In India, about 85% to 90% of adults and 60 to 80% of children have dental cavities. And about half of them seek care or advice from non-dental professionals such as chemists because of the costly dental treatments. In such trying times, having a medical package that would lower medical costs can ease financial pressure on the family. Dental Care Cover by EBH helps patients save money on medical expenses by covering doctor consultations, lab test packages, preventive health checkups, and even discounts on IPD room rentals, as well as a free ambulance.
|Dental Consultation Benefit (Open Market)||Benefits up to||
|Dental benefit amount can be utilized at any dental clinic with doctor of minimum BDS degree and reimbursed for following procedures only||
|Scaling & Polishing|
|Network Discounts (Prime Network)||
- 10% discounts on doctor consultation, lab tests, preventive health check-up, dental procedures, spectacle and pharmacy
- 5% discount on IPD room rent
- Free ambulance service on IPD admission
Doctor consultation benefit refers and involves consultation with a doctor with a minimum degree of MBBS, BDS, BAMS, or BHMS up to the benefit amount mentioned under plan details. In case any specific doctor/medical speciality is offered under the plan,you can consult with doctor/specialist of that specific speciality. In case no speciality is mentioned, you can consult any doctor of your choice. Here are some of the benefits that you can avail.- Consult with a doctor of your choice subject to a minimum degree of MBBS, BDS, BAMS, and BHMS (allopathic, dental, homeopathic, and ayurvedic dental) as per the doctor speciality offered in the plan. Submit the invoice for reimbursement. The invoice should clearly state doctor consultation fees, doctor name and speciality, doctor registration number, date of consultation, doctor stamp, and customer details for reimbursement. - This benefit can be availed by all members listed under the policy. - The benefit amount can be claimed in a single visit or spread over multiple visits for doctor consultations to the extent of the value of beneﬁts.
Discounts are offered on healthcare expenses within the Bajaj Finserv Health Prime network. Here is the list of discounts.
1. OPD Consultation Discount: 10%
2. Lab & Radiology Discount: 10%
3. Health Plans & Packages Discount: 10%
4. Pharmacy Discount: 10%
5. Spectacle Discounts: 10%
6. Dental Procedure Discounts: 10%
7. Room Rent Discount: 5%
8. Free Ambulance for IPD Admissions
- Network Discounts are applicable only at the Bajaj Finserv Health Prime network. Please note that all network discounts may not be applicable at all Bajaj Finserv Health Prime networks.
- Network discounts can be utilized multiple times (unlimited) with no capping on the maximum discount that can be availed by the customer.
Doctor Consultation Benefit/Lab and Radiology Benefit
The reimbursement claims for doctor consultations or lab and radiology benefits can be raised in the following three ways:
You can raise and avail of the benefit of cashless claims or teleconsultation, by following any of the two methods listed below:
Lab Test Package (Prime Network Only)
You can avail of the cashless claims for the lab test package, in the following ways:
Bajaj Finserv Health Prime Network offers discounts on healthcare services, which can be availed in the following ways:
IIn case you have any queries about coverage, exclusions or claims, please write to us at email@example.com.