Group Health Insurance

Group Health Insurance

MediclaimInsurance

Key Features

Health insurance solutions exclusively for your employees

Coverage Highlights

What's Covered?
  • Comprehensive Coverage

Provides extensive coverage for a wide range of medical expenses, including hospitalization, surgeries, and treatments

  • Cashless Hospitalisation

Offers cashless treatment at network hospitals, reducing the financial burden on employees during emergencies

  • Family Coverage

Extends coverage to employees' family members, including spouse, children, and sometimes parents

  • Preventive Health Check-ups

Options to include regular health check-ups to monitor and maintain employees' health

  • No Medical Underwriting

Simplified enrollment process without the need for medical tests

  • Easy Claim Process

Simplifies the claim process with minimal documentation and quick settlements

  • Portability

Employees can transfer their mediclaim policy to individual health insurance while exiting the company without losing continuity benefits

Inclusions

What’s covered?
  • Hospitalization & Day Care Expenses

Covers hospitalization expenses (with choice of Room types) & all types of Day Care procedures & surgeriesthe cost of in-patient hospitalisation (including room type choices), ICU charges (at actuals), and all day care procedures, surgeries, and other essential medical services

  • In-patient Hospitalisation Treatment

This insurance covers various treatments that need you to stay in the hospital for at least 24 hours. It also includes medical procedures like surgeries that require a longer hospital stay. All these are covered under group mediclaim insurance

  • Pre and post hospitalisation expenses

Covers pre and post hospitalisation expenses. This means that your employee mediclaim insurance covers not only the costs of your stay in the hospital but also the expenses you incur before and after your hospital visit. This includes things like doctor's consultations, tests, medications, and follow-up treatments

  • Option to enhance your coverage

You can choose to enhance your health insurance coverage by voluntarily opting for increase sum insured or top up and also include your immediate family members

  • Option to cover Pre-Existing Diseases (PEDs) from Day 1

Employers have an option to cover pre-existing diseases (PEDs) from day one to give comprehensive health coverage to their employees. No Waitng period before these conditions are covered

  • Maternity Benefit

Benefits under group mediclaim insurance refer to the coverage provided for pregnancy and childbirth-related expenses

  • AYUSH Hospitalization

Covers medical expenses for treatments like Ayurveda, Yoga, Unani, Siddha, and Homeopathy if a doctor advises them for an illness or injury

  • Note

Please read policy wording for detailed terms and conditions

Exclusions

What’s not covered?
  • Investigation & Evaluation

Primarily for diagnostics and evaluations or not related to the current diagnosis and treatment, meaning expenses mostly for tests, check-ups, or treatments that are unrelated to your current condition

  • Cosmetic Surgery

Procedures like plastic surgery or cosmetic treatments are not covered unless for reconstruction following an accident, burns or medically necessary treatment

  • Dietary supplements and substances

Costs mainly for tests and check-ups or treatments that aren't connected to your current illness or injury are usually not covered. This means that expenses for diagnostics and evaluations or unrelated treatments are excluded

  • Self Inflicted Acts

Self-inflicted injuries, suicide attempts, insanity and illegal acts

  • Deductibles and Co-pays

If opted, certain percentage of the claim amount needs to be paid by the employee

  • Note

Please read policy wording for detailed exclusions

Additional Coverages

What else can you get?
  • Critical Illness Cover

Provides a lump sum benefit upon diagnosis of specified critical illnesses such as cancer, heart attack, and stroke

  • Top-Up Cover

Offers additional coverage beyond the base policy limits, useful for enhancing health insurance coverage

  • Corporate Buffer

A corporate buffer is an extra sum of money set aside by a company to cover employees' medical expenses that exceed their insurance limits. It's like a safety net to help employees with additional healthcare costs

Benefits You Deserve

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Customization

Tailor your coverage as per your requirement

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24x7 Claim Assistance

Employees can get help anytime, reducing stress during emergencies

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Ease of Policy Management

Track employee insurance details, claims, endorsements online

Download Policy Document

Get instant access to your policy details with a single click.

Health Companion

Healthmanager

Insurance benefits and rewards

Earn points for health activities and get benefits as premium discounts & policy upgrades. Improve your health to reduce claims & maximize benefits.

Healthassetment

Complete health assessment and data integration

Start with a detailed health evaluation and sync your medical records & wearables for real-time data on activity, sleep & vital metrics.

Healthmanager

Insurance benefits and rewards

Earn points for health activities and get benefits as premium discounts & policy upgrades. Improve your health to reduce claims & maximize benefits

Healthassetment

Complete health assessment and data integration

Start with a detailed health evaluation and sync your medical records & wearables for real-time data on activity, sleep & vital metrics.

Step-by-Step Guide

To help you navigate your insurance journey

How to Buy

  • 0

    Visit Bajaj Allianz website

  • 1

    Enter personal details

  • 2

    Compare health insurance plans

  • 3

    Select suitable coverage

  • 4

    Check discounts & offers

  • 5

    Add optional benefits

  • 6

    Proceed to secure payment

  • 7

    Receive instant policy confirmation

How to Renew

  • 0

    Login to the app

  • 1

    Enter your current policy details

  • 2

    Review and update coverage if required

  • 3

    Check for renewal offers

  • 4

    Add or remove riders

  • 5

    Confirm details and proceed

  • 6

    Complete renewal payment online

  • 7

    Receive instant confirmation for your policy renewal

How to Claim

  • 0

    Notify Bajaj Allianz about the claim using app

  • 1

    Submit all the required documents

  • 2

    Choose cashless or reimbursement mode for your claim

  • 3

    Avail treatment and share required bills

  • 4

    Receive claim settlement after approval

How to Port

  • 0

    Check eligibility for porting

  • 1

    Compare new policy benefits

  • 2

    Apply before your current policy expires

  • 3

    Provide details of your existing policy

  • 4

    Undergo risk assessment by Bajaj Allianz

  • 5

    Receive approval from Bajaj Allianz

  • 6

    Pay the premium for your new policy

  • 7

    Receive policy documents & coverage details

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What Our Customers Say

Helpful in Emergencies

I had an unfortunate accident, and this insurance saved me from a major financial burden. The hospitalisation expenses were covered smoothly, and I had no issues with the process.

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Priya Sekhsaria

Ahmedabad

4.5

29th May 2021

Good Coverage

The coverage is solid, but submitting documents for claims could be made simpler. Otherwise, it’s a good policy with reasonable benefits.

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Sujata Biswas

Kolkata

4.7

26th Jul 2021

Instant Policy Issuance

Very user-friendly. I got coverage in less than 10 minutes.

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Jaykumar Rao

Bhopal

4.7

25th May 2019

Affordable & Reliable

This insurance plan is worth every penny! Our organisation chose this policy, and it offers great financial security in case of an accident. The premium is affordable, and the coverage is excellent.

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Rohan Ahuja

Delhi

5

22nd Apr 2019

Hassle-free Claims

Our company recently opted for this group health insurance, and it has been a fantastic decision. The coverage is extensive, including pre-existing conditions and maternity benefits.

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Aniruddh Singh

Delhi

5

27th Jul 2020

Excellent for Startups

We run a small business and wanted affordable yet comprehensive health coverage for our employees. This policy turned out to be the perfect fit! The premium is reasonable.

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Shweta

Aurangabad

5

10th Jun 2019

FAQ's

What is pre-existing disease in Group Health Insurance?

A pre-existing disease in Group Health Insurance refers to any illness, condition, or injury diagnosed or treated by a physician within 36 months before the policy’s start or reinstatement. It includes ailments for which medical advice, diagnosis, or treatment was recommended or received during this period.

What is pre and post-hospitalisation cover under the Group Health poli

Group Medical Cover (GMC) policies include pre- and post-hospitalisation coverage and reimbursing medical expenses incurred before and after hospitalisation. The coverage period typically ranges from 15 to 120 days for pre-hospitalisation and 15 to 180 days for post-hospitalisation, depending on the policy terms.

What is the CDC feature under the Group Health policy?

The CDC (Claim by Direct Click) benefit under a Group Health Plan allows individuals and their families to file claims effortlessly without visiting offices or handling paperwork. Simply log in to the Insurance Wallet app to register a claim anytime, anywhere, ensuring a seamless and hassle-free experience.

What are the wellness benefits under the Group Health policy?

Wellness benefits under Group Health Insurance include free health check-ups, tele consultations, fitness programs, and mental health counselling. These benefits promote overall well-being, encourage preventive care, and help employees maintain a healthier lifestyle.

What documents are required to claim under the Group Health policy?

To claim under a Group Health Policy, you need documents like the claim form, hospital bills, discharge summary, doctor's prescription, medical reports, ID proof, policy details, and bank account information. In case of a cashless claim, pre-authorisation from the insurer and hospital invoices are also required.

Why is medical insurance necessary for your health?

Medical insurance provides financial protection against unexpected medical expenses, ensuring access to quality healthcare without depleting your savings.

How many dependent members can I add to my family health insurance pla

You can add your spouse, children, parents, and other dependents as per the policy terms, ensuring comprehensive family coverage.

Why should you compare health insurance plans online?

Online comparison helps you find the best plan that suits your needs and budget, offering a clear understanding of coverage and benefits.

Why should you never delay the health insurance premium?

Delaying premiums can result in policy lapse, losing coverage benefits and financial protection, and may lead to difficulties in renewing the policy.

How to get a physical copy of your Bajaj Allianz General Insurance Com

Request a physical copy from the insurer or take a printout of the digital policy document received via email.

Is there a time limit to claim health cover plans?

Claims should be made within the stipulated time as per the policy terms to avoid rejection and ensure timely processing.

What exactly are pre-existing conditions in an Individual Health Insur

Pre-existing conditions are medical conditions you had before buying your Individual Health Insurance plan. Coverage for these might require waiting periods or exclusions. Be transparent about your health history.

How is the insurer going to pay my hospital bills?

Insurers cover hospital bills through reimbursement (you pay upfront and get reimbursed later) or cashless hospitalisation (insurer settles bills directly with network hospitals).

Are there any tax advantages to purchasing Individual Health Insurance

Individual Health Insurance premiums often qualify for tax deductions under Section 80D of the Income Tax Act (India).

Why should I need Personal Medical Insurance?

Personal medical insurance offers financial protection against unexpected medical expenses due to illness, accidents, or hospitalisation. It provides peace of mind and safeguards your savings.

How do I go about renewing health insurance plans?

Don’t stress the small things in life! The easiest and quickest way to renew your life insurance policy is by doing it online. Topping up your health cover gives you freedom from worrying about heavy medical expenses.

How is the health insurance renewal premium calculated?

We know that reading through the ponderous terms and conditions section of a health insurance policy isn’t always easy. So, here is the quick answer. Your renewal premium is calculated based on your age and coverage. As always, you can put the power of compounding to good use by investing in health insurance as early as possible.

Can I renew my expired health insurance policy?

Yes, of course. Life can get really busy and even things as important as renewing your health insurance plan can get side-lined. With Bajaj Allianz, we turn back the clock to give a grace period where you can renew your expired policy. For 30 days from the expiry date, you can still renew your health cover with ease. Now, you can run the race at yo

Can I renew health insurance online?

Absolutely! All you have to do to renew your health insurance is click or tap a few times! You can definitely renew health insurance policies online and also buy new policy for your family & friends click here to know more.

Will I be able to transfer my health insurance policy from another pro

Yes, as per IRDAI regulations, insurance portability between providers is allowed. This also includes transfer of benefits like Cumulative Bonus and credits relating to waiting period for pre-existing diseases.

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