Buy a Dental and Eye Cover plan for an affordable premium of just Rs. 649/year.

What is Dental & Eye Cover?

Dental and eye care can be quite expensive. Group Protect - Dental and Eye Cover from Aditya Birla Health Insurance Co. Ltd. secure you financially against expenses incurred on dental and eye care and treatment. This plan takes care of expenses up to Rs. 20,000 on hospitalisations due to medical conditions associated with teeth and eyes. You can get the plan for an affordable premium of just Rs. 649/year, inclusive of all taxes. Let us have a look at the key benefits that come with this policy.

Key features of Dental & Eye Cover

Here are the primary benefits of the Dental & Eye Cover:

OPD Expenses

If you incur expenses on medically necessary treatment taken during the policy period due to an illness or injury, the amount will be indemnified up to the limits specified.

Diagnostic Tests

If you incur expenses on the medically required diagnostics tests that are listed in the policy, they will be indemnified. However, these must have been incurred on an out-patient basis up to the limits specified in the policy.

Pharmacy Expenses

If you have any medically required pharmacy expenses, as listed in the policy, which are incurred on an out-patient basis, they will be indemnified up to the limits specified in the policy.

How to apply for Dental & Eye Cover?

You can apply for the Dental & Eye Cover Plan with just a few simple steps:

  • Click on Buy Now

    Click on ‘Buy Now’ and enter your details in the application form.

  • Confirm Your Application

    Enter your mobile number to receive an OTP. Use the code to confirm your online application form.

  • Pay the Premium

    You can pay the premium amount online using your credit card, debit card, UPI, mobile wallet, or payment modes.

 

All done! On completing the above steps, you will receive an email and a WhatsApp text with all the details of your Dental & Eye Cover Plan.

 

What’s covered under the Dental & Eye Cover?

  • Hospitalisations

    This Dental & Eye Cover policy offers coverage if you are hospitalised because of dental conditions. These conditions include gingivitis, skull fractures, facial bone fractures, periodontal diseases, and benign neoplasm of the bone and articular cartilage.

  • Room charges

    The expenses you incur on general rooms or economy ward are covered. Any other room rent coverage depends on the restrictions set by the policy.

  • Ophthalmology

    The Dental & Eye Cover also offers coverage for ophthalmology.

  • Teleconsultations

    You can get teleconsultation from general physicians or seven specialists, as mentioned in the policy. The specialists should belong to the following fields - internal medicine, dermatology, nutrition, gynaecology, paediatrics, orthopaedics, and ophthalmology.

  • Pre-existing conditions

    Pre-existing conditions

  • Expenses incurred on transportation

    Any expenses you have incurred on utilising the services of a road ambulance for transportation are also covered for up to Rs. 1000 for every emergency.

Policy Plan Details & Specifications

Here are the specifications of the Dental & Eye Cover plan that you must know:

  • Coverage 

The Dental & Eye Cover offers coverage for up to Rs. 20,000 on hospitalisations due to medical conditions associated with teeth and eyes. 

 

Additionally: 

 

  • Coverage for up to Rs. 10,000 for Periodontal diseases and gingivitis.

  • Coverage for up to Rs. 10,000 for the fracture of the skull and facial bones.

  • Coverage for up to Rs. 10,000 for other jaw-related diseases.

  • Coverage for up to Rs. 7,500  for benign neoplasm of the bone and articular cartilage. 

  • Any expenses you have incurred on transportation through a road ambulance are also covered for up to Rs. 1000 for every incident in emergency cases.

What’s not Covered under the Dental and Eye Cover?

Listed below are the expenses and causes for which you will not be covered under the Dental & Eye Cover plan:

  • Pre-existing conditions

You must wait for 4 years to include pre-existing conditions in the policy. If this period has not elapsed, expenses for the treatment of such diseases are not covered.

  • Conditions not specified under the policy

Any disease that is not specified under the Dental and Eye Cover plan will not be covered.

  • Physical consultations (OPD)

Expenses you have incurred on physical consultations at an OPD are not covered under this policy.

How to make a claim

You can reach out to the customer care team to raise a claim in any of the following ways under this Dental & Eye cover:

  • Call

You can call on the toll-free number, 1800-270-7000, to claim the expenses you have incurred on dental and eye care. Your claim will be registered by the representative. 

  • Email

You can send an email to healthinsurance@adityabirlacapital.com mentioning your policy number and other relevant details.

Customer care details

You can always write to us at insuranceconnect@bajajfinservmarkets.in and quickly get all your queries and doubts resolved regarding the Dental & Eye Cover policy, coverage, and more. Our team is always at your service.

 

FAQs on Dental & Eye Cover

  • ✔️What is the premium amount for the Dental & Eye Cover plan?

    The premium amount you have to pay to get the Dental & Eye Cover is Rs. 649. The amount is inclusive of all taxes.

  • ✔️What does the Dental & Eye Cover plan cover?

    This Dental & Eye Cover policy offers coverage for hospitalisations due to medical conditions associated with teeth and eyes. These include periodontal diseases, skull fractures, facial bone fractures, gingivitis, other jaw diseases, and benign neoplasm of the bone and articular cartilage.

  • ✔️What does the Dental & Eye Cover plan not cover?

    The Dental & Eye Cover does not cover the expenses you have incurred on treating any pre-existing conditions for up to 4 years. Additionally, any disease, sickness or illness that is not specified under the Dental and Eye Cover plan and expenses incurred on any physical consultations (OPD) are not covered under this policy.

  • ✔️What is the maximum coverage offered by the Dental & Eye Cover plan?

    The maximum coverage amounts to Rs. 20,000 under the Dental & Eye Cover for an affordable premium of just Rs. 649 (inclusive of all taxes).

  • ✔️What is the waiting period under the Dental & Eye Cover?

    The initial waiting period under the Dental & Eye cover is 30 days. In the case of exclusion, the waiting period is 2 years.