Doctor/OPD Consultation | Network discounts | Buy Metabolic Care Plan at just Rs.1,499/year

 

What is Metabolic Care Plan?

Metabolism is the chemical process that occurs in the body to break down food into energy. It is a very important aspect in the overall healthy functioning of the body. Any malfunction in this can severely affect the physical and mental health of a person. With Metabolic Care Plan, diagnostic tests can be taken that help in identifying if there is something wrong with the metabolism of the insured person.

Metabolic Care Plan offered by Bajaj Finserv Health Limited on Bajaj Markets comes at just Rs.1,499/year. Read on to know more about this plan.

How to Apply for the Metabolic Care Plan?

The process of application for this plan is pretty simple.

  • 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.

What's Covered under Metabolic Care Plan

  • Doctor/OPD Consultation Benefit

    Talk with a medical practitioner of your choice up to the amount included in the policy and submit the claim 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)

    You can use the pre-defined lab test package for check-up every year. Only individuals above the age of 18 are eligible to undertake the health care tests. Tests will be available only at Bajaj Health partner labs and hospitals which are updated on a regular basis on the website.

  • Free Ambulance for In-Patient Department Admissions

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

Policy Plan Details & Specifications

The details and specifications of the Metabolic Care Plan that you must know, are:

Metabolic Care

Lab Test Package

No. of tests

Membership fee

Complete Blood Count 

1

 

 

 

 

 

 

 

₹1,499 

Liver Function Test 

1

Iron Study

1

Vitamins Profile

1

Lipid Profile

1

Thyroid Profile - Total ( T4,T3 & TSH)

1

Kidney/Renal Function Test 

1

Doctor/OPD Consultation Benefit

Benefits up to: 

Rs. 750

Specialist Type: General Practitioner Consultation

Network Discounts (Prime network)

  • 10% discounts on doctor consultation, lab tests, preventive health check-up, dental procedures, spectacle, and pharmacy
  • 5% discount on IPD room rent 
  • Free ambulance service on IPD admission

 

What’s not Covered under Metabolic Care Plan

Exclusions Under Doctor/OPD Consultation Benefit

·     Refunds cannot be reimbursed for any medical treatments undertaken

·     The benefits cannot be transferred to anybody.

·     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 physician consultation cannot be clubbed with other benefits

 

 Exclusions Under Lab Test Package

 

·     Outside the Bajaj Health network, lab test packages cannot be enjoyed.

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

·     The benefits are not transferable 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 merged with other 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 Website 

  

  1. Go to the website of Bajaj Finserv Health to sign-up. 

  2. Go to ‘Health Plans’ and select the plan you have purchased. 

  3. Tap on ‘Consultation of Doctor’ or ‘Radiology & Lab Benefit’ to select it, based on what you choose.

  4. Please fill in the details as asked and then upload the received invoice. 

  5. Share the details of your bank and then upload the cheque that is cancelled.

  6. Submit this claim. 

  

Now, within forty eight working hours, this claim amount will be credited instantly into your bank account.

 

Bajaj Finserv Health app

 

1.  Install the “Bajaj Finserv Health app” and register using your mobile number.

2.  Pick the plan that you purchased from my "Health Plans"

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

4.  Add the necessary information and the invoice must be uploaded.

5.  Share details of the bank account and upload a scanned copy of the cancelled cheque.

6.  Submit the claim.

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

 

Emailing customer service

 

1.  Email to customercare@bajajfinservhealth.in

2.  Attach a 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 details along with a cancelled check (account number, IFSC, bank name, primary account holder name) 

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

 

Teleconsultation Benefit

 

Bajaj Finserv Health App

 

1.        Install the Bajaj Finserv Health app now.

2.        Use your mobile number to register.

3.        Select Purchased plan under "My Health Plans"

4.        Pick tele-consult benefits.

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 prior to 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 and use your mobile number to register.

2.        Choose the plan that you purchased in the "My Health Plans"

3.        Tap on teleconsult benefits.

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

5.        Choose the preferred day and hour.

6.        Submit

7.        Join the call with the link that is sent to the client 15 minutes prior to the appointment

8.        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 name of the hospital or lab and the date.

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 enjoy medical services at any lab or hospital in the Bajaj Prime network.

2.    Tell the representative about the Health Prime Network perk and your registered 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

 

Frequently Asked Questions (FAQs)

  • ✔️What is the premium for Metabolic Care Plan health insurance?

    The membership for this plan is Rs.1,499 inclusive of taxes.

     

  • ✔️What is the validity of the Metabolic Care Plan plan?

    This insurance policy is valid for a tenure of 1 year.

     

  • ✔️What is included in the Metabolic Care Plan health plan?

    Lab test package, network discounts and OPD/doctor consultations are covered under this plan.

     

  • ✔️What is not included in the Metabolic Care Plan Cover?

    • Reimbursements cannot be claimed for any medical procedures undertaken
    • The benefits are not transferable to anybody else, even to the family members.
    • No carry forward of benefits not utilised is allowed, even after repurchasing of benefits after the 1-year validity.
    • Benefit is not redeemable for cash
    • The doctor consultation cannot be clubbed with other benefits.

     For other exclusions, refer to policy wordings.

     

  • ✔️What is the eligibility criteria for a Metabolic Care Plan?

    All Indian citizens between the age of 18 and 65 are eligible for this plan.