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
Marriage often brings shared dreams and combined financial risks. A health insurance for couples policy lets husband and wife pool medical cover, enjoy lower premiums per person and simplify paperwork under one plan. Whether you are newlyweds or celebrating a silver anniversary, the right policy cushions unexpected hospital bills, supports family-planning goals and keeps long-term wealth on track. With options ranging from affordable floater covers to feature-rich comprehensive plans, Indian insurers now offer products tailored to the modern household.
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 |
Also called health insurance for husband and wife, a couple plan is a family-floater where both partners share a single sum insured and common benefits—hospitalisation, day-care, pre- & post-treatment and wellness services—under one premium. This avoids the need for two separate policies, makes claim management easier and often unlocks higher no-claim bonuses. Many insurers extend maternity, newborn and fertility coverage as optional riders, making it the best medical insurance for couples who plan to start a family within a few years.
● Cost-effective cover — shared sum insured lowers per-head premium.
● Automatic life-stage upgrades — add a newborn without fresh underwriting.
● Unified paperwork — single renewal date, one cashless card, fewer forms.
● Double tax savings — premiums qualify under Section 80D for both spouses.
● Cashless convenience — 18,400+ cashless hospitals with Bajaj General Insurance ensure treatment access nationwide.
● Fertility & maternity riders — optional add-ons fund IVF, delivery and vaccination expenses.
● Wellness rewards — earn points for steps, nutrition tracking or preventive check-ups, redeemable against premiums.
● Higher cumulative bonus — claim-free years boost the entire family sum insured, not just an individual cap.
Schedule your visit for personalised solutions and guidance that you can trust!
Insurer & Plan | Sum Insured Range | Key Highlight |
Bajaj General– Family Floater | ₹5 lakh–₹1 crore | Hospital cash + wellness app |
HDFC ERGO – Optima Restore | ₹5 lakh–₹50 lakh | Automatic sum restore on every claim |
Niva Bupa – ReAssure 2.0 | ₹5 lakh–₹1 crore | Unlimited reinstatement, loyalty add-on |
Star Health – Family Health Optima | ₹3 lakh–₹25 lakh | Newborn cover from day 1 |
● Hospitalisation (room rent, ICU, nursing) up to the shared sum insured
● Day-care & advanced surgeries (e.g., robotic, laser) included
● Pre & post-hospitalisation expenses: 30–60 days & 60–90 days respectively
● AYUSH inpatient cover without sub-limits
● Annual preventive health check-ups for each spouse
● Optional maternity, fertility and newborn benefits
● Ambulance organ donor and domiciliary treatment riders
● Wellness points are redeemable against future premiums
● Waiting periods for pre-existing diseases (2–4 years)
● Maternity costs unless the rider is chosen; similar wait for IVF benefits
● Cosmetic or weight-loss procedures, unless medically necessary
● OPD dental and vision, unless the policy specifically includes them
● Self-inflicted injuries, intoxication-related claims
● Non-prescribed vitamins, supplements or experimental therapies
● Overseas treatment, unless a global cover add-on is purchased
● Assess life-stage needs — maternity soon? opt for shorter waiting-period rider.
● Compare sum insured vs city costs — metro couples need ₹10–25 lakh minimum.
● Check cashless network size — plans from Bajaj General Insurance excel in tier-2/3 locations.
● Scrutinise maternity caps — low sub-limits can leave large gaps.
● Look for unlimited reinstatement — restores sum insured after each claim.
● Evaluate wellness benefits — apps, vouchers, tele-consults add everyday value.
● Confirm room-rent policy — no-capping avoids proportionate deductions.
● Read exclusions & co-payments — especially for seniors or high-risk jobs.
● Compare policies on insurer websites or aggregators.
● Enter both spouses’ ages, health history and desired sum insured.
● Select add-ons (maternity, critical illness, personal accident) if needed.
● Upload medical reports or schedule pre-policy check-ups.
● Pay premium via secure gateway; e-policy issued instantly.
● Download cashless e-cards and the app for easy hospital admission.
● Choosing the cheapest plan without checking the hospital network or sub-limits.
● Ignoring maternity wait periods when family planning is near.
● Under-insuring by selecting a low sum insured to save premiums.
● Overlooking restoration and no-claim bonus features.
● Forgetting to disclose existing conditions risks claim rejection.
● Skipping critical illness or personal accident riders for dual protection.
● Policy copy/e-card and photo ID
● Discharge summary & final hospital bill
● Itemised invoices for medicines, implants and diagnostics
● Payment receipts & cancelled cheque for reimbursement
● Doctor’s prescriptions, operative notes, diagnostic reports
● FIR (if accident) or medico-legal certificate
● For maternity: birth certificate & obstetrician declaration
Get instant access to policy details with a single click
● Inform insurer or TPA 24 hrs before planned admission (or within 24 hrs for emergencies).
● Present the e-card and ID at the network hospital.
● The hospital sends pre-authorisation; the insurer approves the payable amount.
● After discharge, sign the final bill; the insurer settles directly with the hospital.
● Notify insurer, collect all original bills, reports and discharge summaries.
● Download the claim form, fill and sign both the insured and treating doctor sections.
● Submit documents within 15 days of discharge.
● Track claim online; payout credited to bank once approved.
● Maintain copies of tests, prescriptions and pharmacy bills.
● For maternity claims, include the birth certificate and the obstetrician's notes.
● Use the insurer’s helpline or app for status updates and document uploads.
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!
Be proactive about your health–set goals, track progress, and get discounts!
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Experience integrated health management with us by connecting all aspects of your health in one place
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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Highly satisfied
Clear policies, easy renewal, and great coverage options. Highly satisfied with this health insurance app.
Piyush Kumar
Mumbai
17th Mar 2025
Highly recommend!
Managing my health, vehicle & cyber insurance is so simple with this app. Highly recommend!
Pooja Kaushik
Vadodara
2nd Feb 2025
Simple, fast & effective!
A reliable health insurance app with all features in one place—simple, fast & effective!
Hrithik Mishra
Delhi
31st Jan 2025
Love this app!
Managing my family’s health insurance has never been this convenient. Love this app!
Shagun Gupta
Mumbai
31st Jan 2025
Reliable & affordable
Reliable & affordable medical insurance plan—gives complete health security for my family.
Shubham Singh
Delhi
30th Jan 2025
Financial convenience
Medical crises are stressful, but financial convenience is guaranteed by this health plan
Pushpendra Gurjar
Mumbai
30th Jan 2025
Great coverage options too!
Finding pregnancy health insurance was stress-free on Bajaj General app. Great coverage options too!
Rajesh Kumar
Mumbai
24th Jan 2025
User-friendly and efficient!
Securing my family's health with Bajaj General has been hassle-free. Their app is user-friendly and efficient!
Gautam Mongia
Delhi
24th Jan 2025
It’s a family-floater policy covering both spouses under a shared sum insured, offering joint benefits and simpler management.
Yes. You can include your spouse as a dependent under most family-floater or couple plans.
Yes. A spouse can purchase a policy and list the other partner as an insured member.
The best option depends on sum insured, maternity benefits, hospital network and claim settlement record. Compare features before choosing.
Premiums differ based on age, location and sum insured. For a 30-year-old couple with ₹10 lakh cover, the annual premium is usually ₹12,000–₹18,000.
Often yes, but it usually carries a waiting period and sub-limits unless supplemented with a maternity rider.
Yes. Most insurers provide broad cashless hospital networks for seamless admissions.
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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