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What is Aarogya Bima Policy?

Healthcare prices are rising sharply and you don’t want to burden with the hospital bills during critical times.

You can protect your family with an insurance that fits your budget and needs.

We bring you Aarogya Bima, an affordable health insurance that financially secures your entire family. From hospitalisation to medical tests, pre-hospitalisation to post-hospitalisation, we cover everything!

Why buy Aarogya Bima?

Floater Benefit

Under a single sum insured, cover yourself and your spouse.

Portability

Port your existing policy with us to avail of benefits and services. Portability is as per the portability guidelines of IRDAI.

Free Look Period

We hold no grudges. So, even if you do not like the policy, we allow free cancellation within 30 days, subject to some conditions.

30 Days for Renewal

From the expiry date of the policy, you get 30 days grace period for renewal.

What is in for you?

THERE ARE ADDITIONAL BENEFITS FOR YOU!

Swift and easy claim settlements
Coverage for your entire family
Cashless claims
Quick policy issuance
Affordable premiums
Installments available
Co-payment available
Tax benefits
Family discount

What is covered?

INCLUSIONS

Inpatient Treatment

Hospitalisation includes room rent, ICU charges, and nursing expenses. These can get really expensive and sometimes beyond your budget. But with our policy by your side, you can opt for the best treatment without thinking twice!
Pre-and Post-hospitalisation expenses

We understand that treatment isn’t only limited to hospitalisation. That’s why we take care of your medical expenses before and after you’re admitted. We also pay for your daycare treatment expenses.
Other Inpatient Expenses
- Operation theatre charge
- Consultant fees
- Specialist fees
- Medication
- X-ray and other diagnostic tests
Pre-Acceptance Medical Tests

No pre-insurance medical examination test is required if the Insured is up to 50 years of age, irrespective of the Sum Insured opted, subject to no medical declaration in the proposal form.
Medical Report Validity

30 days from the day tests were done. Medical tests will be done in our empanelled diagnostic centre.

What is not covered?

EXCLUSIONS

Hormone replacement therapy or sex-change treatment
Existing illnesses or disabilities
Illnesses or injuries due to the consumption of alcohol or drugs
Injury or illness due to war or warlike operations

What are the plans and eligibility in Aarogya Bima?

Our plans

Plan A - Mandatory co-payment of 10%
Plan B - Mandatory co-payment of 10% and additional co-payment of 20%
Plan C - Mandatory co-payment of 10% and additional co-payment of 30%

Minimum Policy Term : 1 Year

Maximum Policy Term : 3 Years

Eligibility

Minimum entry age of Proposer - 18 years
Maximum entry age of Proposer - 70 years
Minimum entry age of Child - Day 1
Maximum entry age of Child - 25 years
Maximum Renewal Age - Lifelong

Family Definition

Individual option - Self, Spouse, Up to 4 dependent children (Unmarried and up to the age of 25 years) and 2 dependent parents
Family Floater option - Self, Spouse and Up to 3 dependent children (Unmarried and up to the age of 25 years)

Is there any waiting period?

WAITING PERIOD	DISEASES
30 days	Any illness, diagnosed or diagnosable except those incurred as a result of Injury
24 months	Varicose veins and Varicose ulcers, Benign Prostatic Hypertrophy, Dysfunctional Uterine Bleeding, Hernia, Hydrocele, Fistula/ Fissure in Ano, Hemorrhoids
36 months	Pre-existing conditions.

What Generali Central Health Insurance Offers

94%

Claim Settlement Ratio
3 hr

Cashless Settlement
6000

Cashless Hospitals

How to buy Aarogya Bima

You can purchase our policies in several ways:

You Can Call On Our HELPLINE

1800-220-233 / 1860-500-3333 / 022-67837800

SEND US AN EMAIL

GCIcare@generalicentral.com

VISIT BRANCH

Walk-in to any of our nearest branches

BRANCH LOCATOR

What happens after purchase?

Once you secure the insurance cover, you get a financial assurance for all your health needs. You also get documents for your better understanding and convenience.

Health Card for Cashless Treatment It is for utilising cashless facility at network hospitals. You can even avail discounts which are offered by our allied partners. Check out the GCH Privilege section for getting more details.
Policy Schedule You will receive the policy schedule. It is an outline of the cover which is provided by the purchased policy. Details of the policyholder, coverage amount, additional clauses, exclusions, warranties etc will be given in this policy.
Premium Receipt You will receive the receipt of the premium amount you have paid to purchase this policy.
80D Tax Deduction Certificate If the premium is paid via Credit Card/Debit Card, Net Banking, or Cheque except cash payment.
Policy Coverage and Terms & Conditions This is a comprehensive document which lists down the coverage offered by the policy along with terms and conditions. It is better to read this thoroughly and highlight important points. In case of any discrepancy or doubt, do get in touch with us immediately.
Claim Form You can either intimate your claim online or submit the form to a branch of your choice. You can also email the claim details to us.
Complaint/Feedback Form Should you have any complaints/feedback, you can fill in the form and submit it to the nearest branch Or email it to us.
Grievance Redressal In case you aren’t satisfied with the resolution provided by us to your complaint, then you can approach the Insurance Ombudsman. This form will have details about the procedure to approach the insurance ombudsman along with the addresses of the ombudsman.

What is the reimbursement claim process?

Our claim settlement process is fast and relaible

1

Collate Documents
Upon discharge, pay all hospital bills and collect all original documents of treatment undergone and expenses incurred
2

Claim Form

Download and fill the GCI health claim form
3

Document Submission

Submit original documents to the nearest Generali Central branch
4

Claim Settlement
We will settle the claim in subject to policy terms and conditions

What is cashless claim process?

File your claim in minutes with Generali Central’s easy four-step claim process

1

Visit Hospital

Approach an insurance desk of your nearest GCI Network Hospitals and show your health card for Cashless Treatment
2

Verify Yourself

The Network Hospital will verify your identity and submit duly filled pre-authorization form with Generali Central
3

Get Admitted
You get admitted without any deposit and get cashless treatment
4

Peace of Mind

Once you are discharged, the hospital will send your claim documents to GCI and the authorized amount will be settled directly with the hospital

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PRODUCT NAME: Aarogya Bima | UIN NO: FGIHLIP23052V032223 | LAUNCH DATE: 05TH-SEP-2022

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Secure your family for life

Give your family’s health the protection it needs

What is Aarogya Bima Policy?

Why buy Aarogya Bima?

Floater Benefit

Portability

Free Look Period

30 Days for Renewal

What is in for you?

What is covered?

What is not covered?

What are the plans and eligibility in Aarogya Bima?

Is there any waiting period?

What Generali Central Health Insurance Offers

How to buy Aarogya Bima

What is the reimbursement claim process?

What is cashless claim process?

Need to know more about Health Insurance?

Download documents