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Professionals Lifestyle Care

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The recent advent of technologies and the convenience of remote working models have increased a working professional’s dependencies on computers and laptops. As a result, these professionals end up staring at the computer screen for longer hours, while being in the same position. This leads to several health challenges, like computer vision syndrome, eye staring, shoulder problems, and more. While these treatments are a prerequisite for every working professional, the cost of these treatments can be very high. The Professionals Lifestyle Care package by Bajaj Finserv assists with lab testing, doctor consultations, and network savings.

Plan Details

Professionals Lifestyle Care Benefits up to Membership fee
OPD / DOCTOR Consultation Benefit (Open Market)
Rs. 500
Rs. 2,099
GP & Psychiatrist
Physiotherapy Consultation Benefit (Open Market)
Rs. 500
Physiotherapy benefit amount
Diet Consultation Benefit (Open Market)
Rs. 1,000
Diet Consultation benefit amount
Lab Test Package (Prime Network)
1 Voucher
Hemogram & ESR (25)
Urine routine (9)
Blood sugar (Fasting/Random/PP) (1)
Lipid profile (8)
Blood urea (1)
TSH (1)
Serum creatinine (1)
SGPT (1)
Network Discounts (Prime Network) - 10% Discount on Pharmacy, Doctor Consultation, lab & radiology, Discount on health plans & packages, Dental Procedures -5% Discount on IPD room rent, & Spectacles - Free Ambulance for IPD admissions

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

    Lab Test Package (Pre-defined)

    Definition: 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.

    Inclusions:

    1. Every policy year you will have the option to undergo a checkup for a pre-defined lab test package. It will be dependent on the plan chosen by the customer
    2. Only the adults 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

    Physiotherapy Benefit

    Definition: Physiotherapy benefit refers to a session with a physiotherapy doctor with a degree of Bachelor of Physiotherapy upto the benefit amount.

    Inclusions:

    1. A session with a physiotherapist with a min. degree of Bachelor of Physiotherapy upto the benefit amount. 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

    Dietician Consultation Benefit

    Definition: Dietician consultation benefit refers to consultation with any dietician or nutritionist

    Inclusions:

    1. This benefit can be availed by all members listed under the policy
    2. 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

    Inclusions

    • 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 Under Lab Test Package

  • Lab test package cannot be availed outside the Bajaj Finserv Health Prime network
  • Home collection facility will be available only at selected locations. For locations where home sample collection is not available, the customer will have to physically go and take the tests.
  • Entire Lab test package will have to be utilised at one instance by any adult included in the policy. The benefit is not transferrable to any other member
  • No carry forward of any un-availed benefit is allowed, even on re-purchase/renew of the policy after 1 year
  • Benefit is not redeemable against cash

Exclusions To Dietician Consultation Benefit

  1. Benefit is not transferrable to anyone else, even to family members if not covered under the plan
  2. No carry forward of any un-availed benefit is allowed, even on re-purchase of benefit after the expiry of 1 year.
  3. Benefit is not redeemable against cash
  4. Sessions benefit cannot be clubbed with any other benefit

Exclusions To Physiotherapy session

  1. Reimbursements will not be made for any procedures undertaken
  2. Benefit is not transferrable to anyone else, even to family members if not covered under the policy
  3. No carry forward of any un-availed benefit is allowed, even on re-purchase of benefit after the expiry of 1 year.
  4. Benefit is not redeemable against cash
  5. Doctor consultation 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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