Compete Health Solutions Plan

The Complete Health Solution Plan provided by Bajaj Finserv Health Ltd. is an all-inclusive tailor-made plan that offers a well-structured compilation of advanced health features designed to cater to your medical needs. This plan offers consultation services from expert doctors anywhere across India. It also provides a seamless digital experience with the Bajaj Finserv Health App, through which the insured can book an appointment, check medicine reminders, and do much more.

Explore Complete Health Solution Plan and Complete Health Solution Silver Plan and make health needs a top priority by being a part of the Bajaj Finserv Health family.

Key features and benefits

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  Seamless digital experience with the Bajaj Finserv Health App

  Complete Health Solution 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

  Consult your preferred doctor anywhere in India, either through in-clinic visits or via a teleconsultation facility.

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  Lab and radiology test reimbursement

  Get reimbursement up to Rs. 17,000 for all the lab and radiology tests prescribed by your physician.

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  Health insurance coverage

  The customers of Bajaj Finserv Health are eligible to be enrolled on Complete Health Solution Plan, wherein Bajaj Finserv Health Ltd is the master policyholder. Here, Bajaj Allianz General Insurance Co. Ltd provides health insurance coverage.
  
  Some of the features of this health insurance policy are as follows:

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  In-patient hospitalisation expenses

  Complete Health Solution Plan offers in-patient hospital expenses which include:
  • Room rent/boarding and nursing expenses
  • ICU rent/boarding and nursing expenses
  • Fees of the medical practitioner, surgeon, anaesthetist, nurses and specialist doctors
  • Charges for the operation theatre, anaesthesia, surgical appliances, diagnostic tests, medicines, blood, oxygen, and the cost of prosthetics and other devices or equipment if implanted internally, like a pacemaker during a surgical process

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  Pre-hospitalisation expenses

  The insurance policy covers medical costs incurred due to an illness or injury 60 days immediately before hospitalisation if purchased along with the product.

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  Post-hospitalisation expenses

  Complete Health Solution Plan pays for 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 in-patient 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 Plan covers an organ donor's treatment up to the sum insured.

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  Emergency road ambulance cover

  Under the Complete Health Solution Plan, the insured benefits from ambulance expenses being covered to a maximum of Rs. 3,000 for accidents or emergencies between hospitals in the hospital's ambulance or an ambulance provided by any ambulance service provider.

• Sum reinstatement benefit

  The insured will get their sum insured amount restored through the Complete Health Solution Plan if they have used it completely within the single policy period.

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  Ayurvedic and homoeopathic hospitalisation expenses covered

  Get ayurvedic and homoeopathic hospitalisation expenses covered up to 25% of the sum insured.

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  Tax benefit

  The Complete Health Solution Plan offers Income Tax benefit per Section 80D of the IT Act on the premiums paid for this policy.

The Health Insurance Policy is issued by Bajaj Allianz General Insurance Co. (BAGIC).

Here are the documents required for processing the claim:

• Claim form with NEFT details and a cancelled cheque duly signed by the insured individual
• Original/attested copies of discharge summary/discharge certificate/death summary with surgical and anaesthetics notes
• Attested copies of indoor case papers
• Original/attested copies of final hospital bill with the break-up 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 a registered ambulance service provider
• Treating doctor certificate to transfer the insured person to a higher medical centre for further treatment (if applicable)
• Centre for further treatment (if Applicable).
• Cashless settlement letter or other company settlement letter
• FFirst consultation letter for the current ailment
• In case of implant surgery, invoice and sticker

Pre-existing diseases waiting period:

• Expenses related to the treatment of a Pre-Existing Disease (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 the provider.

General exclusions:

• Any dental treatment that comprises cosmetic surgery, dentures, dental prosthesis, dental implants, orthodontics, or surgery of any kind (unless as a result of accidental bodily injury to natural teeth and requiring hospitalisation).
• dental implants, orthodontics, surgery of any kind unless as a result of Accidental Bodily
• Injury to natural teeth and requiring hospitalization
• Medical expenses where in-patient care is not warranted and does not require supervision of qualified nursing staff and qualified medical practitioners 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.

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.