Health Insurance
Key Features
An All-rounder GST Free Health Cover to Guard Your Family
Coverage Highlights
Get comprehensive coverage for your healthChoose from Best of Plans
Choose from multiple plans to meet your requirements
Wide Sum Insured Options
Select adequate sum insured that suits you starting INR 3 lacs to INR 1 crore
Unlimited Reinstatement Benefit & Recharge
Get the option of unlimited reinstatement of sum insured even after it is exhausted after claims
Maternity & Newborn Care
Medical expenses related to delivery of baby and towards treatment of the new born baby are covered under select plans
Preventive Health Check-Up
Start receiving annual preventive health check-ups after 2/3 policy renewals as per the chosen plan
Online Discount
Get flat 5% discount when you buy a policy on our website or our Bajaj General App
Zone Discount
Avail discounts of 20% for Zone B and 30% for Zone C depending on where you live
Fitness Discount & Wellness Discount
Avail up to 12.5% wellness discount for healthy habits on renewal
Note
Please read policy wording for detailed terms and conditions
Inclusions
What’s covered?Hospitalisation & Day Care Expenses
Coverage for the cost of in-patient hospitalisation (including room rent type choices), all types of day care procedures, and surgeries
Pre & Post-Hospitalisation Expenses
Pre-hospitalisation expenses (up to 60 days) and post-hospitalisation expenses (up to 90 days) are covered as per policy terms
Organ Donor Expenses
Medical expenses for an organ donor’s in-patient treatment during organ harvesting are covered, provided the insured is the recipient of the donated organ
AYUSH Hospitalization cost
Coverage for ayurvedic, yoga, unani, siddha and homeopathic (AYUSH) treatment on a doctor’s advice for treating illness or physical injury
Maternity & Newborn Care
Medical expenses related to delivery of baby and towards treatment of the new born baby are covered under select plans
Sum Insured Reinstatement
Exhausted sum insured exhausted or SI will be reinstated so that you can avail full coverage for your next claim in a policy year (as per policy terms) if needed
Recharge (For SI 5 Lacs Onwards)
If an unfortunate claim exhausts Sum Insured limit, the then additional amount of 20% Sum Insured (up to 25 INR lacs) will be available
Cumulative Bonus
Sum Insured automatically increases at renewal by opted percentage if there is no claim in expiring period
Floater & Individual Sum Insured
Option to cover your family members under shared SI in case of a floater plan or separate SI in case of an individual plan
Note
Please read policy wording for detailed terms and conditions
Exclusions
What’s not covered?Initial Waiting Period
Treatment expenses during the first 30 days except for treatment of accidental injuries
Pre-Existing Diseases
Treatment expenses for pre-existing diseases such as diabetes, asthma, thyroid and other PED, are excluded until 36 months from date of your first Health Guard Policy
Specific Illness Treatment
Treatment expenses for specified illnesses, including hernia, gout, endometriosis, and cataract are excluded until 24 months from date of your first Health Guard Policy
Maternity Expenses
Treatment expenses related to maternity are excluded until 72 months from date of your first Health Guard Policy
Expenses for Medical Investigation & Evaluation
Medical expenses primarily for diagnostic procedures and medical evaluation unrelated to the current diagnosis or treatment
Dietary Supplements & Substances
Cost of supplements that are purchased without a prescription by a certified doctor as a part of treatment, including vitamins, minerals and organic substances
Cosmetic Surgery Expenses
Treatment to change appearance unless it is for reconstruction required for a medically essential treatment or following an accident or burns
Treatment for Self-Inflicted Acts
Medical expenses incurred as a result of self-harm, as a result of intoxication, illegal actions, hazardous activities, etc.
Deductibles & Co-pays
Part of the claim will be borne by you if you have opted for deductibles or co-pay
Note
Please read policy wording for detailed exclusions
Additional Covers
What else can you get?Air Ambulance Cover (Available for SI 5 Lacs & Above)
Covers expenses incurred for rapid ambulance transportation to the nearest hospital in an airplane or helicopter from the first incident site of illness or accident during policy period
Voluntary Aggregate Deductible
Covers medical expenses for in-patient hospitalisation beyond the voluntary aggregate deductible limit (INR 50,000/ INR 1,00,000/ INR 2,00,000/ INR 3,00,000) as opted as per policy terms for in-patient hospitalisation treatment
Health Prime Rider
Coverage for in-person or online doctor consultation, dental wellness, emotional wellness, and diet & nutrition consultations as per the chosen plan
Respect Rider (Senior Care)
Senior citizens can avail emergency assistance with services such as SOS alert, doctor on call, and 24x7 ambulance service
Room Capping Waiver
Removes the room type restriction of "up to single private air-conditioned room" for Health Guard Gold and Platinum plans and provides coverage for actual room rent expenses without a limit
More Add-Ons
Explore more add-ons to enhance coverage
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.
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:
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.
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.
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.
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.
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.
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.
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.
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.
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:
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:
Step-by-Step Guide
How to Buy
1
Visit Bajaj General website
2
Enter personal details
3
Compare health insurance plans
4
Select suitable coverage
5
Check discounts & offers
6
Add optional benefits
7
Proceed to secure payment
8
Receive instant policy confirmation
How to Renew
1
Login to the app
2
Enter your current policy details
3
Review and update coverage if required
4
Check for renewal offers
5
Add or remove riders
6
Confirm details and proceed
7
Complete renewal payment online
8
Receive instant confirmation for your policy renewal
How to Claim
1
Notify Bajaj General about the claim using app
2
Submit all the required documents
3
Choose cashless or reimbursement mode for your claim
4
Avail treatment and share required bills
5
Receive claim settlement after approval
How to Port
1
Check eligibility for porting
2
Compare new policy benefits
3
Apply before your current policy expires
4
Provide details of your existing policy
5
Undergo risk assessment by Bajaj General
6
Receive approval from Bajaj General
7
Pay the premium for your new policy
8
Receive policy documents & coverage details
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.
Get instant access to policy details with a single click
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Yes, you can increase your total sum insured at the time of renewal and pay an updated premium while finalising the update.
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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Mumbai
17th Mar 2025
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2nd Feb 2025
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Delhi
31st Jan 2025
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Mumbai
31st Jan 2025
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Delhi
30th Jan 2025
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Mumbai
30th Jan 2025
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24th Jan 2025
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Delhi
24th Jan 2025