become payable by you, regardless of room category.
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.
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.
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
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.
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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