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Top Up Health Insurance: Extra Care Policy

Top-up health insurance for additional protection

Extra care top up health insurance policy

A simple and affordable solution that ensures adequate health insurance cover

Unlock Your Benefits

Pre and post hospitalisation cover

Hassle-free in-house claim settlement

Ambulance cover

Why choose Bajaj Allianz Extra Care policy?

With the rise in medical costs, your existing health insurance plan may not suffice for the expenses occurring due to illness or accidents. As medical expenses increase, you m y find that your primary health insurance is no longer sufficient for your needs. A complicated medical condition can consume your entire health insurance cover in one go. Hence, it is ideal to opt for a top-up plan that comes in handy during medical emergencies and offers extra care and protection.

Our Extra Care top-up health insurance policy takes care of the expenses caused due to hospitalisation and medical treatments. This policy extends your health insurance cover and ensures that you are financially secure even if your base medical insurance policy runs out.

We offer a whole lot when it comes to Extra Care policy

Key Features

Our Extra Care policy provides extra protection with the following features:

  • Top-up cover

    This is an add-on plan that enhances your regular health insurance coverage.

  • Floater option

    Single premium and sum insured for your entire family. Self, spouse, maximum 3 children and parents can be covered under the family floater option.

  • Wide range of age group

    This policy covers members between 3 months to 70 years of age.

  • No medical tests

    Under this policy, pre-medical tests are not required up to 55 years of age, subject to a clean proposal form.

  • Ambulance cover

    This policy provides emergency ambulance cover up to Rs 3,000.

  • Pre and post hospitalisation cover

    This policy covers Pre pre hospitalisation expenses up to 30 days and post hospitalisation expenses up to 60 days.

Watch the video to know more about Bajaj Allianz top-up health insurance plans.

Video

EASY, HASSLE-FREE AND QUICK CLAIM SETTLEMENT

Cashless claim process (Only applicable for treatment at a network hospital):

Cashless facility at network hospitals is available 24x7, throughout the year without any interruption in service. You must check the hospital list before getting admitted to the hospital. Hospitals that provide cashless settlement are liable to change their policy without notice. The updated list is available on our website and with our call centre. Bajaj Allianz Health Card along with a government ID proof is mandatory at the time of availing cashless facility.

When you are opting for cashless claims, follow the steps given below:

  • Get the pre-authorisation request form filled and signed by the treating doctor/hospital and signed by you, at the hospital’s insurance desk.
  • The network hospital will fax the request to HAT.
  • HAT doctors will examine the pre-authorisation request form and decide on cashless availability, as per the policy guidelines.
  • Authorisation letter/denial letter/additional requirement letter is issued within 3 hours depending on the plan and its benefits.
  • At the time of discharge, the hospital will share the final bill and discharge details with HAT and based on their assessment, final settlement will be processed.

Important points to note

  • In case of planned hospitalisation, register/reserve your admission as per the network hospital’s procedure for admission in advance.
  • Admission at network hospital is subject to availability of a bed.
  • Cashless facility is always subject to your policy terms and conditions.
  • The policy does not cover the following : Telephone charges Food and beverages for relatives Toiletries The cost of the above services have to be borne by you and paid directly to the hospital before discharge.
  • In-room rent nursing charges are included. However, if a higher cost room is used then the incremental charges will be borne by you.
  • In case the treatment is not covered as per the policy terms and conditions, your claim—cashless or reimbursement, will be denied.
  • In case of inadequate medical information, pre-authorisation for cashless claim can be denied.
  • The denial of cashless facility does not mean denial of treatment and does not in any way prevent you from seeking necessary medical attention or hospitalisation.

Reimbursement of pre/post hospitalisation expenses:

Relevant medical expenses incurred before admission and after discharge from the hospital will be reimbursed as per the policy. Prescriptions and bills/receipts of such services should be submitted to Bajaj Allianz General Insurance along with the duly signed claim form.

Reimbursement claim process

  • Inform the Bajaj Allianz General Insurance HAT about the hospitalization. To register your claim online click here To register your claim offline, please call us on our toll-free number: 1800-209-5858.
  • After discharge, you must submit the following documents to HAT within 30 days: Duly filled and signed claim form with mobile number and email ID. Original hospital bill and payment receipt. Investigation report Discharge card Prescriptions Bills of medicines and surgical items Details of pre-hospitalisation expenses (if any) In-patient papers, if required.
  • All documents to be sent to HAT for further processing and based on the assessment, the final settlement will be done within 10 working days.
  • Post hospitalisation claim documents must be sent within 90 days from the date of discharge.

Documents required for reimbursement claim

  • Original pre-numbered hospital payment receipt duly sealed and signed.
  • Original prescriptions and pharmacy bills.
  • Original consultation papers (if any).
  • Original investigation and diagnostic reports along with original bills and payment receipt for the investigation done within and outside the hospital.
  • If you availed a cashless claim but did not utilise it, a letter from the hospital stating so.
  • A letter from the treating doctor mentioning incident details (in case of an accident).
  • Hospital registration certificate and hospital infrastructure on the letterhead.
  • A cancelled cheque bearing IFSC code and name of the insured.
  • Indoor case paper copy attested from the hospital from the date of admission to the date of discharge with detailed medical history and doctor’s notes with temperature, pulse and respiration charts.
  • X-ray (in case of a fracture).
  • Obstetric history from the treating doctor (in maternity cases).
  • FIR copy (in accident case).
  • Additional requirements for some special cases: In case of a cataract operation, lens sticker with a bill copy. In case of a surgery, implant sticker with a bill copy. In case of a heart-related treatment, stent sticker with a bill copy

All original claim documents need to be submitted to the following address:

Health Administration Team

Bajaj Allianz House, Airport Road, Yerawada, Pune-411006

Mention your Policy Number, Health Card Number and Mobile Number clearly on the face of the envelope.

Note: Keep a photocopy of the documents and courier reference number for your records.

LET'S SIMPLIFY HEALTH INSURANCE

What is a top-up health insurance plan?

A top-up health policy offers additional coverage for people who have an existing health insurance plan or mediclaim policy. However, you can also buy it as an independent cover even if you are not insured by a medical insurance plan.

What is the eligibility for Extra Care policy?

The eligibility criteria for Extra Care policy is given below:

Entry age for proposer is 18 years to 70 years. The policy can be renewed for a lifetime.

Children from 3 months to 5 years can be covered, if both parents are insured with us.

Children from 6 years to 18 years can be covered, if both parents are insured with us.

Children from 18 years to 25 years can be covered as self-proposer or dependents.

Can I purchase this policy without having an existing health insurance policy?

Yes, you can purchase the Extra Care policy even if you are not insured with a medical insurance plan. However, the expenses up to the deductible limit, per hospitalisation, will have to be borne by you.

How does this policy help in saving tax?

Bajaj Allianz Extra Care policy helps you save tax up to Rs 1 lakh under Section 80D of the Income Tax Act against the premiums you pay. Here’s how you can save tax:

On the premium you pay for yourself, your spouse, children and parents, you can avail Rs 25,000 per annum as a deduction against your taxes (provided you are not over 60 years). If you pay a premium for your parents who are senior citizens (age 60 or above), the maximum health insurance benefit for tax purposes is capped at Rs 50,000. As a taxpayer, you may, therefore, maximise tax benefit under Section 80D up to a total of Rs 75,000, if you are below 60 years of age and your parents are senior citizens.  If you are above the age of 60 years and are paying a medical insurance premium for your parents, the maximum tax benefit under Section 80D is, then, Rs 1 lakh.

What is a deductible?

Deductible means the amount stated in your policy that will be borne by you with respect to each and every hospitalisation claim made within the policy period. Our liability to make any payment for each and every claim under the policy is in excess of the deductible. Each and every hospitalisation would be considered as a separate claim (except relapse within 45 days, which will be treated as the same claim).

Deductible Table

Sum insured (in Rs)

Deductible Amount (in Rs)

10 lakh

3 lakh

12 lakh

4 lakh

15 lakh

5 lakh

If the claim amount is more than the deductible, the amount above the deductible amount will be payable up to the sum insured you have opted for.

Spreading Smiles Through Our Services

ASHISH JHUNJHUNWALA

My happiness and satisfaction regarding my claim settlement which was approved within 2 days...

SUNITA M AHOOJA

Speed with which insurance copy was delivered in times of lockdown. Hats off to the Bajaj Allianz team

Reni George

I would like to thank the team of Bajajallianz Vadodara, Specifically Mr. Hardik Makwana and Mr. Ashish...

Secure yourself with Extra Care policy and never worry about your medical expenses again.

individual-one-roof

Waiver of medical test up to 55 years of age.

That’s not all, here are additional benefits with your Extra Care policy

We provide extensive coverage in addition to your existing health insurance plan with the following benefits:

Low premium

This policy offers affordable premium rates starting from Rs 2,500.

Renewability

You can renew your Extra Care policy for your entire lifetime.

Consumable expenses

Hassle-free claim settlement

We have an in-house claim settlement team that ensures a quick, smooth and easy claim settlement process.

We have an in-house claim settlement team that ensures a quick, smooth and easy claim settlement process. Also, we offer cashless claim settlement at more than 6,500+ network hospitals across India. This comes in handy in case of hospitalisation or treatment wherein we take care of paying the bills directly to the network hospital and you can focus on recovering and getting back on your feet. 

Engine Protector

Tax saving

Avail income tax benefit under Section 80D of the Income Tax Act. * Read more

Tax saving

Avail income tax benefit under Section 80D of the Income Tax Act. *

*On opting for Extra Care policy for yourself, your spouse, children and parents, you can avail Rs 25,000 per annum as a deduction against your taxes (provided you are not over 60 years). If you pay a premium for your parents who are senior citizens (age 60 or above), the maximum health insurance benefit for tax purposes is capped at Rs 50,000. As a taxpayer, you may, therefore, maximise tax benefit under Section 80D up to a total of Rs 75,000, if you are below 60 years of age and your parents are senior citizens.  If you are above the age of 60 years and are paying a medical insurance premium for your parents, the maximum tax benefit under Section 80D is, then, Rs 1 lakh.

Important points to note before buying Extra Care policy

  • Inclusions

  • Exclusions

Extensive coverage

Covers medical expenses up to the sum insured.

Ambulance cover

Covers ambulance charges up to Rs 3000.

Hospitalisation cover

Covers pre and post hospitalisation expenses.

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All diseases/illnesses existing prior to or at the time of policy issuance, for a period of 4 years.

Any diseases contracted during the first 30 days of inception of the policy.

Congenital diseases and disorders

Non-allopathic medicines.

Joint replacement surgeries other than due to an accident would have a waiting period of 4 years.

All expenses arising out of AIDS and related diseases.

Cosmetic and aesthetic treatments.

Any medical issues caused due to the use of intoxicating drugs or alcohol.

Any fertility, sub-fertility, impotence, assisted conception operation, or sterilisation procedure.

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Customer Reviews & Ratings

Average Rating:

4.75

(Based on 3,912 reviews & ratings)

Satish Chand Katoch

Satish Chand Katoch

Hassle Free through web with all option we can review while taking policy.

Ashish Mukherjee

Ashish Mukherjee

Easiest for anyone, no hassle, no confusion. Great work. Good luck.

Prashanth Rajendran

Prashanth Rajendran

TLoved the online policy facility of Bajaj Allianz

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Disclaimer

I hereby authorize Bajaj Allianz General Insurance Co. Ltd. to call me on the contact number made available by me on the website with a specific request to call back at a convenient time. I further declare that, irrespective of my contact number being registered on National Customer Preference Register (NCPR) under either Fully or Partially Blocked category, any call made or SMS sent in response to my request shall not be construed as an Unsolicited Commercial Communication even though the content of the call may be for the purposes of explaining various insurance products and services or solicitation and procurement of insurance business. Furthermore, I understand that these calls will be recorded & monitored for quality & training purposes, and may be made available to me if required.

Written By : Bajaj Allianz - Updated: 1st  March 2022

Disclaimer

I hereby authorize Bajaj Allianz General Insurance Co. Ltd. to call me on the contact number made available by me on the website with a specific request to call back at a convenient time. I further declare that, irrespective of my contact number being registered on National Customer Preference Register (NCPR) under either Fully or Partially Blocked category, any call made or SMS sent in response to my request shall not be construed as an Unsolicited Commercial Communication even though the content of the call may be for the purposes of explaining various insurance products and services or solicitation and procurement of insurance business. Furthermore, I understand that these calls will be recorded & monitored for quality & training purposes, and may be made available to me if required.

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