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    Health Insurance

    Family Floater Health Insurance

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    Protect your Family’s Health.

    Comprehensive cover for all

    Coverage Highlights

    Key benefits
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    • Wide Options

    Choose a sum insured that fits your budget, ranging from ₹1 lakh to ₹25 lakhs.

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    • Quick Claim Settlement

    Claims are processed directly by us, ensuring faster and more efficient settlements.

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    • Lifetime Renewal

    Enjoy uninterrupted health coverage for yourself and your family by renewing your policy every year.

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    • No Medical Tests

    No medical tests are required for individuals up to 45 years of age.

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    • Preventive Check-ups

    Avail free preventive health check-ups to encourage regular health monitoring and early detection of potential health issues.

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    • Reinstatement Benefit

    Get your sum insured reinstated after exhaustion due to a claim.

    Key Inclusions

    What’s covered?
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    • Hospitalisation Expenses

    Covers hospitalisation costs, including a choice of room types and all types of daycare procedures and surgeries.

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    • Pre and Post-Hospitalisation Expenses

    Covers medical expenses for up to 60 days before and 90 days after hospitalisation, with options for customisation as needed.

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    • AYUSH Hospitalisation

    Covers medical expenses for alternative treatments such as Ayurveda, Yoga, Unani, Siddha, and Homeopathy when prescribed by a doctor for illness or injury.

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    • In-patient Hospitalisation

    Includes expenses for room and boarding, ICU, nursing care, surgeon fees, anaesthesia, and other necessary treatments as prescribed by a doctor.

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    • Road Ambulance

    Reimburses reasonable ambulance expenses per valid hospitalisation claim when availing services from a healthcare or ambulance provider.

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    • Organ Donor Expense

    Covers the medical costs for an organ donor's in-patient treatment when harvesting an organ for the insured person.

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    • Reinstatement Benefit

    Restores 100% of the base sum insured for in-patient hospitalisation, ensuring full coverage for the policy year.

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    • Daily Cash Allowance

    Provides a fixed daily cash benefit during hospitalisation to help cover incidental expenses not included in the primary health insurance.

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    • Modern Treatment

    Covers medical expenses for treatments using modern technologies and advanced procedures

    Key Exclusions

    What’s not covered?
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    • Waiting Period

    A mandatory initial waiting period of 30 days applies for hospitalisation due to illness or sickness. However, accidental hospitalisation is covered from day one.

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    • Pre-Existing Disease

    A waiting period of 36 months applies to pre-existing conditions such as diabetes, high blood pressure, thyroid disorders, asthma, etc.

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    • Specific Disease/Procedure

    A 24-month waiting period applies to expenses related to the treatment of specified conditions, surgeries, and medical procedures.

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    • Investigation & Evaluation

    Medical expenses solely for diagnostic or evaluation purposes that are not related to the current diagnosis and treatment are not covered.

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    • Dietary Supplements

    Expenses for vitamins, minerals, and organic supplements purchased without a prescription are excluded unless prescribed by a medical practitioner as part of hospitalisation or daycare treatment.

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    • Cosmetic Surgery

    Any treatment undertaken for aesthetic purposes is not covered unless it is required for reconstruction following an accident, burns, or medically necessary treatment.

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    • Self-Inflicted Injuries

    Expenses arising from self-inflicted injuries, suicide attempts, insanity, or involvement in illegal activities are not covered.

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    • Deductibles & Co-Pays

    A portion of the claim will need to be borne by the policyholder, as per the terms of the policy.

    Additional Services

    What else can you get?
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    • Non-Medical Expense

    Covers typically excluded non-medical items in standard health insurance policies.

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    • Maternity Cover

    Provides financial support for delivery expenses, prenatal and postnatal care, and newborn medical costs

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    • Bariatric Surgery Cover

    Provides financial support for weight-loss procedures like gastric bypass, covering expenses if medically necessary due to obesity-related health conditions, as per policy terms.

    Flexibility of Coverage for All Family Members

    Providing for your family's well-being is essential. A family floater health insurance policy by Bajaj General Insurance Limited offers valuable peace of mind in times of health emergencies. With a single premium, this comprehensive plan covers the entire family under a single sum insured. This allows for flexibility in utilising the coverage across different family members as needed.

    What is Family Floater Health Insurance?

    Family floater health insurance is a unified policy that covers multiple family members under one sum insured. This means that your spouse, children, parents, and even dependent siblings can be protected under a single-floater health insurance policy. Instead of purchasing individual policies for each member, a family floater plan provides a cost-effective solution while ensuring comprehensive medical coverage for everyone in your family.

    How Family Floater Health Insurance Works?

    A family floater health insurance plan operates by pooling the sum insured across all covered family members. For example, if you have a floater medical insurance policy with a sum insured of INR 5 lakhs for a family of five, any member can utilise the sum as needed. If one member exhausts the entire sum insured, no further claims can be made for that policy year. Therefore, it’s crucial to choose a coverage amount that adequately meets the medical needs of all your family members.

    Unmatched Benefits

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    Reinstatement Benefits

    Unlimited reinstatement of the sum insured, even after its depletion.

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    Lifetime Renewal

    Stay covered and renew yearly hassle-free!

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    No Medical Tests

    Get instant cover; skip the tests if you are under 45!

    Benefits of a Family Floater Health Insurance Plan

    Choosing a family floater health insurance plan from Bajaj General Insurance Limited comes with numerous advantages:

    • Cost-Effective Premiums: A single premium covers the entire family, making it more affordable compared to individual policies for each member.
    • Comprehensive Coverage: Protects against hospitalisation, pre and post expenses, day-care procedures, and ambulance charges.
    • Flexibility: Easily add new family members without significant changes to the premium.
    • Cashless Hospitalisation: Access a wide network of hospitals where bills are settled directly by, Bajaj General Insurance Limited eliminating out-of-pocket expenses.
    • Tax Benefits: Premiums paid are eligible for tax deductions under Section 80D of the Income Tax Act.
    • Maternity and Newborn Coverage: Optional add-ons to cover maternity expenses and newborns.
    • Pre-Existing Conditions Coverage: After the waiting period, some pre-existing conditions can be covered.
    • Annual Health Check-ups: Free health check-ups for each family member to ensure early detection of potential health issues.
    • AYUSH Treatment Coverage: Coverage for alternative treatments like Ayurveda, Yoga, Unani, Siddha, and Homeopathy.

    These benefits make a family floater health insurance plan by Bajaj General Insurance Limited a comprehensive solution for efficiently and economically meeting all your family's healthcare needs.

    Factors Affecting the Premium of Family Floater Health Insurance

    Several factors influence the premium of a family floater health insurance plan:

    • Sum Insured: Higher coverage amounts result in higher premiums.
    • Number of Family Members Covered: More members under the policy can increase the premium.
    • Age of Family Members: Older family members typically attract higher premiums due to increased health risks.
    • Medical History: Pre-existing conditions may lead to higher premiums or exclusions.
    • Add-ons and Riders: Additional coverage options like critical illness riders can increase the premium.
    • Geographical Location: Premiums may vary based on the location and availability of medical facilities.
    • Lifestyle and Habits: Factors such as smoking or alcohol consumption can impact the premium.

    Understanding these factors can help you choose a floater health insurance policy that best suits your family's needs and budget.

    At-A-Glance

    Compare Insurance Plans Made for You

    Feature
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    Family Health Care - Gold

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    Family Health Care - Silver

    Sum Insured Options INR 1 Lakh to INR 25 Lakhs INR 50,000 to INR 10 Lakhs
    Room Rent Limit As per actual expenses Up to 1% of the sum insured
    Pre & Post Hospitalisation 60 days pre-hospitalisation & post-hospitalisation 30 days pre-hospitalisation & post-hospitalisation
    Organ Donor & AYUSH Treatments Covered up to the sum insured Covered up to the sum insured
    Modern Treatment Methods & Tec Covered up to 50% of the sum insured Covered up to 50% of the sum insured
    Sum Insured Reinstatement Bene 100% of the base sum insured Not covered
    Hospital Cash Benefit INR 500 per day (for each 24-hour hospitalisation) INR 300 per day (for each 24-hour hospitalisation)
    Road Ambulance Cover Up to INR 3,000 per hospitalisation Up to INR 1,500 per hospitalisation

    Difference Between Family Floater and Individual Health Insurance

    Aspect

    Individual Health Insurance

    Family Floater Health Insurance

    Coverage

    Dedicated coverage for one person.

    Shared coverage among all family members.

    Benefits

    Covers medical expenses of the individual only.

    Covers medical expenses of all family members under one plan.

    Premium

    Higher when purchasing multiple individual policies.

    Lower premium as it covers the entire family under one plan.

    Members Covered

    Only the policyholder.

    Typically includes spouse, children, parents, and dependents.

    Flexibility

    Limited to the individual's needs.

    Flexible allocation of the sum insured as per family needs.

    Choosing between the two depends on your specific requirements and the size of your family. Bajaj General Insurance Limited offers best floater health insurance along with individual plans that best suit your needs.

    Download Policy Document

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

    Why Choose Bajaj General Health Insurance for Family?

    Choosing Bajaj General Insurance Limited for your family floater health insurance ensures that you receive top-notch coverage with exceptional customer service. Our plans are designed to offer comprehensive protection, flexibility, and affordability. With a network of 18,400+ hospitals, easy claim processes, and a range of add-ons, we stand out as the best choice for safeguarding your family’s health. Trust us to provide the security and peace of mind your family deserves.

    Things to Consider Before Buying Family Floater Health Insurance

    Before purchasing a family floater health insurance plan, consider the following:

    • Sum Insured: Ensure it is adequate to cover potential medical expenses for all family members.
    • Network Hospitals: Choose a plan with a wide network of hospitals for cashless treatments. Bajaj General Insurance Limited has about 18,400+ hospitals under it’s network and serve perfectly when its the time of an emergency.
    • Waiting Period: Be aware of the waiting period for pre-existing conditions and specific treatments.
    • Coverage and Exclusions: Understand what is covered and what is excluded in the policy.
    • Premium Affordability: Ensure the premium fits within your budget without compromising coverage.
    • Add-ons and Riders: Consider additional coverage options that may benefit your family.
    • Renewal Terms: Check the renewal process and any changes in terms over the years.
    • Customer Support: Reliable customer service is crucial for smooth policy management.

    Considering these factors will help you choose the best family floater policy for your family’s health and financial needs.

    Expand the Coverage Today!

    Respect Rider(Senior Citizen)

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    Emergency assistance for senior citizens

    Designed for senior citizens

    Starting from

    INR 907 + GST

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    Health Prime Rider (OPD)

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    Tele, In-Clinic Doctor Consultation and Investigation

    Dental, Nutrition and Emotional Wellness

    Starting from

    INR 298 + GST

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    Loss of Income Cover

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    Guaranteed pay-out for hospitalization

    Guard against accidental injury or illness

    Starting from

    INR 148 + GST

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    Major illness/ Accident Multipier

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    Indemnity Cover

    Doubles the sum insured benefit

    Starting from

    INR 171 + GST

    Buy Now

    Wellness Supervisor

    Healthmanager

    Insurance benefits and rewards

    Earn points for health activities and get benefits as premium discounts & policy upgrades. Improve your health to reduce claims & maximize benefits.

    Healthassetment

    Complete health assessment and data integration

    Start with a detailed health evaluation and sync your medical records & wearables for real-time data on activity, sleep & vital metrics.

    Healthmanager

    Insurance benefits and rewards

    Earn points for health activities and get benefits as premium discounts & policy upgrades. Improve your health to reduce claims & maximize benefits

    Healthassetment

    Complete health assessment and data integration

    Start with a detailed health evaluation and sync your medical records & wearables for real-time data on activity, sleep & vital metrics.

    Step-by-Step Guide

    To make sure that we are always listening to our customers,

    How to Buy

    • 1

      Visit Bajaj General website

    • 2

      Enter personal details

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      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

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      Review and update coverage if required

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      Check for renewal offers

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      Add or remove riders

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      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 Bajaj General about the claim

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      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

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      Receive claim settlement after approval

    How to Port

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      Check eligibility for porting

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      Compare new policy benefits

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      Apply before your current policy expires

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      Provide details of your existing policy

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      Undergo risk assessment by Bajaj General

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      Receive approval from Bajaj General

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      Pay the premium for your new policy

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      Receive policy documents & coverage details

    How to Buy Family Floater Health Insurance?

    Purchasing a family floater health insurance plan is simple with Bajaj General Insurance Limited. Follow these steps:

    Assess Your Needs: Determine the number of family members to be covered and the required sum insured.

    Choose a Plan: Select a floater health insurance policy that offers comprehensive coverage and suits your budget.

    Gather Documents: Prepare necessary documents such as identity proof, age proof, and medical records.

    Apply Online: Visit our page or use our mobile app to apply for the policy.

    Customise Your Policy: Add any optional riders or additional coverage as needed.

    Review and Submit: Double-check all details and submit your application.

    Make Payment: Complete the payment process using your preferred method.

    Receive Confirmation: Once approved, you will receive your policy documents via email or SMS.

    How to Renew Family Floater Health Insurance?

    Renewing your family floater health insurance with Bajaj General is simple:

    Log In to Your Account: Access your account online or visit the mobile app.

    Locate Your Policy: Find the policy you wish to renew in your dashboard.

    Review Policy Details: Ensure all information is up-to-date and make necessary changes.

    Select Coverage Options: Choose any additional coverage or riders you may need.

    Verify Personal Details: Confirm that all family member details are accurate.

    Make the Payment: Complete the renewal payment using secure payment options.

    Receive Confirmation: Get your renewed policy documents via email or SMS.

    Steps to Claim Family Floater Health Insurance

    Claiming your family floater health insurance with Bajaj General Insurance Limited is designed to be hassle-free:

    Open the Bajaj General App: Download and log in to your account.

    Go to Claims: Go to the 'Claims' section from the home screen or main menu.

    Initiate a New Claim: Click on 'Initiate a New Claim' to start the process.

    Fill in Details: Enter the required information, including policy details and treatment specifics.

    Upload Documents: Upload necessary documents such as medical bills, reports, and prescriptions.

    Submit the Claim: Review the entered information and submit your claim.

    Track Your Claim: Use the app to monitor the status of your claim in real time.

    Await Approval and Payment: The payment will be processed and credited to your account once approved.

    Our dedicated support team is always available to assist you throughout the claim process, ensuring a smooth and efficient experience.

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    FAQ's

    What is AYUSH benefit under the Family Health Care plan?

    If you are hospitalised for at least 24 hours in an AYUSH hospital, either a government facility or an institute recognised by the government and/or accredited by the Quality Council of India/National Accreditation Board on Health on a doctor's advice due to illness or accidental injury during the policy period, we will cover your expenses.

    What is the cumulative bonus under the Family Health Care policy?

    If you renew your Family Health Care policy with us without any break and make no claims in the previous year, we will increase your sum insured by 10% annually. This cumulative bonus is capped at five years or 50% of your original policy’s sum insured, whichever is lower.

    What are the conditions for the portability of the Family Health Care

    The insured beneficiary can port the policy to another insurer, including all family members, by applying at least 45 days but no earlier than 60 days before renewal, as per IRDAI portability guidelines. If continuously covered without lapses under any Indian health insurance policy, they will retain accrued continuity benefits for waiting periods

    What is the coverage for organ donor expenses under the Family Health

    We will cover expenses for a major organ transplant, including organ harvesting, provided the donor complies with The Transplantation of Human Organs (Amendment) Bill, 2011, and the organ is for the insured person. Coverage applies only if we approve an inpatient hospitalisation claim for the insured. These expenses are included within the chosen

    What is the hospital cash benefit under the Family Health Care plan?

    If you are hospitalised on a doctor's advice, as defined in the policy, due to an illness or accidental bodily injury sustained or contracted during the policy period, we will pay you a daily allowance of ₹300 per day for each continuous 24-hour hospitalisation. This benefit is capped at a maximum of 30 days per policy period.

    Is there a waiting period for specific treatments under Family Health Insurance?

    Yes, certain treatments and pre-existing conditions may have a waiting period. Typically, the waiting period ranges from 2 to 5 years, depending on the policy terms.

    How many members can I cover under a family floater health insurance plan?

    Bajaj General Insurance Limited family floater health insurance plans allow coverage for four to eight members, including the policyholder, spouse, children, and sometimes parents or in-laws.

    What are the eligibility criteria for buying a family floater health insurance plan?

    Eligibility includes adults aged 18-65 years and dependent children between three months and 25 years. Specific criteria may vary based on the policy.

    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.

    What is the significance of a shared sum insured in family floater plans?

    A shared sum insured allows any covered family member to utilise the total coverage amount as needed, providing flexibility and optimising the use of the insured sum.

    What are the documents required to buy a family floater health insurance plan?

    Typically, you need identity proof, age proof, address proof, and medical records of all family members to apply for a family floater policy.

    Which is better, family floater or individual?

    A family floater health insurance plan is generally more cost-effective and convenient for families, while individual policies may be suitable for those needing dedicated coverage.

    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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