Gout Care Plan

What is Gout Care Plan?

Gout is referred to as a complex form of arthritis that can affect people of any age group. It is characterised by severe and sudden attacks of swelling, pain, tenderness and redness in joints, mostly in the big toe.

Treatments for gout can get quite expensive and can potentially even drain one’s savings. A plan like this can safeguard you from such expenses.

Make your health a priority with Gout Care Plan offered by Bajaj Finserv Health Limited on Bajaj Markets at just ₹3,000/year. Scroll below to find more.

What's Covered under Gout Care Plan?

Doctor/OPD Consultation Benefit

Talk with a medical practitioner of your choice up to the benefit amount included in the plan and submit the bill for refund. The bill should state the doctor consultation charges, consultation date, doctor’s registration number, doctor specialty and name, doctor stamp, and details for refund.

The benefit can be enjoyed by all the members listed in the policy

Amount can be spread over multiple visits or in either a single visit for consultations.

Lab Test Package (Pre-defined)

·     Every year you will have the option to use a pre-defined lab test package for check-up.

·     Only adults under this policy are eligible to undertake the health care tests. The tests will only be available at Bajaj Finserv Health Prime partner labs and hospitals which are updated on a regular basis.

Network discounts

List of discounts offered:

Out-Patient Department Consultation Discount – 10%

Health Packages & Plans Discount– 10%

Radiology & Lab Discount– 10%

Spectacle Discounts– 10%

Room Rent Discount– 5%

Pharmacy Discount– 10%

Free Ambulance for In-Patient Department Admissions

It can be utilised multiple times with no cut-off on the maximum discount.

 Plan Details & Specifications

What’s not Covered under Gout Care Plan?

Exclusions Under Doctor/OPD Consultation Benefit

·     Reimbursements cannot be claimed for any medical treatmentsundertaken

·     The benefits cannot be transferred to anybody else, even to the family members.

·     No extension of benefits not utilised is allowed, even after repurchasing of benefits after the 1-year validity.

·     Benefits are not redeemable for cash

·     The doctor consultation cannot be clubbed with other benefits

Exclusions Under Lab Test Package

·     Outside the Bajaj Health network, lab test package cannot be availed.

·     Only at selected locations, the home collection facility is available.

·     The benefits are not transferrable to anybody, even to the family members.

·     No extension of benefits not utilised is allowed, even after repurchasing of benefits after the 1-year validity.

·     Benefits are not redeemable for cash

Exclusions To Availing Network Discounts

·     The discounts cannot be combined. with any benefits

·     Outside the Bajaj Health network, network discounts cannot be used.

How to Make a Claim

Doctor Consultation Benefit/Lab and Radiology Benefit

There are three ways to claim reimbursement for the radiology and lab benefits or for doctor consultation benefits:

Bajaj Finserv Health app

1.  Install the “Bajaj Finserv Health app”.

2.  Register using your mobile number.

3.  Choose purchased plan from my "Health Plans"

4.  Choose the "Doctor Consultation" or "Lab & Radiology Benefit" option.

5.  Add the required information and the invoice must be uploaded.

6.  Share details of the bank account and upload a canceled cheque.

7.  Submit the claim.

8.  Within 48 working hours, the claim will be refunded to your bank account.

Emailing customer service

1.  Email customercare@bajajfinservhealth.in

2.  Include a scanned copy of the receipt with all the information legible.

3.  Specify the patient's name, the hospital or lab’s name, and the bill amount.

4.  Share bank information (account number, IFSC, bank name, primary account holder name) along with a cancelled check that you can upload

5.  Within 48 hours, the claim will be paid out immediately to the bank account.

Teleconsultation benefit

Bajaj Finserv Health App

1.        Get the Bajaj Finserv Health app now.

2.        Use your mobile number to register.

3.        Choose Purchased plan under "My Health Plans"

4.        Choose the tele-consult benefit.

5.        From the doctor list, pick the doctor of your choice.

6.        Choose the preferred day and hour.

7.        Submit

8.        The link to join the call will be sent to the client 15 minutes before the appointment

9.        The doctor will take the call at the allotted time and date.

Bajaj Finserv Health Website

1.        Visit the website bajajfinservhealth.in to get started.

2.        Use your mobile number to register.

3.        Choose Purchased plan in the "My Health Plans"

4.        Choose the teleconsult benefit.

5.        From the doctor list, pick the doctor of your choice.

6.        Choose the preferred day and hour.

7.        Submit

8.        The link to join the call will be sent to the client 15 minutes before the appointment

9.        The medical practitioner will take the call at the allotted time and date.

Emailing to Customer Service

1.        Email customercare@bajajfinservhealth.in

2.        Specify the customer's name, the date, and the name of the hospital or lab.

3.        The customer service representative will contact the customer to verify their identification over the phone using an OTP SMS and link shared on their cell phone number.

4.        Share the promo code to benefit from cashless laboratory test kits

Network Discounts

The following methods are available for getting network discounts on the Bajaj Finserv Health Prime network:

1.    Visit and take advantage of medical services at any lab or hospital in the Prime network.

2.    Tell the billing representative about the Health Prime Network perk and your mobile number.

3.    Give the executive the OTP to receive up to 10% off of services used at the hospital or lab.

Customer Care Details

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

insuranceconnect@bajajfinservmarkets.in