Bharti AXA health insurance company offers comprehensive health insurance plans to meet the varied insurance needs of its customers. The insurer has a wide range of network hospitals where the insured members can avail cashless treatment. Bharti AXA health insurance coverage can be enhanced with various add-on benefits like coverage for critical illnesses, maternity expenses, genetic disorders, as per the needs and requirements of the policyholder.
Bharti AXA General Health Insurance Company Overview
Bharti AXA General Insurance Company Limited is a joint venture between Bharti Enterprises, which is a reputed Indian business group and AXA, which is a world leader in financial protection and wealth management. The company started its operations in August 2008 and within the first year itself, it received dual certifications of ISO 9001:2008 and ISO 27001: 2005. It is the first organization dealing in general insurance that has received these two certifications in the very first year of operations. These certifications were subsequently renewed in the year 2012 for three more years. In case of Health Insurance, the company offers a range of products designed to meet all the requirements of the individual.
Bharti AXA Health Insurance at a Glance
Features
Specifications
Network Hospitals
4500+
Incurred Claims Ratio ( as per the IRDAI 2018-19 Report)
Bharti AXA General Insurance Company offers health insurance plans for individuals, families, and even senior citizens. While the two major plans are Bharti AXA Smart Super health insurance and Smart Health Assure, there are other insurance plans as well. Let us take a closer look at each of the Bharti AXA health insurance policies in detail:
Bharti AXA Smart Health Assure is a health insurance policy that covers all the medical expenses and emergency hospitalization. It is suitable for people who are looking for insurance cover up to Rs. 4 lakh. This plan offers some special benefits including renewal discounts, no-claim bonus, tax saving, and free health check -ups. Below are the policy coverage benefits:
Plan Coverage Type
Individual/Family Floater
Sum Insured
Rs.3 lakh and Rs. 4 lakh
Renewability
Lifelong
Eligibility Criteria (Entry Age)
91 days - 65 years
Features and Benefits:
The policy covers Pre & Post Hospitalisation for 60 and 90 days respectively
The policyholder gets 100% restoration of sum insured
This health scheme also covers the cost incurred on 130 Day Care Treatments
In addition to this the policy offers Ambulance cover, Hospital cash allowance, critical illness cover, organ donor cover, annual-health check-ups and Ayush treatment
The coverage limit for maternity expenses is Rs. 35,000 and Rs. 25,000 for the new-born baby
Bharti AXA Smart Super is a comprehensive health plan that covers a range of hospitalization expenses. The policy comes in three variants i.e. Value, Classic, and Uber plan. Below are the plans in detail:
Bharti AXA Smart Super Health Insurance Value Plan:
Plan Coverage Type
Individual/Family Floater
Sum Insured
Rs.5 lakh and Rs. 7 lakh
Renewability
Lifelong
Eligibility Criteria (Entry Age)
91 days - 65 years
Smart Super Value Health plan is a variant of Bharti AXA Smart Super insurance plan. This is a basic plan with sum insured cover up to Rs. 7 lakhs only. Checkout the policy benefits and features below:
Features and Benefits:
In patient treatment expenses including – cost of diagnostic tests, surgical equipments, operation theatre, ICU charges, medical practitioners fees.
Room rent allowance up to the sum insured limit ( there is no cap on it)
Pre-hospitalization expenses up to 60 days and post-hospitalization expenses for 90 days (up to the sum insured limit)
100% restoration of sum insured
Day care treatment up to the sum assured limit
AYUSH treatment up to the sum assured limit
Domiciliary hospitalization up to the sum assured limit
Option to buy maternity cover and new born baby cover
Cancer of specified severity, first heart attack, stroke, open chest CABG, open heart valve replacement, major burns, hepatitis, terminal illness, bacterial meningitis ,primary pulmonary hypertension, aplastic anemia, kidney failure/regular dialysis, end stage lung diseases, liver failure, coma of specified severity, motor neuron diseases
Smart Super Classic Health plan is a variant of Bharti AXA Smart Super insurance plan. The policy is an enhanced version of the Value plan and offers a higher sum insured. Checkout the policy benefits and features below:
Plan Coverage Type
Individual/Family Floater
Sum Insured
Rs.10 lakh, 15 lakh and Rs. 20 lakh
Renewability
Lifelong
Eligibility Criteria (Entry Age)
91 days - 65 years
Features and Benefits:
Convalescence benefit of Rs. 10,000 on continuous hospitalization of 10 days or more
Out-patient emergency treatment cover of Rs. 10,000 ( in accidental cases)
Reimbursement of Rs. 2500 for vaccination expenses in case of animal bites
Extended annual health check-up facility
Lump Sum payment for critical illness over and above the sum insured
Rest inclusions same as mentioned in the value plan
Bharti AXA Smart Super Uber Health plan is a variant of Bharti AXA Smart Super insurance plan. The policy is an enhanced version of the Classic plan and offers a higher sum insured upto Rs. 100 lakh. Checkout the policy benefits and features below:
Plan Coverage Type
Individual/Family Floater
Sum Insured
Rs. 20 lakh to Rs. 100 lakh
Renewability
Lifelong
Eligibility Criteria (Entry Age)
91 days - 65 years
Features and Benefits:
Extended maternity and newborn baby cover of Rs.50, 000
Reimbursement of Rs.5000 for vaccination expenses in case of animal bites
Lump sum payment for critical illnesses, which is over and above the sum insured
Daily hospital cash allowance ranging from Rs.500, Rs. 1000, Rs. 2000, Rs. 3000 for a maximum of 30 days
Domestic air ambulance cover
Out-patient emergency dental treatment cover
Rest inclusions are same as mentioned in the above plan
Bharti AXA Smart critical illness is a health insurance plan that has a primary focus on providing insurance benefits to people against any form of life-threatening diseases. The plan seeks to benefit the insured where hospital expenses and other medical related expenses are concerned, when the person suffers from a critical illness. The features of the plan are as follows:
Plan Coverage Type
Individual/Family Floater
Sum Insured
Paid in Lump sum
Eligibility Criteria (Entry Age)
91 days - 55 years
Features and Benefits:
Medical expenses in case of hospitalization are covered
Pre and post hospitalization expenses covered
Dread disease recuperation is covered
Transplantation of organs is covered
Home nursing expense is covered
In-patient physiotherapy expenses are covered
Hospital cash allowance is provided
The expenses for the accompanying person is covered
Emergency ambulance charges are covered
Children education fund is provided with this plan
The expense for transport of mortal remains are covered
There is a renewal benefit of 5%
There is reimbursement of medical examination
There is portability facility that helps in migrating from one health policy to another by the same company
The customer can choose the Family Floater facility with this plan in which he or she can choose one insured sum for the whole family (up to four people)
The twenty critical illnesses that are covered with this plan are as follows
This is a policy that covers expenses arising out of any accident that results in the disability or death of the proposer. This is a smart insurance plan that protects both the insured person as well as his or her family members.
Plan Type
Individual
Premium Payment
Lumpsum
Eligibility Criteria
up to 65 years
Benefits and Features:
There is the facility of a lifelong renewability of the insurance plan
The Sum Insured may be enhanced only at the time of policy renewal, on the condition that no claim had been lodged or paid. The enhancement that can be chosen is the next Sum Insured slab available under the policy, if there is a declaration of good health
The plan covers Permanent Total Disability
Permanent Partial Disability is covered under the plan
The plan covers Temporary Total Disability
The plan covers death due to accident
Transportation of the mortal remains are covered under this plan
The plan provides for Hospital daily cash allowance and accidental hospitalization expense
Legal expenses are covered with this plan
The company has a tie-up with over 4300 hospitals all across the country
Pre-hospitalization expenses are covered
Post-hospitalization expenses are also covered
The plan covers dread disease recuperation
Coverage of transplantation of organs expense
Home nursing expenses are covered
Ambulance expenses covered
In-patient physiotherapy expenses are covered by this plan
The expense of the accompanying person is covered by the plan
Children education fund is covered
There is a renewal discount of 5%
The plan offers medical cost reimbursement
There is portability facility that helps in migrating from one health policy to another by the same company
There is a Double Death benefit or Permanent Total Disability Benefit, in which there is payment of double benefit (200% of the Sum Insured) for the death or the Permanent Total Disability due to the accident while travelling as a passenger on public transport
Additional Inclusions and incidents covered by Bharti AXA Health Insurance Plans
The following are included for coverage under the Bharti AXA Health Insurance Plans:
Medical conditions such as dialysis, chemotherapy, eye surgery, lithotripsy and other such conditions that do not require hospitalization beyond 24 hours are covered
Diseases or injuries that require domiciliary hospitalization, that is medical intervention and rest at home, that exceeds three days
The critical illnesses that are covered by the Bharti AXA Health Insurance Plans are as follows:
Cancer
First heart attack
Coronary heart disease
Coronary artery bypass surgery
Heart valve surgery
Surgery to aorta
Stroke
Kidney failure
Aplastic anemia
End stage lung disease
End stage liver failure
Come
Major burns
Organ / bone marrow transplantation
Multiple sclerosis
Fulminant hepatitis
Motor neurone disease
Primary pulmonary hypertension
Terminal illness
Bacterial meningitis
*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C apply.
Bharti AXA Health Insurance Exclusions
The following conditions are not covered by the Bharti AXA Health Insurance Plans:
Hospitalization for diseases or injuries contracted within the first 30 days of the inception of the policy. This clause is not applicable when the policy is renewed at a later date.
The following list of medical conditions are not covered by the Bharti AXA Health Insurance plans for the first two years from the date of policy inception:-
Laser or cataract surgery
Dilation and curettage
Unless the injury is caused by accident, replacement of joints are not covered
Chronic renal failure that requires dialysis
Unless there is malignancy, myomectomy or hysterectomy are not covered
Circumcision and sex change (and similar treatments) are not covered
Dental procedures are not covered
Hernia, Hydrocele, fistula in anus, sinusitis, haemorrhoids/piles are not covered
Procedures that are related to birth, pregnancy and fertility are not covered. Such as birth control, hormone replacement therapy, caesarean section and operations related to conception or fertility
Gastric and duodenal erosions and ulcers are not covered
AIDs and related diseases are not covered
Routine examination of eyes and ears are not covered. The cost of spectacles are not covered
All types of skin conditions are not covered, such as internal tumours, cysts, nodules, polyps including breast lumps, unless they are diagnosed as malignant
Suicide, self-inflicted illness or injury, mental disorders, anxiety, stress or depression and injuries/illnesses that are a result of the use of alcohol or drugs are not covered
Benefits of Availing Bharti AXA Health Insurance Plans
Bharti AXA General Insurance received two international certifications within its first year of operations, both of which were again renewed for three years in 2012. This remarkable achievement demonstrates the organization’s focus on quality, customer relationships and the simplification of the claims process. Today the organization is a preferred brand in the insurance industry. Below are the advantages of buying health insurance plans from Bharti AXA General Insurance:
Pre & Post hospitalization expenses- Bharti AXA health insurance recompenses expenses incurred 30days before the hospitalization and after 60 days of the hospitalization as mentioned in the policy documents
No Room Rent Capping - There is no capping on room rent in certain health plans
Smart Medical Plans for Senior Citizens- Bharti AXA senior citizen health insurance offers comprehensive coverage to elderly parents up to Rs. 1 Cr.
Lifelong renewability – The plans offer the option to renew your policy for lifetime
Coverage of Pre-existing diseases- After 4 years of the policy term, it also covers the pre-existing diseases.
Domiciliary Hospitalization -Domiciliary hospitalization is covered where the care and treatment of the patient is taken at home for a time period exceeding three days for illness, disease or injury
Medical-check-up Facility - After 4 claim-free years 1% of the sum insured can be availed for free health check-ups
Tax Exemption Benefits - Bharti AXA health insurance premium paid is eligible for tax benefits up to Rs. 55,000 as per Indian Income Tax Act, 1961.
Why Buy Bharti AXA Health Insurance Plans?
Bharti AXA General Insurance offers some of the most extensive health insurance plans with a higher sum insured up to Rs. 100 lakh. The policies offered are tailor-made to meet the applicants' needs. Most of the Bharti AXA health insurance plans do not have room-rent capping, and there is no compulsory co-payment clause. Here are some key highlights about Bharti AXA General Insurance:
The company’s Incurred Claim Ratio reflects positively at 89%
Comprehensive medical insurance cover up to Rs. 1 Crore
Cashless treatment is provided in more than 4500 registered hospitals Pan India
5% NCB Discount is also provided on policy renewal
Bharti AXA Health Insurance Premium Calculator
Bharti AXA General Insurance provides the facility of premium calculation to prospective individuals seeking to buy health insurance plans from the company. Following are some of the instances where the premium has been calculated using the company’s calculator:
To derive health insurance premium from a health insurance calculator, you simply need to fill the following details –
Visit the policy bazaar’s site and go to the health insurance calculator page
Select the Bharti AXA Health insurance policy
Select the number of members to be insured in the policy
Enter your date of birth
Enter personal details such your name, contact number, and email id
Age of the oldest family member or all the family members (in case of a family floater policy)
Once you click on the calculate button, the health insurance premium calculator will calculate the cost of the premium
Simply compare different policies and enjoy free health insurance quotes from different providers
How to Apply for Bharti AXA Health Insurance Plans?
Health insurance plans offered by the company can be applied to through multiple channels like:
Individuals desirous of availing any plan can simply call the Sales helpline of the company and speak to the customer service representative
They can provide their name, mobile number and email id on the website of the company and request for a call back
Customers may send a message to 5667700 using keywords such as Claim, Service, Renew and Call Back
Lastly, customers may also visit the company’s branches or get in touch with an agent to buy the plans required.
*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C apply.
Bharti AXA General Insurance Customer Care:
Bharti AXA General insurance customer care can be contacted for queries related to your Bharti AXA health insurance policy, claims, renewal etc. To reach out to Bharti AXA Health care toll-free number @ 1800 103 2292 or mail them at customer.service[at]bhartiaxa.com
Ans: You need to visit the insurer’s website to buy health insurance policy online. In case you require assistance, you can dial toll free number.
If your age is below 56 years and you are looking for a sum insured equal to Rs. 2 Lakhs or your age is below 46 years and you are looking for a sum insured more than Rs. 2 Lakhs; also, you are not suffering from any pre-existing injury, diseases or condition, then you would not be required to get any pre-policy medical checkups done. Also, you would get a free quote online and instant issue of policy. Next, all you need to do is fill up the application form and pay the amount of premium through net banking or credit card. The policy documents would be posted as well as e-mailed to you.
Ans: The following are the steps to avail the reimbursement facility:
The policyholder gets admitted into a hospital
He takes the required treatment and clears the hospitalization bills. Gets all the original medical documents back from the hospital
Submits the original as well as other necessary documents with the Third Party Administrator in addition to the claim form (appropriately filled)
Third Party Administrator will evaluate those documents and process the claim payment in 21 days since the receipt of all the required documents. In case the claim gets rejected, a rejection letter shall be sent to the policyholder containing the reasons for the same.
Ans: Bharti AXA Health Insurance covers the policyholder, his spouse and his 2 dependent children, equal to or below the age of 23 years. The policies offer by Bharti AXA Health Insurance offer lifelong renewability.
If the age of your child is from 3 months to 5 years, then he or she is eligible be get coverage under the Bharti AXA family floater policy; however, it is must for at least one parent to be covered under the same policy. If you child’s age is from 5 years to 23 years, then you would also have a choice to buy a separate health insurance policy for your child or continue with the family floater policy; as suitable.
Ans: In event of hospitalisation in a listed hospital due to an emergency:
The patient gets admitted into an empanelled hospital by presenting the Health Card issued by insurer
The next step is to get the cashless claim form filled up by hospital and fax it to the Third Party Administrator on the fax number specified in the form or you can also submit it to the insurance help desk situated in the hospital
The TPA shall then review your claim
TPA shall then inform the policyholder along with the hospital about the claim status through email notification, SMS, or fax usually in 6 hours since the submission of the request
TPA shall only approve the medical expenses that are covered under this policy. The expenses that are not covered under this policy shall be borne by the Policyholder
The hospitalisation bills shall be settled directly by Bharti AXA General Insurance Company.
The waiting period in health insurance refers to the duration before which certain diseases will not be covered by
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Bharti AXA Health Insurance Reviews & Ratings
4.4 / 5 (Based on 57 Reviews)
(Showing Newest 10 reviews)
Rohan
Bhabhar, March 23, 2021
★★★★★
Reliable Name
Policybazaar.com is a reliable name when you talk about insurance plans. It showed me few results as per my requirements and I selected the Bharti AXA Health Insurance plan, which is the best plan that I could have at an affordable premium.
Yuvi
Campierganj, March 22, 2021
★★★★★
A good deal
I purchased Bharti AXA’s health insurance plan from policybazaar.com and the deal that they gave me was very good for me. Thanks policybazaar.com for providing me a useful health plan at an affordable price.
Tanish
N.paravur, March 22, 2021
★★★★★
Nice Customer Service
Policybazaar.com customer service is very good and it never disappoints me. I bought the Arogya Sanjeeevani plan of Bharti AXA through it and was not very sure about its coverage. So I called policybazaar.com and got the resolution for everything.
Renu
Nabadwip, March 19, 2021
★★★★★
Good Plan for my Family
When it is about family, everyone gets emotional and wants the best. I bought the family floater policy of Bharti AXA, it is a nice policy. Though it does not offer wide coverage for the family it is decent for me. Got a recommendation from policybazaar.com as per my premium requirements so want to thank them.
Bhanvi
N.paravur, March 19, 2021
★★★★★
Claim Settlement
The claim settlement process with any insurer is not very easy but since I purchased policybazaar.com for my Bharti AXA Health plan, so I send the claim request via them. The process was not very difficult and it was approved without much hassle.
Saumya
J.n.prasad, March 15, 2021
★★★★★
Claim Approval
I was not very sure about the approval of my claim request to Bharti AXA Health Insurance because I claimed it while I was hospitalized. However, team policybazaar.com helped me to get my claim approved against my Bharti AXA Smart Health Insurance policy. Thanks, team. I would like to mention here that I bought this policy from policybazaar.com and purchasing process is also very simple.
Rekha
Odagoan, March 15, 2021
★★★★★
Easy Policy Purchase
The family floater plan offered by Bharti AXA is very useful for me and my family as it offers wide coverage at an affordable premium. I bought this plan online through policybazaar.com without any hassle.
Bani
Baarod, March 15, 2021
★★★★★
Helpful Customer Support
I wanted to purchase a critical illness policy for myself so I checked the website of policybazaar.com. From there I got to know about the critical illness plan of Bharti AXA Health Insurance. I called the customer support of policybazaar.com to get to know more details of this plan like it offers coverage for 20 major critical diseases and was very satisfied with the response of the person. He explained everything related to this policy with patience and with his help I could purchase this plan online. Thanks, policybazaar.com.
Hariom
Jabalpur, March 12, 2021
★★★★★
Claim approved in a few minutes
I got my family insured under Bharti AXA smart super health insurance value plan and I was pretty amazed with such a quick claim approval. It is all because of policy bazaar because they guided me while buying the plan and I am thankful to them. Thanks you.
Azhar
Fakirsahi, March 12, 2021
★★★★★
Quick response
I had a few doubts regarding Bharti AXA health insurance policy so I contacted Policybazaar and they resolved all my doubts and I was not actually expecting that I will get such a quick response. Amazed. Thank you.