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MENTAL HEALTH CARE

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Mental health refers to a person's cognitive, behavioural, and emotional well-being, all of which have an impact on how they feel and act. A person's mental health must be taken care of, because it has an impact on their quality of life, relationships, and physical health. Treatment for mental health problems can be quite costly. Bajaj Finserv's Mental Health Care plan includes Lab and Radiology benefits, as well as sessions and network discounts, all of which can help relieve financial stress during challenging times.

Plan Details

Mental Health Care Benefits up to Membership fee
(Open Market reimbursement)
Rs. 2,000
Rs. 3,499
Yoga/ Meditation sessions
LAB & Radiology Benefit (Open Market)  Rs. 2,000
OPD/DOCTOR Consultation Benefit
(Open Market)
Rs. 3,000
Psychiatrist/Psychologist/GP
Network Discounts (Prime Network) - 10% discounts on doctor consultation, lab tests, preventive health check-up, dental procedures, spectacle, and pharmacy
- 5% discount on IPD room rent
- Free ambulance service on IPD admission

What's covered?

  • Money-in-bank

    OPD/Doctor Consultation Benefit

    Definition: Doctor consultation benefit refers to consultation with a doctor with a minimum degree of MBBS, BDS, BAMS, or BHMS upto the benefit amount. In case any specific doctor speciality is offered in the plan, you can only consult with the doctor of that specific speciality. In case no speciality is mentioned you can consult any doctor of your choice.

    Inclusions:

    1. Consult with a doctor of your choice upto the benefit amount subject to a minimum degree of MBBS, BDS, BAMS, and BHMS (allopathic, dental, homoeopathic, and ayurvedic dental) subject to the doctor speciality offered in the plan and 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.
    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 visits for doctor consultations to the extent of the value of benefits

  • Money-in-bank

    Session Benefit (Open Market)

    Definition: Sessions benefit refers to the utilization of offered counselling sessions with a doctor /specialist in the required field upto the benefit amount.

    1. Take yoga/meditation sessions with any specialist as per the definition mentioned above and get it reimbursed upto the benefit amount. The invoice with the amount, consumption date and stamp should be clearly visible on the uploaded invoice for approval
    2. This benefit can be availed by the member listed under the plan
    3. 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

    Lab and Radiology Benefit

    Definition: Lab and radiology benefit refers to the utilization of any pathology or radiology tests up to the benefit amount. 

    Inclusions 

    1. Take any pathology or radiology test of choice from any lab and radiology centre and get it 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
    2. This benefit can be availed by all members listed under the plan
    3. 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

    Definition: Discounts offered on healthcare expenses within the Bajaj Finserv Health Prime network

    • List of discounts offered within Network 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
    • Network Discounts are applicable only at the Bajaj Finserv Health Prime network. Please note that not all Network discounts would 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


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
  • No carry forward of any un-availed benefit is allowed, even on re-purchase of benefit after the expiry of 1 year
  • Benefit is not redeemable against cash
  • Doctor consultation benefit cannot be clubbed with any other benefit

Exclusions To Session Benefit

  • Reimbursements will not be made for any diagnostic procedures undertaken by the doctor/specialist 
  • Benefit is not transferrable to anyone else, even to family members if not covered under the plan 
  • No carry forward of any un-availed benefit is allowed, even on re-purchase of benefit after the expiry of 1 year. 
  • Benefit is not redeemable against cash 
  • Sessions 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
  • No carry forward of any un-availed benefit is allowed, even on re-purchase of benefit after the expiry of 1 year
  • Benefit is not redeemable against cash
  • Lab and Radiology benefit cannot be clubbed with any other benefit

Exclusions To Availing 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

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 related to coverage, exclusions, or claims, please write to us at
Customercare@bajajfinservhealth.in

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