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    Health Insurance

    Health Insurance in Gurgaon

    CriticalIllness

    Key Features

    Protecting You From the Financial Burden of Critical Illness

    Coverage Highlights

    Get comprehensive coverage for your health
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    • Sum Insured as per Severity

    The claim disbursal will be as per the severity of the disease covered under the policy

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    • Extensive Critical Illness Coverage

    Get coverage for 43 critical illnesses as per policy terms

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    • Wide Sum Insured (SI) Options

    Choose adequate sum insured from 5 lacs to 5 crores that suits your need

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    • Lump Sum Payout

    Get a lumpsum payout regardless of treatment costs

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    • Lifetime Renewal

    Option to avail lifetime renewal services (applicable for continuous coverage)

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    • Flexible Usage

    Avail the payout amount as needed for treatment, medication, or rehabilitation

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    • Design Your Own Plan

    Option to choose from 5 types of covers that best suits your needs

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    • Note

    Please read policy wording for detailed terms and conditions

    Inclusions

    What’s covered?
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    • Cancer Care

    Covers critical illness as per category A (25%) and category B (100% sum assured)

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    • Cardiovascular Care

    Covers critical illness as per category a (25%) and category B (100% sum assured)

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    • Kidney Care

    Covers critical illness as per category A (25%) and category B (100% sum assured)

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    • Neuro Care

    Covers critical illness as per category A (25%) and category B (100% sum assured)

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    • Transplant Care & Sensory Organs Care

    Covers critical illness as per category A (25%) and category B (100% sum assured)

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    • Note

    Please read policy wording for detailed terms and conditions

    Exclusions

    What’s not covered?
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    • Waiting Period

    Critical illness diagnosed within the first 180/ 120 days is excluded unless coverage is renewed without a break as per the policy terms

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    • Sexually Transmitted Diseases

    Treatment for sexually transmitted diseases are not covered

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    • Birth Defects

    Expenses for treatment of birth defects and congenital anomalies

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    • War and Related Activities

    Expenses incurred due to war, invasion, civil war, rebellion, and related events stays

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    • Natural Perils

    Storms, earthquakes, volcanic eruptions, and other natural hazards are not covered

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    • Self-inflicted Injuries

    Self-inflicted injuries, suicide attempts, insanity, and illegal acts are not covered

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    • Intoxicating Substances

    Coverage for treatment required after misuse of drugs and alcohol (except narcotics used under medical direction)

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    • Note

    Please read policy wording for detailed terms and conditions

    Additional Covers

    What else can you get?
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    • Cancer Reconstructive Surgery

    Additional sum assured for reconstructive surgery if a category B cancer claim is accepted

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    • Cardiac Nursing

    Additional sum assured for cardiac nursing if a category B cardiovascular claim is accepted

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    • Dialysis Care

    Additional sum assured for dialysis if a category B kidney care claim is accepted

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    • Physiotherapy Care

    Additional sum assured for physiotherapy if a category B neuro care claim is accepted

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    • Sensory Care

    Additional sum assured for speech therapy or hearing loss treatments (e.g., cochlear implants) if a category B sensory organs care claim is accepted

    Complete Guide to Buy Health Insurance in Gurgaon

    The best way to choose health insurance coverage in Gurgaon is to look for a plan that aligns with your personal healthcare needs, family size, lifestyle and budget. While an individual health insurance plan covers a single insured person, a family floater plan brings multiple members under the same sum insured amount. So, before investing, have clarity regarding the coverage, waiting periods, claim settlement process, premiums and add-ons.

    For example, a family of 3 living at the Golf Course Road in Gurgaon may purchase a health insurance policy worth ₹50 Lakh to cover hospitalisation expenses, accidents (where applicable), pre- and post-hospitalisation expenses, and other covered medical treatments. This level of coverage will help the family to cope with rising medical expenses while giving them access to quality healthcare whenever necessary.

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    Types of Health Insurance in Gurgaon

    Individual Health Insurance

    An individual health insurance plan is ideal for both salaried individuals and business owners who live alone for work purposes in Gurgaon, and those who have not started a family.

    The policyholder can utilise the whole sum insured amount to cover emergency treatments, pre- and post-hospitalisation costs, daycare procedures, and OPD consultations. It offers extensive personalised health coverage to the individual without sharing the sum insured.

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    Family Health Insurance Plan

    To help families manage healthcare expenses efficiently, a family floater plan is ideal. It brings your spouse, children and dependent parents under a single policy. Since the entire family shares a single sum insured, it is considered one of the cheapest health insurance plans in Gurgaon.

     Furthermore, compared to purchasing separate policies for each member, this type of policy is easier to manage, as well. Similar to an individual plan, it covers hospitalisation, surgeries, daycare procedures, and medical emergencies. So families can manage healthcare expenses efficiently.

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    Senior Citizen Health Insurance

    As healthcare requirements increase with age, to cope with the expenses, it is advisable to purchase coverage for health insurance in Gurgaon that is fully dedicated to senior citizens. For people aged 60 years and above, such plans cover expenses triggered by hospitalisation, age-related illnesses, and medical treatments. 

    There are some specific health insurance plans that not only come with cashless benefits but also optional wellness benefits. So, seniors get access to quality healthcare at an affordable premium. 

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    Critical Illness Insurance

    Individuals in Gurgaon suffering from cancer, heart issues, stroke, brain surgery, or kidney diseases can opt for standalone critical illness coverage. This type of insurance offers a lump-sum payout when a policyholder is diagnosed with a specific life-threatening disease listed in the policy.

    The coverage amount of this type of insurance can be utilised for rehabilitation, treatment costs and income replacement. That way, policyholders can ensure financial support whenever a difficult medical situation occurs. 

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    Super Top Up Health Insurance

    Super top-up health insurance provides an additional layer of financial protection when your medical expenses exceed the coverage limit of your base health insurance policy. For example, if you have a base health insurance policy with a sum insured of ₹10 Lakh and a super top-up plan with a ₹10 Lakh deductible, the deductible can be met through the base policy.

    The super top-up plan then helps cover eligible medical expenses beyond that limit, as per the policy terms. Choosing a deductible that matches your base policy's sum insured can help optimise your coverage.

    Maternity Cover Insurance

    Maternity cover insurance is a specialised health plan that covers all kinds of medical expenses related to pregnancy, normal delivery, as well as C-section, and newborn care. Whereas most standard health insurance in Gurgaon does not offer this type of coverage, it is highly recommended for individuals planning to start a family. 

    Starting from hospital room rent, nursing charges, surgeon fees, to the cost of deliveries and newborn care, the policy provides strong financial protection.  

    Group Health Insurance

    Group health insurance in Gurgaon is primarily offered by an employer or an organisation to its employees. It provides financial assistance to eligible employees and their dependents during medical emergencies. In exchange for a premium from the employer, employees start to receive coverage benefits. Unlike other plans, this type of policy has shorter or no waiting periods.

    It is ideal to combine an employer-sponsored health insurance plan with an individual health plan to ensure continued coverage even after a job shift or retirement. 

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    Personal Accident Cover

    Personal accident insurance offers financial assistance if an accident results in disability or death, as per the policy terms. As per the policy terms, the plan provides compensation for accidental death or disability as specified in the benefit schedule. Furthermore, in case of a permanent disability, full compensation is offered. If there is partial disability, the policy pays a fractional percentage.

    This specific type of cover complements your regular health insurance by offering additional protection against accidental risks.

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    Why Do You Need Health Insurance in Gurgaon?

    With numerous multi-speciality hospitals and advanced medical facilities, Gurgaon is one of India’s leading healthcare destinations. However, when it comes to accessing quality healthcare, it involves high treatment costs. This is where health insurance works as a financial safeguard.

    • Rising Lifestyle Disorders

      Long working hours, sedentary lifestyles, and work-related stress often cause health concerns such as type 2 diabetes, hypertension, chronic respiratory issues, and obesity. Treating these issues at private hospitals and managing recurring expenses make it a mandate to have reliable health insurance.

    • Expensive Healthcare

      Urban medical centres in Gurgaon attract high costs for room rents, diagnostic tests, and specialised care. To cover these charges, health insurance in Gurgaon comes in handy. A comprehensive health plan from insurers like Bajaj General Insurance offers a high sum insured along with coverage for chronic diseases and OPD coverage.

    • Prevalent Vector-Borne Diseases

      During the monsoon season, Gurgaon witnesses cases of vector-borne diseases such as dengue, malaria, and chikungunya. Treatment and hospitalisation for these illnesses can lead to unexpected medical expenses. Health insurance helps manage eligible hospitalisation costs and provides financial support during such medical emergencies, as per the policy terms.

    • Poor Air Quality

      In recent years, the AQI of Gurgaon has seen its worst, with an average PM 2.5 concentration of 116 µg/m³. Such weather conditions make Gurgaon one of the most polluted cities in India. Irrespective of age, people living in this region often get diagnosed with respiratory and cardiovascular issues. With proper medical insurance coverage, treatment costs can be reduced significantly.

    • Higher Maternal Mortality Rate

      In terms of Maternal Mortality Rate, Gurgaon is behind other cities in India. Although there have been multiple initiatives to ensure safer motherhood, it often attracts high costs. Maternal health insurance in Gurgaon can cover not only delivery charges, but also a wide range of pregnancy-related concerns.

    • Financial Preparedness

      Medical emergencies can occur at any time, and therefore, it is best to have a proper financial shield to fall back on. Investing in health insurance in Gurgaon provides such an opportunity. It helps in managing unexpected medical costs by covering hospitalisation, surgeries, daycare procedures, ambulance charges and so on.

    What are the Benefits of Health Insurance Plans in Gurgaon?

    The benefits of the best health insurance plan in Gurgaon include: 

    Factors to Consider When Choosing Medical Insurance in Gurgaon

    When it comes to choosing the right medical insurance in Gurgaon, evaluating several factors, such as the availability of network hospitals, claim settlement ratio, waiting period, and coverage benefits, is necessary.

    Consider these key aspects before buying a policy: 

    Step-By-Step Guide

    How to Buy Health Insurance Plans in Gurgaon Online?

    How to Buy

    • 1

      Visit the Bajaj General Website

    • 2

      Enter personal details

    • 3

      Compare health insurance plans

    • 4

      Select suitable coverage

    • 5

      Check discounts & offers

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      Add optional benefits

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      Proceed to secure payment

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      Receive instant policy confirmation

    How to Renew

    • 1

      Enter your personal details to begin the health insurance applicati

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      Compare various health insurance plans based on coverage and benefi

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      Select a suitable coverage after reviewing policy features, terms,

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      Check available discounts, offers, and add optional benefits for bo

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      Review all the entered details before proceeding with secure online

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      Receive instant policy confirmation through your registered email w

    How to Claim

    • 1

      Notify Bajaj General about the claim using app

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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

    • 1

      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

    • 7

      Pay the premium for your new policy

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      Receive policy documents & coverage details

    How to Claim Health Insurance in Gurgaon?

    Understanding how to claim Bajaj General Insurance’s health insurance policy in Gurgaon is essential. The following are the details:

    Cashless Claim

    1
    Notify the insurer as soon as possible of the hospitalisation at a network hospital. 
    2
    1. Submit the insurer-provided health card at the hospital’s TPA desk. 
    3
    In case of a preplanned hospitalisation, you need to submit the pre-authorisation form. 
    4
    1. Once you submit the documents, the hospital submits the same to the insurer for approval. 
    5
    1. At the end of treatment, the insurer settles eligible medical expenses directly with the hospital after approval.

    Reimbursement Claim

    1
    Get admission to any hospital and pay for the treatment. 
    2
    1. Collect original hospital bills, prescriptions, investigation reports, discharge summaries, payment receipts and pharmacy bills. 
    3
    1. Complete the reimbursement claim form and submit it along with the required documents. 
    4
    After verifying your request and submitted documents, we will approve the claim. 
    5
    1. You will receive the admissible claim amount to your registered bank account within a few days.      
     

    Bajaj General Health Insurance Office Address in Gurgaon

    For offline policy purchase, renewal or claim settlement, visit our office in Gurgaon. Check out the address:

     Particulars

     Details

     Office

     Bajaj General Insurance Gurgaon Branch

     Address

     3rd Floor, JMD Regent Plaza, Sikanderpur MG Road, Gurgaon-122001.

     Phone No.

     0124-4064501

     Services

     Policy purchase, renewal, claim settlement, and grievance

     Working Hours

     Monday to Saturday (9:30 AM to 6:30 PM)

    Download Policy Documents

    Get instant access to policy details with a single click

    Frequently Asked Questions on Health Insurance in Gurgaon

    How much health insurance coverage do I need in Gurgaon?

    The ideal health insurance coverage in Gurgaon depends on your age, lifestyle, policy type, current health condition, and the region you live in. You need to analyse each factor while choosing. In the context of Gurgaon, insurance experts suggest coverage between ₹5 Lakh and ₹15 Lakh for an individual policy, and at least ₹25 Lakh to ₹30 Lakh for a family floater plan. 

    What documents are required to buy medical insurance in Gurgaon?

    Documents such as your identity proof, address proof, medical reports, recent passport-size photographs, and policy proposal form are mandatory at the time of policy purchase. 

    Is the Chirayu scheme enough, or do I still need private health insurance?

    The Chirayu scheme is a government-backed health insurance scheme for Haryana. It offers ₹5 Lakh health coverage to low-income families living in Haryana, including Gurgaon. If you have a bigger family, or if you are looking for higher health insurance coverage, then Chirayu is not enough; it is best to combine it with a private health insurance policy. 

    Does health insurance cover pollution-related respiratory treatment in Gurgaon?

    Yes, when you purchase a comprehensive health insurance plan in Gurgaon, it covers pollution-related respiratory treatments, including bronchitis, asthma and chronic obstructive pulmonary disease. 

    What is covered under a health insurance policy in Gurgaon?

    A health insurance policy in Gurgaon covers pre- and post-hospitalisation, daycare procedures, ambulance charges, domiciliary hospitalisation, and organ donor expenses. The policyholder has the full freedom to choose the most suitable coverage based on their personal requirements. 

    What are the common exclusions in a Gurgaon health insurance plan?

    Most of the standard Gurgaon health insurance plans do not include cosmetic surgery, substance abuse, self-inflicted harm, hazardous activities and non-medical consumables. 

    Can I port my existing policy to Bajaj in Gurgaon?

    Yes, you can port your existing health insurance policy to Bajaj in Gurgaon simply by informing the insurer 45 days before your current policy renewal date. Submit necessary documents such as your policy papers, medical records and ID proof.

    After verifying, Bajaj will approve your request and assist you in retaining your current policy’s accumulated waiting period and no claim bonus. 

    What is the waiting period for pre-existing diseases?

    The waiting period for pre-existing diseases in a health insurance plan refers to the time a policyholder needs to wait before raising a claim for these conditions. It can range between 12 months and 36 months, depending on the insurer and the health condition. 

    Can I add family members to my policy after purchase?

    Yes, you can add family members to your health insurance policy after purchase, particularly during the policy renewal period or after a major life event has occurred, such as marriage or the birth of a baby. It is not possible to add another member to your policy in the middle of a policy year. 

    How do I file a cashless claim in Gurgaon?

    To file a cashless claim under Bajaj General Health Insurance in Gurgaon, you need to inform the insurer within 24 hours of hospitalisation. Then, visit a network hospital and start treatment, submitting the policy card along with the claim form at the TPA desk. Eligible expenses are settled directly with the hospital after approval at the end of treatment.

    What is the reimbursement claim process?

    The reimbursement claim process is when you access healthcare treatments at a non-network hospital, and at the end of treatment, you pay for the hospital bills on your own. Later, you submit your health insurance policy’s claim form along with the invoices, medical reports, discharge summary and bill to the insurer. After verifying your request, the insurer reimburses the claim amount within a few days. 

    Which hospitals in Gurgaon offer cashless treatment?

    There is a wide range of network hospitals in Gurgaon that are associated with Bajaj General Insurance. To locate the nearest ones, simply visit our network hospital locator page, select your PIN code, and you will find the list. 

    How long does claim settlement usually take?

    Depending on the type of claim, the settlement timing varies. For cashless treatment, the insurer settles the claim directly at the hospital while you focus on getting treated at the network hospital. 

    In contrast, for a reimbursement claim, after discharge, the policyholder needs to submit the claim form along with the hospital invoices and medical reports, etc. After verification, the insurer settles the claim within a few days.   

    What documents are needed to file a claim?

    To file a claim under health insurance in Gurgaon, a policyholder needs to attach the discharge summary, health card, policy claim form, hospital bills, medical reports and doctor’s prescription. 

    How many days before can I renew my health insurance policy in Gurgaon?

    You can renew your health insurance in Gurgaon 30 to 45 days before its expiration date. It is best to renew on time to ensure continued coverage. If, for any reason, you miss out on renewing, you get a grace period of 15 to 30 days. Renewing your policy within the grace period eliminates the chances of policy lapse. 

    What is the cost of health insurance renewal in Gurgaon?

    The cost of health insurance renewal varies from one insurer to another. However, factors such as the policyholder's age, pre-existing health conditions, sum insured amount and no claim bonus (NCB) play a significant role in determining the premium at the time of policy renewal. 

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