Fitness Care Cover

Fitness is important because it allows people to live healthier lives by giving them many health benefits such as decreased stress levels and  increased self-confidence.

 

Looking after oneself and remaining fit is all part of leading a healthy life. The Fitness Care plan provided by is of particular importance as it provides ample coverage for the same.

Cover the costs of your fitness journey with Fitness Care from EBH on Bajaj Markets at just Rs. 1399/year. This plan offers a coverage of Rs.3,899. Read on to find more.

What's Covered under Fitness Care Cover?

Lab Test Package (Prime Network) 

This package is made up of a number of predefined tests aimed at identifying and minimising risks in addition to detecting illnesses early on. Policyholders are entitled to undergo a checkup each policy year for a pre-defined lab test package as per the package selected by them. These tests are available to only those listed under the policy. These tests can only be taken at Bajaj Finserv Health Prime partner hospitals and laboratories which are updated regularly.

OPD / Doctor Consultation Benefit 

This benefit entitles policyholders to consult a doctor (specialty or general) that has a minimum degree of MBBS, BDS, BAMS, or BHMS and cover is provided for the same as per the amount specified under the plan. An invoice of this consultation should be provided such that reimbursement for the same can be processed. This reimbursement should clearly indicate the consultation fees, the doctors name and specialty, registration number, date of consultation, doctor stamp, and customer details for reimbursement. The benefit amount can be claimed in a single visit or can be spread across multiple visits to the doctor provided they fall within the benefit outlined in the policy. 

Network discounts 

Discounts provided under this plan include a 10 percent discount for OPD consultations, lab & radiology, health plans & packages, pharmacy expenses, spectacles and dental procedures. A 5 percent discount is applicable to room rent. In the event of an IPD admission, the ambulance ride is free. These discounts are applicable to only those that operate within the Bajaj Finserv Health Prime network. Moreover, all network discounts may not always be applicable at each unit that falls within the Bajaj Finserv Health Prime network.

Plan Details & Specifications

Here's a table to help you understand the plan details and specifications:

 

What’s not Covered under Fitness Care Cover

Exclusions Under Lab Test Package 

• This package cannot be availed off outside the Bajaj Finserv Health Prime network. 

• The home collection facility is only available in select locations and in the event that it isn’t, policyholders need to physically visit the location. 

• This package is only available to an adult mentioned in the policy and can’t be transferred to another member.

• Carry forwards aren’t permitted even if that plan is renewed. 

• Benefits aren’t redeemable against cash.

Exclusions Under OPD/Doctor Consultation Benefit 

• Coverage isn’t provided for any medical procedures a policyholder might undergo. 

• Benefits may not be transferred to others unless they are covered under the policy.

• Carryforwards are not permitted even if the plan is renewed,

• The doctor consultation benefit can’t be added to another benefit.

Exclusions to Availing Network Discounts 

• Discounts cannot be clubbed with other benefits. 

• Network discounts are only available within those specified under the Bajaj Finserv Health Prime network.

How to Make a Claim

Doctor Consultation Benefit/Lab and Radiology Benefit

Bajaj Finserv Health App

1. Install the Bajaj Finserv Health app

2. Sign-up using the registered mobile number

3. Under the“Health Plans”, choose the purchased plan

4. Select ‘Doctor Consultation’ lab & radiology benefit’

5. Enter necessary details and upload the invoice

6. Share bank account details and upload a cancelled cheque

7. Submit the claim

8. The claim will be reimbursed within 48 working hours directly in the bank account

Bajaj Finserv Health Website

1. Sign-up on the Bajaj Finserv Health website

2. Under the“Health Plans”, choose the Purchased plan

3. Select ‘Doctor Consultation’/‘lab & radiology benefit’

4. Enter necessary details and upload the invoice

5. Share bank account details and upload a cancelled cheque

6. Submit the claim

7. The claim will be reimbursed within 48 working hours directly into the bank account

Emailing to Customer Service

1. Email to customercare@bajajfinservhealth.in

2. Attach a scanned copy of the invoice with all details clearly visible

3. Mention details like hospital/lab name, patient name, and bill amount

4. Share bank details (account number, bank name, IFSC, primary account holder name) and upload a  cancelled cheque

5. The claim will be reimbursed within 48 hours directly into the bank account

Teleconsultation benefit

Bajaj Finserv Health App

1. Download the Bajaj Finserv Health app

2. Sign-up using the registered mobile number

3. Under the“Health Plans”, choosethe Purchased plan

4. Select teleconsult benefit option

5. Select the doctor of choice from the doctor list

6. Select the date and time of choice

7. Submit

8. The customer will receive the link to join the call 15 mins before the consultation

9. The doctor will join the call on scheduled day and time

Bajaj Finserv Health Website

1. Start by visiting bajajfinservhealth.in website

2. Sign-up using the registered mobile number

3. Under the “Health Plans”, choose the Purchased plan

4. Select teleconsult benefit option

5. Select the doctor of choice from the doctor list

6. Select the date and time of choice

7. Submit

8. The customer will receive the link to join the call 15 mins before the consultation

9. The doctor will join the call on scheduled day and time

Lab Test Package (Prime Network Only)

Bajaj Finserv Health App

1. Download the Bajaj Finserv Health app

2. Sign-up using the registered mobile number

3. Under the“Health Plans”, choose the Purchased plan

4. Select Lab test package benefit option

5. Select the hospital/lab of choice

6. Enter the redemption date and confirm

7. SMS with voucher link shared on the registered mobile number

8. Share the voucher code to avail cashless Lab test package benefit

Bajaj Finserv Health Website

1. Start by visiting bajajfinservhealth.in website

2. Sign-up using the registered mobile number

3. Under the“Health Plans”, choose the Purchased plan

4. Select Lab test package benefit option

5. Select the hospital/lab of choice

6. Enter the redemption date and confirm

7. SMS with voucher link shared on the registered mobile number

8. Share the voucher code to avail cashless lab test package benefit

Emailing to Customer Service

1. Email to customercare@bajajfinservhealth.in

2. Mention details like hospital/lab name, customer name, and date

3. The customer care executive will call to confirm the customer’s identity using OTP

4. SMS with voucher link shared on the registered mobile number

5. Share the voucher code to avail cashless Lab test packages

Network Discounts

Network discounts can be claimed in Bajaj Finserv Health Prime network in the following ways:

1.  Visit and avail health services in any of the Prime network hospital or lab

2.  Mention the health prime Network benefit and registered mobile number with the billing executive

3. Share the OTP with the executive to avail upto 10% discounts basis services utilised at the network hospital/lab

Customer Care Details

You can connect with us at Bajaj Markets. Write to us at:

insuranceconnect@bajajfinservmarkets.in