# 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.

## Key statistics of Care group health insurance*

- ₹1,127 cr GHI Premiums (FY 2021)
- 36 lakhs GHI lives insured (FY 2020)
- 3.29 cr Health lives insured (FY 2020)
- 13,05,417 Health claims Processed (FY 2020)
- 92.24% Health claims settlement ratio*** (FY 2020)
- 93.28% Health claims Settled within 3 months (FY 2020)

*Source - IRDAI and IBAI annual reports  
**GHI - Group Health Insurance  
***Claims Settlement Ratio (CSR) is the percentage of claims settled by the insurance company against the no. of claims obtained in a financial year.

### 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 customized as per your organization’s requirements.

#### Features
  
- **Daycare Treatment**  
   
  Daycare procedures imply that the procedure usually ends within 24 hours of hospitalization.

- **Ambulance charges**  
    
  Ambulance charges 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 an 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, it is excluded from the policy.

Please note that this data is presented for informational purposes only. 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 chooses the group medical insurance that is appropriate. 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**: Coverage for all medical expenses, including those for critical medical situations.
- **Cashless claims**: No medical expenses need to be borne by the insured up to the sum insured at network hospitals.
- **Pre and post-hospitalization cover**: Coverage for all expenses incurred before and after hospitalization.
- **Family cover**: Feature to cover dependents in group insurance.
- **Affordable policies**: A comprehensive cover can be availed at a relatively lower cost due to economies of scale.

### Why Bajaj Allianz group health insurance?

- **Health check-ups**: Free health check-ups for yourself and your family (once a year) under certain policy variants.
- **Maternity benefits**: Coverage for newborn baby expenses and maternity hospitalization.
- **Tax benefits**: Payment towards health insurance premiums is eligible for tax benefits under Section 80C of the Income Tax Act of 1961.
- **Organ donor expenses**: Coverage for expenses incurred for the organ donation procedure.
- **CDC**: Claim by direct settlement of up to Rs 20000 via the insurer’s app.

### 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.