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Epilepsy Care

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Epilepsy is a neurological condition that causes frequent, unprovoked seizures. The statistics have shown that around 10 million people are currently living with epilepsy in India. Many people with active epilepsy may not get the care they need, resulting in a significant treatment gap. However, Epilepsy Care Cover by EBH provides a solution to mend this treatment gap by facilitating the patients with Lab and Radiology benefits, medical consultations, and various network promotions.

Plan Details

Epilepsy Care Epilepsy Care Essential Epilepsy Care classic
Lab Test Package (Prime Network)
Covers below tests
No. of tests/Benefits up to Membership fee No. of tests/Benefits up to Membership fee
ECG 0
Rs. 2,499
1
Rs. 5,499
Lab & Radiology Benefit (Open Market)
Rs. 4,000
Rs. 6000
OPD / Doctor Consultation Benefit
(Open Market)
Rs. 1,000
Rs. 2,000
Speciality type - Neurologist
Network discounts (Prime Network) - 10% Discount on Pharmacy
- 10% Discount on Doctor Consultation
- 10% Discount on lab & radiology
- 10% Discount on health plans & packages
- 5% Discount on IPD room rent
- 10% Discount on Dental Procedures
- 10% Discount on Spectacles
- Free Ambulance for IPD admissions

What's Covered

  • Money-in-bank

    Lab Test Package (Prime Network)

    It consists of a pre-defined set of tests aimed to identify and minimize risk factors in addition to detecting illnesses at an early stage.
    - Every policy year, you will have the option to undergo checkup for a pre-defined lab test package as per the plan chosen by the you.
    - Only adults listed under the policy are eligible to take the health care tests. The tests will only be available at Bajaj Finserv Health Prime partner hospitals and labs which are getting updated on a regular basis.

  • Money-in-bank

    Lab and Radiology Benefit

    Lab and radiology benefit refers and involves the utilization of any pathology or radiology tests upto the benefit amount. Here are the benefits you can avail:
    - Take any pathology or radiology test of choice from any lab/radiology center and get reimbursed up to the benefit amount. Lab or Radiology invoice with the amount, consumption date, and stamp should be clearly visible on the uploaded invoice for approval.
    - 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 pathology or radiology tests to the extent of the value of benefits.

  • Money-in-bank

    OPD/Doctor Consultation Benefit

    Doctor consultation benefit refers and involves consultation with a neurologist 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.

  • Money-in-bank

    Network discounts

    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

    Note:
    - 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.

What's not covered?

Exclusions Under OPD/Doctor Consultation Benefit HTML
Exclusions To Availing Network Discounts HTML

How to apply

Click on ‘Apply Now’ button and share your basic details in the online application form.

Check and confirm your application by entering the OTP received on your mobile number.

Pay the premium via credit/debit card, UPI, mobile wallet, or any other available online payment mode.

You will receive the details of your membership via email/whatsapp.

Claim Process

Doctor Consultation Benefit/Lab and Radiology Benefit

Reimbursement claims for Doctor Consultation Benefit or Lab and Radiology benefit can be raised in following three ways:

  • Bajaj Finserv Health App
  1. Download the Bajaj Finserv Health app
  2. Sign-up using the registered mobile number
  3. Under my “Health Plans”, select the purchased plan
  4. Select ‘Doctor Consultation’/‘lab & radiology benefit’
  5. Enter necessary details and upload the invoice
  6. Share bank account details and upload a canceled cheque
  7. Submit the claim
  8. The claim will be reimbursed within 48 working hours directly in the bank account

 

  • Bajaj Finserv Health Website
  1. Sign-up on the Bajaj Finserv Health website
  2. Under my “Health Plans”, select the Purchased plan
  3. Select ‘Doctor Consultation’/‘lab & radiology benefit’
  4. Enter necessary details and upload the invoice
  5. Share bank account details and upload a canceled cheque
  6. Submit the claim
  7. The claim will be reimbursed within 48 working hours directly into the bank account

 

  • Emailing to Customer Service
  1. Email to customercare@bajajfinservhealth.in
  2. Attach a scanned copy of the invoice with all details clearly visible
  3. Mention details like hospital/lab name, patient name, and bill amount
  4. Share bank details (account number, bank name, IFSC, primary account holder name) and upload a canceled a cancelled cheque
  5. The claim will be reimbursed within 48 hours directly into the bank account

 

Teleconsultation benefit

Cashless claims for Teleconsultation benefit can be raised nd availed in below two ways:

  • Bajaj Finserv Health App
  1. Download the Bajaj Finserv Health app
  2. Sign-up using the registered mobile number
  3. Under my “Health Plans”, select the Purchased plan
  4. Select teleconsult benefit option
  5. Select the doctor of choice from the doctor list
  6. Select the date and time of choice
  7. Submit
  8. The customer will receive the link to join the call 15 mins before the consultation
  9. The doctor will join the call on scheduled day and time

 

  • Bajaj Finserv Health Website
  1. Start by visiting bajajfinservhealth.in website
  2. Sign-up using the registered mobile number
  3. Under my “Health Plans”, select the Purchased plan
  4. Select teleconsult benefit option
  5. Select the doctor of choice from the doctor list
  6. Select the date and time of choice
  7. Submit
  8. The customer will receive the link to join the call 15 mins before the consultation
  9. The doctor will join the call on scheduled day and time

 

Lab Test Package (Prime Network Only)

Cashless claims for Lab test package can be availed in below three ways.

  • Bajaj Finserv Health App
  1. Download the Bajaj Finserv Health app
  2. Sign-up using the registered mobile number
  3. Under my “Health Plans”, select the Purchased plan
  4. Select Lab test package benefit option
  5. Select the hospital/lab of choice
  6. Enter the date of redemption and confirm
  7. SMS with voucher link shared on the registered mobile number
  8. Share the voucher code to avail cashless Lab test package benefit

 

  • Bajaj Finserv Health Website
  1. Start by visiting bajajfinservhealth.in website
  2. Sign-up using the registered mobile number
  3. Under my “Health Plans”, select the Purchased plan
  4. Select Lab test package benefit option
  5. Select the hospital/lab of choice
  6. Enter the date of redemption and confirm
  7. SMS with voucher link shared on the registered mobile number
  8. Share the voucher code to avail cashless lab test package benefit

 

  • Emailing to Customer Service
  1. Email to customercare@bajajfinservhealth.in
  2. Mention details like hospital/lab name, customer name, and date
  3. The customer care executive will call to confirm the customer’s identity using OTP
  4. SMS with voucher link shared on the registered mobile number
  5. Share the voucher code to avail cashless Lab test packages

 

Network Discounts

Network discounts can be availed in Bajaj Finserv Health Prime network in the following ways:

  • Visit and avail health services in any of the Prime network hospital or lab
  • Mention the health prime Network benefit and registered mobile number with the billing executive
  • Share the OTP with the executive to avail upto 10% discounts basis services utilized at the network hospital/lab

Contact Us

In case you have any queries about coverage, exclusions, or claims, please write to us at wecareinsurance@bizsupportc.com.

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