Super Top up Cover

Due to insufficient medical insurance coverage, many individuals do not receive the best healthcare that they deserve. In tough times, having a topup medical cover that can act as a cushion. 

Bajaj Finserv brings to you Super Top-up cover which offers you increased medical coverage up to Rs. 20 Lakhs by paying only a minimum amount as a premium.

Eligibility: Individuals between the age of 18 and 60 years can avail of this plan. The age is taken as on the last birthday.

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

1. Standard Exclusions as per T&C of Group Care 360 Product
2. Any Pre Existing Disease

*Please refer to Policy Wordings for a detailed list of Exclusions

Waiting Period:

1. Initial Wait Period: 30 Days
2. Named Ailments: 24 Months
3. Pre-Existing Disease: 24 Months

Specific Waiting Period for Named Ailments

1. Expenses related to the treatment of the listed Conditions; surgeries/treatments shall be excluded until the expiry of 24 months of continuous coverage after the date of inception of the first policy with the Company. This exclusion shall not be applicable for claims arising due to an accident.
2. In case of enhancement of sum insured the exclusion shall apply afresh to the extent of sum insured increase.

• If any of the specified diseases/procedure falls under the waiting period specified for pre-Existing diseases, then the length of the two waiting periods shall apply.

1. The waiting period for listed conditions shall apply even if contracted after the policy or declared and accepted without a specific exclusion.
2. If the Insured Person is continuously covered without any break as defined under the applicable norms on portability stipulated by IRDAI, then the waiting period for the same would be reduced to the extent of prior coverage.
3. List of specific diseases/procedures:

• Any treatment related to Arthritis (if non-infective), Osteoarthritis and Osteoporosis, Gout, Rheumatism, SpinalDisorders(unless caused by accident), Joint Replacement Surgery(unless caused by accident), Arthroscopic Knee Surgeries/ACL Reconstruction/Meniscal and Ligament Repair
• Surgical treatments for Benign ear, nose, and throat (ENT) disorders and surgeries (including but not limited to Adenoidectomy, Mastoidectomy, Tonsillectomy, and Tympanoplasty), Nasal Septum Deviation, Sinusitis, and related disorders
• Benign Prostatic Hypertrophy
• Cataract
• Dilatation and Curettage
• Fissure / Fistula in anus, Hemorrhoids / Piles, Pilonidal Sinus, Gastric, and Duodenal Ulcers
• Surgery of Genito-urinary system unless necessitated by malignancy
• All types of Hernia & Hydrocele
• Hysterectomy for menorrhagia or Fibromyoma or prolapse of uterus unless necessitated by malignancy
• Internal tumors, skin tumors, cysts, nodules, polyps including breast lumps (each of any kind) unless malignant
• Kidney Stone / Ureteric Stone / Lithotripsy / Gall Bladder Stone
• Myomectomy for fibroids
• Varicose veins and varicose ulcers
• Genetic disorders
• Parkinson's or Alzheimer's disease or Dementia;

Wait Period for Pre-existing Diseases:

1. Expenses related to the treatment of a pre-existing Disease (PED) and its direct complications shall be excluded until the expiry of 24 months of continuous coverage after the date of inception of the first policy with an insurer.
2. In case of enhancement of sum insured the exclusion shall apply afresh to the extent of sum insured increase.

• If the Insured Person is continuously covered without any break as defined under the portability norms of the extant IRDAI (Health Insurance) Regulations, then the waiting period for the same would be reduced to the extent of prior coverage.

1. Coverage under the policy after the expiry of 24 months for any pre-existing disease is subject to the same being declared at the time of application and accepted by the Insurer

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

• Insurer's E-mail - claims@careinsurance.com
• Insurer's Toll-free number 1800-102-4488

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. The insurance coverage is provided by Care Health Insurance Co. Ltd. (formerly known as Religare Health Insurance Co. Ltd.). Bajaj Finance Limited does not underwrite the risk. The above-mentioned benefits and 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. Purchase of this product is purely voluntary in nature. BFL does not compel any of its customers to mandatorily purchase any third party products.”