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    Health Insurance

    Good Health TPA

    HealthGuard

    Key Features

    Personal health insurance for you

    Coverage Highlights

    Invest in your health and stay protected
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    • Caretaking of senior citizens made smart & easier with innovative features

    Missed call number for Respect Senior Care Rider : 9152007550

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    • Cover 09 plans/options with Health Prime Rider

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    • EMI options available

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    • Higher Sum Insured options up to 1 Crore

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    • Covers pre and post-hospitalisation expenses

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    • Multiple sum insured options

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    • Covers extended family including parents, in-laws and siblings

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    • Note

    Please read policy wording for detailed terms and conditions

    What is Good Health TPA?

    A Third-Party Administrator (TPA) is an organisation that partners with insurance companies to manage and streamline health insurance services for policyholders. TPAs handle essential functions such as claims processing, cashless hospitalisations, pre-authorisation, and assistance during medical emergencies, ensuring that policyholders have access to prompt healthcare and a smooth claims experience.

    Good Health TPA stands out in this role, offering specialised support to help policyholders navigate their health insurance benefits with ease. With a strong network of hospitals and healthcare providers, Good Health TPA ensures seamless access to quality care, making the process simpler and more efficient for both insurers and customers. By focusing on transparent service and customer satisfaction, Good Health TPA provides dependable support, allowing policyholders to prioritise their well-being.

    Benefits You Deserve

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    Wide coverage

    Choose your coverage as per your requirement

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    Wellness Discount

    Stay fit during the policy year and enjoy 12.5% discount on renewal

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    Reinstatement Benefits

    Unlimited reinstatement of the sum insured upto 100% SI after its depletion

    Why Choose Good Health as Your TPA?

    Selecting a TPA is an important decision, as it can greatly affect your experience with health insurance claims. Good Health TPA offers several advantages that make it a preferred choice for many policyholders:

    ●        Wide network of hospitals

    ●        Hassle-free claim settlement

    ●        24/7 customer support

    ●        Online claim tracking for transparency

    ●        Efficient management of documents and paperwork

    ●        Dedicated customer care services to resolve queries

    ●        Simplified claim process to minimise delays

    Download Policy Documents

    Get instant access to policy details with a single click

    Benefits of Good Health TPA

    Choosing Good Health TPA brings with it a range of advantages, particularly when it comes to managing good health insurance. Some of the benefits include:

    ●        Access to a wide network of empanelled hospitals

    ●        Cashless hospitalisation in partner hospitals

    ●        Easy and transparent claim process

    ●        Faster claim settlement

    ●        Comprehensive customer care support for resolving queries

    ●        Regular updates on claim status via online tracking

    ●        Support in documentation and paperwork for claim filing

    Claim Status of Good Health TPA

    Good Health TPA makes it easy for policyholders to check their claim status, ensuring transparency throughout the process. You can track the status of your good health insurance claim using the following steps:

    ●        Visit the Good Health TPA official website.

    ●        Log in using your policy details or claim number.

    ●        Access real-time updates on your claim status.

    ●        Receive notifications on claim approval or any required documents.

    ●        Use customer care services for further assistance if needed.

    Documents Required to File a Successful Claim with Good Health TPA

    To file a successful claim, make sure you have the following documents:

    ●        Policyholder ID proof (Aadhaar, PAN card, etc.)

    ●        Health insurance policy document

    ●        Hospital bills and discharge summary

    ●        Doctor’s prescriptions and reports

    ●        Diagnostic test reports

    ●        Pre-authorisation form (for cashless claims)

    At-A-Glance

    Compare Insurance Plans Made for You

    Plans
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    Health Guard Silver

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    Health Guard Gold

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    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

    Expand Your Coverage Today!

    Respect Rider (Senior Care)

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    Emergency assistance for senior citizens

    Designed specifically for senior citizens

    Starting from

    INR 907 + GST

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    Health Prime Rider

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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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    Non-Medical Expenses

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    Covers non-medical items

    Items not typically covered in standard insurance plans

    Starting from

    8% of Premium

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    Waiver of Room Capping

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    Removes single room type restriction*

    Covers actual room rent expenses without a cap

    Starting from

    2% of Premium

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    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 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 Bajaj General about the claim using app

    • 2

      Submit all the required documents

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      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

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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

    • 7

      Pay the premium for your new policy

    • 8

      Receive policy documents & coverage details

    Claim Process with Good Health TPA

    Filing a claim with Good Health TPA is straightforward, ensuring policyholders can access their benefits without unnecessary delays. Here’s a breakdown of the claim process:

    ●        Intimation to the TPA: Notify Good Health TPA about your hospitalisation or planned treatment. This can be done via phone, email, or through their website.

    ●        Submit Pre-Authorisation Request: For cashless treatment, submit a pre-authorisation form to the hospital’s insurance desk. The hospital will forward it to Good Health TPA for approval.

    ●        Claim Approval: Once the TPA reviews your pre-authorisation form and supporting documents, they will approve the claim and inform the hospital. You can then proceed with the treatment without any upfront payments.

    ●        Submit Claim Documents: For reimbursement claims, gather all necessary documents, such as hospital bills, discharge summaries, and test reports, and submit them to Good Health TPA.

    ●        Claim Processing: The TPA will verify the documents and process your claim. You will be notified of the approval or rejection, along with the reasons, if applicable.

    ●        Claim Settlement: Once the claim is approved, the payment is either made directly to the hospital in the case of cashless treatment or reimbursed to the policyholder in case of a reimbursement claim.

    Good Health TPA Hospital List

    Good Health TPA partners with a wide range of hospitals across the country to provide cashless treatment options to policyholders. Accessing the list of network hospitals is easy:

    ●        Visit the Good Health TPA website.

    ●        Navigate to the 'Network Hospitals' section.

    ●        Search for hospitals by city or speciality.

    ●        Check if your preferred hospital is empanelled for cashless services.

    Good Health TPA Health Insurance Customer Care Number

    For customer assistance with Good Health TPA, you can contact their support team at 1860-425-3232. They also offer a separate toll-free number specifically for senior citizens at 1800-102-9919. They offer a dedicated customer care number to assist policyholders with any queries or concerns related to their health insurance claims. You can reach their customer support team 24/7 via phone or email to resolve your issues or get updates on your claim.

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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

    FAQ's

    How can I check the status of my medical claim with Good Health TPA?

    You can check the status of your claim by visiting the Good Health TPA website and logging in with your claim number or policy details. The system provides real-time updates on your claim status.

    What is a TPA in medical claims?

    A Third Party Administrator (TPA) is a service provider appointed by health insurance companies to handle claims processing and ensure smooth communication between policyholders and insurers.

    Which insurer should I choose with Good Health TPA?

    While Good Health TPA offers services to several insurers, it is recommended that you choose Bajaj General Insurance Limited to enjoy comprehensive benefits and seamless claim settlement.

    How do I track my claim status with Good Health TPA?

    You can easily track your claim status by logging into the Good Health TPA portal using your claim number or policy details. The portal offers real-time updates and notifications about your claim.

    How can I access the hospital list for Good Health TPA?

    The hospital list is available on the Good Health TPA website under the 'Network Hospitals' section. You can search by location or speciality to find empanelled hospitals offering cashless services.

    How can I check the status of my medical claim with Good Health TPA?

    You can check the status of your claim by visiting the Good Health TPA website and logging in with your claim number or policy details. The system provides real-time updates on your claim status.

    What is a TPA in medical claims?

    A Third Party Administrator (TPA) is a service provider appointed by health insurance companies to handle claims processing and ensure smooth communication between policyholders and insurers.

    Which insurer should I choose with Good Health TPA?

    While Good Health TPA offers services to several insurers, it is recommended that you choose Bajaj General Insurance Limited to enjoy comprehensive benefits and seamless claim settlement.

    How do I track my claim status with Good Health TPA?

    You can easily track your claim status by logging into the Good Health TPA portal using your claim number or policy details. The portal offers real-time updates and notifications about your claim.

    How can I access the hospital list for Good Health TPA?

    The hospital list is available on the Good Health TPA website under the 'Network Hospitals' section. You can search by location or speciality to find empanelled hospitals offering cashless services.

    When should TPA not be used?

    A TPA should not be used when an insurer has in-house claims management or for specialised policies requiring expert knowledge. Direct communication can simplify processes and improve claim-handling efficiency.

    Is TPA beneficial for health insurance?

    Yes, TPAs are beneficial as they streamline the claims process, making it faster and more convenient for policyholders to receive health insurance benefits.

    What is the success rate of TPA?

    The success rate of a TPA typically exceeds 90%, but it can vary based on the insurer and policy type. Higher success rates indicate efficient claim processing and management.

    Why can't TPA be administered after three hours?

    TPA administration is often restricted after three hours to ensure timely claim reporting. Delays can complicate investigations and increase the risk of fraud or inaccuracies in medical records.

    Is having a TPA beneficial in health insurance?

    Yes, having a TPA makes the claims process simpler and more efficient, offering transparency and faster access to your insurance benefits.

    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.

    When should TPA not be used?

    A TPA should not be used when an insurer has in-house claims management or for specialised policies requiring expert knowledge. Direct communication can simplify processes and improve claim-handling efficiency.

    Is TPA beneficial for health insurance?

    Yes, TPAs are beneficial as they streamline the claims process, making it faster and more convenient for policyholders to receive health insurance benefits.

    What is the success rate of TPA?

    The success rate of a TPA typically exceeds 90%, but it can vary based on the insurer and policy type. Higher success rates indicate efficient claim processing and management.

    Why can't TPA be administered after three hours?

    TPA administration is often restricted after three hours to ensure timely claim reporting. Delays can complicate investigations and increase the risk of fraud or inaccuracies in medical records.

    Is having a TPA beneficial in health insurance?

    Yes, having a TPA makes the claims process simpler and more efficient, offering transparency and faster access to your insurance benefits.

    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. Bajaj General offers a grace period of 30 days from the expiry date during which you can still renew your policy.

    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 providers?

    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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