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    Health Insurance

    Health Limitless Rider

    MyHealthCarePlan

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    Key Features

    From Hospitalisation to Wellness—All Covered in One

    Coverage Highlights

    Essential protections that keep you covered, always
    • Policy Tenure (Up to 5 Years)

    Get long-term protection for up to 5 years with flexible multi-year options.

    • Consumables Plus

    Wider list of non-medical items is covered, reducing out-of-pocket costs during hospitalisation.

    • Global Coverage

    International treatment support for globally mobile customers.

    • Future-proof Features

    Benefits like Age Shield, StepUp Benefit, Smart Tenure, and Super Cumulative Bonus are available to keep your plan relevant as your life evolves.

    • Wellness & OPD Support

    Coverage for teleconsultations, lab tests, dental, fitness, and emotional wellness with Health Prime Rider (HPR) at an additional cost.

    • Health Limitless

    Option to cover the cost of hospitalisation or a catastrophic medical event once, with no sum insured limit.

    • Note

    Please read policy wording for detailed terms and conditions.

    Inclusions

    What’s covered?
    • Hospitalisation Cover

    Covers all major hospitalisation expenses, like room rent, ICU, doctors' fees, surgery costs, medicines, implants, and diagnostic tests, if the insured is admitted for more than 24 hours.

    • Pre- & Post-Hospitalisation Costs

    Medical expenses up to 60 days before hospitalisation and expenses up to 90 days after discharge for the same illness are covered.

    • Day Care Procedures

    Covers medical procedures (such as cataract surgery, minor surgeries, etc.) that need less than 24 hours of hospitalisation due to technological advancements.

    • Modern Treatment Methods

    Covers advanced procedures such as robotic surgeries, oral chemotherapy, immunotherapy injections, stem cell treatments for eligible conditions, and other listed modern treatments.

    • AYUSH Treatment

    Covers AYUSH treatments (ayurveda, yoga, naturopathy, Unani, Siddha, homeopathy) when hospitalised for more than 24 hours.

    • Ambulance Cover

    Covers emergency ambulance transportation to the nearest hospital or for hospital-to-hospital transfer.

    • Domiciliary Hospitalisation

    Covers medically necessary treatment at home when hospital admission is not possible (with a list of excluded illnesses).

    • Organ Donor Expenses

    Covers the organ donor's medical expenses related to organ harvesting, only when the insured is the recipient.

    • Family Visit

    If the insured is hospitalised 200+ km away from home, travel expenses for one family member to visit are covered (as per specified limits).

    • Cumulative Bonus

    Get a 25% increase in sum insured (up to 100% of sum insured) each claim-free year.

    • Unlimited Sum Insured Reinstatement

    If the sum insured is exhausted, it gets refilled unlimited times in the same policy year for new health events (as per the policy conditions).

    • Note

    Please read policy wording for detailed inclusions.

    Exclusions

    What’s not covered?
    • Waiting Period

    An initial waiting period right after policy issuance is applicable for pre-existing diseases, and an additional waiting period for specific illnesses or procedures (as per the policy details) also applies.

    • Standard Policy Exclusions

    Certain treatments, services, or items may not be covered under the policy (as these fall under standard exclusions) or may have restricted coverage based on the modified terms upon addition of any add-ons/riders.

    • Non-Medical Items

    Expenses on non-medical items are generally not covered under the policy. However, if you choose to add a consumables cover or rider, some of these items may be included, but only as specified in the policy’s list or annexure.

    • International Treatment Conditions

    Treatment outside India is not covered by default and is only included if you opt for an International or Global coverage option. Coverage for treatment outside India is subject to meeting the policy’s eligibility criteria and specific terms and conditions.

    • Note

    Please read policy wording for detailed exclusions.

    Additional Covers

    What else can you get?
    • Global Cover (Planned + Emergency)

    Coverage for planned and emergency treatment abroad (as per the eligible sum insured slabs and co-pay options apply).

    • Age Shield

    Pay the premium amount that was set as per the entry age at the time of policy inception until a claim is paid.

    • StepUp Benefit

    Option to enhance the existing sum insured (at first policy renewal) to the next available slab for sum insured without starting the waiting period again.

    • Smart Tenure

    Consolidates the total sum insured available during a multi-year policy for the insured.

    • Health Limitless

    For one claim, a high-cost hospitalisation can be paid without the annual sum insured capping.

    • Consumables Expenses

    Coverage for specified consumables/non-medical items as per the policy.

    • Super Cumulative Bonus (SCB)

    Get 100% cumulative bonus for each claim-free year. The sum insured can be increased up to 600% during a 5-year policy.

    • Major Illness & Accident Multiplier

    Coverage for medical expenses up to twice the sum insured amount for listed events in the policy.

    • Health Prime Rider

    Coverage for cashless OPD services such as teleconsultations, lab tests, and dental procedures.

    • Specialised Riders

    Option to add some specialised riders like NRInsure, Insta Shield, Fetal Flourish, and more.

    • Air Ambulance

    Air ambulance evacuation in life-threatening emergencies within India (coverage is up to ₹10 lakh).

    • Note

    Coverage, limits, sub-limits, deductibles, co-pays (if any), and waiting periods apply as per the policy schedule.

    Privacy Policy

    I/We hereby give voluntary consent to BGIL/Company to share my/our personal information and data provided in this proposal form with its group companies or any other person in connection with the Insurance Policy or otherwise, including for providing products and services of group companies that may be of interest to me/us, to be used in accordance with their respective privacy policies and subject to appropriate measures being in place to safeguard my/our personal information.
    Click here to read our Privacy Policy

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    2. WhatsApp notification on policy information, updates & announcements

    What is the Health Limitless Add-On?

    Health Limitless rider is an optional coverage available with the My Health Care EDGE+ policy, where you can get unlimited coverage for a single claim. This means, for one essential claim, we will remove all annual sum insured limits and provide you with an unlimited sum insured amount.

     

    Therefore, whatever your medical bills are, we will indemnify you.

     

     

     

     

     

     

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    Quick Overview

    • 1

      Comprehensive Product: Health Limitless is an optional rider providing an unlimited sum insured.

    • 2

      Activation Trigger: It gets activated after your base sum insured and other multipliers are exhausted.

    • 3

      Coverage Scope: It covers day care treatment, inpatient hospitalisation and AYUSH treatments.

    • 4

      Enrollment Time: You can buy this add-on during policy inception or at first renewal.

    • 5

      One Time Rider: This is a once-in-a-lifetime rider which you can avail for one single claim for the entire policy tenure.

    • 6

      Geographical Eligibility: This rider is available for Indians, NRIs and OCIs, but the coverage is limited to India.

    • 7

      Exclusions: You cannot buy this rider if you have opted for the Smart Tenure add-on.

    • 8

      Sum Insured Requirement: You can buy the Health Limitless rider if you opt for a sum insured of ₹10 lakh or more.

    Read More

    Key Benefits of Health Limitless

    When you choose the Health Limitless add-on rider, you can rest assured that an important medical emergency will be taken care of entirely by us, no matter the bills. Here are the benefits: 

    Who is Eligible for Health Limitless?

    Before buying the Health Limitless add-on for your MHCP EDGE+ health insurance policy, you must meet certain eligibility criteria. These are:

    Eligibility Criteria Specifications

    Sum Insured Requirement

    Bajaj General Health Limitless rider is available for a sum insured of ₹ 10 lakh and above

    Opt-in Window

    You have to buy this rider during inception (for multi-year plans) or at first renewal R1 (for single-year plans)

    Claim Eligibility

    It is a once-in-a-lifetime rider, and you cannot use it for organ donor expenses or international cover.

    Policy Type

    The Health Limitless rider is available for individual or family floater My Health Care EDGE+ policies.

    Not Eligible If

    You cannot buy this rider if you have also opted for the Smart Tenure rider.

    How to Add Health Limitless to Your MHCP EDGE+ Policy

    Adding the Health Limitless rider to your MHCP EDGE+ policy is easier than ever. Follow these steps below to get an unlimited sum insured amount for a single claim:
    1
    Before adding it, check your eligibility criteria and make sure you match them.
    2
    Click on the Get Quote button and log in to your account.
    3
    Select your sum insured amount and check the premium.
    4
    Add the Health Limitless insurance plan to your base policy.
    5
    Fill out the proposal form and submit it.
    6
    Pay the premium and enjoy your coverage with the MHCP EDGE+ policy.
     

    Download Policy Documents

    Get to know in detail about our Health Limitless rider with the brochure, policy documents, claims form, customer information sheet and proposal form.

    What are the Documents Required for Health Limitless?

    Documents are essential when you buy or claim the Health Limitless rider from Bajaj General Insurance.

    To buy the add-on, you have to provide the following:

    1
    Identity proof such as Aadhaar card, passport, etc
    2
    Address proof, such as utility bills
    3
    Medical documents (if required)

    To claim this rider, you have to provide the following documents:

    1
    Filled and signed claim form
    2
    Cancelled cheque with bank account number
    3
    Original hospital bills
    4
    Original discharge summary
    5
    First consultation letter
    6
    Ambulance proof (if required)
     

    Step-by-Step Guide

    How to Buy Health Limitless 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

    Frequently Asked Questions on Health Limitless

    What is the Health Limitless Rider?

    Health Limitless rider is a one-claim unlimited cover health insurance from Bajaj General Insurance. It is available with My Health Care EDGE+ health insurance policy and allows you to have an unlimited sum insured for one claim during the policy tenure.

    Why should I add the Health Limitless Rider?

    With this rider, you can rest assured knowing that whenever an emergency strikes, Bajaj General has your back. It triggers after your base sum insured and other multipliers have been exhausted.

    Is Health Limitless available as a standalone policy?

    No, the Health Limitless rider is not available as a standalone policy. It is an optional rider that you can choose when buying our My Health Care EDGE+ policy.

    Does Health Limitless cover planned and emergency hospitalisations?

    Yes, you can avail the benefits of Health Limitless for planned and emergency hospitalisations. For planned hospitalisations, you have to inform the insurance company 48 hours before. For emergencies, let them know within 24 hours of hospitalisation.

    Can I add Health Limitless during policy renewal?

    You can only add this rider during the first renewal (R1) if you have opted for a single-year policy tenure. If you have chosen a multi-year policy, you must buy it at the inception of your plan.

    Does the rider cover AYUSH treatments?

    Yes, our MHCP EDGE+ Health Limitless rider provides a wide scope of coverage and includes inpatient treatment, day care treatment, as well as AYUSH treatments.

    Is cashless treatment available under Health Limitless?

    Yes, we offer a cashless treatment facility for Health Limitless riders. However, make sure to choose a cashless hospital in our network or avail the Cashless Everywhere facility.

    Does the rider cover daycare procedures?

    Yes, this rider covers day care procedures, such as endoscopy, chemotherapy and coronary angiography.

    Who can purchase the Health Limitless Rider?

    Anyone residing in India, a Non-Resident Indian (NRI), or an Overseas Citizen of India (OCI) can buy the Health Limitless rider. However, the coverage is limited to India only.

    When can I add the Health Limitless Rider to my policy?

    You can add the Health Limitless rider at the time of inception if you are buying a multi-year policy. For single-year policies, you can add it during the first renewal (R1). However, after the first renewal, you cannot buy it anymore.

    What is the minimum sum insured required for Health Limitless?

    The minimum sum insured required for Health Limitless is ₹10 lakh.

    How many claims can receive unlimited coverage in a policy year?

    When you choose the Health Limitless rider, you can only claim it once in your entire policy tenure.

    Does the rider provide unlimited coverage for all claims?

    No, the rider does not provide unlimited coverage for all claims. Instead, it is a once-in-a-lifetime rider for one single claim during your entire policy tenure.

    Are pre-hospitalisation and post-hospitalisation expenses covered?

    No, pre- and post-hospitalisation are not covered under the Health Limitless rider. It is an inbuilt part of the MHCP EDGE+ health insurance policy.

    Does the rider have a waiting period?

    No, the Health Limitless add-on does not have a specific waiting period. However, it is subject to other waiting periods, such as initial and pre-existing waiting periods.

    What happens if I do not add the rider within the first two policy years?

    If you do not opt for this rider at inception or after the first renewal, you can no longer buy it. 

    Can I port another health insurance policy and opt for Health Limitless?

    Yes, you can port another health insurance policy to MHCP EDGE+ and opt for the Health Limitless rider. However, you must meet all eligibility criteria to avail it.

    How can I buy the Health Limitless Rider online?

    You can directly buy the My Health Care EDGE+ plan with the Health Limitless rider from our website or app, Bajaj General.

    How do I initiate a cashless claim at a network hospital?

    Present your health card at the network hospital. The hospital will send a pre‑authorisation request to the insurer, and once approved, the bills will be settled directly without upfront payment.

    What documents are required for a reimbursement claim?

    You need hospital bills, discharge summary, prescriptions, diagnostic reports, and payment receipts. These documents must be submitted to the insurer within the specified time frame for claim processing.

    How long does it take for a claim to be settled?

    Cashless claims are usually approved within hours, while reimbursement claims are settled within 7–15 working days after submission of complete documentation. However, this is subject to the terms and conditions of the insurance provider.

    What is the time limit to notify Bajaj General after an emergency hospitalisation?

    You must notify the insurer within 24 hours of emergency hospitalisation to ensure smooth claim processing and approval.

    Can I claim for pre‑ and post‑hospitalisation expenses separately?

    Yes, pre‑hospitalisation expenses (up to 60 days before admission) and post‑hospitalisation expenses (up to 90 days after discharge) can be claimed separately, subject to policy terms.

    How do I find a network hospital for cashless treatment?

    You can check the insurer’s official website, mobile app, or customer helpline to locate the nearest empanelled network hospital for cashless treatment.

    What happens if my cashless claim request is rejected at the hospital?

    If a cashless claim is rejected, you can still file a reimbursement claim by submitting all required documents to the insurer after discharge.

    Is there a sub‑limit on room rent under MHCP EDGE+?

    Yes, coverage includes a single private A/C room. ICU charges are covered as per policy terms, but higher room categories may attract proportionate deductions.

    How are claims handled for treatment received outside India under the Global Cover?

    Claims under the Global Cover rider are settled as per international treatment rules, with a mandatory co‑pay applicable. Planned and emergency treatments abroad follow specific rider conditions.

    Will my premium increase after I make a claim?

    Premiums may increase based on underwriting after a claim. However, if you have the Age Shield rider, your premium remains locked at the entry age until a claim is made.

    Can I port my existing health insurance policy to MHCP EDGE+?

    Yes, you can port your existing health insurance policy to MHCP EDGE+ under IRDAI portability guidelines, subject to underwriting and continuity of benefits.

    Are there any long‑term policy discounts for choosing a 3 or 5‑year tenure?

    Yes, MHCP EDGE+ offers attractive discounts for long‑term tenures of 3 or 5 years, making coverage more affordable over time.

    What happens to my Cumulative Bonus if I make a claim during the policy year?

    The Cumulative Bonus reduces proportionately after a claim but is not lost entirely, ensuring continued benefit growth in future years.

    Can I upgrade my sum insured at renewal without a fresh waiting period?

    Yes, you can upgrade your sum insured at renewal. Waiting periods will apply only to the enhanced portion, not to the existing coverage.

    What is the grace period for renewing an expired MHCP EDGE+ policy?

    A grace period of 30 days is provided to renew an expired policy. Coverage benefits resume once renewal is completed within this timeframe.

    Can I add a new family member to the policy at renewal?

    Yes, new family members can be added at renewal, subject to underwriting and documentation requirements.

    Will my Age Shield benefit continue if I renew without a break?

    Yes, the Age Shield benefit continues seamlessly if renewal is done without a break in coverage.

    What discounts are available at the time of renewal?

    Renewal discounts include family, loyalty, wellness‑linked, and long‑term tenure benefits, helping reduce premium costs while maintaining comprehensive protection.

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