Top-Up Health Insurance Plan

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:

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.

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 directlysettled 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)