What is Pulmonary Thromboembolism Cover

Pulmonary thromboembolism refers to the blockage or blood clot in a pulmonary artery in the lungs. This blood clot can damage a portion of the lung as it reduces blood flow. Moreover, it can also affect other organs. Pulmonary thromboembolism, therefore, has the potential to be life-threatening and requires immediate treatment. Financing this treatment can be a vastly expensive feat. 

In order to stay financially protected against expenses arising from the same, consider availing the Group Care 360 – Pulmonary Thromboembolism Cover from Care Health Insurance Co. Ltd. With this plan, you are covered for the hospitalisation and treatment costs for pulmonary thromboembolism amounting to up to ₹3 Lakhs.

Policy Plan and Details

Let’s take a look at the coverage, premium, and validity of the Pulmonary Thromboembolism Cover:

Coverage

Premium (including GST)

Plan Validity

₹1 Lakh

₹271

1 Year

₹2 Lakhs

₹531

₹3 Lakhs

₹684

Key Features and Benefits of Pulmonary Thromboembolism Cover

  • Hospitalisation Coverage

    In-patient hospitalisation costs along with those arising up to 30 days prior and 60 days post hospitalisation pertaining to pulmonary thromboembolism are covered under this plan.

  • Coverage for Doctor’s Fees

    In the event that you (the insured) need to visit a doctor, coverage is provided for the same prior to, during, and after hospitalisation.

What is Covered

By availing this policy, you are provided with coverage for the following:

 

  • Hospitalisation Expenses

    Expenses arising out of in-patient hospitalisation for pulmonary thromboembolism are covered under this plan, provided that the diagnosis is backed by a certified specialist doctor. This also includes pre and post-hospitalisation expenses.

  • Ambulance Charges

    In the event that you need to be rushed to a hospital in an ambulance for the treatment of pulmonary thromboembolism, expenses arising from the same (up to ₹2,000) are covered under this plan.

  • Treatment Charges

    This policy provides coverage for the treatment of pulmonary thromboembolism. This includes hospital room rent, diagnostic tests, ICU charges, blood transfusion, and doctors’ fees.

  • Prescription Expenses

    Expenses incurred as a result of purchasing medicines required during hospitalisation pertaining to pulmonary thromboembolism are covered under the Pulmonary Thromboembolism Cover.

What is Not Covered

Under this plan, you are not provided with coverage for the following:

 

  • Pre-Existing Conditions

    Pre-existing diseases are not covered by this plan and therefore cannot be used when applying for a claim.

  • Other Health Conditions

    This plan does not cover hospitalisation pertaining to reasons other than pulmonary thromboembolism.

  • Claims During Waiting Period

    In the event that you undergo treatment for an illness or injury during the initial 90-day waiting period, this policy will not provide coverage for such expenses.

In order to have an understanding of all exclusions, please peruse the policy wordings.  

How to Apply for Pulmonary Thromboembolism Cover

You can follow these three easy steps to apply for the Pulmonary Thromboembolism Cover:

  • Click on ‘Buy Now’

    Visit the Pulmonary Thromboembolism Cover product page on Bajaj MARKETS and click on the ‘Buy Now’ button.

  • Provide Your Details

    Enter all the required details in the online application form.

  • Pay the Pulmonary Thromboembolism Cover Premium

    Use any online mode of payment like net banking, debit/credit card, UPI, etc. to pay the premium for your Pulmonary Thromboembolism Cover.

That’s it! Your Pulmonary Thromboembolism Cover policy documents will be sent to your registered email ID.

How to File a Claim 

In order to apply for a claim, you can connect with the insurer’s claims team put together to help serve you best. They are available via the following ways:

Customer Care Details 

For any queries related to the Pulmonary Thromboembolism Cover, you can connect with Bajaj MARKETS at insuranceconnect@bajajfinservmarkets.in

 

Pulmonary Thromboembolism Cover FAQs

  • ✔️Under the Pulmonary Thromboembolism Cover, are expenses pertaining to medication covered?

    Yes, this plan provides coverage for medications linked to hospitalisation for pulmonary thromboembolism.

     

  • ✔️Are diagnostic tests covered under this plan?

    Yes, this plan covers diagnostic tests conducted before or during hospitalisation. This is conditional on the fact that the same be conducted within the specified pre-hospitalisation time frame.

     

  • ✔️How long is the Pulmonary Thromboembolism Cover valid for?


    The Pulmonary Thromboembolism Cover is valid for a single year.

     

  • ✔️Is there a waiting period in place should I choose to avail this plan?


    Yes, there is a 90-day initial waiting period in place under the Pulmonary Thromboembolism Cover.

     

  • ✔️Are expenses pertaining to any other diseases covered under this policy?


    No, the Pulmonary Thromboembolism Cover does not provide coverage pertaining to any disease other than pulmonary thromboembolism.