Bajaj Allianz Group Health Insurance
Organizations nowadays provide varied benefits to their employees. After all, employee satisfaction and motivation act as critical drivers of successful operations.
One such benefit is group medical insurance, wherein a company provides health insurance for its employees. Since the need for health coverage cannot be generalized, most insurers offer group policies with customizable options.
Bajaj Allianz Group Health Insurance is a well-known insurance provider in this segment.
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Key statistics of Care group health insurance*
GHI Premiums
GHI lives insured
Health lives insured
Health claims Processed
Health claims settlement ratio***
Health claims Settled within 3 months
What is group health insurance?
Group health insurance helps an organization in building the trust and loyalty of its employees. A highly customizable plan creates a sense of belonging in employees and makes the job even more desirable.
Highlights of Bajaj Allianz Health Insurance
6500+ network for cashless claims
90% claims settlement ratio
Understanding Bajaj Allianz group health insurance plans
Here is a comprehensive summary of the Bajaj Allianz Group Health Insurance. The features mentioned below can be customised as per your organization’s requirements.
Feature
Type of Cover
Daycare Treatment
Daycare procedures imply that the procedure usually ends within 24 hours of hospitalization.
Ambulance charges
Ambulance charge depending upon the policy variant is an admissible expense under this policy.
Maternity benefits
Maternity benefits are included in the policy, up to a defined coverage amount. Additionally, postnatal care expenses are also allowed in the policy.
Pre-existing conditions
One of the most lucrative inclusions of the policy is the coverage of pre-existing ailments up to defined terms and conditions.
Pre and post-hospitalization cover
The policy provides coverage for pre- and post-procedure expenses such as X-rays, blood tests, and so on.
OT Charges
If the insured has to undergo surgery and booking of operation theater is required for the same, the policy provides coverage for OT charges up to a predefined limit.
Therapy
Nowadays, therapies too are included in the policy, such as radiotherapy, chemotherapy, dialysis, and more.
Exclusions
Intentional injury
If one suffers any self-injury, the same will not be covered in the policy. This clause includes suicide attempts.
Criminal activities
For the initial 2 years, no claims will be admissible for the specified illness or the procedures.
HIV positive
Any treatment procedure for HIV/AIDS patients is excluded from the policy.
Cosmetic procedures
If any cosmetic procedure is undertaken voluntarily, its excluded from the policy.
Please note that Plum has collated and presented this data for informational purposes only and at a particular point in time. Plum does not endorse, rate, or recommend any particular insurer or insurance product offered by an insurer. The final terms, conditions, and premiums may vary depending upon factors including group size, age, location, and applicable taxes.
Features of Bajaj Allianz health insurance: policy structure
The organization to which you are affiliated chooses the group medical insurance. The only stipulation for such a service is that these groups follow the guidelines of the Insurance Regulatory and Development Authority guidelines of India (IRDAI).
Zero waiting period
When taking the Bajaj Allianz Health Insurance policy, the insured gets the benefits of a no waiting period. This means that the insured will be provided cover for all the covered medical expenses, including those for critical medical situations.
Cashless claims
Cashless claims mean that the insured will not have to bear any medical expenses towards the covered illness, up to the sum insured. Only the Bajaj Group medical insurance card is needed at network hospitals.
Pre and post-hospitalization cover
When the need for hospitalization arises, it is not just the hospitalization expense that you have to bear; there will be several other expenses. Some of these expenses are incurred before hospitalization. Bajaj Allianz Health Insurance provides both pre- and post-hospitalization cover.
Pre-existing conditions
When buying health insurance, one of the major reasons for worry is what will happen if the insured has some pre-existing medical condition? Bajaj Allianz policy provides cover in case such ailments exist. For a critical illness cover, a discussion with a representative of the insurer will provide better clarity.
Family cover
In group insurance, often there is ambiguity about the cover for the family. This insurance comes with a feature to cover dependents.
Affordable policies
Economies of scale are applied to group medical insurance, which makes it one of the most affordable policies in the segment. This implies that at a relatively lower cost, a comprehensive cover can be availed.
Why Bajaj Allianz group health insurance?
The organization to which you are affiliated chooses the group medical insurance. The only stipulation for such a service is that these groups follow the guidelines of the Insurance Regulatory and Development Authority guidelines of India (IRDAI).
Health check-ups
Get free health check-ups for yourself and your family (once a year) under certain policy variants.
Maternity benefits
Get coverage for newborn baby expenses and maternity hospitalization. You can also include newborn children up to 90 days of age.
Tax benefits
The group medical insurance also has tax advantages. Section 80C of the Income Tax Act of 1961 stipulates that any payment by an individual towards health insurance premiums is eligible for tax benefits.
Organ donor expenses
Bajaj Allianz’s policy provides cover for expenses incurred for the organ donation procedure.
CDC
Claim by direct settlement is another advantage of the Bajaj Allianz health policy. It entails a claim of up to Rs 20000, which can be directly settled through the insurer’s app.
Affordable policies
Economies of scale are applied to group medical insurance, which makes it one of the most affordable policies in the segment. This implies that at a relatively lower cost, a comprehensive cover can be availed.
Here's how Bajaj Allianz is better with Plum
With the comprehensive solution and ease of management, Plum insurance is the right fit for all types of corporate entities.
Cover for all business sizes
With Plum you can get attractive quotes for your group policy needs, irrespective of your organization’s size.
Suitable pricing
Plum provides the best quote possible for different group plans. Click the link to get a tailored quote.
Experience
With the Plum admin dashboard, an employer can access employee policy details, check the claim status, and file a claim.
Admin dashboard
With Plum, employers get an admin dashboard to easily manage the employee, including addition, deletion, or filling up the employee particulars and more.
Easy Claim Process
The Plum claims process can be initiated via WhatsApp chat. Other functions available are downloading the policy document, viewing policy details, and so on.
Extra Benefits
Besides insurance, Plum also offers various wellness benefits. In the stressful life of today, this feature makes the Plum offer even more lucrative.
Conclusion
Employees are the assets of any organization, and Bajaj Allianz Group Health Insurance provides comprehensive cover for such assets. Customizable protection from various expenses arising on the health front can help them remain financially secure.
An organization’s choice of such a policy makes employees feel cared for and valued. Bajaj Allianz health insurance provides 24/7 assistance. Furthermore, the in-house health administration team facilitates a convenient and seamless claim settlement experience and quick disbursal.
Frequently Asked Questions
Can I add or remove members after the initial setup?
Super top-up is additional coverage of 20 lakhs added to your existing policy. You can avail the additional cover for yourself, and/or for your entire family (self+spouse+2 kids), and/or your parents.
This policy, however, comes with waiting periods on certain critical illnesses and applicable deductibles.
How are premiums calculated for additions?
Yes, you can add new employees, add new dependents (at the time of marriage or childbirth), and remove employees who exit the company. Additions and deletions can be done using the Plum dashboard.
Do I get refunded for deletions?
Deductible refers to the amount paid by the policyholder (via out-of-pocket or other medical insurance policy) before the super top-up kicks in. Read all about how a deductible works here.
How do I pay for additions and deletions?
No, the policy doesn’t cover same-sex or unmarried couples.
Can an employee convert the group plan to an individual plan if they leave the company?
No, the policy doesn’t cover same-sex or unmarried couples.