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.

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.

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

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

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

Here are some of the exclusions under the policy:

• 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.

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.