What is the PCOD Care Cover
Polycystic Ovarian Disease or Polycystic Ovarian Syndrome is an endocrine disease that many women suffer from. PCOD in India has touched 22.5% of the female population and with the lack of awareness, not many women realise that the issues they have normalised for many years are signs of PCOD.
In order to diagnose PCOD, a plethora of pathology tests have to be undertaken and furthermore, PCOD can cause symptoms intense enough to lead to hospitalisation. Hence, PCOD can result in expensive testing, diagnosis and treatment. So, Bajaj Markets presents to you the PCOD Care Cover from EBH which could help you access discounts and benefits for diagnosis and PCOD management, all at the premium rate of ₹2,999.
Key Features of the PCOD Care Plan
How to Apply for the PCOD Care Plan?
Find below three easy steps to apply for the PCOD Care Cover.
What's Covered
Policy Plan Details & Specifications
Given below are the lab test, doctor’s consultation and Prime Network discount specifications of the PCOD Care Plan.
PCOD Care at a premium rate of ₹2,999.
Packages and Benefits |
Coverage |
Lab Test Package |
|
OPD and Doctor Consultation (Doctor of Choice) |
Up to ₹1,000 |
Network Discounts under Prime Network |
|
What’s Not Covered
Following are the exclusions that explain that which is not covered by the PCOD Care Plan.
OPD Consultations
This benefit cannot be utilised with other benefits. It cannot be carried forward if unused by the end of the policy year or transferred to an individual not listed as a member of this policy. No reimbursements or coverage will be provided for medical procedures undertaken post-consultation.
This benefit is irredeemable against cash.
Lab Test Package
Towards the end of the policy year, this benefit cannot be carried forward or transferred to any other individual who is not listed as a member of this policy. This is a Bajaj Finserv Health Prime Network package and hence, it cannot be utilised in organisations outside this network circle. Additionally, it must be utilised in one instance by one single patient/policy member. Certain prime-partner hospitals and laboratories do not provide home collection services for samples; hence, the policyholder might have to personally submit requested samples.
This benefit is irredeemable against cash.
Prime Network Discount
The Bajaj Finserv Health Prime Network discounts cannot be attached to other benefits. They cannot be used in institutions outside the prime network.
*For a detailed list of exclusions, terms and conditions, please refer to the policy document.
How to Make a Claim
You can follow the steps given below to claim the consultation, laboratory and radiology coverage.
Bajaj Finserv Health App
Sign up with your registered phone number on the Bajaj Finserv Health App.
You can select your policy of choice under “Health Plans” and select ‘Doctor Consultation’ or ’Lab & Radiology Benefit’ according to your preference.
Fill out all fields asking for your details along with uploading the invoice.
Upload a cancelled cheque along with your bank account details.
Once you submit the claim, the amount will be reimbursed within 48 working hours.
Bajaj Finserv Health Website
Sign up using your registered phone number on the Bajaj Finserv Health Website.
Select your plan under ‘Health Plans’ and choose between ‘Doctor Consultation’ and ‘Lab & radiology Benefit’.
Upload your invoice along with the required information.
Upload a cancelled cheque along with bank details.
After submitting your claim, the amount will be reimbursed within 48 working hours.
Customer Service Email
Attach the scanned copy of your invoice in an email to customercare@bajajfinservhealth.in.
In the body of your email, list out the hospital or laboratory name, patient name, bill amount, etc.
Attach a cancelled cheque along with your account number, bank name, primary account holder’s name, IFSC code, etc.
Your claim will be reimbursed in the following 48 working hours.
Here’s how you can claim teleconsultation coverage through the following portals.
Bajaj Finserv Health App
Sign up with your registered phone number on the Bajaj Finserv Health App.
You can select your policy of choice under “Health Plans” and select ‘Teleconsultation Benefit’.
Select a doctor of your choice from the dropdown and select your preferred date and time.
Once you submit your claim, you will be given a link to join the consultation call.
You will have 15 minutes to join the call before the doctor does at scheduled time.
Bajaj Finserv Health Website
Sign up with your registered phone number on bajajfinservhealth.in.
You can select your policy of choice under “Health Plans” and select ‘Teleconsultation Benefit’.
Select a doctor of your choice and your preferred date and time.
Once you submit your claim, you will be given a link to join the consultation call.
You will have 15 minutes to join the call before the doctor does at scheduled time.
To claim a lab test package under the Bajaj Finserv Health Prime Network, follow the steps given below.
Bajaj Finserv Health App
Sign up with your registered phone number on the Bajaj Finserv Health App.
You can select your policy of choice under “Health Plans” and select ‘Lab Test Package Benefit’ according to your preference.
Select the hospital or lab of your choice before entering the redemption date.
A voucher link and code will be sent to you via SMS on your registered phone number for cashless testing.
Bajaj Finserv Health Website
Sign up using your registered phone number on bajajfinservhealth.in.
Select your plan under ‘Health Plans’ and click on ‘Lab Test Package Benefit’.
Select the hospital or lab of your choice before entering the redemption date.
A voucher link and code will be sent to you via SMS on your registered phone number for cashless testing.
Customer Service Email
Write an email to customercare@bajajfinservhealth.in consisting of details such as hospital or laboratory name, customer name, contact details and date.
Following this, you will receive a confirmation call on which you must submit an OTP you will receive.
Once the confirmation is successful, you will receive an SMS with the voucher code and link, which you can use to claim coverage for lab tests.
Here’s how the Prime Network discounts work.
At a Bajaj Finserv Health Prime Network hospital, you can give your registered phone number for the billing process.
You will receive an OTP, which you can share with the billing executive to utilise a 5%-10% discount.
Customer Care Details
Write to Bajaj Markets at insuranceconnect@bajajfinservmarkets.in for any questions, queries or concerns.
Frequently Asked Questions About PCOD Care Plan
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✔️What is PCOD?
PCOD stands for Polycystic Ovarian Disease. It is an endocrine disorder which predominantly affects women of reproductive age, but post-menopausal women and adolescent women are also affected. It can cause anovulation, infertility, hyperandrogenism, metabolic morbidity and psychological issues. The exact reason behind the manifestation of this disease is still an active area of research; however, lifestyle choices, genetics, environmental exposure in utero and postnatal life, etc. could be factors that primarily help the manifestation of PCOD.
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✔️How can I share this policy between myself and a friend who also requires PCOD care?
You could enlist yourself and your friend as members of this policy which will allow you both to utilise Prime Network discounts and OPD benefits. However, the lab test package cannot be shared or split between two people and has to be utilised as a whole by one policy member in a single instance.
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✔️What if I exceed the maximum OPD Consultation benefit amount?
Should the policyholder exceed the maximum limit of the OPD and Doctor Consultation Benefit, the difference amount above ₹1000, which is the maximum benefit amount, will be incurred by the policyholder. This policy will only cover OPD consultations within the limits of ₹1000.
