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    Health Insurance

    Health Insurance in Kolkata

    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 Kolkata

    Many people often find buying health insurance in Kolkata a complicated process. However, as everything is digital now, health insurance is too. You need to be aware of the type of health insurance that you want to buy and consider your health history.

     

    Bajaj General Insurance will be your perfect partner, as we already have 17 million customers who are receiving our care. With 2 decades of experience, we provide customisable health insurance plans and exclusive discounts.

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    Types of Health Insurance in Kolkata

    Individual Health Insurance Policy

    Individual plans are one of the best health insurance in Kolkata if you are a young adult between 19 and 30 years old. It covers only the policyholder, and they get to enjoy the full sum insured amount.

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    Family Health Insurance Plan

    We understand the varied health needs of a Bengali household. That’s why our family health insurance policies provide preventive health checkups, pre and post-hospitalisation, and AYUSH treatments. Therefore, within a single policy, you will be able to protect your entire family.

    View Plans Know More

    Senior Citizen Health Insurance

    Senior citizens have different kinds of requirements for health insurance Kolkata. They often require frequent hospitalisation. Therefore, our senior citizen health insurance provides a wide entry age, mental health treatment and a high sum insured amount.

    View Plans Know More

    Critical Illness Insurance

    Kolkata has a high population of people suffering from critical illness. Therefore, to counter the high cost of treatment, Bajaj General’s critical illness plans offer coverage for 43 illnesses. Therefore, you can get a lump sum payout in case of a diagnosis.

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    Women’s Health Insurance

    Women’s healthcare needs are different from those of men. Therefore, to address this, Bajaj General Insurance offers specialised healthcare plans for women. It offers a wide sum insured amount up to ₹2 crore.

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    Top-Up and Super Top-Up Plans

    Top-up and Super Top-Up Plans are your safety net if you use up your sum insured amount. These help you cover huge hospital bills without worrying about your savings. You can buy them in addition to your base health insurance policy.

    View Plans Know More

    Why Do You Need Health Insurance in Kolkata?

    Kolkata sees different kinds of public health issues. There is a high prevalence of hypertension, diabetes and other diseases. Here is why you need health insurance Kolkata:

    • Covers Emergency Treatments

      Emergencies do not arrive with a timeline. It can strike anytime. Thus, to protect your savings, medical insurance in Kolkata covers emergency care, including stabilisation and intravenous fluids (IV).

    • Shields You Against Inflation

      Medical inflation in Kolkata continues to rise significantly. Moreover, in a private hospital, the costs are often exorbitant. A health insurance plan covers the high cost, so you receive the best treatment in Kolkata.

    • Covers Major Chronic Diseases

      Chronic illnesses prevalent in Kolkata include diabetes, heart conditions, cancer, respiratory diseases and many more. When you buy a health insurance plan, you get coverage for these major chronic diseases.

    • Protects Your Family

      Lastly, health insurance is a financial instrument which covers your whole family under a single plan. This lets you manage their healthcare costs and provide the best care.

    What are the Benefits of Health Insurance Plans in Kolkata?

    Now that you know why you need medical insurance, let us know about the benefits of buying a health insurance plan in Kolkata:

    Factors to Consider When Choosing Medical Insurance in Kolkata

    When choosing the best health insurance policy in Kolkata, you have to keep several points in mind. These include the following:

    Step-by-Step Guide

    How to Buy Health Insurance Plans in Kolkata Online?

    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

    How to Claim Health Insurance in Kolkata?

    Many people wonder how they can claim their health insurance plans. There are 2 processes you can follow: the cashless route and the reimbursement route.

    Cashless Claim Process

    Visit a network hospital in Kolkata and contact the TPA.
    Inform us about the hospitalisation within 24 hours.
    We will verify with the hospital desk.
    Once approved, we will directly disburse the amount to the hospital.

    Reimbursement Claim Process

    Inform us about the hospitalisation within 24-48 hours.
    Pay for the bills yourself at first.
    Collect all necessary documents and submit them (original copies).
    We will verify the documents and reimburse the amount to your bank account.

    Bajaj General Health Insurance Office Address in Kolkata

    Branch Name Address PIN Code Contact Number Business Hours

    General Insurance Branch in Mani Square, Kolkata

    164/1 Manicktala Main Road, Mani Square 6th Floor, Canal Circle Road, Premises No- 41, Kolkata

    700054

    033 - 30212900

    Monday to Saturday: 9.30 AM to 6.30 AM.

    Sunday Closed.

    General Insurance Branch in Rajarhat, Kolkata

    3rd Floor, Block B, Ecospace Plot Number-II/F/116 (Old No AA-II/ Block 2 IT), New Town, Rajarhat, Kolkata

    7000156

    033 - 66049000

    Monday to Saturday: 9.30 AM to 6.30 AM.

    Sunday Closed.

    General Insurance Branch in New Market, Kolkata 

    KAHM Tower, 6th Floor, 13 Nellie Sengupta Sarani, Kolkata

    700087

    033 - 22520263

    Monday to Saturday: 9.30 AM to 6.30 AM.

    Sunday Closed.

    Download Policy Documents

    Get instant access to policy details with a single click

    Step-by-Step Guide

    To guide you through 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

    • 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

    FAQ's

    Why should I buy health insurance in Kolkata?

    You should buy health insurance in Kolkata because of rising health inflation. Private hospital bills in Kolkata can be exorbitant and can cost your life savings without support from a health insurance policy.

    What is the best health insurance in Kolkata for a family?

    Bajaj General Insurance’s family health insurance policies are the best for Bengali households. They offer a higher range of sum insured and exclusive discounts as well. Read the brochure and policy documents for more information.

    What documents are required to buy medical insurance in Kolkata?

    You will require an identity proof, which includes Aadhaar card, PAN card, driving license, voter ID card, etc. You need to provide age proof as well. You can show your birth certificate, passport or Class 10th or 12th report card for that.

    Can I buy health insurance online in Kolkata?

    Yes, you can easily buy health insurance online in Kolkata. With Bajaj General Insurance’s app and website, you can easily buy health insurance within minutes.

    What is a cashless hospital network?

    A cashless hospital network refers to the partner hospitals of an insurance company. In these hospitals, you can avail cashless treatment with no out-of-pocket expenses. Bajaj General has 18,400+ cashless hospital network.

    What does a health insurance policy in Kolkata typically cover?

    A health insurance policy covers pre and post-hospitalisation, ICU charges, preventive healthcare checkups, inpatient hospitalisation, emergency ambulance coverage, AYUSH treatment and many more. To get the full details of inclusions, you should read the policy wordings carefully.

    What is not covered under a health insurance policy?

    Health insurance plans in Kolkata do not cover pre-existing diseases (only after a certain waiting period), dental and vision care, cosmetic surgeries, self-inflicted injuries, etc.

    What is a waiting period in health insurance?

    A waiting period in health insurance refers to a specific time after which you can make a claim with the insurer. There are mainly 3 types: initial waiting period, pre-existing disease waiting period and maternity benefit waiting period.

    Can I add family members to my existing health insurance policy?

    Yes, you can easily add family members to your existing health insurance policy. You can add them during renewal or after major events such as marriage or birth.

    What is the ideal sum insured for a health insurance plan in Kolkata?

    There is no ideal sum insured amount for a health insurance plan in Kolkata. It depends on your health needs. However, a ₹20 lakh to ₹30 lakh plan should suffice in Kolkata.

    How do I file a health insurance claim in Kolkata?

    You can file a health insurance claim in Kolkata by informing your insurer via a call. Then you have to submit the claim form with the relevant documents. You can do this online or offline.

    What is the difference between cashless and reimbursement claims?

    In a cashless claim, you do not have to pay for the hospital bills. The insurer will settle directly with the hospital. In a reimbursement claim, you have to pay for the hospital bills yourself at first. Then you have to submit the bills, and your insurer will reimburse you.

    How long does it take to settle a health insurance claim?

    The settlement time for a health insurance claim depends on the type of claim. For cashless claims, it may be settled in 3-7 hours. For reimbursement claims, it may take 7 to 30 days, depending on the verification process.

    What documents are needed to raise a claim?

    The documents you need to raise a claim are the claim form, discharge summary, original hospital bills, prescriptions, diagnostic reports, pharmacy bills, and others.

    What should I do if my claim is rejected?

    If your health insurance claim is rejected, you have to read the reason carefully and fix any mistake that you may have made. If you are not satisfied with the reason they provide, you can file a complaint with the Insurance Ombudsman.

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