Complete Health Solution Platinum Plan

Complete Health Solution Platinum Plan is an all-inclusive plan provided by Bajaj Finserv Health Ltd. that offers advanced health features designed to cater to your medical needs. This plan enables you to get health advice from expert doctors across India. It also offers a seamless digital experience with the Bajaj Finserv Health App through which the insured can book an appointment, get medicine reminders and more.

Key Features And Benefits

Here are the key features and benefits covered under Complete Health Solution Platinum Plan:

  • Bajaj Finserv Health App

    With the help of Bajaj Finserv Health App, you can book appointments for lab tests, get reimbursements and search for the best doctors across India to seek online consultation. The app also helps you to set reminders for medicines.

  • Doctor consultation

    Get the consultation from your preferred doctor across India, either through in-clinic visits or via teleconsultation facility.

  • Lab and radiology test reimbursement

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

  • 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

    Medical costs incurred due to an illness or injury for 60 days immediately before hospitalisation.

  • Post-hospitalisation expenses

    Medical costs incurred due to an illness or injury for 90 days immediately after hospitalisation are covered.

  • Day care procedures and no room rent capping

    Get coverage for medical expenses under in-patient hospitalisation treatment cover for day-care procedures/surgeries taken as an inpatient in a hospital or a day-care centre. Also, there is no room rent capping up to a specified limit under the policy.

  • Organ donor expenses

    The policy covers organ donor's treatment up to the sum insured.

  • Emergency road ambulance cover

    You can get coverage against ambulance expenses up to 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.

  • Sum reinstatement benefit

    This benefit helps you get the sum insured restored if it has been used completely within a single policy period.

  • Ayurvedic and homeopathic hospitalisation expenses covered

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

  • Tax benefit

    You can avail of income tax benefit under 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

The premiums for Complete Health Solutions Platinum Plan start from Rs. 8,400 and offer a maximum coverage of Rs. 10 lakh. The premiums for Complete Health Solutions Silver Plan start from Rs. 7,000 and offer a maximum coverage of Rs. 10 lakh.

How To Purchase The Policy

In order to purchase the policy, follow these steps:

  • To apply for the product, click on 'Apply Now' and fill in the necessary details
  • Make the fee payment online using your preferred mode of payment
  • Fill in your name and mobile number
  • Complete the process by clicking 'Buy Now', you can also request for a call back

How To Process The Claim

To process the claim, you can reach out to Bajaj Allianz General Insurance Co. (BAGIC) through the following ways:

• Call: 1800 209 5858
• Email: bagichelp@bajajallianz.co.in

Note: Complete Health Solutions Platinum Plan can be used across all hospitals covered by BAGIC.
Note: You can also download the Bajaj Finserv Health App to raise claims.

List Of Documents Required For Claim

Here are the documents required for processing the 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 anaesthetics notes
  • Attested copies of indoor case papers
  • Original/attested copies final hospital bills with the breakup of surgical charges, surgeon’s fees, operation theatre charges etc.
  • Original paid receipt against the final hospital bills
  • 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’s certificate to transfer the injured person to a higher medical facility
  • 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

Here are some of the exclusions under the policy:

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.

General exclusions:

  • Any dental treatment that comprises cosmetic surgery, dentures, dental prosthesis, dental implants, orthodontics, surgery of any kind unless as a result of accidental bodily
  • dental implants, orthodontics, surgery of any kind unless as a result of Accidental Bodily
  • Injury to natural teeth and requiring hospitalisation
  • 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.

Note: Refer to the policy brochure to know more about 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 terms and conditions and BFL does not hold any responsibility for the issuance, quality, serviceability, maintenance and any claims post sale.