Last Handbook of Bajaj Allianz Health Insurance Critical Illness Policy in 2025

By 2025, when healthcare costs are going up and the risks of life-threatening illnesses are on the rise, the importance of selecting the appropriate health insurance has become crucial to Indians. The Bajaj Allianz Health Insurance Critical Illness Policy is becoming popular among policy holders due to the broad based financial cover it provides against major illnesses. This is a detailed, clear and easy to understand explanation of the Bajaj Allianz Critical Illness Policy- features, benefits, exclusions, and comparisons- specific to Indian families, individuals and corporate buyers.

Other questions people ask are:

What is the critical illness cover provided by Bajaj Allianz?

Bajaj Allianz Critical Illness Policy is a health insurance product that is designed to provide a lump-sum payment in case of the diagnosis of listed critical illnesses and assists policyholders to cope with the financial burden and treatment expenses.

What is Bajaj Allianz Health Insurance Critical Illness Policy?

The Bajaj Allianz Health Insurance Critical Illness Policy is a specialised insurance product covering a set of specified life threatening medical conditions. When one is diagnosed with any of the diseases that are covered by the policy, the insurer pays a lump sum, once off. This compensation helps you to cover your medical costs, long-term treatment and daily living costs and is not limited to hospital bills.

A critical illness plan is unlike a normal health insurance policy, which reimburses actual costs, and only needs diagnosis to pay. This will make you and your loved ones concentrate on recovery and financial stability.

Did you know?
According to a 2024 IRDAI health insurance report, the average critical illness treatment cost in major Indian cities increased by nearly 14 percent year-on-year[1].

Why should you take a Critical Illness Policy?

Diseases such as cancer, heart attack, kidney failure or stroke that are life threatening can really mess up lives- both emotionally and financially. A large number of families use up savings or assets to cover unexpected, large medical bills. Even the most thorough health insurance may exclude several non-medical expenses.

A critical illness policy acts as a cushion, and allows you to:

• Cover expensive procedures such as complex surgery or treatment.
• Cover loss of income in recovery.
• Control domestic and living costs.
• Continue education among kids and family members.

Highlights and Main Features of Bajaj Allianz Critical illness Policy

The offering of Bajaj Allianz is unique in its clarity, flexibility and accessibility. Among the highlights:

• Broad coverage of illness: up to 34 major critical illnesses, such as cancer, heart diseases, organ transplants, and neurological disorders.
• Lump sum payout: A fixed amount is paid upon confirmed diagnosis and not the actual hospital bill.
• Various sum insured: 1 lakh to 2 crore rupees, can be used by individuals and families.
• Flexible policy terms: Flexible policy tenure of 1, 2 or 3 years depending on preference and budget.
• No claim bonus: Up to 10% yearly increment of sum insured on claim-free years, up to 50%.
• Simple to buy and renew: 100 percent digital experience, fast policy issue and renewals.
• Tax benefits: The premiums are allowed to a deduction under Section 80D of the Income Tax Act.
• Free health check-up: Complimentary medical screening at network hospitals (certain sum insured slabs).

Expert insight:
In 2025, financial planners recommend that in addition to employer-based group health insurance, specialised critical illness policies should be taken to ensure sound financial protection.

Covered Critical Illnesses List 2025

Here are some common illnesses included in the Bajaj Allianz Critical Illness Policy (the list may vary as per individual plan):

• Cancer of a certain severity
• First heart attack (myocardial infarction)
• Heart valve repair or replacement of the heart Open-heart
• Kidney failure which requires regular dialysis
• Large scale organ transplantation
• Permanent symptoms caused by stroke
• Multiple sclerosis that is chronic
• Limbs paralysis permanently
• Third-degree burns
• Coma of designated severity
• Benign brain tumour

The complete up-to-date list is in policy documents. The most recent list of covered and excluded illnesses can be checked on the official Bajaj Allianz site.

Who is Eligible to Purchase This Policy? Age, Eligibility and Documentation

Both individuals and families are eligible to this plan that includes:

• Entry age: 18 to 65 years (adults), 6 years to 21 years (children as dependents)
• Renewal is life long
• Indian citizens and residents alone
• Up to specified age and sum insured amounts, no pre-policy medicals are required
• Documents: Aadhaar, PAN, basic medical history, recent medical reports (if needed)

Other questions people ask are:

Will I be able to cover my family in a Bajaj Allianz critical illness policy?
Yes, this policy can be purchased as individual or family floater (coverage extended to self, spouse, children and parents).

What is the Process of Claim?

The claim process of the Bajaj Allianz is easy and clear:

1. Diagnose: In case you have symptoms, see a registered medical practitioner in a recognised hospital.
2. Documentation: Obtain all medical reports of the diagnosis of the critical illness.
3. Intimation: Notify the insurance company within the timeline (typically 7 to 30 days).
4. Submission: Make sure that the claim form is filled and documents are sent or attached according to the instructions of the insurer.
5. Assessment: The company goes through reports and confirms the assertion.
6. Payout: A single payment in a lump sum that is deposited into your registered account.

Did you know?
According to the company disclosures, in 2025, Bajaj Allianz paid out almost 98 percent of the reported critical illness claims within 15 days.

Which Illnesses and Costs Are Not Covered?

Critical illness cover excludes:

• Pre-existing diseases (waiting period usually 48 months)
• Conditions arising within initial waiting period (often 90 days from policy start)
• Unspecified diseases or illnesses not listed
• Suicidal wounds or drug abuse
• The congenital conditions, pregnancy or childbirth-related complications
• Cosmetic or aesthetic surgery
• Engagement in risky sports

See the most recent policy wordings to see what is excluded.

Sample Premium Rates and Sum Insured Options (2025)

Here’s an estimated premium sample for the Bajaj Allianz Critical Illness Policy for a healthy non-smoker, based on public rate cards (actual rates may vary):

Bajaj Allianz public premium calculator, 2025.

Advantages and Disadvantages: Is Bajaj Allianz Policy Worth?

Pros

• Quick financial support after diagnosis (not on hospitalisation)
• High sum insured options and extensive list of illnesses
• It is appropriate to salaried people and entrepreneurs alike
• Good claim settlement ratio and easy documentations
• Choice of covering family members

Cons

• No coverage of pre-existing diseases
• Not all diseases are covered (limited illness list)
• Only on diagnosis of specified conditions, lump sum payment
• Immediate applicability may be subject to waiting periods

Expert insight:
Never take a decision without matching your lifestyle and family medical history to the illnesses covered in the policy. Request a benefit illustration of your health insurance.

Bajaj Allianz Critical Illness and a Policyholder Case Study

Mrs. Sharma is a 42-year-old working mother in Pune and she bought Bajaj Allianz Critical Illness cover in 2023 with a cover amount of 20 lakh. Later in 2024, she was diagnosed with early-stage breast cancer. The cost of her treatment increased to Rs 15 lakh and she could not work during six months.

The insurance payout covered her entire treatment and provided additional support for household expenses and her son’s school fees during her recovery.

What Is the Difference between a Critical Illness Policy and Normal Health Insurance?

The Way to Choose the Appropriate Critical Illness Insurance Plan in 2025

Although Bajaj Allianz Critical Illness Policy is rated high, prudent consumers tend to compare the features, benefits, and premium of this policy with other players in the industry. In online insurance marketplaces, side-by-side product comparisons can be made quickly on:

• Covered illnesses List
• Maximum sum insured options
• Wellness benefits and add-on covers
• Claim settlement history
• Premium affordability

Shopping on these sites will ensure that one is aware of the price and less likely to miss the small print.

Other questions people pose are:

Is it possible to take out critical illness cover with more than one insurer?
Yes, you may buy more than one critical illness policy with various insurers. You may claim eligible amounts of each at the time of diagnosis.

What Add-ons and Riders are helpful in Critical Illness Policy?

Bajaj Allianz offers some useful add-ons and riders (may vary with plan):

• Second medical opinion benefit
• Hospital cash allowance
• Premium waiver on critical illness
• Increased reinstatement of sum insured

To find the best possible combination, it is best to request a personalised proposal with an insurance advisor.

India Tax Benefits of Critical Illness Premiums

The premiums of the critical illness policies are deductible under Section 80D of the IT Act. For individual and family policies, the total eligible deduction can be up to Rs 25,000 (Rs 50,000 if covering senior citizens). Hold all policy receipts to file tax.

Bajaj Allianz Critical Illness Policy Online Buy and Renew

It is easy to buy or renew the policy through:

• Going to the official site of Bajaj Allianz or their app
• Completing the proposal form and choosing sum insured of choice
• Submission of age, health, nominee, and KYC information
• Making payment using digital options (UPI, netbanking, cards)
• Submitting supporting medical records, in case requested

Keep the e-policy and soft copies always to have an easy access.

Real World Case: Kumar Family

In 2025, the Kumar family of Mumbai purchased a comprehensive critical illness floater plan that covers both the parents who are working and the two teenage children of the family with a sum assured of Rs 30 lakh. The lump sum payout helped the family afford the best possible treatment in the case of Mr. Kumar being diagnosed with a brain tumour at a time when he was least expecting it, and the family did not have to forego their EMIs due to financial constraints. Their experience shows the life-value and effect of such policies.

Did you know?
Recent surveys suggest over 72% of urban Indian households have at least one family member at risk of major critical illness by age 60[2].

In Short / TLDR / Cliff Notes: Bajaj Allianz Health Insurance Critical Illness Policy

• Coverage of up to 34 major diseases including lump-sum payment upon diagnosis
• Fast processing and payment, convenient online buying and renewal
• High sum insured choice of Rs 1 lakh to Rs 2 crore
• It is best suited to individuals and families in 2025 India
• It is good to compare online policies on best deal and suitability
• Appropriate add ons and tax incentives present

People Also Ask: FAQ

What is the waiting period of Bajaj Allianz Critical Illness Policy?
The initial waiting period is usually 90 days with pre-existing diseases waiting period of 48 months.

Am I allowed to purchase Bajaj Allianz Critical Illness Policy even when I am already insured by health insurance?
Yes, it is recommended that you complement your usual health insurance with a critical illness plan to have a complete financial protection.

Does policy cover heart disease and all forms of cancer?
Only certain definitions and stages of illnesses are covered as provided in the policy wording.

Is there a need of medical examination prior to purchasing the policy?
Self-declaration and simple medical tests are enough up to a particular age and sum insured amount. Older ages/quantities might need additional screening.

Is it possible to add coverage at renewal?
You may be able to increase your sum insured at renewal subject to the current underwriting rules.

Other questions people ask are:

Does it have a hospital network limitation on critical illness claims?
No. You are able to get treatment in the hospital of your choice since payout is lump-sum at diagnosis.

Top Critical Illness Insurance to Buy in 2025

Bajaj Allianz Health Insurance Critical Illness Policy is a powerful, easy to understand financial protection against the worst health shocks of life. When making a choice, consider the various insurers through online comparison markets where the most appropriate combination of benefits, premiums and customer service is found. It is convenient to filter on covered diseases, policy tenure or family needs through such platforms. To be on the safe side, it is always best to read the entire list of inclusions and exclusions.

To get customised advice, talk to a reliable financial consultant or licensed insurance agent prior to buying.

Sources:

• Health Risk Report 2024