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    Health Insurance

    Health Insurance in Mumbai

    HealthGuard

    Key Features

    An All-rounder GST Free Health Cover to Guard Your Family

    Coverage Highlights

    Get comprehensive coverage for your health
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    • Choose from Best of Plans

    Choose from multiple plans to meet your requirements

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    • Wide Sum Insured Options

    Select adequate sum insured that suits you starting INR 3 lacs to INR 1 crore

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    • Unlimited Reinstatement Benefit & Recharge

    Get the option of unlimited reinstatement of sum insured even after it is exhausted after claims

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    • Maternity & Newborn Care

    Medical expenses related to delivery of baby and towards treatment of the new born baby are covered under select plans

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    • Preventive Health Check-Up

    Start receiving annual preventive health check-ups after 2/3 policy renewals as per the chosen plan

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    • Online Discount

    Get flat 5% discount when you buy a policy on our website or our Bajaj General App

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    • Zone Discount

    Avail discounts of 20% for Zone B and 30% for Zone C depending on where you live

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    • Fitness Discount & Wellness Discount

    Avail up to 12.5% wellness discount for healthy habits on renewal

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    • Note

    Please read policy wording for detailed terms and conditions

    Inclusions

    What’s covered?
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    • 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

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    • 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

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    • 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

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    • AYUSH Hospitalization cost

    Coverage for ayurvedic, yoga, unani, siddha and homeopathic (AYUSH) treatment on a doctor’s advice for treating illness or physical injury

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    • Maternity & Newborn Care

    Medical expenses related to delivery of baby and towards treatment of the new born baby are covered under select plans

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    • 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

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    • 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

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    • Cumulative Bonus

    Sum Insured automatically increases at renewal by opted percentage if there is no claim in expiring period

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    • 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

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    • Note

    Please read policy wording for detailed terms and conditions

    Exclusions

    What’s not covered?
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    • Initial Waiting Period

    Treatment expenses during the first 30 days except for treatment of accidental injuries

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    • 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

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    • 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

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    • Maternity Expenses

    Treatment expenses related to maternity are excluded until 72 months from date of your first Health Guard Policy

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    • Expenses for Medical Investigation & Evaluation

    Medical expenses primarily for diagnostic procedures and medical evaluation unrelated to the current diagnosis or treatment

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    • 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

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    • Cosmetic Surgery Expenses

    Treatment to change appearance unless it is for reconstruction required for a medically essential treatment or following an accident or burns

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    • Treatment for Self-Inflicted Acts

    Medical expenses incurred as a result of self-harm, as a result of intoxication, illegal actions, hazardous activities, etc.

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    • Deductibles & Co-pays

    Part of the claim will be borne by you if you have opted for deductibles or co-pay

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    • Note

    Please read policy wording for detailed exclusions

    Additional Covers

    What else can you get?
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    • 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

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    • 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

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    • Health Prime Rider

    Coverage for in-person or online doctor consultation, dental wellness, emotional wellness, and diet & nutrition consultations as per the chosen plan

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    • Respect Rider (Senior Care)

    Senior citizens can avail emergency assistance with services such as SOS alert, doctor on call, and 24x7 ambulance service

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    • 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

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    • More Add-Ons

    Explore more add-ons to enhance coverage

    Complete Guide to Buy Health Insurance in Mumbai

    To buy the best health insurance policy in Mumbai, first analyse your healthcare requirements, pre-existing health conditions, lifestyle, family size, and budget. For example, if you live in Andheri East with a dependent family of four, and your annual income permits, consider buying a health insurance plan in Mumbai worth ₹50 Lakh.

    This sum insured will be sufficient to cover pre- and post-hospitalisation, accidents, and emergency OPD consultations. Similarly, for a single business entrepreneur in Worli, a ₹20 Lakh comprehensive plan will be ideal. 

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    Types of Health Insurance in Mumbai

    Individual Health Insurance

    If you live alone in Mumbai for work or have no dependents yet, an individual health insurance plan is ideal. You can utilise the total sum insured amount during hospitalisation, accidental emergencies, OPD consultations, and daycare procedures. 

    View Plans Know More

    Family Floater Health Insurance

    A family floater plan brings your children, spouse and dependent parents under a single sum insured. Each family member has access to the policy coverage. Instead of a separate plan for each member, you can purchase this plan at a cheaper premium. 

    View Plans Know More

    Senior Citizen Health Insurance

    The senior citizen health insurance plan in Mumbai ensures your policy aligns properly with healthcare requirements that increase with age. This cover protects policyholders aged 60 years and above against expenses triggered due to age-related illnesses and emergency hospitalisation. 

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    Critical Illness Insurance

    A critical illness medical insurance in Mumbai can offer financial support to policyholders suffering from health issues such as cancer, stroke, heart issues, brain surgery, or kidney diseases. The lump sum payout makes treating and rehabilitating specific life-threatening diseases less stressful. 

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    Top Up & Super Top Up Plans

    Both top-up and super top-up plans are backups when your medical bills exceed the coverage amount or deductible. A top-up applies the deductible to each hospital bill separately. In contrast, a super top-up combines all hospital bills of the whole policy year. 

    Women's Health Insurance

    Every woman deserves healthcare that matches her changing needs at every stage of life. This dedicated insurance policy covers eligible medical expenses, maternity care, and critical illnesses. It offers wider protection than regular health insurance plans and supports better health with financial security throughout life.

    Why Do You Need Health Insurance in Mumbai?

    Whether it is getting treatment at a multi-speciality hospital or accessing advanced medical facilities, it involves high treatment costs. In such contexts, health insurance in Mumbai makes it easier. Here are some of the significant reasons why:

    • Increasing Lifestyle Disorders

      From sedentary lifestyles to long working hours and stress, people living in Mumbai often suffer from health concerns such as hypertension, type 2 diabetes, obesity, and chronic respiratory issues.

    • Expensive Healthcare

      Specialised care and diagnostic tests at urban medical centres in Mumbai attract higher expenses. A comprehensive health insurance plan with chronic disease and OPD coverage in Mumbai makes it convenient to cover these charges.

    • Consistent Rise in Vector-Borne Diseases

      Each year during monsoon, the Brihanmumbai Municipal Corporation (BMC) reports high numbers of vector-borne diseases. Whenever these diseases strike, people require emergency hospitalisation and post-hospitalisation care.

    • Poor Air Quality

      Although Mumbai has a relatively better air quality index (AQI) than Delhi, the city still experiences air pollution caused by vehicle exhaust, waste burning, and industrial smoke. These often lead to serious lung, respiratory and cardiological issues.

    • Higher Maternal Mortality Rate

      As per the latest RTI data from Mumbai’s health department, the fluctuating maternal mortality rate is concerning. Even though multiple initiatives from the Government have been in place, it often attracts higher costs.

    • Financial Preparedness

      A robust health insurance plan makes you financially prepared, so you can fall back on it during emergencies. Investing in it allows policyholders to manage unexpected medical costs triggered by emergency hospitalisation, daycare procedures, surgeries, and ambulance charges.

    What are the Benefits of Health Insurance Plans in Mumbai?

    From offering comprehensive coverage to offering cashless benefits, the benefits of health insurance in Mumbai are manifold. Let us look at the details in the following section:  

    Top Health Issues Affecting People in Mumbai

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      Diabetes:

      1. People undergoing high levels of stress and a sedentary lifestyle often suffer from metabolic disorders and Type 1 and Type 2 diabetes. 

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      Cardiovascular Diseases:

      1. Hypertension related to a fast-paced lifestyle in Mumbai often becomes a significant contributor to cardiovascular diseases. 

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      Cancer:

      1. As per recent health data of Mumbai, adenocarcinoma has been emerging as a key contributor to lung cancer, particularly among non-smokers. 

    • 4

      Waterborne Diseases: Due to floods and waterlogging, locals often suffer from waterborne diseases such as malaria, dengue, typhoid, etc.  

    Read More

    Factors to Consider When Choosing Medical Insurance in Mumbai

    Factors such as the insurer’s claim settlement ratio, waiting period, and availability of network hospitals play a crucial role at the time of choosing the best health insurance in Mumbai. Read on to learn more about these factors: 

    Step-by-Step Guide

    To guide you through your insurance journey.

    How to Buy

    • 1

      Open the Bajaj General Insurance health insurance page.

    • 2

      After considering your personal requirements, choose a relevant plan

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      Enter your age, location, and other member information details

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      Determine the sum insured and personalise your policy with add-ons

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      Carefully review the premium, coverage, waiting periods etc.

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      Fill in the proposal form accurately.

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      Use the secure online payment portal to pay the premium.

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      Once the purchase is complete, you will receive the policy document

    How to Renew

    • 1

      Login to the app

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      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

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      Receive instant confirmation for your policy renewal

    How to Claim

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      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

    • 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 Mumbai?

    Wondering how to file a claim under your health insurance in Mumbai? Follow these steps: 

    Cashless Claim

    1
    1. While taking admission to a network hospital, inform the insurer within 24 hours. 
    2
    Submit the health card at the hospital’s insurance or TPA desk. 
    3
    1. For preplanned hospitalization, submit the pre-authorisation form. 
    4
    After you submit, the hospital sends the same to the insurer for approval. 
    5
    1. Once approved, the insurer clears the hospital bills directly on your behalf. 

    Reimbursement Claim

    1
    1. Seek admission to any hospital and pay upfront for the treatment. 
    2
    1. Collect original prescriptions, hospital bills, investigation reports, pharmacy bills, and discharge summary. 
    3
    1. Fill in the reimbursement claim form and submit it along with the required documents. 
    4
    1. After verification, we will approve the claim. 
    5
    1. You will receive the admissible claim amount within a few days. 
     

    Bajaj General Health Insurance Office Address in Mumbai

    If you are looking for the Mumbai branch of Bajaj General Insurance, here is the address and contact information:

     Type

     Address

     Contact

     General Insurance Branch in Prabhadevi

     Bajaj General Insurance Limited 952/954, Appa Saheb Marathe Marg, Near Chaintanya Tower, Prabhadevi

     022-66628666 / 022-67402424

     General Insurance Branch in Andheri, Mumbai

     Bajaj General Insurance Limited Bajaj Insurance House, 291-Xtrium, 2nd Floor,

     022-67527777

     General Insurance Branch in Mumbai

     Euler Hermes Services India Private Limited, Unit 403, 4th Floor, Alpha Building, Main Street, Hiranandani

     NA

     General Insurance Branch in Sion, Mumbai

     Bajaj General Insurance Limited Rustomjee Aspiree, 3rd Floor, Everad Nagar-2

     022-66197500

    Download Policy Documents

    Get instant access to policy details with a single click

    Frequently Asked Questions on Health Insurance Plans in Mumbai

    Why should I buy medical insurance in Mumbai at a young age?

    Purchasing medical insurance in Mumbai at a young age, in your 20s, attracts lower premiums. Not only that, since the chances of health complications are lower, buying at this age means that by the time you need health coverage, your waiting period will be over. 

    Is health insurance in Mumbai useful if I am young and healthy?

    Yes, buying health insurance in Mumbai is useful when you are young and healthy, as it will protect you against healthcare inflation costs in India. Whether it is an accident or emergency hospitalisation, the policy will allow you to stay prepared at the lowest premiums. 

    Who should consider buying health insurance in Mumbai?

    Anyone working or living in Mumbai may consider investing in health insurance to handle high medical treatment costs and increased health risks due to a fast-paced lifestyle efficiently. 

    How do I find the best health insurance in Mumbai?

    To find the best health insurance policy in Mumbai, it is crucial to analyse your personal requirements, premium affordability, insurer's claim settlement ratio, and solvency ratio. 

    How can I reduce my medical insurance premium in Mumbai?

    If you want to reduce your medical insurance premium in Mumbai, it is ideal to buy the policy online and choose a voluntary deductible. Whereas purchasing online will help you avail discounts, choosing a voluntary deductible will allow you to pay a small percentage of the total claim amount, reducing your overall premium. 

    Do I need a health insurance agent in Mumbai, or can I buy a policy online myself?

    No, it is not mandatory to contact a health insurance agent in Mumbai. You can buy a policy online all by yourself directly from the Bajaj General Insurance website. Buying online helps you compare different policies easily, requires minimal paperwork, and does not include agent commission or hidden fees. 

    What are super top-up plans, and are they available in Mumbai?

    Super top-up plans refer to the additional medical coverage that activates when your sum insured amount gets exhausted. The best health insurance in Mumbai, such as Bajaj General Insurance, offers this type of plan on top of basic medical insurance coverage.  

    Does health insurance in Mumbai cover OPD treatments?

    Yes, a reliable health insurance in Mumbai provides financial coverage for OPD treatments if the specific plan has an in-built OPD benefit. To ensure your coverage, read the policy document carefully to learn its inclusions and exclusions. 

    Is there a single health plan that can cover my family and me in Mumbai?

    Yes, if you choose a family floater health insurance plan, you can cover both you and your family in Mumbai. These types of plans bring dependent parents, children and spouses under a single sum insured. 

    Do I need to go through a health check-up to avail of online health insurance in Mumbai?

    No, undergoing a pre-medical check-up is not always mandatory. It usually depends on the insurer's underwriting process. For example, applicants with pre-existing medical conditions, those looking for a higher sum insured, and those above the age of 40 years may need to undergo a medical check-up before receiving policy coverage.  

    How do I choose the right health insurance plan in Mumbai for my family?

    To choose the right health insurance plan in Mumbai for your family, first, consider each member's age, lifestyle (smoker or non-smoker), pre-existing health conditions, and family medical history. 

    Once you know the coverage amount, compare quotes, check the claim settlement ratio and solvency ratio of the insurer before finalising the plan. 

    What is the difference between an Individual plan and a Family Floater plan?

    An individual plan provides coverage to a single person, a family floater plan brings in multiple family members under a shared sum insured amount. 

    How do waiting periods work in a Mumbai health insurance policy?

    Waiting period refers to the time a policyholder needs to wait before the health insurance coverage kicks in. The initial waiting period lasts for the first 30 days of the policy purchase. The pre-existing disease waiting period ranges between 2 years and 4 years, and the maternity waiting period ranges between 9 months and 4 years.   

    What documents are usually needed to buy health insurance in Mumbai?

    While purchasing health insurance in Mumbai, you need to submit an identity proof, an address proof, age and date of birth proof, passport-size photographs, income proof and medical reports. 

    Are monsoon-related and waterborne illnesses covered under a standard health insurance policy in Mumbai?

    Yes, monsoon-related and waterborne diseases such as typhoid, dengue, and malaria are covered under a standard health insurance policy in Mumbai. 

    How do I file a claim under my health insurance policy in Mumbai?

    To make a claim under your health insurance policy in Mumbai, first you have to decide whether you would like to choose a cashless benefit or reimbursement benefit.

    For a cashless claim, the insurer will clear the bills on your behalf directly at the network hospital. For a reimbursement claim, you need to clear the bills upfront. After discharge, once you submit the claim documents, the insurer will pay you back. 

    What is the difference between a cashless claim and a reimbursement claim?

    Under a cashless claim, the policyholder has to undergo treatment at a network hospital. The insurer directly pays and clears the bill on behalf of the policyholder. In contrast, for a reimbursement claim, the policyholder gets treated at a regular hospital and pays. Later, they request reimbursement from the insurer after submitting hospital invoices, bills and lab reports. 

    What happens if I miss my health insurance renewal date?

    If you miss the health insurance renewal date, you can pay the premium during the 30-day grace period. Renewing within this time allows you to continue policy coverage without any consequences. However, if you miss renewing your policy even during the grace period, your policy coverage will lapse. 

    Will my no-claim bonus be affected if I file a claim?

    Yes, the no-claim bonus refers to the rewards a policyholder receives for not filing a claim throughout a policy year. So, when you file a claim, the insurer resets the accumulated no-claim bonus (NCB) to zero. 

    Can I renew my health insurance policy online?

    Yes, you can renew your health insurance policy online easily on the Bajaj General Insurance website or the application. After logging in to your account, enter your policy details, review and update policy information if necessary, add or remove a rider and finally, pay the premium.   

    What will happen if I get treated at a non-network hospital in Mumbai?

    If you get treated at a non-network hospital in Mumbai, you have to opt for a reimbursement claim. You will pay the hospitalization bill upfront after treatment. Later, you have to submit your policy claim form along with the hospital invoices, bills, doctor consultation fees, etc. After verifying, the insurer will reimburse the claim amount.  

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    What Our Customers Say About Bajaj General Health Insurance

    Highly satisfied

    Clear policies, easy renewal, and great coverage options. Highly satisfied with this health insurance app.

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    Piyush Kumar

    Mumbai

    5

    17th Mar 2025

    Highly recommend!

    Managing my health, vehicle & cyber insurance is so simple with this app. Highly recommend!

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    Pooja Kaushik

    Vadodara

    5

    2nd Feb 2025

    Simple, fast & effective!

    A reliable health insurance app with all features in one place—simple, fast & effective!

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    Hrithik Mishra

    Delhi

    5

    31st Jan 2025

    Love this app!

    Managing my family’s health insurance has never been this convenient. Love this app!

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    Shagun Gupta

    Mumbai

    4.8

    31st Jan 2025

    Reliable & affordable

    Reliable & affordable medical insurance plan—gives complete health security for my family.

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    Shubham Singh

    Delhi

    5

    30th Jan 2025

    Financial convenience

    Medical crises are stressful, but financial convenience is guaranteed by this health plan

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    Pushpendra Gurjar

    Mumbai

    5

    30th Jan 2025

    Great coverage options too!

    Finding pregnancy health insurance was stress-free on Bajaj General app. Great coverage options too!

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    Rajesh Kumar

    Mumbai

    5

    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!

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    Gautam Mongia

    Delhi

    5

    24th Jan 2025