Critical Illness Insurance

Critical illness policies are the need of the hour because life-threatening illnesses are on the rise. The treatment costs for such disorders are astronomical and people may even need to take time off from work, which limits their income flow. This is where a critical illness policy can help- it pays a lump sum upon disease diagnosis that takes care of treatment and other related expenses. It eases the financial burden of a critical illness and lets you focus simply on recovery and healing. This is why everyone, irrespective of age and medical history, should consider getting a critical illness policy because such illnesses can strike anyone at any time.
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What is Critical Illness Insurance?

A critical illness insurance policy pays a hefty sum assured when the policyholder is diagnosed with a major illness (such as cancer, kidney failure, or organ transplant). It covers not just the cost of the treatment and surgeries, but also related expenses such as doctor consultation, ambulance charges, cost of medicines, hospitalisation charges, etc. The payout can also be utilized by the policyholder and family to support the running of the household in the event of income loss. The treatment of critical illnesses is usually very expensive and can drain a person’s savings. But critical illness policies are tailored to help a person meet the financial requirements of the situation without denting their bank account. A critical illness policy is needed even if an individual already has a health insurance policy. The sum assured offered by health insurance policies is usually not enough to cover the charges generated critical illness treatment. Once you exhaust the sum assured, you will not be able to make a claim the same year. A critical illness policy, on the other hand, pays the policyholder a huge sum right after the diagnosis. The sum can be utilized to pay for the entire treatment and any other expenses, including substituting the person’s lost income (not an option provided by regular health insurance)
Critical Illness Insurance

Why do you need critical illness insurance plan?

A critical illness can strike anytime and this is where Bajaj Finserv Critical Illness Health Insurance Policy comes in; by providing financial help when it is required the most.

  • It provides additional security for your healthcare emergencies like stroke, cancer and heart attack
  • It protects you against expensive medical care expenses, safeguarding your personal wealth and savings
  • You get more coverage than traditional insurance policies at lower premiums.

5 reasons to buy Critical Illness insurance from Bajaj Finserv Health

  • Expenses

    1

    Healthcare expenses
    The plan covers your regular healthcare expenses like doctor consultation fees, lab test fees, preventive health check-ups, etc.

  • OPD Doctor Consultation

    2

    Doctor consultation
    You get free online doctor teleconsultations. If you do not want to step out of the house or need medical intervention 24/7, you can consult top specialists online.

  • Network Discounts

    3

    Network discounts
    You can avail network discounts across Bajaj Health’s vast network PAN India for doctor consultation, hospitalization, lab tests, hospital room rent, buying medicines, dental care, eye wear and more.

  • Cashless treatment

    4

    Cashless treatment
    You can avail cashless treatment at network hospitals or get bills reimbursed at non-network hospitals, clinics, etc

  • Claim Settlement Ratio

    5

    Easy Claim Settlement
    Claim settlement process is fairly easy and hassle-free. Claim settlement ratio is 92.1%

Features of Critical Illness Insurance in India

Critical illnesses come without warning and when they do, they stir a financial storm. Treatment of these illnesses is not cheap and will dry up savings very quickly. Buying a Critical Illness Health Policy from a reputed insurance provider is recommended to get the best service possible when needed, should a critical illness emergency strike you or your family. Here are some must-have features of critical illness health insurance policy:

  • Comprehensive healthcare cover:A critical illness health insurance policy should cover maximum number of critical illnesses so that you can use its benefits for your treatments, tests, hospitalization and post-hospitalization care.
  • Claim lumpsum amount:This is an important feature as you won’t have to pay anything from your pocket and all lumpsum expenses can be paid by the insurer.
  • Low & Affordable Premium:Before you buy a critical illness policy, ensure you can afford its premium. There are many options available today. Select the one that is affordable and offers maximum coverage.
  • Easy, hassle-free process:The process to purchase the policy, avail its benefits and claim settlement should be easy, quick and hassle-free so that you utilize it for maximum benefits without too much red tape.
  • Replacement for your income:If you have a critical illness, chances are it will affect your ability to earn your income. It should step in as a substitute for your salary. This will help ease the financial burden and loss of income in your time of need.
  • Tax benefitsYes, with your critical illness policy, you can avail tax benefits under 80D upto Rs 50,000.

Benefits of Critical Illness Insurance in India

Medical inflation is at its peak, and healthcare is an expensive affair in India. Add the burden of sudden critical illness, and you are looking at a disaster! Getting critical illness health insurance in India is best to avoid such financial and emotional mishaps.
Here are some benefits of buying critical illness insurance in India:
benefit-img_<h4>Illness Coverage</h4>

Illness Coverage

benefit-img_<h4>Check Sum Assured </h4>

Check Sum Assured

benefit-img_<h4>Renewability </h4>

Renewability

benefit-img_<h4>Cost of Insurance </h4>

Cost of Insurance

BMI

The Higher your BMI Higher your Chance to get Critical Illness

Keep your health in check with our BMI Calculator

Height (cm)
Weight (Kgs)

Why just health insurance? Get a complete Critical Illness Insurance Health package!

What is a Critical Illness Health package?

Just a health insurance policy is possibly not good enough in an era when serious illnesses are striking people irrespective of their age. Life is unpredictable, and you should be prepared to be able to financially deal with any (health) curveball. The treatment for illnesses like cancer, kidney failure, heart disorders can be long drawn out. It is taxing not just on a person’s psychological health, but also on their bank account. Treatment should not leave a person destitute. Such an eventuality can easily be averted with a critical illness policy (you need one even if you already have a health insurance policy).

If insured with a critical illness policy, you can free yourself from finacial anxiety and that is a huge load off anybody’s chest. Once you know that you have a policy that will pay you a giant amount to cover treatment costs, consultations, lab tests, from the disease, you can rest easy.

Benefits of Critical Illness Package

The Bajaj Finserv Critical Illness Health Insurance Policy has the following benefits:

  • Covers 10 critical illnesses
  • Pays out a lump sum amount of money.
  • Sum Insured options of ₹100000/- to ₹5000000/- for the age group 6 years to 60 years
  • Sum Insured options of ₹100000/- to ₹500000/- for the age group 61 years to 65 years
  • Steps in to contribute to your regular monthly income
  • Cover pre-and post-hospitalization care
  • Highest claim settlement ratio of 99.1% with easy digital claim process
  • PAN India 10% network discounts at top hospitals, labs, clinics, doctors, pharmacies, etc.
  • Ambulance assistance in emergencies
  • AYUSH treatment options
  • Cashless doctor consultation fees, lab tests & insta online doctor consultations
insurance-package-image

How to choose the right critical illness insurance for you?

When it comes to choosing the right critical illness policy, you need to keep in mind the following points:

Be cognizant of your current situation & family structure

Select a policy that will keep you & your family financially afloat

Consider your current health status

Know your complete financials

Choose a plan with comprehensive health cover

Your plan should complement your health insurance policy

Your 7-point Checklist for Selecting the Best Diabetes Health Insurance Plan

  • checklist-icons_Treatment of Covid 19

    Critical illnesses covered .

    Always choose a policy that covers the illnesses that are relevant to you based on your genetic predisposition, lifestyle, etc. This means giving the fine print a thorough look and maybe even discussing it with your general physician before springing for it.
  • checklist-icons_ Cover amount

    Sum assured

    Choosing a critical illness policy that pays out a sum that not only covers the treatment charges, but the post-treatment expenses also is very desirable. You should choose a policy that pays a sum assured at least five times your annual income, this is to ensure that inflation is also covered..
  • checklist-icons_Waiting period

    Waiting period

    Like it is with any other health policy, critical illness policies also have a waiting period before the sum is being given to the insurance holder. Usually, critical illness insurances have a waiting period of 1 to 3 months. You should choose a policy with a lower waiting period, if all your other criteria are met from the policy.
  • checklist-icons_Beyond hospitalization

    Premium paid

    While it is okay to go for a policy that is available for a lower premium, provided it covers your illness and is up to your budget, buying a critical illness policy just for the sake of buying it is not recommended. We would recommend you take your time and make online comparisons to choose the best policy for yourself and your family.
  • checklist-icons_No Sub-limit

    Policy Tenure

    Some critical illness policies have lifelong renewability, while some have limited validity. Choosing a policy that offers lifelong renewability will make sense as it will be covering you in your old age as well, the time when you are the most susceptible to critical illnesses.
  • checklist-icons_covers illnesses

    Buy policy according to age

    When you are young opting for a policy that covers illnesses you might’ve inherited from your family is a wise move, however, as you grow older it is necessary to increase the cover that accommodates more illnesses. This is necessary as with old age the body is more vulnerable to other illnesses as well.
  • checklist-icons_Claim Settlement Ratio

    Claims

    Claims should be hassle-free and made online for convenience. Choose an insurer that offers an easy claims process and has a good claim payment record.
Myth Buster
Don't panic, just build your own package

Here are the coverage offered by Bajaj Finserv Health

What's Covered?
What's not Covered?
Treatment of Covid 19

10 Critical illnesses, namely

  • First Heart Attack (Myocardial Infarction)
  • Open Chest CABG (Coronary Artery Disease Requiring Surgery)
  • Stroke Resulting in Permanent Symptoms
  • Kidney Failure Requiring Regular Dialysis
  • Major Organ Transplantation
  • Primary Pulmonary Arterial Hypertension
Claim Settlement Ratio

Lump-sum amount

A lump sum amount is to be paid on diagnosis of one of the listed critical illnesses subject to the policy terms and conditions.

Approach Hospital

Treatment outside India

The lump sum amount can be used for treatment outside of India.

Choose critical illness insurance coverage of your choice
5 lakhhealth insurance
5 lakh - Health insurance coverage
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Avail upto 180+ doctor consultation
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61+ lab tests packages
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Wellness benefit upto 38000 Rs.
10 lakhhealth insurance
10 lakh - Health insurance coverage
call-icon_0
Avail upto 180+ doctor consultation
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61+ lab tests packages
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Wellness benefit upto 56000 Rs.

Eligibility Criteria:

Minimum and Maximum Age Limit for adults : 18 years is the minimum age limit required for an individual being enrolled in under the Critical Illness Insurance Plan. 65 years is upper limit on eligibility based on age.

Minimum and Maximum Age Limit for dependents : 6 years is the minimum age limit required for an individual being enrolled in under the Critical Illness Insurance Plan. 21 years is upper limit on eligibility based on age.

Eligibility Criteria:

  • Eligible age

    Minimum & Maximum age for adults
    18-65 years

  • Eligible age

    Minimum & Maximum age for dependents
    6-21 years

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Don't worry about price, just check it

How to calculate health insurance premium?

  • Personal Details

    1

    Enter your name and mobile number.

  • Family members

    2

    Select the family members whom you want to insure.

  • Age of eldest member

    3

    Enter the eldest member's age

  • Premium Calculated

    4

    Get your premium

10 factors that affect your health insurance premium:

India’s Leading Company

Health Insurance is a must for any individual or family who are looking to secure their health and financial future. Owing to medical inflation in the recent years, the cost of medical treatment and procedures often drains one’s lifetime savings and acts a burden. However, getting a health insurance means adding a fall-back cushion to safeguard savings as well as get tax benefits.

As you apply for a health insurance plan, the insurance providers do a thorough check/assessment of your health. Basis your health status, they offer a premium amount for the plan.

Age

Your age is a major factor on which the health insurance premium will be decided. Most companies follow this mantra – the higher the age of the insured, the higher the premium to be paid. This is because older people are prone to illnesses. It is advisable to buy a health insurance plan when you are younger to enjoy more benefits and pay a lower premium.


occupation

Your occupation or the nature of your work will also determine the health risks you may be exposed to. Given our hectic lifestyles and sedentary jobs, you will be prone to stress, anxiety, etc. which will lead to other health issues. So, for example, if you have a high stress job, your premium will be higher.


Medical history

Medical history plays a vital role too in deciding the premium. If you have a chronic illness, or have suffered from any past major illnesses, or if family history points to any pre-existing illnesses, your health insurance premium will go up.


Copay feature

If you have a co-pay feature in your health insurance plan, then your premium will be lower as a certain percentage of the medical costs will be borne by you and the rest by the insurance provider..


Habits

Habits. Yes, your habits matter a lot. For example, if you are a smoker, you are at risk of serious illnesses like cancer. If you drink regularly, you are at risk of chronic diseases. So, your premium will be higher.


Duration

Duration of your policy will also affect your premium. If have a longer duration for your policy, you will pay less premium.


BMI

Your BMI or Body Mass Index also affects your premium. If your BMI is high, then you are at a higher risk of chronic or lifestyle illnesses. This means you will pay a higher premium.


Location

Location If you stay in locations where food, water, air quality is an issue, it will lead to serious health issues and therefore, your premium will be higher.


plan type

Your plan type affects your premium amount.


Why should you buy the Critical Illness plan online?

Check out in less than 1 minute!Buying our critical illness insurance plan online is an easy, hassle-free process with minimum fuss or paperwork.

High Claim Settlement Ratio of 99.5%

No need for any in-person intervention

How to buy Critical Illness Insurance from Bajaj Finserv Health

  • Login

    1

    Step 1
    Log on to the website www.bajafinservhealth.in or download the ‘Bajaj Finserv Health’ app on your phone and sign up.

  • Search for Diabetes Insurance

    2

    Step 2
    Search for the Critical Illness Insurance Plan.

  • Apply Now for Diabetes Health Insurance

    3

    Step 3
    Click on ‘Apply Now’ and enter your basic details.

  • Confirm Application

    4

    Step 4
    Check and confirm application by entering the OTP received on your mobile number.

  • Pay your premium

    5

    Step 5
    Pay the premium via credit/debit card, UPI, mobile wallet, etc.

  • Get Details on Whatsapp

    6

    Result
    You will receive the details of your membership via email/WhatsApp.

Myth Buster
All set to buy ?

Tax savings with Critical Illness Insurance

Premium paid is exempt under section 80-D of the Income Tax Act.

You can save up to Rs.50,000/- towards the premium you pay for your Critical Illness Health Insurance Policy.

Explore Our Robust Network

You can avail all your health insurance benefits PAN India. Explore our vast network partners.

Explore Our Robust Network

You can avail all your health insurance benefits PAN India. Explore our vast network partners.

cityCare1000+Hospitals Near You
hospitalCare90+Labs Near You

Documents Required for Buying Critical Illness Insurance

Documents
Age Proof
  • Aadhaar card

  • Passport

Documents
Other
  • PAN card

  • Driving license

An Easy, Hassle-Free And Quick Procedure

How to Claim Your Healthcare Benefits?

We have 98% Claim Settlement Ratio!
how-to-claim-slide-1
India’s Leading Company
We have 98% Claim Settlement Ratio!
With the Bajaj Finserv Health Insurance plan, you can avail health benefits and hospitalization benefits across the vast Bajaj Finserv network partners PAN India.
1
STEP ONE
Download the Bajaj Finserv Health app or go to www.bajajfinservhealth.in and log in to your account.
2
STEP TWO
Go to your health plan and select the benefit you want to redeem or get reimbursed.
3
STEP THREE
Follow the steps and claim your health plan benefits instantly.

How to make cashless claims & reimbursements?

Cashless Claims
Reimbursement
Approach Hospital
Approach Network Hospitals
Approach Network Hospitals for complete cashless facility & once details are verified, send the duly filed pre-authorization form to the insurer
Verification of all details
Verification of all details
The insurer will duly verify the details of the pre-authorization request with policy benefits and intimate their decision to the healthcare provider
Myth Buster

One useful tip just for you!

If you have a family, especially with ageing parents or senior citizens, you will need extra coverage for sudden illnesses like heart attacks, strokes, etc. Therefore, a critical illness policy that covers all of this and extends cover to your entire family is a must have!

Myths Busted

Myth #1: Critical illness health insurance policy is like any other health policy

Fact: Unlike other policies wherein you have to pay the expenses first or submit bills for settlement, the critical illness policy gives out a lump sum lump sum in one transaction on the diagnosis of the disease. This amount can be used for the treatment of the disease, lifestyle changes, donor expenses or a planned treatment outside India etc.

Myth# 2: Critical Illness plan is not available for those having an existing medical condition

Fact:You can avail a critical illness policy even if you have a pre-existing medical condition. A pre-medical screening will reveal your medical condition, considering which you might have to pay a higher premium, but you can get critical illness health insurance.

Myth #3: Critical illness insurance plans have a higher premium

Fact:Not all policies have hefty premiums, you can always compare the premiums of different insurance providers and buy the one which gives you the best bang for your buck.

Hear It From Our Customers
testimonial-icon
Female, 23
Pune
Shruti
This has been very helpful to me and my family during the pandemic. I could reach out to the best doctors online and get the right treatment for my parents at reasonable pricing. Also, with preventive health check-ups as a part of the plan, it is a very good purchase.
testimonial-icon
Male, 23
Hyderabad
Rahul M
This has been very helpful to me and my family during the pandemic. I could reach out to the best doctors online and get the right treatment for my parents at reasonable pricing. Also, with preventive health check-ups as a part of the plan, it is a very good purchase.

FAQs


If your family has a history of critical illness like heart attacks or kidney problems, chances are that you also might inherit it. Treatment of critical illnesses is very expensive and in case you did need treatment the expenditure will suck your finances dry. That is why you must opt for critical illness insurance.


A Bajaj Finserv Critical Illness insurance policy offers cover from 10 critical illnesses. These are:

• First Heart Attack (Myocardial Infarction)
• Open Chest CABG (Coronary Artery Disease Requiring Surgery)
• Stroke Resulting in Permanent Symptoms
• Cancer of Specified Severity
• Kidney Failure Requiring Regular Dialysis
• Major Organ Transplantation
• Multiple Sclerosis with Persisting Symptoms
• Surgery of the Aorta
• Primary Pulmonary Arterial Hypertension
• Permanent Paralysis of Limbs

• It provides the benefit amount once the disease is diagnosed, meets specific criteria and the insured survives 30 days after the diagnosis.
• There are no clauses on how the amount can be used. The insured member can utilize this amount for treatment of the disease, lifestyle changes, donor expenses or for treatment outside India etc.
• The premium paid for the critical illness insurance policy is exempt from taxes under section 80-D of the Income Tax Act.
• The policy can be claimed hassle-free through an in-house claim process.


The eligibility criteria for buying a Bajaj Finserv Critical Illness insurance policy:
For Adults: 18 years - 65 years
For Dependent Children: 6 years – 21 years


The pre-policy medical criteria for a Bajaj Finserv Critical Illness insurance policy is as follows:
 
• Pre-policy Medical examination would be advised based on the age, sum insured opted and the adverse health declaration on the proposal form (if any).

• The pre-policy check-up would be arranged at Bajaj Finserv’s empanelled diagnostic centres.
 
• The validity of the test reports would be 30 days from the date of medical examination.
 
• Pre-policy check-up is conducted at Baja Finserv’s panelled diagnostic centre, 100% of the standard medical tests charges would be reimbursed, subject to acceptance of proposal and policy issuance.


The conditions for renewal of Bajaj Finserv critical illness health insurance policy are:
 
• Under normal circumstances, lifetime renewal benefit is available under the policy except on the grounds of:

• Fraud
• Misrepresentation
• Moral hazard
• Upon the occurrence of an event of Critical Illness
 
• The Policy shall immediately cease to exist upon the occurrence of an event of Critical Illness, subject to the terms, conditions and exclusions of the Policy.
 
• For renewals of age 61 years and above the maximum Sum Insured would be Rs.5,00,000/- or expiring Sum Insured whichever is lower.
 
• In case a policy is renewed by Bajaj Finserv a grace period of 30 days is permissible, during which the Policy will be considered continuous for a waiting/break period. Any medical expenses incurred as a result of a disease condition/ Accident contracted during the break period will not be admissible under the policy.
 
• For renewals received after completion of 30 days grace period, a fresh application of health insurance should be submitted to Bajaj Finserv, it would be processed as per a new business proposal.
 
• The premium payable on renewal and subsequent continuation of cover is subject to change with prior approval from IRDA


Policy premium can be paid on an instalment basis - Annual, Half Yearly, Quarterly or Monthly.


Sum Insured options of Bajaj Finserv critical illness health insurance policy are:
• Rs.1,00,000/- to Rs.50,00,000/- for age group 6 years to 60 years
 
• 1,00,000/- to Rs.5,00,000/- for age group 61 years to 65 years


Price starting @
₹592 x 10 months

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