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From Hospitalisation to Wellness—All Covered in One
Coverage Highlights
Essential protections that keep you covered, alwaysPolicy 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.
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My Health Care Plan (MHCP) EDGE+ is a next‑generation health indemnity product designed to combine compact coverage with powerful flexibility. At its core, the plan protects against hospitalisation expenses—including room rent, ICU charges, doctor fees, medicines, diagnostics, and advanced treatments—while giving customers the freedom to upgrade protection through a wide suite of optional covers and riders.
What makes MHCP EDGE+ distinctive is its ability to address the real gaps customers face in health insurance. Rising medical costs, non‑payable consumables, and limited coverage often leave families exposed to high out‑of‑pocket expenses. This plan tackles those challenges with higher sum insured options (up to ₹5 Crores), unlimited reinstatement, and innovative riders such as Consumables Plus, Super Cumulative Bonus, and Global Cover.
Customers can also personalise their plan with features like Age Shield to lock premiums, Smart Tenure for multi‑year flexibility, and wellness support through the Health Prime Rider. Whether for individuals, families, or globally mobile professionals, MHCP EDGE+ offers a compact yet comprehensive solution that grows with life’s changing needs.
MHCP EDGE+ is designed to be more than just a standard health insurance plan—it’s a flexible protection suite that adapts to the evolving needs of individuals and families. From higher coverage limits to unlimited reinstatement, wellness support, and global mobility options, the plan ensures customers are safeguarded against rising medical costs and unexpected expenses. Its modular structure allows policyholders to start with strong inbuilt covers and then enhance their protection through optional riders, making it both comprehensive and customisable. Below is a quick view of the key features that make MHCP EDGE+ stand out:
Feature | Details |
Wide sum insured range | Coverage from ₹5 lakhs up to ₹5 crores, catering to both individual and family needs. |
Lifetime renewability | Guaranteed lifelong protection with no upper age limit for renewal. |
Flexible policy tenure | Choose from 1 to 5 years, with long‑term discounts for extended tenures. |
Hospitalisation cover | Includes room rent, ICU, doctor fees, medicines, diagnostics, and advanced treatments. |
Pre- & post-hospitalisation | Expenses covered up to 60 days before and 90 days after hospitalisation. |
Day care & modern treatments | Covers eligible day care procedures and advanced technology‑driven methods. |
AYUSH & domiciliary care | AYUSH hospitalisation and home‑based treatment when hospitalisation isn’t possible. |
Organ donor & family visit | Donor harvesting expenses and limited family travel support during hospitalisation. |
Cumulative bonus | A 25% increase in the sum insured per claim‑free year, up to 100% maximum. |
Unlimited reinstatement | Ensures coverage never runs out during the policy year. |
Renewal premium waiver | Waives next year’s premium for dependents if the proposer passes away. |
Optional Riders | Add‑ons like Consumables Plus, Global Cover, Age Shield, Smart Tenure, and Health Prime Rider for enhanced protection. |
Discounts | Family, loyalty, online, zone‑based, and wellness‑linked discounts are available. |
MHCP EDGE+ is built to deliver more than just hospitalisation coverage—it’s designed to reduce out-of-pocket expenses, fight medical inflation, and provide flexibility for future healthcare needs. By combining strong inbuilt protections with innovative riders, the plan ensures customers can customise their coverage to match lifestyle, family, and global requirements. Below are the key benefits explained in detail:
1. Comprehensive Hospitalisation Cover
MHCP EDGE+ provides extensive protection for in‑patient hospitalisation, including room rent, ICU charges, doctor fees, medicines, diagnostics, and advanced therapies. This ensures customers don’t face unexpected financial strain during critical treatments.
2. Pre- and Post-hospitalisation Benefits
Medical expenses up to 60 days before admission and 90 days after discharge are covered, offering continuity of care and reducing out‑of‑pocket costs for follow‑up treatments.
3. Day Care and Modern Treatments
The plan supports advanced procedures and short‑duration treatments that don’t require 24‑hour hospitalisation, ensuring customers benefit from the latest medical technologies.
4. AYUSH and Domiciliary Care
Coverage extends to AYUSH hospitalisation and medically necessary home‑based treatments, giving customers holistic and flexible healthcare options.
5. Unlimited Sum Insured Reinstatement
If the Sum Insured is exhausted, it is refilled unlimited times within the policy year, ensuring protection never runs out during multiple hospitalisations.
6. Cumulative and Super Cumulative Bonus
Customers enjoy annual coverage growth for every claim‑free year, with options to boost coverage up to 600%, helping fight medical inflation.
7. Global Protection Options
With riders like Global Cover and International Emergency Care, customers can access treatment abroad, making the plan suitable for globally mobile families and professionals.
8. Consumables Coverage
Riders, such as Consumables Plus, reduce deductions for non‑medical items like gloves, syringes, and bandages, ensuring smoother cashless claims.
9. Future‑Proofing Riders
Options like Age Shield (locking premium age), Smart Tenure (multi‑year pooling), and StepUp Benefit (upgrading sum insured slab) provide long‑term affordability and adaptability.
10. Wellness and OPD Support
Through the Health Prime Rider, customers gain access to tele‑consultations, preventive check‑ups, dental care, nutrition, fitness, and emotional wellness support.
11. Discounts and Affordability
MHCP EDGE+ offers family, loyalty, online, zone‑based, and wellness‑linked discounts, making comprehensive protection more affordable.
The MHCP EDGE+ policy is designed to function as a flexible health indemnity plan that adapts to customer needs while ensuring strong protection against hospitalisation expenses. At its foundation, the plan covers inpatient costs such as room rent, ICU charges, doctor fees, medicines, diagnostics, and advanced treatments. Customers can choose between individual or family floater options, with entry age starting from 3 months and lifetime renewability guaranteed.
When a claim arises, the policy reimburses or settles eligible hospitalisation expenses on an indemnity basis, meaning actual costs are covered up to the chosen sum insured. To enhance this, MHCP EDGE+ offers unlimited reinstatement—ensuring coverage never runs out within the policy year, even if multiple hospitalisations occur.
Customers can further customise their plan through optional riders. For example, Consumables Plus reduces deductions for non‑medical items, Global Cover extends protection abroad, and Age Shield locks premium age until a claim is made. These riders are selected at purchase or renewal, allowing flexibility as healthcare needs evolve.
The policy also rewards claim‑free years with a Cumulative Bonus, increasing coverage over time to offset medical inflation. Discounts such as family, loyalty, and wellness‑linked benefits make the plan more affordable.
In essence, MHCP EDGE+ works by combining strong inbuilt covers with modular add‑ons, ensuring customers always have the right balance of affordability, flexibility, and future‑ready protection.
My Health Care Plan EDGE+ offers you robust, essential coverage (including hospitalisation) and options to add other benefits like coverage for tele-consultation. While the original My Health Care Plan caters to people seeking strong base protection with added outpatient support. You can get maternity benefits, newborn cover, and 2X OPD coverage already included in My Health Care Plan. Whereas, with My Health Care Plan EDGE+, you can get these benefits at an additional cost as per your needs.
MHCP EDGE+ builds on the foundation of MHCP by introducing a suite of advanced riders that make the plan future‑ready and highly customisable:
1. Global Cover (for SI > ₹10 Lakhs): Covers both planned and emergency treatments abroad, subject to co‑pay and travel conditions.
2. Consumables Plus (for SI > ₹10 Lakhs): Expands consumables coverage to include a wide list of non‑medical items, reducing deductions during claims.
3. Smart Tenure: Pools multi‑year Sum Insured into one combined limit (e.g., ₹5 Lakhs × 5 years = ₹25 Lakhs).
4. StepUp Benefit: A once‑in‑a‑lifetime option to upgrade Sum Insured at renewal without resetting waiting periods.
5. Health Limitless (for SI ≥ ₹10 Lakhs): One lifetime claim covered without any Sum Insured limit.
6. Age Shield: Locks premiums at the age of entry until the first paid claim.
1. Entry Age
Any person aged 3 months or older is eligible, making the plan suitable for infants, adults, and senior citizens.
2. Family Floater Option
Covers proposer, spouse, and dependent children; extended family members can be included under individual cover as per policy rules.
3. Lifetime Renewability
No upper age limit for renewal, ensuring lifelong protection.
4. Policy Tenure
Available for 1, 2, 3, 4, or 5 years, with discounts for long‑term commitments.
5. Sum Insured Range
Flexible slabs starting from ₹5 lakhs to ₹5 crores, catering to diverse healthcare needs.
6. Residency & Documentation
Available to Indian residents; Non-Resident Indians (NRIs) or Overseas Citizens of India (OCI) can access special benefits through riders like NRInsure, subject to documentation.
When selecting MHCP EDGE+, it’s important to evaluate a few essential factors to ensure the plan matches your healthcare needs.
Start by assessing your coverage needs and whether the inbuilt benefits and optional riders provide adequate protection for your family. Choosing the right sum insured slab is critical to balance affordability with rising medical costs.
Customers should also consider the plan’s flexibility options, such as Age Shield, Smart Tenure, and StepUp Benefit, which help future‑proof coverage. For those who travel frequently, global mobility through Global Cover adds international protection.
Wellness and OPD support via the Health Prime Rider enhances preventive care and everyday health management. Finally, factor in affordability and discounts such as family, loyalty, and wellness‑linked offers to make comprehensive protection more cost‑effective.
To apply for MHCP EDGE+, customers need to provide certain documents that help insurers verify identity, age, address, and medical history. These requirements ensure smooth policy issuance, accurate risk assessment, and compliance with regulatory norms.
● Identity Proof: Aadhaar card, passport, voter ID, or driving licence to confirm identity.
● Age Proof: Birth certificate, school certificate, or passport to establish age eligibility.
● Address Proof: Utility bills, Aadhaar card, or rental agreement to verify residence.
● Income Proof: Salary slips, Form 16, or bank statements, especially for higher Sum Insured slabs.
● Medical Records: Health check‑up reports or doctor’s certificates for pre‑existing conditions.
● Photographs: Recent passport‑size photos of proposer and family members to be insured.
● Special Documentation: NRIs/OCI applicants may need additional proof under riders like NRInsure.
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
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MHCP EDGE+ is a compact yet comprehensive health indemnity plan that covers hospitalisation-related expenses. Unlike a standard health plan, it allows customers to upgrade protection through a wide suite of add-ons and riders for affordability, higher coverage growth, global mobility, consumables, wellness, and future-proofing.
Health Limitless allows one catastrophic claim without any annual sum insured limit during the lifetime of the policy, ensuring protection against rare but extremely high‑cost medical events.
Age Shield locks the premium at the entry age until a claim is made. This helps customers maintain lower premiums over time, offering affordability and predictability.
StepUp Benefit is a one‑time option to upgrade to the next sum insured slab at the first policy renewal. It helps customers increase coverage without undergoing fresh underwriting.
Smart Tenure pools the annual sum insured across the entire multi‑year tenure, giving customers flexibility to use coverage more efficiently over longer durations.
The standard Cumulative Bonus increases coverage by 25% per claim‑free year, up to 100%. Super Cumulative Bonus offers accelerated growth, boosting coverage up to 600% depending on the option chosen.
This rider doubles the sum insured for listed major illnesses and accidents, providing additional financial protection when treatment costs are significantly higher.
No, OPD consultations are not included in the base plan. They are available through the optional Health Prime Rider.
The Health Prime Rider offers tele‑consultations, in‑clinic visits, preventive check‑ups, dental wellness, nutrition support, fitness benefits, and emotional wellness services.
Yes, dental and mental wellness consultations are covered under the Health Prime Rider.
There is no maximum age limit. MHCP EDGE+ offers lifetime renewability, ensuring lifelong protection.
Riders can only be added or removed at the time of renewal. Mid‑policy changes are not permitted.
The plan offers flexible coverage starting from ₹5 lakhs and extending up to ₹5 crores, across multiple slabs. This wide range ensures suitability for individuals, nuclear families, and large family units seeking higher protection.
Indian residents can purchase MHCP EDGE+. Non‑resident Indians (NRIs) and Overseas Citizens of India (OCI) are also eligible, subject to documentation and conditions under riders like NRInsure.
Adults can enroll from 18 years onwards, while children are eligible from 3 months of age. The plan supports lifetime renewability with no upper age limit.
Yes, the family floater option covers the proposer, spouse, and dependent children. Extended family members can be included under individual cover, as per policy definitions.
Pre‑existing diseases are covered after a waiting period of up to 36 months, depending on plan rules and chosen options.
Yes, MHCP EDGE+ offers flexibility riders that allow reduction of waiting periods, enabling quicker access to coverage for pre‑existing conditions.
There is an initial waiting period of 30 days for illnesses. Accidents are covered immediately without any waiting period.
Yes, MHCP EDGE+ includes coverage for robotic surgeries and advanced modern treatment methods, subject to policy terms.
Yes, domiciliary hospitalisation is covered when hospitalisation is medically necessary but not possible due to the unavailability of hospital beds or other valid reasons.
Yes, donor harvesting expenses are covered when the insured is the recipient of the organ transplant.
No, cosmetic or elective procedures are excluded from coverage under MHCP EDGE+.
Consumables are not covered under the base plan. However, riders such as Consumables Plus provide expanded consumables coverage.
The Global Cover rider provides worldwide coverage for both planned and emergency treatments, subject to conditions and co‑pay requirements.
Emergency Global Cover supports urgent hospitalisation abroad, while Planned Global Cover allows scheduled treatment overseas, both subject to rider rules and co‑pay.
Yes, international claims under Global Cover require a mandatory co‑pay. The percentage depends on the rider option selected at purchase.
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.
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.
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.
You must notify the insurer within 24 hours of emergency hospitalisation to ensure smooth claim processing and approval.
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.
You can check the insurer’s official website, mobile app, or customer helpline to locate the nearest empanelled network hospital for cashless treatment.
If a cashless claim is rejected, you can still file a reimbursement claim by submitting all required documents to the insurer after discharge.
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.
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.
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.
Yes, you can port your existing health insurance policy to MHCP EDGE+ under IRDAI portability guidelines, subject to underwriting and continuity of benefits.
Yes, MHCP EDGE+ offers attractive discounts for long‑term tenures of 3 or 5 years, making coverage more affordable over time.
The Cumulative Bonus reduces proportionately after a claim but is not lost entirely, ensuring continued benefit growth in future years.
Yes, you can upgrade your sum insured at renewal. Waiting periods will apply only to the enhanced portion, not to the existing coverage.
A grace period of 30 days is provided to renew an expired policy. Coverage benefits resume once renewal is completed within this timeframe.
Yes, new family members can be added at renewal, subject to underwriting and documentation requirements.
Yes, the Age Shield benefit continues seamlessly if renewal is done without a break in coverage.
Renewal discounts include family, loyalty, wellness‑linked, and long‑term tenure benefits, helping reduce premium costs while maintaining comprehensive protection.
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