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Super Top up Cover 2

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Financial preparedness for unforeseen events, like accidents, can help one get covered against the financial risks. Consider taking an insurance policy to manage expenses associated with such accidents and get adequate financial coverage.
Group Protect - Super Top up 2 from Aditya Birla Health Insurance Co. Ltd. offers coverage in case of such emergencies and hospitalization.

Plan Details

Sum insured up to

Deductibles

Premium incl. taxes

Rs. 10 lakh

Rs. 5 lakh

Rs. 3228

Eligibility: This plan can be taken by individuals between the age of 51 and 55, as on the last birthday. 

Plan Validity: The plan is valid for a tenor of one year.

What's Covered

  • Money-in-bank

    Hospitalisation/treatment benefits

    Here are some of the benefits covered under this plan.

    1. The room rent is restricted up to 1% of the SI subject to a maximum of Rs. 5000 per day for a normal room. For an ICU room, the room rent limit is Rs. 10,000 per day. All other charges are according to the room rent restriction.
    2. Any expenses incurred during transportation via a road ambulance are covered up to Rs. 1000 per incident in case of emergency.
    3. Up to 527 daycare procedures are covered under this policy.
    4. Domiciliary Hospitalization is covered as defined in the GHI policy wordings.
    5. Internal congenital disease covered under this policy.

    Notes: 

    Any pre-existing diseases are covered after a waiting period of 4 years.

    There is no provision for co-payment in this policy.

    The period for pre and post-hospitalization is 30 and 60 days respectively.

What is Not Covered / Exclusions

Here's what is not covered in this plan

  1. OPD consultations
  2. Treatment for any dependents of the policyholder
  3. Any pre-existing conditions up to the 4-year waiting period.
  4. Treatment arising directly or indirectly or consequent upon war or any act of war
  5. Willful or deliberate exposure to danger, intentional self-injury, non-adherence to medical advice

Waiting Period

The initial waiting period for this cover is 30 days, whereas the waiting period for exclusion is 2 years.

*For a complete list of exclusions, please refer to the policy wordings.

The 2-year exclusion list is as follows:

Body system

Illness

Treatment or surgery

1

Eye

Cataract

Cataract Surgery

Glaucoma

Glaucoma Surgery

2

Ear Nose Throat

Serous Otitis Media

Sinusitis

Sinus Surgery

Rhinitis

Surgery for the nose

Tonsillitis

Tonsillectomy

Tympanitis

Tympanoplasty

Deviated Nasal Septum

Surgery for Deviated Nasal
Septum

Otitis Media

Surgery or Treatment for Otitis
Media

Adenoiditis

Adenoidectomy

Mastoiditis

Mastoidectomy

Cholesteatoma

Resection of the Nasal Concha

3

Gynaecology

All Cysts & Polyps of the female
genito urinary system

Dilatation & Curettage

Polycystic Ovarian Disease

Myomectomy

Uterine Prolapse

Uterine prolapse Surgery

Fibroids (Fibromyoma)

Hysterectomy unless
necessitated by malignancy

Breast lumps

Any treatment for Menorrhagia

Prolapse of the uterus

Dysfunctional Uterine Bleeding
(DUB)

Endometriosis

Menorrhagia

Pelvic Inflammatory Disease

4

Orthopaedic / Rheumatological

Gout

Joint replacement Surgery Surgery for Prolapse of the intervertebral disc

Rheumatism, Rheumatoid
Arthritis

Non infective arthritis

Osteoarthritis

Osteoporosis

Prolapse of the intervertebral disc

Spondylopathies

5

Gastroenterology (Alimentary Canal and related Organs)

Stone in Gallbladder and Bile duct

Cholecystectomy / Surgery for Gallbladder

Cholecystitis

Surgery for Ulcers (Gastric / Duodenal)

Pancreatitis

Fissure, Fistula in ano, hemorrhoids (piles), Pilonidal Sinus, Ano-rectal & Perianal
Abscess

Rectal Prolapse

Gastric or Duodenal Erosions or
Ulcers + Gastritis & Duodenitis

GastroEsophageal Reflux Disease
(GERD)

Cirrhosis

6

Urogenital (Urinary and Reproductive system

Stones in Urinary system (Stone in the Kidney, Ureter, Urinary
Bladder)

Prostate Surgery

Benign Hypertrophy /
Enlargement of Prostate (BHP / BEP)

Hernia, Hydrocele,

Surgery for Hydrocele,
Rectocele and Hernia

Varicocele / Spermatocele

Surgery for Varicocele /
Spermatocele

7

Skin

skin tumour (unless malignant)

Removal of such tumour unless
malignant

All skin diseases

8

General Surgery

Any swelling, tumour, cyst, nodule, ulcer, polyp anywhere in
the body (unless malignant)

Surgery for cyst, tumour, nodule, polyp unless malignant

Varicose veins, Varicose ulcers

Surgery for Varicose veins and Varicose ulcers

Congenital Internal Diseases or
Anomalies

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

You can raise a claim by reaching out to the insurer via one of the following ways:

Contact Us

In case you have any queries related to 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. Our partner Insurance Company provides the insurance coverage. Bajaj Finance Limited does not underwrite the risk. IRDAI Corporate Agency Registration Number CA0101. The benefits mentioned above and the premium amount are subject to various factors such as the 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 Aditya Birla Health Insurance Co. Ltd. Group Protect Policy, UIN: ADIHLGP21056V022021. Please refer to the insurer's website for Policy Wordings. Purchase of this product is purely voluntary. BFL does not compel any of its customers to purchase any third party products mandatorily.

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