A top-up health policy is an additional coverage only for people who have an existing health insuance or a mediclaim from the employer.
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About Health Insurance Top-Up

Health insurance is a valuable product that protects you and your family against sudden medical emergencies. But have you ever wondered what you would do if your regular health insurance coverage falls short in a time of need? Well, considering that the medical costs in India are rising by the day, it is wise to invest in a top-up medical insurance plan that comes in handy when the existing coverage is exhausted.

At Finserv MARKETS, you can buy Bajaj Allianz Extra Care Plus top-up health insurance plan to take care of the additional medical expenses that exceed your existing coverage. Let us give you a brief overview of Extra Care Plus available on our platform.

What is Extra Care Plus?

Bajaj Allianz Extra Care Plus is a health insurance top-up plan designed to take care of medical expenses should you deplete your basic health insurance policy coverage. It 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 cost as little as ₹2,500 per annum.

Now, before we understand Bajaj Allianz Extra Care Plus in detail, let us learn how health insurance top-up plans work.  

How Does Health Insurance Top-Up Work?

The following example will help you understand the working of health insurance top-up plans in India.

Illustration

Ms. Rekha has a basic health insurance coverage of ₹5 Lakhs and a top-up medical insurance plan of ₹5 Lakhs. Below are a few scenarios that will help you understand the need for top-up health insurance.

  • Situation 1:

Rekha claims ₹4 Lakhs on her health insurance plan. The primary coverage will inevitably take care of the expenses as her health insurance coverage is of ₹5 lakh.

  • Situation 2:

Rekha claims ₹8 Lakhs. In this case, the primary health insurance will cover ₹5 Lakhs of the total amount, and the health insurance top-up plan will cover the remaining ₹3 Lakhs.

  • Situation 3:

Rekha claims ₹12 Lakhs. In such a case, her basic health plan will cover ₹5 Lakhs and the health insurance top-up plan will cover another ₹5 lakh (that is a total of ₹10 Lakhs). She needs to pay the remaining ₹2 Lakhs from her pocket.

Benefits of Health Insurance Top-Up

Health Insurance Top Up Plans Benefits

Quick Overview of Health Insurance Top-Up

Top Up Health Insurance

By now, we believe that you must have a good understanding of health insurance top-up plans. Let us proceed to understand the difference between regular health insurance and top-up medical insurance.

Regular Health Insurance vs Top-Up Health Insurance

The following table will help you understand the difference between the two policies –

 

Regular Health Insurance

Top-Up Health Insurance

Type of Policy

Independent health insurance plan that covers the medical expenses of an individual or a family.

Add-on health insurance plans act as an additional benefit over and above your basic health insurance coverage

Premiums

If you choose a high sum insured, the premiums of the health insurance policy will be comparatively higher

A health insurance top-up plan is cost-effective as the policy provides extended coverage at a nominal rate

Waiting Period

You need to complete the waiting period before your health insurance plan covers pre-existing medical conditions

There is no waiting period on health insurance top-up plans to cover the pre-existing medical conditions

Health Insurance Deductible

You've always heard the term health insurance deductible but have never been able to understand it well, right? Here's making things a little easier for you.

A deductible is an amount that you, as the 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 amount, your insurance provider will pay the remaining settlement amount to you (for a reimbursement claim) or the hospital directly (for a cashless claim).

Now that we have covered the basics of health insurance top-up plans, let us learn more about Bajaj Allianz Extra Care Plus.

Health Insurance Top-Up at Finserv MARKETS

Here’s a glimpse of what Bajaj Allianz Extra Care Plus entails:

 

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.

Eligibility Criteria

Entry Age

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

  • Maximum Entry Age for Proposer/ Spouse/Dependent Parents: 80 Years

  • Minimum Entry Age for Dependent Children: 91 days/3 months

  • Maximum Entry Age for Dependent Children: 25 years

Policy Availability

  • Residential Indians

  • NRIs (premiums to be paid in INR)

Policy Period

  • Annual

Medical Test Requirement

  • Age up to 55 Years: No Medical Test

  • Age more than 55 Years: Medical Test Required

Reasons to Buy Bajaj Allianz Extra Care Plus

  • Sum Insured of up to ₹50 lakh

    Now, insure yourself and your family against health-related uncertainties with this health insurance top-up plan. Get coverage options that range from ₹3 Lakhs to ₹50 Lakhs with premiums starting as low as ₹116 per month.

  • No Medical Test Required

    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.

  • Lifetime Renewal Feature

    With age, the chances of getting health insurance coverage decrease. That is because of the increased chances of health-related risks. Moreover, medical expenses can cost a fortune if you do not have an adequate health insurance plan to cover it for you. With lifetime renewal, one can renew their policy even in their old age without any age restrictions whatsoever.

  • Save on Taxes

    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.

  • Free Trial Period

    Make the most of a 15-day free look period and enjoy the flexibility to cancel this super top up health insurance add on in case you aren’t convinced of its benefits.

  • Air Ambulance Coverage

    For patients requiring emergency medical assistance outside the city, the option of being airlifted is available with cover up to ₹10 Lakhs. This is extremely helpful when certain medical facilities are not available at a hospital and the patient needs to be moved to another hospital in a different city.

What is Covered in Bajaj Allianz Extra Care Plus?

  • Organ Donor Cost

This plan covers certain costs that are part of organ transplantation. These include one week of hospital stay and one month of medicines. Charges related to organ procurement and expenses incurred by the donor are not covered.

  • Maternity Benefit Cover

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.

  • Daycare Facilities

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

  • Pre- and Post-Hospitalisation Expenses

All expenses incurred 60 days before and 90 days after hospitalisation are covered under this health insurance top-up plan. This usually includes doctor’s fees and nurse’s services, use of ICU and Operating Theater(OT), rent for 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.

Exclusions in Bajaj Allianz Extra Care Plus

  • Diseases/sickness that is diagnosed during or before purchasing this insurance top-up

  • Any condition that is contracted within 30 days of purchasing/starting the top-up plan

  • Any expenses related to pre- & post-hospitalisation of an organ donor

  • Costs incurred for the treatment of HIV AIDS and other such diseases

  • Fees associated with the purchase of non-allopathic medicines

  • Illnesses/diseases caused due to the consumption of alcohol and intoxicating drugs

  • Any surgery that requires joint replacement (except accidents) and has a waiting period of 4 years

  • Expenses incurred for cosmetic and aesthetic treatments

  • Any expense incurred during dental surgery and doesn’t require hospitalisation

  • Medical treatment costs for a new-born baby

  • Any procedure related to fertility, impotence, subfertility, assisted conception, and sterilisation.

Why choose Finserv MARKETS For Extra Care Plus

Trusted Companion

A customer base of more than 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!

Swift Claim Settlement

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

Insurance Wallet App

For claims amounting to Rs. 20,000, make the most of Health CDC (Claim by Direct Click) – the insurance wallet app and get an instant settlement.

Tailor-made insurance plans

In case you are looking for plans that cater to specific needs, you are at the right place! With options like lifetime renewal, you get the best-customised insurance plans, here.

Extensive Coverage

Now get treated at the more than 6500+ empanelled hospitals across India with a sum insured that ranged from Rs. 3 Lakhs to Rs. 50 Lakhs.

How to Buy Health Insurance Top Up at Finserv MARKETS

Just follow these steps to buy a health insurance top-up plan at Finserv MARKETS online:

  • Get the quick 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.

However, we believe that with extensive basic health insurance coverage, you might not need a top-up health plan. You can use our health insurance premium calculator to determine the cost of your primary health insurance plan. The tool will calculate the premium amount based on your desired coverage.  

Claim Process for Health Insurance Top at Finserv MARKETS

Filing claims was never so simple. Just follow these steps and you’re done!

  • 1

    Register your claim online

  • 2

    Upload documents online

  • 3

    Claim Assessment

  • 4

    Claim Decision

For information on your health insurance policy, refer to the 'Process' section below.

  • Process
  • Download
  • Emergency Contact
  • Cashless Claims
  • Claim Intimation
  • Claim Reimbursement
  • Cancellation Process
  • You need to approach the network hospital along with your policy details.

  • The network hospital verifies the details provided by you and sends a pre-authorization form to the network hospital.

  • The insurance provider verifies the pre-authorization request and informs the network hospital about your policy's coverage. If needed, the insurance provider may send a query letter to the network hospital requesting more details. The network hospital needs to respond to this query with the information requested for.

  • Once the network hospital receives approval from the insurance provider, treatment begins. Upon discharge from the network hospital, the final bill along with the discharge papers are sent to the insurance provider. The insurance provider will settle the final amount with the network hospital after deducting co-payment (if applicable) and other consumable expenses.

  • Should the pre-authorization request get rejected; you will have to bear all treatment expenses which can be reimbursed later.

  • Claim Intimation

    • Claims should intimated within 48 hours in case of emergency hospitalization*
    • Claims should be intimated within 24 hours in case of planned hospitalization*

  • Claims can be intimated on the following platforms:

    • Contact the executes at the Call Center- 1800 209 5858 (Main Toll Free) and dedicated health toll free (1800 103 2529)
    • Email on health.admin@bajajallianz.co.in
    • Branch walk-in at the customer care desk
    • Visit the website- https://general.bajajallianz.com/BagicHCM/cstprtl/getCustDtls.do
    • Download the Caringly Yours App on App store/Play store

  • Following details are required for claim intimation:

    • Policy Number
    • Name of the Patient
    • Hospital Name
    • Hospital Address
    • Date of Admission
    • Diagnosis
    • Mobile Number
    • Email Id

    *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 someone else to inform or file a claim within the stated time limit.

  • Once discharged from hospital, you need to collect all original documents and bills and submit them to the insurance provider.

  • The insurance provider initiates scrutiny of all claim-related documents. If additional documents are needed, you will be intimated about the additional documents required.

  • Once all necessary documents are received, the insurance provider approves the claim.

  • Payment will be released to you based on what is admissible under the insurance policy.

  • Company Cancellation

    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.

  • Customer Cancellation

    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%

  • Cashless Claims
  • Claim Reimbursement
  • Other Health Insurance Related Claims
  • Links for Claim Settlement Forms
  • List of Network Hospitals
  • Brochure
  • Policy Wordings

Link to redirect customers to links category.

  • Cashless Claims Request Form
  • Reimbursement Form
  • Self Declaration of KYC Document Submission - For Individual Partner
  • Non-Medical Expenses List of Exclusions
  • Personal Accident Claim Form
  • Cashless Claims Request Form
  • Reimbursement Form
  • Self Declaration of KYC Document Submission - For Individual Partner
  • Personal Accident Claim Form
  • Non-Medical Expenses List of Exclusions
  • List of Network Hospitals
  • Extra Care Plus Brochure
  • Policy Wordings - Extra Care Plus

Need further assistance? Reach out on the Toll-Free Number: 1800-209-5858 to connect with an insurance expert.

Best Health Insurance Plans Available at Finserv MARKETS

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Manage all your queries here

  • ✔️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 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.

  • ✔️Please list the benefits offered by Extra Care Plus top-up plan available on Finserv MARKETS.

    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.

  • ✔️Could you please tell me the eligibility criteria to avail this Extra Care Plus top-up plan with Finserv MARKETS?

    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.

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

    Yes, you can. Premiums paid for this top-up plan are tax-exempted 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 Finserv MARKETS to determine the policy cost for your desired coverage and top-up benefits.

  • ✔️Can I buy top-up health insurance at Finserv MARKETS?

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

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

    Follow these steps to buy Bajaj Allianz Extra Care Plus at Finserv 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 at Finserv 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 in your bank account.

Health Insurance Reviews

Health Insurance Reviews

4.3out of 5

5 reviews

Excellent Health Insurance Services

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.

Naresh

Posted on 3 Dec 19

Availed Tax Benefits of Premiums

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.

Supriya

Posted on 5 Jan 19

Customer Friendly Policy and Quick and Easy Services

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.

Ganesh

Posted on 15 Jan 20

Really appreciate the quick response

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.

Vineet Devkar

Posted on 23 Feb 20

Thank you Finserv MARKETS

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.

Hina Shah

Posted on 26 Mar 20