What is Health Elite?
Health Elite is an exclusive insurance policy designed for our premium customers. As a privileged customer, you enjoy access to premium healthcare services that are absent from standard health insurance plans.
With Health Elite, you get a tailored plan that gives you maximum coverage and a world of exclusive benefits
You only want the finest things in life. Food, travel, and experiences. So why should you settle for less when it comes to your health?
Health Elite is more than a simple insurance policy. Our exclusive plan is designed to take care of your all-round health. We’ve picked the finest quality healthcare and packaged it in a comprehensive policy.
We are always by your side, in sickness and in health. Secure your health and finances with a policy that’s designed just for you!
Why buy Health Elite
What is in it for you?

10% family discount when you cover yourself and one more individual under a single proposal with individual sum insured option
Flexible premium payments - monthly, quarterly, half-yearly, and annually in case of long term policies
Floater discount on premiums paid for dependent members
7.5% discount if the proposal is logged on our website
We give you a long-term discount when you make a single payment for a policy term of more than one year
No loading for a bad claim experience
What is covered?
INCLUDED
Pre and Post-hospitalization Expenses
We understand that treatment isn’t limited to hospitalisation. Our pre- and post-hospitalisation cover pays for your costs up to 60 days before admission and 180 days after discharge.
Domiciliary Hospitalization Expenses
We pay for your expenses during at-home medical treatment (domicile) for a period of more than three days.
Road Ambulance Charges
We make sure you reach the hospital safely with our Emergency Ambulance Expenses Cover.
Maternity Expenses
Bringing a new life into the world doesn’t have to be financially stressful. That’s why our policy covers all child delivery expenses, including pre- and post-natal medical expenses.
Inpatient Treatment
If an injury or accident sends you straight to a hospital bed, don’t worry! Our policy will pay for your room rent, boarding, and nursing expenses.
Day Care Treatment
We pay for your day care expenses too.
Organ Donor Expenses
We also cover the organ donor’s treatment costs.
Patient Care
We pay for all inpatient care costs, up to 10 days after discharge (limited to a maximum of 30 days per policy year).
New Born Baby
We take care of your newborn’s expenses related to hospitalization - from the day of birth to 91 days
Global Medical Treatment
We pay for your costs in treatment abroad - listed critical illnesses, return airfare, and emergencies (except the USA and Canada).
Child Vaccination Benefits
We pay for your child’s vaccination expenses up to 12 years of age.

Accidental Hospitalization
If you meet with an accident and need hospitalization, we give you additional sum insured.
Out-Patient Medical Expenses (Consultation and Diagnostic)
We pay for all treatment expenses that do not require a hospital stay or admission (consultations and diagnostics). We also pay for prescribed medications, up to 80% of the cost.
Dental consultations and diagnostics only (up to 70%)
We pay for up to 70% of your costs.
Out-Patient Medical Expenses (Prescribed Medications up to 80%)
We pay for your prescribed medicines, up to 80% of the total cost.
Alternative Treatment
If you prefer alternate forms of healing, we have you covered! We cover all the medical expenses related to Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy.
Medications
The plan covers the total cost of your prescribed medicines.
Besides this, you can also get
Floater Discount - Premium applicable for the primary insured will be the standard individual premiums. For the remaining dependent members, Floater Discounts will be applicable on their respective premium.
| Floater Discount | |||
| Age Band | Discount | Age Band | Discount |
| 0 - 17 | 60% | 51 - 55 | 40% |
| 18 - 25 | 55% | 56 - 60 | 35% |
| 26 - 30 | 50% | 61 - 65 | 35% |
| 31 - 35 | 45% | 66 - 70 | 35% |
| 36 - 40 | 45% | 71 - 75 | 35% |
| 41 - 45 | 40% | 76 - 80 | 25% |
| 46 - 50 | 40% | >=81 | 25% |
Long-term Discount - Applicable in case of single payment for a policy term of more than one year.
| Long-Term Discount | |
| Policy Term | Discount |
| 1 Year | Nil |
| 2 Years | 7.5% |
| 3 Years | 10% |
What is not covered?
NOT INCLUDED
Any unnatural cause of physical injury like alcohol, drug influence, etc.
Injury or illness caused in a war, invasion or other similar operations
Hormone or sex-change related treatment
Non-prescribed drugs & medicines
The above list of exclusions is indicative. For more details, please refer to the Policy Wordings.
Small waiting period for inclusion of specific benefits
| WAITING PERIOD | CATEGORY |
|---|---|
| 30 days | General |
| 24 - 36 months | Specified disease/procedure |
| 24 months | PED |
| 24 months if you and spouse are covered and 36 months if only you are covered | Maternity expenses |
What Generali Central Health Insurance Offers
- 94%Claim Settlement Ratio
- 3 hrCashless Settlement
- 6000Cashless Hospitals
Wellness benefits you will receive
Our Wellness benefits include value-added services and Wellness reward points. Our Wellness partners will conduct these services and you can avail these benefits on our GC Insure app by buying our Health Elite policy.
Health Elite covers the physical and mental wellness of your entire family. You can also earn reward points through various wellness activities. These include
What are the value-added services?
Under this benefit, the insured person above 18 years is eligible to avail the following benefits:
Tele counselling
Health Content
Webinars
Vouchers
Health check-up
What are wellness reward points?
| Sr. No. | Criteria | Frequency Allowed | Max. Points |
|---|---|---|---|
| 1. | Enrolment to wellness | Once/year | 15 |
| 2. | Stress & Happiness Index score | 2 times/year | 20 |
| 3. | Expert Wellness Assessment | Once/year | 40 |
| 4. | Participation in GCI organized events (as and when organized) and viewing of GCI content around wellness | As planned by GCI | 20 |
| 5. | Lifestyle disease monitor
| Once/year | 45 |
| 6. | Fitness/ Healthy Lifestyle tracking- (Any one activity)
| Monthly | 60 |
| Total Points | 200 |
Conditions applicable for earning the reward points-
The insured person must be above 18 years to be eligible to earn wellness points.
There is no limit to the number of programs you can enroll in. But, the maximum reward points per policy year is limited to 200/member.
Conditions for earning Reward Points will be the same for all the insured persons.
How can I buy Health Elite?
You can purchase our policies in several ways:
You Can Call On Our HELPLINE
1800 266 1112
OR
SEND US AN EMAIL
OR
VISIT BRANCH
Walk-in to any of our nearest branches
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
Use this for the cashless facility at our network hospitals.
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
80D certificate if premium is paid by cheque.
Policy coverage and Terms & Conditions
This is a partial description of the covers. Please read the policy wordings for complete details on the terms and conditions.
Claim Form
You can intimate your claim online or submit the form to your nearest branch or alternatively email us.
Complaint/Feedback Form
If you have any complaints/feedback, you can fill in the form and submit it to the nearest branch or email us.
Grievance Redressal
If you aren’t satisfied with our response to your complaint, you can approach the Insurance Ombudsman. This form will have details about the procedure to approach the ombudsman, along with the addresses of the ombudsman.
GCI Pocket Clinic
Get access to specialized doctor consultations right at your fingertips.
What is the reimbursement claim process?
Our claim settlement process is fast and relaible
Collate Documents
Upon discharge, pay all hospital bills and collect all original documents of treatment undergone and expenses incurredClaim Form
Download and fill the GCI health claim formClaim 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
Visit Hospital
Approach an insurance desk of your nearest GCI Network Hospitals and show your health card for Cashless Treatment
Verify Yourself
The Network Hospital will verify your identity and submit duly filled pre-authorization form with Generali CentralGet Admitted
You get admitted without any deposit and get cashless treatmentPeace 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
What is medical treatment abroad claim process?
Here is how you can file your claim
Call Service Provider
When you get a diagnosis, call us or our assistance service provider.Pre-authorisation
Before you travel overseas for your treatment, request for pre-authorisation. Do this at least 15 days before you are admitted to the hospitalDirect Communication
If the hospital agrees for cashless facility, Generali Central or its assistance service provider communicate directly with the hospital.Approval
We tell you if your pre-authorization request has been approved.Claim Settlement
Once approved, Generali Central or its assistance service provider directly settles the claim with the hospital.
FAQs – Frequently asked questions
Health Elite Insurance is specifically designed to meet the needs of High-Net-Worth Individuals. It gives you access to premium healthcare services and well-being benefits that are not present in a standard health insurance plan.
You can opt for these sum insured options on individual and floater sum insured basis - ₹75 L, ₹1 Cr, ₹1.5 Cr, ₹2 Cr, ₹2.5 Cr, ₹3 Cr, ₹3.5 Cr, ₹4 Cr, ₹4.5 Cr, ₹5 Cr, ₹5.5 Cr, ₹6 Cr
Health Elite is available for 1, 2, and 3 years.
This Policy is available to all the Insured Persons who are Indian Nationals and are resident of India at inception of the Policy and at subsequent renewals of this Policy. If there is change in the resident status, then insured is required to inform Us in writing at renewal.
The minimum age of entry is 91 days and the maximum is 65 years. However, renewal can be lifelong.
A ‘family’ can include Self, Spouse/ Live-In Partner, Children, Parents, Parents-in-law, Dependent Siblings, Daughter-in-law, Son-in-law, Grandparents, and Grandchildren. You can insure a maximum of 15 members under one policy on either individual or floater sum insured basis.
Yes, all insured above 18 years need to undergo pre-policy check-ups.
Yes, you can get a 10% family discount under Individual Generali Central Health Elite in case insured members are more than one under a single policy. No family discount is available for the floater policy.
- For an individual policy, it is calculated according to the age band and the sum insured.
- For family floater, the premium for the primary insured is according to the numbers in the individual table.
- For remaining dependent members, you can check floater discounts in the table below.
| Age Bands | Floater Discount | Age Bands | Floater Discount |
| 0-17 | 60% | 51-55 | 40% |
| 18-25 | 55% | 56-60 | 35% |
| 26-30 | 50% | 61-65 | 35% |
| 31-35 | 45% | 66-70 | 35% |
| 36-40 | 45% | 71-75 | 35% |
| 41-45 | 40% | 76-80 | 25% |
| 46-50 | 40% | >=81 | 25% |
Single sum insured is offered for medical expenses within India and outside India.
- Outside India medical expenses are covered as follows -
- i. Medical treatment abroad (excluding USA and Canada) includes
Listed Critical Illnesses Treatment
Emergency Treatments
- ii. Emergency ambulance expenses
- iii. Repatriation of mortal remains
The insured has the option to extend the scope of Benefit 2 (Medical Treatment abroad), Benefit 3 (Emergency Ambulance Expenses) and Benefit 14 (Repatriation of mortal remains) to include USA and Canada –
at inception, or
on renewal, by paying an additional premium
The option to include USA and Canada covers is available for insured persons – for both individual and floater sum insured options. Once you opt for this, there will be a lock-in period of 3 years.
- a) For the Listed Critical Illness Treatment section, the insured person needs to inform us or our assistance service provider before going for medical treatment abroad. Our assistance service needs 7 working days to confirm this claim and coordinate with the hospitals.
- b) For Emergency Treatment section, you need to inform us or our assistance service provider in 2 days from the date the illness or injury occurs or when you are admitted to the hospital, whichever is earlier.
Claims for both road and air ambulance services can be made if we have approved a claim for the same illness or injury under Benefit 1 (Hospitalization Expenses) and Benefit 2 (Medical Treatment Abroad). You can avail this benefit up to the sublimit specified under the policy.
Road ambulance services of a hospital or a registered service provider are available to transport the insured -
- i. from place of residence or the place where the injury has happened to the nearest hospital and;
- ii. from one hospital to another, if the transportation is medically necessary.
Air ambulance of a hospital or a registered service provider is available for the insured’s necessary medical evacuation in an emergency, if-
- i. The evacuation is recommended and certified by a medical provider
- ii. We or our assistance service provider has approved these medical expenses You can use the ambulance service for transportation within the country only. We do not pay for transportation between countries.
We will cover the cost of insured persons prescribed spectacles /contact lenses and hearing aids, up to the sub limits specified under the policy. You can avail these benefits every alternate policy year.
All insured persons above 18 years of age can avail the wellness benefits. The insured must register on the Generali CentraI mobile app with their mobile number and the policy number for enjoying these benefits.
- 1) The points earned will float among all members of the family irrespective of the persons who earned the points.
- 2) Points earned in first year can be carried forward to the 2nd or 3rd year in case of long term policies.
- 3)You can burn the points for using these benefits - i. When you avail out-patient consultations through the Wellness Partner network clinics
- ii. When you take diagnostic and preventive tests through the Wellness Partner network clinics
- iii. When you purchase prescribed medicines through an online pharmacy that has a tie-up with our Wellness Partner
- iv. When you claim reimbursement of non-medical expenses under Benefit 1 (Hospitalization Expenses)
- v. When you get a renewal discount
- The policy holder can use the balance reward points to get a discount on the premium when they renew the policy.
- If the insured does not opt for renewal discount, then they can redeem the wellness reward points for OPD consultations/diagnostics tests and/or purchasing prescribed medicines through our Wellness Partners. This is applicable for a period of up to 3 months from the policy expiry date.
- Here is how you can file your claim in minutes:
- 6. Visit the insurance desk of your nearest Generali Central Network Hospital and show your health card for Cashless Treatment
- 7. The Network Hospital will verify your identity and submit the pre-authorization form to Generali Central
- 8. You get admitted without any deposit and enjoy cashless treatment
- 9. Once you are discharged, the hospital will send your claim documents to Generali Central and we will directly settle the amount with the hospital
- Our claim settlement process is fast and reliable:
- 5. When you are discharged, pay all hospital bills and collect all original documents of your treatment and bills
- 6. Download the Generali Central health claim form and fill it
- 7. Submit original documents to the nearest Generali Central branch
- 8. We will settle the claim as per the policy terms and conditions
- We settle your cashless claim for international medical treatment reliably -
- 8. When you get a diagnosis, call us or our assistance service provider. Before you travel overseas for your treatment overseas, request for pre-authorisation. This should be done at least 15 days before the planned date of hospital admission.
- 9. If the hospital agrees for cashless facility, Generali Central or its assistance service provider will communicate directly with the hospital and the insured. We will tell you if your pre-authorization request has been approved or denied.
- 10. If your pre-authorization request is approved, Generali Central or its assistance service provider will directly settle the claim with the hospital.
- 11. If your request is denied, we will not be settling the claim.
- 12. Pre-authorization is not mandatory if the insured has a life-threatening medical condition and is admitted under Medical Treatment Abroad, Emergency Treatment.
Download documents
PRODUCT NAME: Health Elite | UIN: GCIHLIP22234V012122 | LAUNCH DATE: 26TH SEPTEMBER 2022















