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No Room Rent Capping | No Medical Check-up up to 55yrs | Tax Benefit up to 75k | Buy Health Insurance starting @ ₹244 pm

What is a Health Insurance Top-Up Plan?

Health insurance is a valuable product that protects you and your family against sudden medical emergencies. However, what if your regular health insurance plan fails to cover the entire medical cost? Considering the rising medical inflation, the chances of your regular health insurance policy being insufficient is pretty high. Well, fret not! Health insurance top-up plans prove beneficial when your primary health plan falls short of coverage.

We offer a range of top-up health insurance plans to help you take care of the medical expenses that exceed your existing coverage. Let us dive into understanding why health insurance top-up plans are essential.

Why Do You Need a Health Insurance Top-Up Plan?

Here are a few reasons why you need the health insurance top-up plan:

  • Extra Coverage

Health insurance top-up plans offer a financial backup to your regular health insurance plan. The top-up plan comes to your rescue when the latter is exhausted.

  • High Coverage at Low Premiums

Top-up medical insurance is easy on pockets. So, buying this plan is like enjoying a high sum assured at an affordable rate. You can use a health insurance premium calculator to calculate the premium amount for your policy.

  • No Medical Test Required

If you are below 55 years and you have a clean proposal form, you can steer clear of any medical tests to buy a health insurance top-up plan.

  • Tax Benefits

Health insurance top-up plans are eligible for deductions under Section 80D of the Income Tax Act, 1961.

Health Insurance Top-Up Plans Available on Bajaj MARKETS

Health insurance top-up plans on Bajaj MARKETS offer a wide range of excellent features. Check out the below table to understand the plan in detail:

Bajaj Allianz Extra Care Plus

Type of Plan

Extra Care Plus is a top-up health insurance plan designed to take care of the additional medical expenses in case you exhaust your base health insurance plan.

Premiums

Extra Care Plus top-up plans on individual health policies will cost as little as per user requirement

Policy Period

Annual

Eligibility Criteria

Minimum Entry Age for Proposer/ Spouse/Dependent Parents: 18 Years

Their Maximum Entry Age: 80 Years

Minimum Entry Age for Dependent Children: 3 months

Their Maximum Entry Age: 25 years

Medical Test Requirement

Age up to 55 Years: No Medical Test

Age more than 55 Years: Medical Test Required

Quick Overview of Health Insurance Top-Up

How to Buy Health Insurance Top Up at Bajaj MARKETS

Simply follow the below steps to buy a health insurance top-up plan at Bajaj MARKETS online:

Step 1: Get a quick quote by entering the details of the person being insured.

Step 2: Select the top-up coverage you need.

Step 3: Provide personal details, as requested.

Step 4: Review the policy and verify the details.

Step 5: Make the premium payment online.

Step 6: The insurer will issue the top-up plan on your existing health cover in no time.

 

What is Covered Under Health Insurance Top-Up Plans?

Here are the types of expenses included under a top-up mediclaim policy:

  • Organ Donor Cost

Health insurance top-up plans cover certain costs related to organ transplantation. These include one week of hospitalisation and a month of medication. Organ procurement costs and expenses incurred by the donor are not included.

  • Maternity Benefit Cover

A top-up medical plan covers all maternity-related charges. It takes any expenses that may arise from delivery complications into consideration. However, the waiting period is of 12 months to avail the maternity benefit.

  • Daycare Facilities

Costs incurred on availing day care treatment/hospital facilities are covered. It includes daycare facilities like surgical procedures and hospitalisation for less than 24 hrs.

  • Pre and Post-Hospitalisation Expenses

Health insurance top-up plans cover all expenses incurred 60 days before and 90 days after hospitalisation. It usually includes doctor’s fees and nurse’s services, ICU and Operating Theatre (OT) usage, rent for the room, and charges for purchasing blood, medicine, and oxygen.

  • Ambulance Charges

In the event of an accident, a maximum amount of ₹3,000 is provided for transportation per valid hospitalisation.

What is Not Covered Under Health Insu rance Top-Up Plans?

Here are a few types of expenses that are not covered under top-up health plans:

  • Pre-Existing Diseases

Disease/sickness that is diagnosed during or before purchasing this insurance top-up falls under the ‘exclusion’ category. Medical top-up plan doesn’t cover any condition that is contracted within 30 days of purchasing/starting the top-up plan. Moreover, any surgery that requires joint replacement (except accidents) and has a waiting period of 4 years is not covered.

  • Treatment Costs for Excluded Diseases

Costs incurred for the treatment of HIV AIDS and other such diseases are excluded from the health top-up plan. You can read about the list of diseases not covered under health insurance before purchasing one. Furthermore, any procedure related to fertility, impotence, subfertility, assisted conception, and sterilisation is not included under the health insurance top-up plan.

  • Non-Allopathic Medicines

Costs incurred in purchasing non-allopathic drugs such as homoeopathic or ayurvedic medicines are not covered under the top-up plan.

  • Aesthetic and Dental Surgery

Expenses incurred for cosmetic and aesthetic treatments are not included. Also, any expense incurred during dental surgery that doesn’t require hospitalisation won’t be covered.

Why choose Bajaj MARKETS for Health Insurance Top-Up Plans

Wondering why Bajaj MARKETS is the right option for top-up health insurance? Continue reading!

  • Trusted Companion

A customer base of over 100 million speaks volumes about the trust they have in us. Choose us as your financial partner, and you are sure to enjoy our services too!

  • Quick Claim Settlement

No hassles or long waits during claim settlement! We promise superfast claim settlement with no third-party involvement.

  • Insurance Wallet App

You can make the most of Health CDC (Claim by Direct Click)–an insurance wallet app–for instant claim settlement of bills amounting to ₹20,000.

  • Tailor-Made Insurance Plans

If you are looking for plans that cater to specific needs, you are at the right place! With options like lifetime renewal, we offer the best customised insurance plans.

  • Extensive Coverage

Now get treated at more than 6,500+ empanelled hospitals across India with a sum insured ranging from ₹3 lakh to ₹50 lakh.

Health Insurance Top-Up Plans vs Regular Health Insurance Plans

Health insurance top-ups are just an extension of regular healthcare plans. Yet, both are different in multiple ways. Let’s understand how a top-up medical plan is different from a base health insurance plan.

Particulars

Health Insurance Top-Up Plans

Regular Health Insurance Plans

Objective

Health insurance top-up plans are an extension of a base health insurance policy, providing additional coverage. Since it is an add-on cover, you need to pay an extra premium.

Regular health insurance plans are primary healthcare policies that protect you against unforeseen medical emergencies. The premiums of such base plans depend on the extent of coverage chosen by you.

Claim Process

Claim process is straightforward. Depending on the insurer, you can either avail cashless claims or reimbursement facilities.

The claim process is effortless. Based on your insurance provider, you can make cashless or reimbursement claims.

Deductibles

Health insurance top-up plans generally have higher deductibles.

Regular health insurance plans come with lower deductibles.

Switching Insurers

Switching to a different insurance provider can be complicated.

Switching to a different insurer is easy.

Type of Plan

Health insurance top-up plans are purchased over and above your base plan for extra protection.

Regular health insurance is a standalone plan.

 

Health Insurance Top-Up Plan Claim Process

Now that you have a top-up mediclaim policy, let’s check out the step-by-step guide to claim it.

  • How to File Cashless Claims

Step 1: Inform your insurer about the incident and visit a partner hospital.

Step 2: Submit health insurance plan details and take the pre-authorisation form.

Step 3: The insurer then examines the form, and the hospital is notified about your policy details.

Step 4: Once discharged, the hospital will share medical bills and discharge papers with the insurer.

Step 5: The claim will then be directly settled with the hospital after reducing the co-payment (if any).

  • How to Get a Claim Reimbursement

Step 1: Share necessary original medical documents, hospital bills, and insurance claim forms with your insurer.

Step 2: The insurance provider evaluates the details and may ask for any additional information if required.

Step 3: Your claim decision is made post verification.

Step 4: You will receive the claim amount based on the policy terms and conditions.

Documents Required for Filing an Insurance Claim

Here’s a list of documents you need to submit for raising an insurance claim:

  • Duly filled claim form

  • Original copy of hospital discharge summary or card

  • Prescription and cash invoices from pharmacies and the hospital

  • An investigation report by the doctor

  • Medical Certificate

  • Health insurance policy document

  • In case of an accident, FIR or Medico Legal Certificate (MLC)

Health Insurance Top Pages

Government Health Insurance Schemes

Other Related Pages

FAQs on Health Insurance Top-Up Plans

✔️What is a top-up health insurance plan?

A health insurance top-up plan is an add-on cover that supplements your base health care plan for extra coverage.

✔️What are the features of a top-up health insurance plan?

A health insurance top-up plan offers a range of features. And they are:

  • Convertible to a base health insurance plan

  • Lifetime of renewability option

  • Health top-up plans are eligible for tax deductions under Section 80D

  • Offers bonus for every claim-free tenor

 

✔️What is covered under a top-up health insurance plan?

Health insurance top-up plans cover the following expenses:

  • Organ donor cost

  • Ambulance charges

  • Pre and post-hospitalisation charges

  • Maternity benefit cover

✔️When should I use the top-up health insurance plan?

Health insurance top-up plans are beneficial when your medical bill (during hospitalisation) exceeds the sum assured offered by the insurer.

Do I need a top-up health insurance plan?

Health insurance top-up plans come to your rescue in events where medical bills exceed the maximum indemnity amount offered by your insurer. So, it is especially crucial for people who have old parents or grandparents to look after. 

✔️I have health insurance in place. Why would I need a Health Insurance Top-up plan?

A basic health insurance plan offers protection for you and your family against financial contingencies that may arise due to medical emergencies. However, what does one do if the sum insured provided gets exhausted? Here’s where an individual Health Top-up plan helps. It acts as a supplement over and above your existing health insurance plan. If you are bound to change your job, a health insurance top-up is a must as it will supplement your savings especially when the costs incurred due to medical treatment are more than your savings.

✔️What is a 'Deductible'?

The term ‘deductible’ refers to the cost/specific amount that a health insurance policyholder must bear as per the policy in question. For example, certain medical equipment used during hospitalisation (syringes, gloves for doctors, bed charges) may be categorised as ‘deductibles’ and are not covered under the health insurance policy. These costs are then borne by the policyholder. However, do keep in mind that deductibles do not reduce the sum insured amount of the policy.

✔️What are the benefits of health insurance top-up plans available on Bajaj MARKETS?

Health insurance top-up plans on Bajaj MARKETS provide the following benefits:

1. Coverage of costs in the event of in-patient hospitalisation

2. Pre and post-hospitalisation costs (60 days prior and 90 days post-hospitalisation)

3. Certain costs related to organ donor procedures

4. Day care treatment costs

5. Coverage of ambulance expenses in the event of road accidents

✔️What is the eligibility criteria to avail top-up mediclaim plans on Bajaj MARKETS?

The basic eligibility criteria would be your entry age. This should be between 91 days to 80 years.

✔️Is it possible for me to save on taxes on the policy premium?

Yes. Premiums paid for health top-up plans are exempted from tax under Section 80D of the Income Tax Act.

✔️What factors will affect my health insurance top-up plan premium?

The factors that can influence your health insurance top-up plan premium are as follows:

  • Age

  • Residential location

  • Deductible

  • Sum insured

In fact, you can use the health insurance calculator available on Bajaj MARKETS to determine the policy cost for your desired coverage and top-up benefits.

 

✔️Can I buy top-up health insurance on Bajaj MARKETS?

Yes. You can buy Bajaj Allianz Extra Care Plus top-up health insurance online on Bajaj MARKETS.

✔️How to buy Bajaj Allianz Extra Care Plus top-up health insurance?

Follow these steps to buy Bajaj Allianz Extra Care Plus at Bajaj MARKETS:

  1. Get the quote by entering the details of the person being insured.

  2. Select the top-up coverage you need.

  3. Provide personal details, as requested.

  4. Review the policy and verify the details.

  5. Make the premium payment online.

  6. The insurer will issue the top-up plan on your existing health cover in no time.

 

✔️How to raise a claim against my top-up health insurance plan?

The claim process for health insurance top-up on Bajaj MARKETS is as follows:

  1. Register your claim request online.

  2. Upload the necessary documents.

  3. The insurer will assess your claim and make a decision.

  4. If the claim is approved, the insurer will proceed to settle the amount directly with the hospital or reimburse the same into your bank account.