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.
Here are a few reasons why you need the health insurance top-up plan:
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.
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.
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.
Health insurance top-up plans are eligible for deductions under Section 80D of the Income Tax Act, 1961.
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 ₹116 per month |
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: 91 days/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 |
What is Covered Under Health Insurance Top-Up Plans?
Here are the types of expenses included under a top-up mediclaim policy:
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.
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.
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.
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.
In the event of an accident, a maximum amount of ₹3,000 is provided for transportation per valid hospitalisation.
Here are a few types of expenses that are not covered under top-up health plans:
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.
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.
Costs incurred in purchasing non-allopathic drugs such as homoeopathic or ayurvedic medicines are not covered under the top-up plan.
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.
Wondering why Bajaj MARKETS is the right option for top-up health insurance? Continue reading!
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!
No hassles or long waits during claim settlement! We promise superfast claim settlement with no third-party involvement.
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.
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.
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-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. |
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.
Now that you have a top-up mediclaim policy, let’s check out the step-by-step guide to claim it.
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).
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.
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)
A health insurance top-up plan is an add-on cover that supplements your base health care plan for extra coverage.
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
Health insurance top-up plans cover the following expenses:
Organ donor cost
Ambulance charges
Pre and post-hospitalisation charges
Maternity benefit cover
Health insurance top-up plans are beneficial when your medical bill (during hospitalisation) exceeds the sum assured offered by the insurer.
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.
The factors that can influence your health insurance top-up plan premium are as follows:
Age
Residential location
Deductible
In fact, you can use the health insurance calculator available on Finserv MARKETS to determine the policy cost for your desired coverage and top-up benefits.
You can buy Bajaj Allianz Extra Care Plus top-up health insurance online at Finserv MARKETS.
Follow these steps to buy Bajaj Allianz Extra Care Plus at Finserv MARKETS:
Get the quote by entering the details of the person being insured.
Select the top-up coverage you need.
Provide personal details, as requested.
Review the policy and verify the details.
Make the premium payment online.
The insurer will issue the top-up plan on your existing health cover in no time.
The claim process for health insurance top-up at Finserv MARKETS is as follows:
Register your claim request online.
Upload the necessary documents.
The insurer will assess your claim and make a decision.
If the claim is approved, the insurer will proceed to settle the amount directly with the hospital or reimburse the same in your bank account.
5 reviews
Good experience as positive and prompt response received by the team. I applied for a health insurance plan at Finserv MARKETS and availed a health insurance top up on the policy. I am very much satisfied with the service and expect to maintain and further improvements.
Posted on 3 Dec 19
Since I already have a health insurance from my company I read about health insurance top up and found Bajaj Allianz health insurance suitable for my needs. The online buying experience was great and I went ahead and purchased the policy. I am satisfied with the services. Thanks.
Posted on 5 Jan 19
One of my colleagues suggested that Bajaj Allianz health insurance has good policy when it comes to health insurance. I felt that the plan suited my needs and I went ahead and applied for it.
Posted on 15 Jan 20
I applied for a health insurance top up by Bajaj Allianz on the Finserv MARKETS platform. The really appreciate the quick response by the customer support team & timely follow up for my health insurance top up policy.
Posted on 23 Feb 20
When my 4-year-old daughter was admitted in the hospital, I experienced the benefits of the Bajaj health insurance top up plan. With quick claim settlement within hours, I could manage all the hospital expenses without worrying about using up bank savings.
Posted on 26 Mar 20