• Plan Name
    Hospital Cash - Gold
  • Coverage
  • Insurance Provider
    Pragati Life Insurance

Hospital Cash - Gold

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Pragati Life Insurance
Insurance Provider
Pragati Life Insurance
Policy Duration
1 Year
Number of People Covered

Fixed benefit for hospitalization on a daily basis
15 days waiting period.

Coverage for out-patient department services
15 days waiting period.

Coverage for doctor visits in outdoor department

Coverage for diagnostic tests in outdoor department

Coverage for specific viral and bacterial diseases
15 days waiting period.

Lump-sum benefit for specific Critical Illnesses
45 days waiting period.

Lump sum benefit paid to the legal nominee if the Insured Person dies.
15 days waiting period.

Settlement of hospital bill directly at the time of discharge

Fixed amount/Percentage of medical expenses that are not paid by the insurance company.

No Claim Bonus applies if you renew the policy after its expiry

Coverage for pre-existing conditions/illnesses

The period after taking an insurance policy during which you cannot make any claim

Refund of premium if there is no claim during the policy period

Coverage for maternity/child-birth related issues

Maximum number of days covered per Hospitalization

  • This is a non-refundable product.

Waiting Periods:

  • Hospitalization, Viral and Bacterial Diseases, OPD Service - 15 days. Not applicable in case of any accident-related treatment or renewal of insurance coverage in subsequent years.
  • Hospitalization due to maternity - 180 days. Not applicable in case of renewal of insurance coverage in subsequent years.
  • Critical Illness - 45 days. Not applicable in case of renewal of insurance coverage in subsequent years.
  • Hospitalization or treatment due to Pre-existing Diseases - 180 days. Not applicable in case of renewal of insurance coverage in subsequent years.


  • Multiple plans cannot be purchased for a single person, applicable for all Hospital Cash plans provided by Pragati Life.
  • A Medical Practitioner’s recommendation is required for any Hospitalization.
  • A minimum of 24 (twenty-four) hours of hospital stay shall require for any Hospitalization claims.
  • Maximum coverage for Hospitalization benefits shall be for 3 consecutive nights per hospital admission in respect of each Insured Person.
  • If multiple claims arise against a single Illness or Accident (except OPD Service) then only the higher benefit shall be payable.
  • Hospitalization coverage benefit shall be 50% (fifty per cent) of the eligible amount in case of treatment in a government-operated hospital or healthcare facility.


  • Death due to any Pre-Existing Disease
  • Any treatment during the applicable Waiting Periods
  • Any Congenital Anomaly
  • The condition of Acquired Immune Deficiency Syndrome (AIDS), or any AIDS-related illness or HIV
  • Hospitalization or Injury due to any illegal activities
  • Hospitalization, Diagnostic Tests, or any treatment without a recommendation from a Medical Practitioner
  • Hospitalization for the purpose of conducting Diagnostic Tests that could have been performed as an outpatient
  • Routine blood sugar tests, routine examination of urine/stool, IgE (allergen) tests
  • Routine or planned treatment of Pre-existing Diseases which are Chronic Conditions in nature such as radiotherapy or chemotherapy for cancer management; dialysis for chronic kidney disease (CKD) or end-stage renal disease (ESRD) management, Hospitalization for chronic pulmonary obstructive diseases (COPD) or liver cirrhosis, etc.
  • Any experimental or generally unaccepted procedures by medical professionals, i.e., acupuncture, herbal/ayurvedic/homoeopathy treatment, alternative medical care (AMC), etc.
  • Routine examination of eye and ear, fitting or replacement of eyeglasses (including contact lenses) or hearing aids, health screening including regular physical tests (health check-ups), any dental treatment (except hospitalization for reconstructive surgery as a consequence of an accident or disease);
  • Circumcision, prophylactic, and immunization procedures
  • Non-surgical treatment for Tuberculosis, Hepatitis B & C
  • Mental, emotional, or psychiatric disorders, alcoholism, or any other narcotic addictions
  • Obesity, i.e., treatment for, or required as a result of obesity, any cosmetic or plastic treatment/surgery, unless needed as reconstructive surgery as a consequence of an injury due to accidents, or burns
  • Sleep disorders, i.e., treatment for insomnia, sleep apnea, snoring, or any other sleep-related breathing problem
  • Treatments related to family planning purposes, including intended termination of pregnancy, sterility, or assisted reproduction

*Please read the policy wording document for detailed terms and conditions of this insurance policy.

Policy Wording File

Download - pragati-life-hospital-cash-plans-policy-wording.pdf

Claims must be submitted within 30 (thirty) days from the date of covered Illness or Accident.

Please submit your claim using the Bimafy Mobile App or Website. Alternatively, you can submit your claim via email to: claims@bimafy.com by mentioning your full name and registered mobile phone number in the subject line.

Provide clear scanned copies of your treatment-related documents while submitting the claim. Please ensure all medical documents are properly dated and the Insured Person's name is clearly mentioned on them.

List of required documents for claims:

Hospital Cash Claim

  • Doctor's advice/prescription/emergency ticket for hospital admission
  • Admission form
  • Discharge certificate
  • Treatment sheet
  • Diagnostic test reports
  • All bills
  • NID/Birth Certificate of the Insured Person
  • Any other available documents related to the treatment

Viral and Bacterial Diseases Claim

  • Doctor's advice/prescription
  • Diagnostic test reports
  • Diagnostic test bills
  • NID/Birth Certificate of the Insured Person
  • Any other available documents related to the treatment

OPD Service Claim

  • Doctor's prescription
  • Doctor consultation bill
  • Diagnostic test reports
  • Diagnostic test bill
  • NID/Birth Certificate of the Insured Person
  • Any other available documents related to the treatment

Critical Illness Claim

  • Doctor's prescription
  • Doctor consultation bill
  • Diagnostic test reports
  • Diagnostic test bill
  • In case of hospitalization - Admission form, Discharge Certificate, Treatment Sheet, etc.
  • NID/Birth Certificate of the Insured Person
  • Any other available documents related to the treatment

Death Claim

  • NID/Birth Certificate of the Insured Person
  • Death Certificate mentioning the actual cause of death
  • Post Mortem Report (in case of accidental death)
  • NID of the legal nominee
  • Warisan/Succession certificate from the local government authority
  • Any other available supporting documents

If the Insured Person is not alive and the Nominee needs to submit the claim then he/she should contact Bimafy Customer Service for assistance.

What is Health Insurance?

Health insurance is a type of insurance policy that provides financial coverage against illness, diseases, and accident-related treatments. That means the insured person can get medical expense reimbursement or fixed cash benefit (based on the type of insurance policy) for treatments received due to the medical conditions.

Health insurance usage is relatively new in Bangladesh, and most of the insurance companies in Bangladesh do not offer retail health insurance policies to individual customers. Instead, insurance companies provide group health insurance plans to enterprises and corporates for their employees and workforce. For this reason, access to health insurance plans is still difficult for the mass people of Bangladesh. Bimafy is working with selected insurance companies to make health insurance easy and accessible for everyone. Bimafy offers different types of health insurance plans on its website and mobile app for you to choose from.

Why does everyone need a Health Insurance policy?

Everyone should have a health insurance policy because:

  • Health insurance provides coverage against unexpected illness or accidental injuries to better manage your financial situation in case of an emergency hospitalization or treatment.
  • Health insurance helps you to afford better healthcare services as you have the financial independence to seek quality healthcare services.
  • Health insurance provides peace of mind as you are covered against unexpected situations and do not need to worry about spending your savings on treatment.

Types of Health Insurance policies available in Bangladesh

Regardless of the scarcity of up-to-date health insurance coverage and plans, mostly there are 3 types of health insurance products/plans available in our country, as per the following:

1. Hospital Reimbursement Plans

Hospital reimbursement plans are the most commonly used health insurance coverage by enterprises/corporates for their employees and workforce. These plans usually come with a yearly total coverage (sum-insured) amount up to which the policyholder or insured person can claim back the medical expenses incurred due to hospitalization. Sometimes, these plans come with bundled life insurance coverage and OPD (outpatient department services) coverage so that you can have peace of mind in case of any mishaps.

For example, if a reimbursement plan provides BDT. 50,000 yearly coverage for hospital treatment, and you had to spend BDT. 35,000 in total for an in-patient hospital treatment, the insurance company shall provide up to BDT. 35,000 as reimbursement against the claim. Some expenses may be excluded from the coverage on your policy, and those bills will not be paid back by the insurance company. Check the policy wording, coverage limits, and exclusions before buying a health insurance plan.

An important note to consider here is that reimbursement policies give back the medical expenses (subject to exclusion and deductibles) as per the hospital bill. You need to properly collect and preserve the medical documents and bills at the time of discharge to submit an insurance claim.

2. Hospital Cash Plans

Hospital Cash plans, or simply “hospicash” plans, are a more straightforward type of health insurance policy that provides daily fixed benefits per night of hospitalization. These plans do not consider the medical expenses incurred by the insured/policyholder. Instead, this health insurance policy provides a daily cash benefit to meet the lost income due to illness or accident. Often, these plans come with bundled life coverage, OPD coverage, and other benefits and are priced reasonably lower than reimbursement plans.

For example, if a hospital cash policy provides BDT. 3,000 per night of hospitalization, then you can get BDT. 9,000 benefits if you had to take treatment in a hospital for 3 consecutive nights. These plans usually come with waiting periods for claims and specific exclusions against particular diseases. So, please check the waiting periods and exclusions before buying a health insurance policy for yourself or your family members.

An important note to consider is that you must properly collect all medical documents, including hospital bills, to raise insurance claims. The insurance company will need these documents to verify the authenticity of your claim.

3. Critical Illness Plans

A critical illness (CI) plan is a type of health insurance policy that provides a fixed benefit or reimbursement of expenses up to the coverage amount in case of a diagnosis of a life-threatening illness. Hence it is called critical illness insurance. These plans usually cover severe or life-threatening diseases such as cancer, heart attack, stroke, coronary artery bypass surgery, major organ transplantation, etc. This list may include more diseases or illnesses based on the insurance company or plan. Critical illness health insurance policies are affordable and can be a lifesaver for you in an unfortunate situation.

Sometimes, critical illness coverages are bundled with reimbursement or hospital cash policies so that you can get complete coverage simply by purchasing a single policy. Otherwise, you can buy a reimbursement or hospital cash plan and get critical illness coverage separately to ensure better financial safety in an emergency.

Why is Bimafy the best place to buy health insurance policies?

Bimafy (bimafy.com) is the first digital insurance platform in Bangladesh, from where you can easily order the insurance policy you prefer or need and submit your insurance claims using the same platform digitally. Bimafy is not an insurance company; it is a digital platform through which you can take the insurance services provided by various insurance companies using digital channels. It is a new solution offered by Bimafy for the people of Bangladesh to make insurance easily accessible and more user-friendly.

Bimafy promotes and markets the insurance services of reputed insurance companies using its website and mobile app. People can now get many services through digital platforms like e-commerce, ride-sharing, doctor consultation, etc. But, before Bimafy, insurance was not available to people through digital channels, and Bimafy made it available to Bangladeshi people.

Through Bimafy, you can get the following insurance services: Health Insurance, Travel Insurance, Accident Insurance, Motor insurance, Life Insurance, and many more.

Bimafy is the best platform to get a health insurance policy for yourself and your loved ones. As it provides various insurance policies in one place, you can easily compare and select the best policy suited to your needs and budget.

Bimafy not only helps you get the best insurance policy for you but also assists you in submitting the insurance claims digitally and getting the settlement as fast as possible.

Various reputed insurance companies provide their insurance services through Bimafy. You can get your suitable health insurance plan today without any hassle through online purchases or with just a phone call. Bimafy considers customer satisfaction the highest priority and aims to provide the best insurance experience you have ever enjoyed.

To know more about health insurance and for any other information, send us an email or call Bimafy Customer Support.

Customer Support Hotline: +88 09606991991

Email address: cs@bimafy.com

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