Complete Health Solution Platinum Plan
Complete Health Solution Platinum Plan is an all-inclusive plan provided by Bajaj Finserv Health Ltd. that offers a well-structured compilation of advanced health features designed to cater to your medical needs. This plan offers you to get the best health advice from expert doctors anywhere across India. It also offers a seamless digital experience with the Bajaj Finserv Health App through which the insured can book an appointment, check medicine reminders and more!
Explore Complete Health Solution Platinum Plan and Complete Health Solution Silver Plan and make health needs a top priority by being a part of the Bajaj Finserv Health family.
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Key Features and Benefits
The key features and benefits covered under Complete Health Solution platinum plan are as follows:
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Bajaj Finserv Health App:
Complete Health Solution Platinum Plan offers you a seamless digital experience with the Bajaj Finserv Health App where you can book appointments for lab tests and reimbursements and search for the best doctors anywhere in India. The app also helps you to set reminders for medicines.
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Doctor consultation:
Get the consultation from your preferred doctor anywhere in Indian either through in-clinic visits or via teleconsultation facility.
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Lab and radiology test reimbursement
Get reimbursement up to Rs. 17,000 for all the lab & radiology test as prescribed by your physician
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In-patient hospitalisation expenses
Complete Health Solution Platinum Plan offers inpatient hospital expenses which include:
• Room rent/boarding and nursing expenses
• ICU rent/boarding and nursing expenses
• Fees of medical practitioner, surgeon, anaesthetist, nurses and specialist doctor
• Operation theatre charges, anaesthesia, surgical appliances, diagnostic tests, medicines, blood, oxygen and cost of prosthetic and other devices or equipment if implanted internally like pacemaker during a surgical process -
Pre-hospitalisation expenses
The insurance policy if purchased along with the product covers medical costs incurred due to an illness or injury 60 days immediately before hospitalisation.
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Post-hospitalisation expenses
Complete Health Solution Platinum Plan covers the medical costs incurred due to an illness or injury 90 days immediately after hospitalisation.
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Day care procedures and no room rent capping
Covers medical expenses under in-patient hospitalisation treatment cover for day-care procedures/surgeries taken as an inpatient in a hospital or day-care centre. Also, there is no room rent capping up to a specified limit under the policy.
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Organ donor expenses
The Complete Health Solution Platinum Plan covers an organ donor's treatment up to the sum insured.
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Emergency road ambulance cover
The insured under the Complete Health Solution Platinum Plan gets the benefit of ambulance expenses being covered to a maximum of Rs. 3,000 for accidents or emergencies. It is applicable on transportation carried out by hospital’s ambulance or an ambulance provided by any ambulance service provider.
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Sum reinstatement benefit
Through the Complete Health Solution Platinum Plan, the insured will get their sum insured amount restored if they have used it completely within the single policy period.
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Ayurvedic and homeopathic hospitalization expenses covered
Get ayurvedic and homoeopathic hospitalization expenses covered up to 25% of the sum insured.
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Tax benefit
The Complete Health Solution Platinum Plan offers income tax benefit as per Section 80D of the Income Tax Act on the premiums paid for this policy.
Policy Details
| Bajaj Finserv Health limited | ||
|---|---|---|
| Plan variants | Complete Health Solution Platinum | Complete Health Solution Silver |
| Package type | Individual/Family Floater | Individual/Family Floater |
| Entry age | Minimum entry age: 21 years Maximum entry age: 55 years Minimum entry age for child: 91 days and maximum entry age for child is 21 years |
Minimum entry age: 21 years Maximum entry age: 55 years Minimum entry age for child: 91 days and maximum entry age for child is 21 years |
| Renewal | Lifetime renewable | Lifetime renewable |
| Sum insured | Rs. 5 lakh /Rs. 10 lakh | Rs. 5 lakh /Rs. 10 lakh |
| Features covered | • Bajaj Finserv Health App • Doctor consultations • Health Insurance by Bajaj Allianz General Insurance Co. • No room rent capping up to a specified limit |
• Bajaj Finserv Health App • Doctor consultations • Health Insurance by Bajaj Allianz General Insurance Co. • No room rent capping up to a specified limit |
| Number of members covered | 6 (2 adults + 4 children) | 6 (2 adults + 4 children) |
Plan Available
Health Insurance helps you to be stress-free while dealing with medical contingencies due to sickness and accidental injuries. The premium rates available under the Complete Health Solutions Platinum plan are starting from Rs. 8,400 with maximum coverage of Rs. 10 lakh. The premium rates available under the Complete Health Solutions Silver plan are starting from Rs. 7,000 with maximum coverage of Rs. 10 lakh.
How to Process the Claim
To process the claim, you can follow these points:
- It can be used across all hospitals covered by BAGIC.
- For any claim related issues, the insured can reach out to Bajaj Allianz General Insurance Co. through the following channels:
• Email: bagichelp@bajajallianz.co.in
For EBH the benefits can be claimed by downloading the Bajaj Finserv Health App
List of Documents Required for Claim
- Claim form with NEFT details and cancelled cheque duly signed by insured
- Original/attested copies of discharge summary /discharge certificate /death summary with surgical and anesthetics notes
- Attested copies of indoor case papers
- Original/attested copies final hospital bill with the breakup of surgical charges, surgeon’s fees, OT charges etc.
- Original paid receipt against the final Hospital Bill.
- Original bills towards Investigations done / Laboratory Bills.
- Original/Attested copies of Investigation Reports against Investigations done.
- Original bills and receipts paid for the transportation from Registered Ambulance Service
- Provider: Treating doctor certificate to transfer the injured person to a higher medical
- Centre for further treatment (if applicable).
- Cashless settlement letter or other company settlement letter
- First consultation letter for the current ailment.
- In case of implant surgery, invoice and sticker
Major Policy Exclusions
Pre-existing diseases waiting period:
- Expenses related to the treatment of a pre-existing diseases (PED) and its direct complications shall be excluded until the expiry of 36 months of continuous coverage after the date of inception of the first policy with us.
- Any dental treatment that comprises cosmetic surgery, dentures, dental prosthesis,
- dental implants, orthodontics, surgery of any kind unless as a result of Accidental Bodily
- Injury to natural teeth and requiring hospitalization
- Medical expenses where Inpatient care is not warranted and does not require supervision
- of qualified nursing staff and qualified medical practitioner round the clock.
- War, invasion, acts of foreign enemies, hostilities (whether war be declared or not)
- Any medical expenses incurred due to acts of terrorism will not be covered under the policy. Refer to the policy brochure for detailed exclusions.
Claim/Assistance Contact Details
BFL Helpline Number: 08698010101
Bajaj Fiserv Health Ltd Helpline Number: 020 48564000
E-mail:– wecare@bajajfinserv.in
Mailing address: Ground Floor, Bajaj Finserv Corporate Office, Off Pune-Ahmednagar Road, Viman Nagar, Pune – 411014.
Disclaimer
Bajaj Finance Ltd. (BFL) is merely a distributor of this product, owned by Bajaj Finserv Health Ltd (BFHL). Issuance of this product is at sole discretion of BFHL. This product shall be governed by BFHL’s product T&C’s and BFL does NOT hold any responsibility for the issuance, quality, serviceability, maintenance and any claims post sale.