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Gastroesophageal Reflux Disease Care

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Gastroesophageal reflux disease also termed as GERD, is a digestive disorder that affects the muscle ring connecting the oesophagus and the stomach. Damage to the oesophagus can lead to several complications over time. However, having medical coverage during this period helps you to reduce the medical expenses incurred for the treatment, thus putting no strain on the family.

Gastroesophageal Reflux Disease Care Plan by Bajaj Finserv Health Limited provides an essential health plan that can help you prevent as well as identify symptoms of GERD if any. With the help of this plan you can get access to a host of benefits including doctor consultations, lab and radiology tests, network discounts, and more.

Plan Details

Here is a table that illustrates our Gastroesophageal Reflux Disease Care Plan:

Gastroesophageal Reflux Disease Care
Lab and radiology (open market reimbursement) Benefit up to Rs. 2,500 Membership fee of Rs. 2, 599
Lab and radiology benefit (any test)
Doctor consultation benefit (open market reimbursement) Benefit up to Rs. 3,000
Gastroenterologist and Dietician

Along with the benefits listed in the above table, individuals can also look for attractive discounts available on the Prime Network. This is a network of hospitals and labs offering healthcare services to the insured individual. Here are the discounts that can be availed on the 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

Here’s what’s covered under this plan:

  • Money-in-bank

    Lab and radiology

    Lab and radiology involve the utilization of any pathology or radiology tests up to the specified benefit amount. Here are the benefits you can avail:

    1. - Take any pathology or radiology test of choice from any lab/radiology centre and get reimbursed up to the benefit amount. The lab or radiology invoice with the amount, consumption date, and the stamp should be clearly visible on the uploaded invoice for approval.
    2. - This benefit can be availed by all members listed under the policy.
    3. - 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 the benefits.

  • Money-in-bank

    OPD/Doctor consultation

    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 the 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 the doctor’s name, consultation fees, his speciality, doctor’s registration number, date of consultation, doctor’s 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 the benefits.

  • Money-in-bank

    Network discounts

    These discounts are offered on healthcare expenses within the Bajaj Finserv Health Prime Network. Here is the list of discounts.

    1. 1. OPD Consultation Discount: 10%
    2. 2. Lab & Radiology Discount: 10%
    3. 3. Health Plans & Packages Discount: 10%
    4. 4. Pharmacy Discount: 10%
    5. 5. Spectacle Discounts: 10%
    6. 6. Dental Procedure Discounts: 10%
    7. 7. Room Rent Discount: 5%
    8. 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 labs and hospitals covered under the Bajaj Finserv Health Prime Network.
    - 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

  • Reimbursements will not be made for any medical procedures undertaken
  • Benefit is not transferrable to anyone else, even to family members if not covered under the policy
  • Cannot carry forward any unused benefit, even while repurchasing/renewing the policy after one year
  • Benefit is not redeemable against cash
  • Doctor consultation benefit cannot be clubbed with any other benefit

Exclusions under lab and radiology benefit

  • Reimbursements will not be made for any diagnostic procedures undertaken by the doctor
  • Benefit is not transferrable to anyone else, even to family members if not covered under the policy
  • Cannot carry forward any unused benefit, even while repurchasing/renewing the policy after one year
  • Benefit is not redeemable against cash
  • Lab and Radiology benefit cannot be clubbed with any other benefit

Exclusions under network discounts

  • Network discounts cannot be clubbed with any other benefits
  • Network discounts cannot be utilized outside the Bajaj Finserv Health Prime network

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

The reimbursement claims for doctor consultations or lab and radiology benefits can be raised in the 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’ or ‘Lab & Radiology Benefit’, as per your choice
  5. Enter the necessary details and upload the invoice
  6. Share bank account details and upload a cancelled cheque
  7. Submit the claim
  8. The claim will be reimbursed within 48 working hours directly into your 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’ or ‘Lab & Radiology Benefit’, as per your choice
  4. Enter the necessary details and upload the invoice
  5. Share bank account details and upload a cancelled cheque
  6. Submit the claim
  7. The claim will be reimbursed within 48 working hours directly into your bank account
  • Emailing to Customer Service
  1. Email to customercare@bajajfinservhealth.in
  2. Attach a scanned copy of the invoice with all the 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’s name) and upload a cancelled cheque
  5. The claim will be reimbursed within 48 hours directly into your bank account

Tele-consultation Benefit

You can raise and avail of the benefit of cashless claims or tele-consultation, by following any of the two methods listed below:

  • 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 ‘Tele-consultation benefit’ option
  5. Select the doctor of choice from the list of doctors
  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 the scheduled day and time
 
  • Bajaj Finserv Health Website
  1. Start by visiting www.bajajfinservhealth.in
  2. Sign-up using the registered mobile number
  3. Under ‘My Health Plans’, select the purchased plan
  4. Select ‘Tele-consultation benefit’ option
  5. Select the doctor of choice from the list of doctors
  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 the scheduled day and time
 

Lab Test Package (Prime Network Only)

You can avail of the cashless claims for lab test package, in the following 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 your choice
  6. Enter the date of redemption and confirm
  7. An SMS with the voucher link will be shared on the registered mobile number. Share the voucher code to reap cashless lab test package benefits.
  • Bajaj Finserv Health Website
  1. Start by visiting www.bajajfinservhealth.in
  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 your choice
  6. Enter the date of redemption and confirm
  7. An SMS with the voucher link will be shared on the registered mobile number. Share the voucher code to reap cashless lab test package benefits.
 
  • Emailing to Customer Service
  1. Send an 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. An SMS with the voucher link will be shared on the registered mobile number. Share the voucher code to reap cashless lab test package benefits.

Network Discounts

Bajaj Finserv Health Prime Network offers discounts on healthcare services, which can be availed in the following ways:

  • Visit the healthcare services offered by any of the hospitals and labs, which are a part of the Bajaj Finserv Health Prime Network
  • Mention the benefit requested on the network, along with registered mobile number to the billing executive
  • You’ll receive an OTP, which needs to be shared with the executive.
  • On sharing the OTP, you can avail up to 10% discounts on select services at the hospital/network under the Bajaj Finserv Health Prime Network.

Contact Us

In case you have any queries related to coverage, exclusions, or claims, please write to us at
Customercare@bajajfinservhealth.in

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