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    Health Insurance

    Health Insurance in Pune

    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 Pune

    In an evolving city like Pune, lifestyle is fast-paced, and health emergencies may appear out of nowhere. You may not be ready to tackle a sudden financial load for treatments. Health insurance in Pune covers expenses for sudden illness, surgeries, daycare treatments, OPD care, maternity cover and more across network hospitals.

    As you purchase health insurance in the city of Pune, by comparing, finalising a suitable policy and paying a premium, your coverage usually starts after an insurer-specified waiting period.

    Once the period is over, you are covered for eligible illnesses or other health concerns as per the policy terms. However, PEDs may require a longer waiting period. As you continue paying the premium on time and renewing your plan, your coverage continues without a lapse.

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    Types of Health Insurance in Pune

    Individual Health Insurance

    This type of health insurance in Pune covers the health expenses for only one person. This is suitable for individuals who want financial protection against their own medical expenses. This generally covers in-patient hospitalisation costs, pre- and post-hospitalisation expenses and more.

    View Plans Know More

    Family Floater Health Insurance

    Securing yourself and your family under a health insurance plan provides comprehensive coverage under one policy. Such a plan helps because you do not have to buy separate insurance for your family members, increasing savings and providing higher coverage.

    View Plans Know More

    Senior Citizen Health Insurance

    This is a health insurance for Pune residents who are 60 years old and categorised as senior citizens. As health complications increase at this higher age, expenses also increase. Such plans are designed to help manage higher healthcare expenses and may provide coverage for pre-existing diseases after applicable waiting periods.

    View Plans Know More

    Critical Illness Insurance

    Serious illnesses can create heavy medical and financial pressure on any family. Critical illness health insurance pays a lump sum after diagnosis of illnesses such as organ transplant, cancer, or heart attack. You can even increase your insured sum during renewal for better protection.

    View Plans Know More

    Super Top-Up Health Insurance

    Medical expenses sometimes go beyond your basic health insurance cover. Top-Up plans provide extra protection after expenses cross a fixed deductible limit. Super Top-Up plans cover multiple eligible claims after total medical expenses cross the deductible during the same policy year, giving better protection overall.

    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 Pune?

    Buying health insurance in Pune in the current economic context is important to deal with rising medical costs, increasing chronic health issues, the requirement of quality treatment, aftercare and more. Here are some detailed reasons why it is necessary:

    • Healthcare Inflation

      Rising hospital, surgery, ICU and diagnostic costs put a significant strain on your finances. Treatment that you could once meet from your savings may now be well beyond them. Health insurance helps manage these expenses during a medical emergency.

    • Expenses at Private Hospitals

      Pune has a number of multi-speciality hospitals that provide advanced care. However, a bed in a general ward, and an intensive care bed in particular, carries a considerable daily charge. Adding surgery, medicines and diagnostics makes even a short admission expensive.

    • Air-Pollution Related Health Concerns

      Pune's air quality may worsen during certain seasons, increasing the risk of respiratory and cardiovascular illnesses. Higher pollution may trigger asthma, COPD and heart conditions requiring hospitalisation. Hence, health insurance helps manage the resulting medical expenses.

    • Lifestyle Diseases

      Sedentary work, irregular hours and long commutes are increasing cases of hypertension, diabetes and cardiac conditions across the city. Unlike a seasonal infection, these bring recurring costs rather than a single bill. Adequate health insurance helps you manage consultations, tests and hospitalisation over the years.

    • Cover Expenses for Vector-Borne Diseases

      Especially during the monsoon, stagnant water makes vector-borne diseases like dengue, malaria and chikungunya a concern across Pune. With health insurance in Pune, you get quality care in time, as delays may lead to further complications.

    • Growing Need for Mental Healthcare

      Demanding work schedules and long commutes have increased the need for counselling and psychiatric care in the city. Under the Mental Healthcare Act, 2017, insurers must cover mental illness on the same basis as physical illness. Your policy therefore extends to such treatment as well.

    • Financial Protection for Emergencies

      Medical emergencies can occur anytime. Without funds at your disposal, treatment may get delayed. Here, health insurance helps you or your insured family members receive timely medical care without financial stress.

    • Access to Quality Hospitals

      Most insurers have tie-ups with renowned hospitals across India, with the capability of providing quality care. With health insurance in Pune, you get cashless treatment across the network hospitals.

    What are the Benefits of Health Insurance Plans in Pune?

    Aside from understanding the necessities of health insurance in Pune, you must also know some crucial benefits you get with it. Noting them helps you understand what kind of security you are getting, and that helps you choose the best health insurance in Pune informedly:

    Factors to Consider When Choosing Medical Insurance in Pune

    Now that you have understood the benefits of having health insurance in Pune, before making an insurance purchase, you must consider some crucial factors. Here is a detailed view of such factors that you must take a look at to make an informed decision:

    How to Buy Health Insurance Plans in Pune Online?

    Buying health insurance in Pune is easy, as you can do it completely online. With Bajaj General Insurance, you can buy your health insurance online too by following the steps below:
    1
    On this page, scroll up, locate the 'Get Quote' button and click on it.
    2
    A new page will open where you enter some basic details like your legal name, contact details and PIN code correctly. Agree to the terms and proceed.
    3
    Compare the available plans, review their features and choose one that best matches your healthcare needs.
    4
    Finalise your health insurance policy, choose the coverage amount you require and look for any offers and discounts.
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    Explore the additional covers available with your chosen policy and choose them if required.
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    Proceed for online payment, choose the payment mode and pay the premium for your chosen policy.
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    Once your payment is successful, you will receive an instant confirmation of your policy initiation.
     

    Step-by-Step Guide

    To guide you through your insurance journey.

    How to Buy

    • 1

      Visit Bajaj General website

    • 2

      Enter personal details

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      Compare health insurance plans

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      Select suitable coverage

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      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

      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

    • 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

    • 8

      Receive policy documents & coverage details

    How to Claim Health Insurance in Pune?

    As you buy health insurance in Pune, you must know how to claim it during a health emergency. You can make a cashless claim or a reimbursement claim, where you receive your expenses after treatment. Here is a detailed view:

    Cashless Claim

    1
    Get in touch with us through customer touchpoints or inform us about the claim using the Bajaj General application.
    2
    Submit the important documents as requested and opt for the cashless mode for your claim.
    3
    Avail treatment in a network hospital and share the medical bills generated with us to proceed further.
    4
    We will review your claim and the provided documents, and after approval, you will receive your claim amount.

    Reimbursement Claim

    1
    Get treated in a hospital and make the necessary payments.
    2
    Ensure you collect documents such as the prescriptions, original bills, discharge certificates and other relevant documents.
    3
    Obtain a claim form available on this page, fill it out carefully and attach the necessary documents.
    4
    Submit the claim form to us for review to initiate the claim settlement process.
    5
    Once the review is complete, you will get your claim amount as a reimbursement as per the policy terms.
     

    Bajaj General Health Insurance Office Address in Pune

    After buying health insurance in Pune, you may need further help, which may require a physical office visit. Bajaj General Insurance is headquartered in the city, so support is never far away. For this, take note of our office details in Pune:

     Office

     Address

     Contact Number

     Registered Office

     Bajaj Insurance House, Airport Road, Yerawada, Pune - 411006, Maharashtra

     1800-209-5858 (toll-free)

     Branch Office

     Tower No. 07, 4th Floor, CommerZone, Next to Yerwada Jail, Pune, Maharashtra

     020-66240100

    Both offices remain open from Monday to Friday, between 9.30 am and 6.30 pm.

    Download Policy Documents

    Get instant access to policy details with a single click

    Frequently Asked Questions on Insurance Plans in Pune

    How much health insurance coverage do I need in Pune?

    The amount of health insurance coverage in Pune depends on factors like your age, family size, medical history, and other factors. A metro city like Pune generally calls for a higher sum insured than a smaller town. However, you must note that with higher coverage, you may need to pay a higher premium.

    What documents are required to buy medical insurance in Pune?

    While buying medical or health insurance in Pune, you generally need identity proof, address proof, proof of age, and passport-size photographs, along with a completed proposal form. Based on your insurer and the policy, you may also need to produce income proof, medical records, or reports from any required pre-policy health check-up.

    Is MJPJAY enough, or do I still need private health insurance?

    MJPJAY provides financial protection for eligible beneficiaries in Maharashtra. However, private health insurance generally offers higher coverage, a wider network of hospitals, and greater flexibility. Depending on affordability, private insurance may complement MJPJAY by covering expenses or services beyond the scheme's limits and reducing out-of-pocket costs.

    Does health insurance cover OPD expenses in Pune?

    Yes, insurers generally provide an OPD cover with eligible health insurance policies. For example, with Bajaj General Insurance health policies, you get access to OPD care, including face-to-face doctor consultation, tele consultation, coverage for diagnostic tests, etc.

    What is the minimum age to buy medical insurance in Pune?

    Most insurers set the entry age at 18 for adults buying a health insurance policy in their own name. Children may be included in a family floater from 3 months of age, provided at least one parent is insured under the same policy.

    What is covered under a health insurance policy in Pune?

    A health insurance policy in Pune provides comprehensive financial protection against healthcare costs, such as inpatient hospitalisation, coverage for pre and post-hospitalisation expenses, daycare, organ donor expenses and more. Depending on insurance providers, such coverages vary, and you must compare plans before buying one.

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

    Exclusion criteria vary between insurers, but there are some common health conditions that most insurers may not pay for. These generally include treatment expenses for self-inflicted injuries, medical costs due to health concerns arising from substance abuse and more. Hence, check the exclusion criteria carefully before finalising your purchase.

    Can I port my existing policy to Bajaj in Pune?

    Send a portability request to Bajaj General Insurance at least 45 days before the next renewal date of your current policy. Fill out the portability and proposal forms with policy, claim, medical details, etc. Collect all requested details from your previous insurer and submit them with documents, and wait for the decision on your portability.

    What is the waiting period for pre-existing diseases?

    Waiting periods for pre-existing diseases may vary between insurers. For example, at Bajaj General Insurance, a 36-month waiting period applies to health insurance.

    Can I add family members to my policy after purchase?

    Yes, you may add family members to your purchased health insurance. For example, you may add your spouse to your health insurance by informing your insurer and providing a valid marriage certificate.

    How do I file a cashless claim in Pune?

    To file a cashless claim, you must inform your insurer about the health incident and opt for a cashless claim option. Avail treatment at a network hospital and share the required bills for approval and get your claim settled.

    What is the reimbursement claim process?

    After availing treatment and making payment at a hospital, gather all the medical bills, prescriptions, etc. Obtain a claim form, fill it out, and attach those documents. Submit the form to your insurer and wait for claim settlement.

    Which hospitals in Pune offer cashless treatment?

    Generally, you get cashless treatment across the network hospitals of an insurer, and they vary between insurance providers. With Bajaj General Insurance, you may check the hospital locator on our website or mobile app to see the network hospitals near you. Based on pincodes, you get a wide range of hospitals to get cashless treatment.

    How long does claim settlement usually take?

    As per the IRDAI Master Circular of 2024, insurers must decide on a cashless request within one hour of receiving it and authorise discharge within three hours. Reimbursement claims are settled once all the required documents are received and verified.

    What documents are needed to file a claim?

    Insurers generally ask for a common set of documents when you make a claim. You must produce copies of valid prescriptions, bills of hospital stays, surgery costs, expenses of consumables (as per policy terms), etc. However, insurers may ask for additional details that you must prepare while making a claim.

    How do I renew my health insurance policy online?

    Most insurers let you renew your health insurance in Pune online from apps or web portals. For example, at Bajaj General Insurance, you can renew your health insurance by logging into the Bajaj General app and entering your current policy details. Confirm the details once and proceed to pay for renewal online.

    What happens if I miss my renewal date?

    If you miss your renewal date, your insurer allows a grace period or an extension in which you can complete the renewal. Usually, insurers allow for a grace period of 15 to 30 days within which you must complete your policy renewal process. 

    Does timely renewal protect my no-claim bonus?

    Yes, timely renewal helps preserve your NCBs. If a policy lapses, your accumulated bonus may revert to zero. Therefore, you must renew it before expiry or at least within the grace period.

    Can I increase my sum insured at renewal?

    Yes, you can increase your total sum insured at the time of renewal and pay an updated premium while finalising the update. 

    Is there a grace period for renewal?

    Yes, insurers generally allow for a grace period of 15 to 30 days. However, this period may vary between insurance providers, and you must enquire about it while purchasing your policy. 

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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