Fracture Care Cover

What is Fracture Care Plan?Accidents are an inevitable part of life. Being prepared can help minimise both mental and financial stress. Bajaj Markets brings to you the Fracture Care Plan by Bajaj Finserv Health at just Rs. 999, this plan covers a range of lab tests, doctor consultation and also offers network discounts. Read on to know more about the Fracture Care Plan  plan by Bajaj Finserv Health. 

You’re all set! You will receive your membership details and welcome pack on your registered email ID.

Eligibility Criteria

Here’s the eligibility criteria for the Fracture Care Plan :

● Applicant must be an Indian resident

● Applicant’s age should be 18 years and above

What's Covered Under Fracture Care Plan 

Here’s what will be covered under this insurance policy:

OPD / Doctor Consultation Benefit

This benefit entitles policyholders to consult a doctor (specialty or general) that has a BHMS, BDS, MBBS or  BAMS, and the cover is provided for the same in accordance with the amount specified under this plan. 

 

In either of the above-mentioned scenarios, policyholders are required to present an invoice of their consultation such that reimbursement for the same can be processed. This reimbursement should clearly indicate the consultation fees, the doctor’s name and specialty, doctor stamp, consultation date, customer details and registration number for reimbursement. The total extent of the benefit may be claimed within one visit or can be spread across multiple visits to the doctor provided they fall within the benefit outlined in the policy.

 

Lab Test Package (Prime Network)

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

 

Network Discounts

Discounts provided under this plan include a 10 percent discount for OPD consultations, radiology and lab, health packages and plans, pharmacy expenses, spectacles, and dental procedures. A 5 percent discount is applicable to the room rent. In the event of an IPD admission, the ambulance ride is free. These discounts will be applicable to only those medical centres that operate within the Bajaj Finserv Health Prime network, there may be exclusions to this.

Policy Plan Details & Specifications

Fracture Care	Essential		Classic
Lab and radiology benefit (Open market - reimbursement)	Benefits up to	Membership fee	Benefits up to	Membership fee
Benefit amount	Rs. 2000	Rs. 999	Rs. 3000	Rs. 1,999
OPD/doctor consultation benefit (Open market)	Rs.500		Rs.1000
General physician/orthopaedic/ dietician
Network discounts (Prime network)	- 10% discount on pharmacy, dental procedures, radiology and lab test, doctor consultation, Discount on health packages & plans  5% discount on IPD room rent, & spectacles   free ambulance for IPD admissions

This policy plan is valid for a period of one year. 

What’s not Covered?

Policyholders of this plan are not provided with coverage for the following.

 

What’s not covered under Lab Test Package 

• This package is not applicable outside of the Bajaj Finserv Health Prime network. 

• The home collection service 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 this policy and can’t be transferred to another member.

• Benefits cannot be redeemed against cash. 

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

 

Exclusions Under OPD/Doctor Consultation Benefit

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

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

• Carry forwards are not permitted even if the plan is renewed.

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

 

Exclusions to Network Discounts

• You cannot club network discounts with other benefits or services. 

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

 

Policyholders, as well as those interested in getting the same, are requested to please read the policy wordings in order to have a clearer understanding of the same.

 

How to Make a Claim

Radiology and Lab Benefit/ Doctor Consultation Benefit

You can raise a claim in any of the following methods:

 

Bajaj Finserv Health App

 

• Download the Bajaj Finserv Health application

• Sign-up or sign-in using your mobile number

• Select your purchased plan from the ‘Health Plans’ section

• Select ‘Radiology and Lab Benefit’ or ‘Doctor Consultation’, whichever is applicable

• Enter relevant details 

• Upload your invoice

• Share your bank account related details 

• Attach one cancelled cheque to validate your claim

• Submit your claim

• Your claim shall be reimbursed in forty eight working hours 

 

 Bajaj Finserv Health Website

 

• Log on to the Bajaj Finserv Health website

• Select your purchased plan in the ‘Health Plans’ section

• Select ‘Radiology and Lab Benefit’ or ‘Doctor Consultation’, whichever is applicable

• Enter relevant details

• Upload your invoice

• Share your bank account related details 

• Upload one cancelled cheque to validate your account

• Submit your claim

• Your claim amount shall be reimbursed in 2 working days

 

 Emailing the Customer Service

 

• Send an email to the email ID-  customercare@bajajfinservhealth.in

• In your attachments, add a legible copy of the invoice

• Mention all relevant details

• Share your  bank details and add a cancelled cheque for validation purpose

• Your claim will be reimbursed within a period of 48 hours  

Teleconsultation Benefit

Raise a claim through any three of the following methods:

 

Bajaj Finserv Health App

 

• Download the Bajaj Finserv Health app

• Log in to the app using your mobile number

• Select your purchased plan under the ‘Health Plans’ section

• Choose the ‘Teleconsultation’ option

• Choose your preferred physician from the dropdown list

• Select preferred time and date

• Click on ‘Submit’

• 15 minutes prior to the scheduled time, you’ll receive a link

• The consulting physician shall join the call during the stipulated time period

 

Bajaj Finserv Health Website

 

• Go on to  bajajfinservhealth.in

• Log in using your mobile number

• Choose you purchased plan under the ‘Health Plans’ sections

• Select the ‘Teleconsultation benefit’ 

• Choose your preferred doctor from the given list 

• Select preferred time and date 

• Click on ‘Submit’

• You will receive a link  15 minutes prior to the consultation

• Your doctor shall join the video or voice call during the scheduled time period

 

Lab Test Package (Prime Network Only)

Make cashless claims through any of the following methods: 

 

Bajaj Finserv Health App

 

• Download the Bajaj Finserv Health app from AppStore or PlayStore. 

• Sign-up or sign-in using your mobile number

• Choose your purchased plan under the ‘My Health Plans’ section 

• Choose ‘Lab Test Package’ option

• Choose your preferred lab or hospital

• Mention your redemption date, then confirm your option

• You will receive a voucher link, you may use this to claim benefits and offers. 

 

Bajaj Finserv Health Website

 

• Begin by visiting the bajajfinservhealth.in website

• Log in using your mobile number

• Choose your purchased plan under ‘My Health Plans’ section 

• Select ‘Lab test package benefit’ tab

• Choose your preferred lab or hospital

• Type in your redemption date and confirm

• You will receive a voucher link, you may use this to claim benefits and offers. 

 

Emailing to Customer Service

 

• You may begin by emailing customercare@bajajfinservhealth.in

• Enter relevant details like date, customer name, lab or hospital name

• A representative will get in touch with you to confirm your identity using an OTP

• You will receive a voucher link, you may use this to claim benefits. 

 

Customer Care Details

You can connect with us at Bajaj Markets. Just write to us at insuranceconnect@bajajfinservmarkets.in in case of any queries.