Considering the increasing medical prices, your current health insurance plan might not be adequate to cover the costs associated with illnesses or accidents. In addition, you might discover that your primary health insurance seems to be no longer adequate for your needs when medical costs rise. The Extra Care top-up health insurance plan from Bajaj Allianz covers the costs associated with hospitalisation and medical care. This policy increases the scope of your health insurance coverage and guarantees financial stability even if your primary medical insurance policy expires. It comes with a sum insured of up to INR 15 lakh, enough to meet your healthcare expenses.
Bajaj Allianz Extra Care Highlights
Bajaj Allianz Extra Care benefits you in more ways than one. Check the following benefits of this plan.
Top-up Insurance
This is an additional plan that broadens the benefits of your current health insurance.
Sum Insured
You can choose from the sum insured options - INR 10 lakh, INR 12 lakh and INR 15 lakh.
Multiple Age Groups
This coverage protects members from three months to 70 years old.
Zero Medical Tests
Pre-medical exams are not necessary under this policy for people aged up to 55, provided a clean proposal form is submitted.
Coverage Before And After Hospitalisation
Pre-hospitalization costs up to 60 days, and post-hospitalization costs this policy covers up to 90 days.
Floater Plan
One premium and one insurance amount for the entire family. The family floater health insurance option allows for coverage of the self, spouse, three children, and parents.
Ambulance Service
This policy offers up to INR 3,000 in emergency ambulance coverage.
Affordable Premium
The premiums for this policy are reasonably priced and start at INR 2,625 (excluding taxes).
Renewability
Extra Care policy can be renewed for your whole life.
Smooth Claim Settlement
Bajaj Allianz has its own in-house claim settlement staff that guarantees the health insurance claim settlement procedure is swift, smooth, and straightforward.
Income Tax Savings
Take advantage of the income tax break provided under Section 80D of the Income Tax Act.
Inclusions
- Fees of doctors, surgeons, and nurses, are reimbursed.
- Rental costs, ICU and OT charges, etc. are covered.
- Expenses incurred as a result of contemporary medical methods such as robotic surgery, stem cell therapy, oral chemotherapy, and so on.
- Medical expenses incurred throughout pregnancy and childbirth are also reimbursable.
- It also pays for the costs of organ donors.
- Furthermore, optional air ambulance coverage is available.
What's Not Included
- New-born child care expenses
- Dental care or surgery
- Custodial or personal care, as well as expenses related to rehabilitation
- Obesity and overweight-related surgical procedures
- Expenses for cosmetic or plastic surgery
- Injuries received as a result of dangerous or adventurous sports
- Laser treatments, such as vision correction
- Treatments connected to alcoholism, drug misuse, and health effects related to it
- Treatments for infertility and sterility.
Steps to a Cashless Claim
- Visit the insurance desk at the hospital and get the pre-authorization request form completed, signed by you and the hospital or treating physician.
- The request will be faxed to HAT by the network hospital.
- HAT doctors will review the pre-authorization request form and decide on the cashless facility in accordance with the policy requirements.
- Depending on the plan and its benefits, an authorization letter, denial letter, or additional requirement letter is given within three hours.
- The hospital will provide HAT with the final bill and discharge information at the time of discharge, and based on its evaluation, the final settlement will be processed.
The cashless facility at network hospitals is open round-the-clock, 365 days a year, with no disruption in service. Before being admitted to the hospital, you must review the hospital list. Hospitals that offer cashless payment have the right to amend their rules at any time. The most recent list is accessible through the call centre and website of Bajaj Allianz. When utilising the cashless feature, a government-issued ID and a Bajaj Allianz Health Card are required.
Reimbursement Claim Steps
- Share the hospitalisation information with the Bajaj Allianz General Insurance HAT.
- After discharge, you have 30 days to deliver the following paperwork to HAT.
- Correctly filled and signed form, along with a mobile number and email address.
- Original hospital invoice and receipt for payment.
- Investigation reports
- Release card
- Prescriptions
- Medical and surgical item invoices
- Information on pre-hospitalization costs (if any)
- Paperwork of in-patients, if necessary.
- The final settlement will be completed in 10 working days once all documents have been delivered to HAT for additional processing.
- Documents related to post-hospitalization claims must be supplied 90 days from the date of discharge.
Aggregate Deductible
A cost-sharing requirement under this policy known as the "aggregate deductible" states that the company will not be responsible for any covered expenses up to a certain amount. This requirement will take effect before the company pays any benefits. The amount covered is not diminished by a deductible. In a nutshell, the deductible applies to hospital costs accrued during the coverage period. Once the healthcare expenses exceed the deductible, the coverage will kick in. Deductible options are INR 3 lakh, INR 4 lakh and INR 5 lakh for a sum insured of INR 10 lakh, INR 12 lakh and INR 15 lakh, respectively.
How Can Extra Care Policy Benefit Me?
- Extra Care Plus serves as an additional layer of protection on top of your current health insurance policy during times of escalating medical inflation.
- Even if you don't currently have health insurance, you can choose this policy.
- Extra Care covers hospitalisation costs that exceed the total deductible that you have selected.
Eligibility
- This policy would be offered to Indian nationals living in India.
- Non-Resident Indians may choose this coverage as well, providing the premium is paid in Indian rupees and by an Indian account.
Pre-Policy Medical Examination Requirements For New Proposals And Proposals For Portability
- No medical examinations until age 55, if there are no serious health issues.
- Members 56 years of age and older are subject to medical examinations.
- The test results would be valid for 30 days from the date of the medical examination.
- If a pre-insurance check-up is done, 50% of the cost of the medical tests would be refunded, subject to the proposal being accepted and the policy being issued.
Conclusion
Possessing a secure health insurance policy is no longer a privilege but a necessity. Moreover, the flexibility of top-ups helps you complete your requirements from any angle you may need.
Those already covered by a medical insurance policy can get more coverage under this Bajaj Allianz top-up health insurance plan. Even if you don't have a primary health insurance plan, you can still be covered by this plan. This product is surely recommended.
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