Medical coverage falling short?
A top-up health policy is an additional coverage only for people who have an existing health insuance or a mediclaim from the employer.
Ever been in a situation where you’ve been hospitalized and your basic health insurance plan falls short of covering expenses? With medical costs on the rise, why wait for the exhaustion of your sum insured amount that prevents you from getting the required medical help? Here’s presenting Extra Care Plus, a health insurance top-up plan that is designed to take care of medical expenses, should you deplete your basic health insurance policy amount. A plan that acts as an extension of your base health insurance plan by offering a high sum insured with a low deductible at a nominal premium. Moreover, individual Extra Care Plus top-up plans for individual health insurance come for as little as Rs. 2500 per annum.
You've always heard the term Deductible under health insurance, but have never been able to understand it well, right? Here's making things a little easier for you. A deductible is an amount of money which you, as an insured, have to pay from your own pocket or your base health insurance/group health insurance (up to the limit specified in the policy). Once you have paid the deductible, your insurance provider will pay for your claims thereafter. Let's say for instance that the deductible limit mentioned in your health top-up plan is Rs. 3 Lakh. You got hospitalized for an illness and the bill came to a whopping Rs.20 Lakh. In this case, you'll have to pay Rs. 3 Lakh on your own or from your base health insurance policy & the remaining amount of Rs. 17 Lakh will be covered by your top-up plan.
Imagine being in a situation where either you or one of your family members is hospitalized and the sum insured amount of your health insurance plan falls short of covering the medical expenses! What do you do? Well, as the saying goes, ‘Better safe than sorry’, a health insurance top up is what you should get. When you buy a Bajaj Allianz ‘Extra Care Plus’ top-up plan on Finserv MARKETS, rest assured that your medical costs are taken care of, should your overshoot the sum insured amount of your base health insurance plan. Here's a glimpse of the health insurance benefits you can avail with this top-up plan.
Our partners, Bajaj Allianz, offer Extra Care Plus top-up plans with sum insured amounts that range from Rs. 3 Lakh – Rs. 50 Lakh. This proves to be especially helpful when your base family health insurance plan falls short.
Certain costs that are part of an organ transplantation are covered by this plan. These include 1 week of hospital stay and 1 month of medicines. Costs related to organ procurement and expenses incurred by the donor are not covered.
Extra Care Plus covers all maternity-related charges. It also takes any expenses that may arise from delivery complications into consideration. However, there is a waiting period of 12 months to avail this benefit.
Costs incurred on availing daycare/hospital facilities are covered. This includes daycare facilities like surgical procedures requiring hospital/daycare, upon admission as an in-patient for less than 24 hrs.
All expenses incurred 60 days before and 90 days after hospitalization are covered under this health insurance top-up plan. This usually includes fees for doctor and nurse’s services, use of ICU and OT, rent for room and charges for purchasing blood, medicine and oxygen.
In the event of an accident, a maximum amount of Rs. 3000 is provided for the use of transportation per valid hospitalization.
Get a free medical check-up up to Rs. 1000 for self and Rs. 2000 for family, once in every three years with Extra Care top-up plan.
Diseases/sickness that are diagnosed during or prior to purchasing of this insurance top-up.
Any disease that is contracted within 30 days of purchasing/starting of the top-up plan.
Any expenses related to pre-& post hospitalization of an organ donor.
Expenses incurred for the treatment of HIV AIDs and other such diseases.
Expenses related to purchase of non-allopathic medicines.
Sickness/Diseases that are caused by consumption of alcohol and intoxicating drugs.
Any surgery that requires joint replacement (except accidents) and have a waiting period of 4 years.
Expenses incurred for cosmetic and aesthetic treatment.
Any expense incurred during dental surgery and doesn’t require hospitalization.
Medical treatment costs for a new-born baby.
Any procedure related to fertility, impotence, sub-fertility, assisted conception, and sterilization.
For the complete list of exclusions, refer to the PDF in the 'Download' section.
Now get yourself and your family covered against health-related uncertainties with this health insurance top-up plan. Get coverage options that range from Rs. 3 Lakh– Rs. 50 Lakh for premiums as low as Rs. 2500 per annum.
If your age is less than 55 years and you have a clean proposal form, there’s no need for any medical tests to be undertaken to avail this health insurance top-up plan. Also, this top-up is available to residents of India and as well as NRI’s.
With age, the chances to getting health insurance coverage gets slimmer. That’s because of the increased chances of health-related risks. Moreover, if one does get health cover options, these are very expensive. With lifetime renewal, one can renew their policy even during old age, without any age restrictions, whatsoever.
Looking to save on taxes? Opt for the Extra Care Plus top-up plan and enjoy tax benefits through deduction under section 80D of the Income Tax Act.
Make the most of a 15-day free look period and enjoy the flexibility to cancel this health insurance add on in case you aren’t convinced of its benefits.
For patients requiring emergency medical assistance outside the city, the option of being air-lifted is available with cover upto ₹10 Lakhs. This is extremely helpful when certain medical facilities in a hospital/city aren’t available and require the patient to be moved to another hospital in a different city.
A customer base of more than 100 million speaks volumes about the trust they have in us. Give us a try and you’re sure to enjoy our services too!
No hassles or long-waits during claim settlement! We promise superfast claim settlement with no third-party involvement.
For claims amounting to Rs. 20,000, make the most of Health CDC (Claim by Direct Click) – our insurance wallet app and get instant settlement.
Looking for plans that cater to specific needs? Well, you are at the right place! With options like lifetime renewal, you get the best customized insurance plans, here.
Now get treated at the more than 6500+ empaneled hospitals across India with a sum insured that ranged from 3 Lakh to Rs. 50 Lakh.
Filing claims was never so simple. Just follow these steps and you’re done!
*Note: Relaxations in the timelines mentioned above may be considered in the extreme cases of hardship where it is proved to our satisfaction that under the circumstances in which you were placed, it was not possible for you or any other person to give notice or file claim within the prescribed time limit.
The insurance provider may cancel your insurance policy providing a written notice 15 days prior to cancellation date. If no claim has been made, a refund of the premium for the unexpired policy period shall be provided on a pro-rata basis.
Your insurance policy will be cancelled for reasons such as non-disclosure of material facts, misrepresentation, fraud and non-cooperation.
As a customer, you may cancel your insurance policy by providing a written notice 15 days prior to cancellation date. If you've made no claims, the insurer will refund short-term rates for the unexpired policy period as per the rates detailed below.
|Period of Risk||Premium Refund - 1 Year Policy Period|
|Exceeding 15 days but less than 3 months||65.00%|
|Exceeding 3 months but less than 6 months||45.00%|
|Exceeding 6 months but less than 12 months||00.00%|
|Period of Risk||Premium Refund - 2 Year Policy Period|
|Exceeding 15 days but less than 3 months||75.00%|
|Exceeding 3 months but less than 6 months||65.00%|
|Exceeding 6 months but less than 12 months||45.00%|
|Exceeding 12 months but less than 15 months||30.00%|
|Exceeding 15 months but less than 18 months||20.00%|
|Exceeding 18 months but less than 24 months||00.00%|
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Need further assistance? Reach out on the Toll-Free Number: 1800-209-5858 to connect with an insurance expert.
If you contract coronavirus during your insurance application process, your insurer can withhold or even reject your application. If your application states that you do not have the infection, but you contract it during the review stages, this is a kind of inconsistency, and hence, again, your application may be withheld or rejected. But, if you do not contract the virus during the application-review stage, and your policy is activated, then you have the same benefits as an existing policyholder. However, before going through with your insurance purchase, carefully scrutinize its exclusions.
As per the IRDAI mandate, your health insurer should pay for your COVID-19 diagnostic test. However, Indian health insurance providers have not publicly stated that they will cover for COVID-19 testing. What they have stated is that a standard health insurance policy will cover any COVID-19 inpatient or outpatient treatment cost (which usually includes testing). As a diagnostic test classifies as a pertinent medical cost related to COVID-19, it is likely to be covered by a standard health insurance policy. There may be exceptions to whether your insurance provider will cover you. For instance, if you are asymptomatic and you conduct a precautionary test, your insurer may not fund it. Talk to a representative from your insurance company to know all the conditions under which your insurance provider will fund your testing.
No. If you have declared your pre-existing illness to the Insurance provider and are liable to receive cover for it or if you have contracted an illness such as coronavirus after purchasing the policy, the provider cannot refuse to renew your insurance or cancel it. This is simply because the IRDAI does not permit cancellation or refusal of renewing a policy unless the policyholder commits a fraud. However, it is worth noting that the above-stated statement only stands true for traditional health insurance products such as Mediclaim and not other special health insurance products such as fixed benefit insurance plans.
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.
The term ‘deductible’ refers to the cost/specific amount that a health insurance policy holder must bear as per the policy in question. For example, certain medical equipment used during hospitalization (syringes, gloves for doctors, bed charges) may be categorized as ‘deductibles’ and are not covered by 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. To help understand this better, here is an example - Rahul opts for a basic plan with a sum insured of Rs. 10 Lakhs. In the same policy year, he makes a claim for Rs. 6 Lakhs. The amount is reimbursed by the insurer while Rahul still has Rs. 4 Lakhs of his sum insured remaining. On the other hand, Raveena opts for a base plan of Rs. 10 Lakh and a top-up plan of Rs. 15 Lakh and a deductible amount that is of Rs. 3 Lakh. She then makes a claim of Rs. 6 Lakh and has Rs. 4 Lakh of the sum insured amount left. This is reimbursed to Raveena. Going forward, she makes another claim of Rs. 7 Lakhs for which Rs. 4 Lakh is reimbursed from the base plan and Rs. 3 Lakh from the health insurance top-up plan. Raveena can still make a claim for Rs. 12 Lakh.
Extra Care Plus Top-up plan provides the following benefits: 1. Coverage of costs in the event of in-patient hospitalization, 2. Pre-& post hospitalization costs (60 days prior and 90 days post-hospitalization), 3. Certain costs related to organ donor procedures, 4. Day care treatment costs, and 5. Coverage of ambulance expenses in the event of road accidents. For a complete list of inclusions and benefits, please refer to the ‘What’s Covered’ section of this page.
The basic eligibility criteria would be your entry age. This should be between 91 days to 80 years. For more information on this, refer to the Eligibility Criteria section of this page.
Yes, you can. Premiums paid for this top-up plan are tax-exempted under section 80D of the Income Tax Act.
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