Parental care evolves to benefit offspring output characteristics that are essentially linked to fitness. As a result, you'll need a health plan that considers all of the variables for your younger child during this period. Having medical coverage during this period will reduce medical expenses thus putting no strain on the family. Parental Care Plan by EBH, helps patients reduce their medical expenses by covering Lab Test Packages, Doctor consultation benefit, Lab & Radiology benefit and Network discounts. “Parental Care”- an essential health package to keep a track of their health.
Plan Details
| Parental Care | Essential | Classic | ||
| OPD / DOCTOR Consultation Benefit (Open Market) | No. of tests | Membership fee | No. of tests | Membership fee |
| Pediatrician | 2 |
Rs.1,499
|
4 |
Rs.4,499
|
| Nutrition Counselling | 1 | 2 | ||
| Dentist consultation | - | 1 | ||
| Hearing Screening- Audiologist | - | 1 | ||
| Lab Test Package (Prime Network ) |
1
|
-
|
||
| Thyroid screening | ||||
| Haemogram& ESR | 1 | - | ||
| Urine Routine | 2 | - | ||
| Stool Routine | 1 | - | ||
| Lab and Radiology Benefit | - | Benefits up to Rs.3000 | ||
| 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
-
OPD/Doctor Consultation Benefit
Doctor consultation benefit refers and involves consultation with a doctor 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. -
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. -
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.
What is 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 Under Lab Test Package 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
The reimbursement claims for doctor consultations or lab and radiology benefits can be raised in the following three ways:
- Bajaj Finserv Health App
- Download the Bajaj Finserv Health app
- Sign-up using the registered mobile number
- Under my ‘Health Plans’, select the purchased plan
- Select ‘Doctor Consultation’ or ‘Lab & Radiology Benefit’, as per your choice
- Enter the necessary details and upload the invoice
- Share bank account details and upload a cancelled cheque
- Submit the claim
- The claim will be reimbursed within 48 working hours directly into your bank account
- Bajaj Finserv Health Website
- Sign-up on the Bajaj Finserv Health website
- Under my ‘Health Plans’, select the purchased plan
- Select ‘Doctor Consultation’ or ‘Lab & Radiology Benefit’, as per your choice
- Enter the necessary details and upload the invoice
- Share bank account details and upload a cancelled cheque
- Submit the claim
- The claim will be reimbursed within 48 working hours directly into your bank account
- Emailing to Customer Service
- Email to customercare@bajajfinservhealth.in
- Attach a scanned copy of the invoice with all the details visible
- Mention details like hospital/lab name, patient name, and bill amount
- Share bank details (account number, bank name, IFSC, primary account holder’s name) and upload a cancelled cheque
- 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 teleconsultation, by following any of the two methods listed below:
- Bajaj Finserv Health App
- Download the Bajaj Finserv Health app
- Sign-up using the registered mobile number
- Under ‘My Health Plans’, select the purchased plan
- Select the ‘Teleconsultation benefit’ option
- Select the doctor of choice from the list of doctors
- Select the date and time of choice
- Submit
- The customer will receive the link to join the call, 15 mins before the consultation
- The doctor will join the call on the scheduled day and time
- Bajaj Finserv Health Website
- Start by visiting bajajfinservhealth.in website
- Sign-up using the registered mobile number
- Under my “Health Plans”, select the Purchased plan
- Select the ‘Tele-consultation benefit’ option
- Select the doctor of choice from the list of doctors
- Select the date and time of choice
- Submit
- The customer will receive the link to join the call 15 mins before the consultation
- 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 the lab test package, in the following ways:
- Bajaj Finserv Health App
- Download the Bajaj Finserv Health app
- Sign-up using the registered mobile number
- Under ‘My Health Plans’, select the purchased plan
- Select the ‘Lab test package benefit’ option
- Select the hospital/lab of your choice
- Enter the date of redemption and confirm
- 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
- Start by visiting bajajfinservhealth.in website
- Sign-up using the registered mobile number
- Under ‘My Health Plans’, select the purchased plan
- Select the ‘Lab test package benefit’ option
- Select the hospital/lab of your choice
- Enter the date of redemption and confirm
- 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
- Send an email tocustomercare@bajajfinservhealth.in
- Mention details like hospital/lab name, customer name, and date
- The customer care executive will call to confirm the customer’s identity using OTP
- SMS with voucher link shared on the registered mobile number
- 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 hospital/lab, which is a part of the Bajaj Finserv Health Prime Network
- Mention the benefit requested on the network, along with your 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 of 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 about coverage, exclusions, or claims, please write to us at wecareinsurance@bizsupportc.com.
Disclaimer - Conditions apply. This product is offered under the Group Insurance scheme wherein Bajaj Finance Limited is the Master policyholder. The insurance coverage is provided by our partner Insurance Company. Bajaj Finance Limited does not underwrite the risk. IRDAI Corporate Agency Registration Number CA0101. The above-mentioned benefits and premium amount are subject to various factors such as age of insured, lifestyle habits, health, etc (if applicable). BFL does NOT hold any responsibility for the issuance, quality, serviceability, maintenance and any claims post sale. This product provides insurance coverage under ManipalCignaFlexiCare Group Insurance Policy, UIN: MCIHLGP20120V011920. Purchase of this product is purely voluntary in nature. BFL does not compel any of its customers to mandatorily purchase any third-party products.