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M-Care Health Insurance Policy

Customised Cover for Vector Borne Diseases
M-Care Health Insurance Policy

Buy M Care Health Insurance Policy

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What’s in it for you?

Health insurance cover

 Coverage against 7 vector borne diseases

Tax gain plan

 Extensive privileges with affordable premium

Ciritcal Illness Illness Lifetime

Lifetime renewal benefit

M-Care health insurance policy: What is it?

Introducing M-Care health insurance policy from Bajaj Allianz. Insure yourself from mosquito borne diseases like Dengue Fever, Malaria, Chikungunya, Zika Virus etc.  

If electric mosquito swatters or fly repellent sprays are a constant on your monthly shopping list, then you need no introduction to the misery that airborne vectors are capable of causing. A good night’s sleep is subject to the whims of these tiny little creatures in a country with a climate like ours. While you may be quick to spot a new anti-mosquito product at the supermarket, the results you get may not be worth the money you spend.

These techniques are, after all, quick fixes and do not protect you from getting infected. If you do fall ill due to a vector borne disease, you may have no provisions to cover the costs of treatment. Also, the cost of an average hospital stay can run into six figures very quickly!

Now, Bajaj Allianz M-Care health insurance helps you take on this health hazard and perhaps for the first time, win! We bring you a one of a kind health insurance policy that takes care of any financial setbacks that might occur due to medical treatment on account of vector borne illnesses. While a mosquito bite may hurt for a few seconds, any medical expenses resulting from it can take a much bigger bite out of your wallet and peace of mind. With Bajaj Allianz M-Care health insurance, you can now experience true freedom from worry. It’s the ideal health insurance policy for family that you may have been looking for!

Like soothing music, it can help you regain a sense of calm should the doctor’s diagnosis say that you have malaria or dengue. If diagnosed during the policy period, you are covered from any medical expenses. Unlike mosquito repellent, M-Care health insurance works!

Our cashless health insurance policy makes paying the bills effortless, leaving you cheerful both during and after treatment. With M-Care health insurance, you’ll have an aura that exudes calm and confidence, much to the surprise of your friends and family! We’re sure you’d happily tell them the secret- the first ever health insurance policy for family that exclusively covers vector borne illnesses. 

 M-Care health insurance policy benefits 

Regardless of the weather, Bajaj Allianz M-Care health insurance makes sure that you are never caught unprepared. In the event of a medical emergency due to vector borne illnesses, we even offer you a discount on premium if you buy the policy online! After all, a burden shared is a burden halved.

From diagnosis to recovery, you’ll surely feel the difference with the Bajaj Allianz M-Care health insurance policy cover by your side! Acting in tandem with your doctor, this one of a kind medical insurance policy helps you get back on your feet quickly by giving you comprehensive benefits:

 

  • Cover for all

    Floater policy for proposer/spouse/dependent children/dependent parents 

  • Cashless facility

    Access to the cashless facility (subject to cashless authorization and limit of benefits)

  • 20% discount applicable

    20% discount applicable if a customer buys this health insurance policy from our website

  • Lifetime renewal option

     Lifetime renewal benefit is available

  • Free look period

    Free look period of 15 days

  • Different sum insured options

    Sum insured options of minimum Rs. 10,000 and maximum Rs. 75,000

Why Health Insurance?

M-care Insurance Claim Process

Cashless Claim Procedure

 

Filing claims on your M-Care plan is easy and effortless. After all, setting new benchmarks in terms of turnaround time has been a key part of our commitment to you!

Claims can be made either via the cashless or reimbursement mode. Here is how it works

Firstly, cashless claim settlement is only available at network hospitals subject to the terms and conditions of your M-Care policy such as cashless authorisation and Limit of Benefits.

OK! Let’s walk you through the process for filing a cashless claim. You need to:

 

 

  • Ask for a pre-authorisation form by calling us before you go in for treatment/consultation at one of our Network Hospitals.
  • Let us know within 24 hours if you had to be hospitalized following an emergency.
  • We’ll get back to you within 2 hours of getting a duly filled and signed form from you. Based on the outcome- approval, decline or request for more information- we quickly help you get the ball rolling on getting the best possible treatment or seeking other alternatives.
  • We’ll settle the claim directly with the network hospital against the original bills and evidence of treatment. Please note that coverage is subject to the policy terms and conditions such as Limitation of Benefits, even if pre-authorisation is obtained.. These terms and conditions are subject to review and may change at the discretion of the company.
  • Note that any difference between the benefit payable and the final hospital bill will be directly paid to you. In case the bill amount is higher, you would need to pay the difference on your own.
  • Produce the authorisation letter, ID card, M-Care policy document and any other information issued to you by Bajaj Allianz at the network hospital prior to admission.

Reimbursement Claim Process

 

You can opt for reimursement if:

  • Pre-authorisation is denied by us
  • You choose hospital which is not part of our network
  •  You prefer to pay by cash

 

Here’s how our reimbursement claims process works:

  • Let us know in writing within 48 hours of being diagnosed with any listed vector borne disease.
  • Consult your doctor immediately and follow the prescribed treatment.
  • If required, we may ask you to undergo tests with our empanelled doctors as many times as necessary. The costs, of course, will be borne by us.
  • We need you to submit the following documents within 30 days of being diagnosed/discharged in relation to a vector borne disease.

 

Documents to be submitted for filing a claim:

i)                    Claim Form duly signed by the insured along with NEFT Form signed by the Claimant.

ii)                    Copy of Discharge Summary / Discharge Certificate

iii)                 Attested copies of Indoor case papers

iv)                 Copy of Final Hospital Bill

v)                  All required Investigation Reports

vi)                  Medical certification from specialist

vii)                In cases where a fraud is suspected, we may call for any additional document(s) in addition to the documents listed above

viii)              Aaadhar card & PAN card Copies is as per the IRDAI guidelines read with.

 

 

Simplifying M-Care Health Insurance

How many diseases are covered in this policy?

The M-Care insurance policy cover 7 vector borne diseases, namely:

    ✓   Dengue Fever

    ✓   Malaria

    ✓   Filariasis(Payable only once in a lifetime)

    ✓   Kala Azar

    ✓   Chikungunya

    ✓   Japanese Encephalitis

    ✓  Zika Virus

What is the eligibility criteria for buying this cover?

This policy can be purchased for anyone between the ages of 18 to 65 years. You can also cover your dependent children under the age of 18 years in this policy. 

Does the policy cover the vector borne diseases from day one?

Any of the listed vector-borne disease diagnosed within the first 15 days of the date of commencement of the policy will not be covered. This exclusion will not apply for the subsequent years if your policy has been renewed without a break, provided there are no claims in the previous policy periods.

Is there any waiting period?

There is a waiting period in the following scenarios:

 ✓   In case the policy has been purchased after the occurrence of any of the listed vector-borne diseases:

 ✓   In case of renewal, where a benefit has been paid out in the previous policy period

In both cases, a 60 day waiting period (from the date of the previous admission) will be applicable for the specific ailment which was diagnosed/treated.

If there is any claim in my existing policy, is there any exclusion during renewal of my policy?

If the Policy is renewed within 60 days from the date of admission of the previously paid claim, a 60 days cooling off period shall apply for the same ailment in the renewed policy opted. However there will be no waiting period for other listed vector-borne diseases.

If the Policy is renewed post 60 days from the date of admission of the previously paid claim, then a fresh waiting period of 15 days shall apply for all listed vector-borne diseases.

Spreading Smiles Through Our Services

Rama Anil Mate

The online health insurance policy renewal on your website is excellent, user-friendly, and smooth.

Suresh Kadu

Bajaj Allianz’s executive has provide an extreme support and would like to appreciate the same. Kudos.

Ajay Bindra

Bajaj Allianz's executive very nicely elaborated the benefits of the policy. She has very good communication skills and explained very well.

Eligibility Criteria to Buy M-Care health insurance policy

 

Frankly, no one should have to suffer from vector-borne diseases. Bajaj Allianz M-Care health insurance is ideal to ensure that you and your family are not exposed to such health risks. From the cradle to up to 65 years of age, our medical insurance policy gives you financial immunity that eases your worries. If you find yourself recovering faster than you anticipated, your M-Care health insurance policy might just have something to do with it!

Here are the eligibility criteria for coverage under this medical insurance policy.

Minimum Entry age for proposer/ spouse/ dependent parents – 18 years  

Maximum Entry age for proposer/ spouse/ dependent parents – 65 years

Minimum Entry age for dependent children – 0 days

 

Whether small or large, our health insurance policy for family gives you incomparable peace of mind, should medical expenses due to vector borne diseases arise.

M-Care health insurance policy premium chart

 

Members Covered Sum Insured No. of Claims Admissible
10,000 15,000 25,000 50,000 75,000
1 Member 160 240 400 800 1200 1 Claim
2 Member-Floater 240 360 600 1200 1200 1 Claim
3 or 4 Member-Floater 320 480 800 1600 2400 2 Claims
5 or 6 Member-Floater 400 600 1000 2000 3000 2 Claims

 

 M-care Insurance: Important Points to Know Before Buying

  • Inclusions

  • Exclusions

What coverage do I get?

The Bajaj Allianz M-Care health insurance policy protects you from the financial impact of vector borne diseases..

Read more

The Bajaj Allianz M-Care health insurance policy protects you from the financial impact of vector borne diseases like a wide brimmed hat that gives respite from the harsh sun, the Bajaj Allianz M-Care health insurance policy protects you from the financial impact of vector borne diseases. It is like a coat of armour offering several coverage options depending on your specific needs. If you are diagnosed during the policy period, we cover you from a host of diseases. Wondering what those are? Read on.

1.       Dengue Fever

2.       Malaria

3.       Filariasis(Payable only once in a lifetime)

4.       Kala Azar

5.       Chikungunya

6.       Japanese Encephalitis

7.       Zika Virus

Family cover

Floater policy for proposer, spouse, dependent children and dependent parents.

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Any Treatment other than for vector-borne diseases as listed coverage section.

Admission to hospital for less than 24 hours.

Diagnosis and treatment outside India.

 However, this exclusion shall not be applicable in the below-listed countries

Read more

 However, this exclusion shall not be applicable in the below-listed countries however, this exclusion shall not be applicable in the below-listed countries

 

New Zealand Japan
Singapore Canada
Switzerland Dubai
USA Hong Kong
Malaysia Countries of the European Union

Like a world class pole vault athlete

M-Care health insurance gains momentum after a brief run-up! If you’re diagnosed with a vector-borne disease

Read more

M-Care health insurance gains momentum after a brief run-up! If you’re diagnosed with a vector-borne disease within the first 15 days of the date of commencement of your Health Insurance Policy, coverage is excluded. However if you have renewed an existing health insurance policy, we will be happy to provide coverage. Here, there is a caveat! For coverage to be applicable there must be no claims made in the previous year. 

A 60 day waiting period

 A 60 day waiting period will be applicable for any pre-existing illnesses

Read more

A 60 day waiting period will be applicable for any pre-existing illnesses for which you have undergone treatment prior to taking out your M-Care Health Insurance Policy. However if you have made a claim and renew your health insurance policy the following year, a 60 day waiting period would be applicable from the date of the last treatment for the specific condition for which a claim was made previously. 

A 60 day cooling off period

 If you renew your M-Care Health Insurance Policy within 60 days of the date of the

Read more

If you renew your M-Care Health Insurance Policy within 60 days of the date of the last paid claim, a 60 day cooling off period shall apply for the same ailment on renewal; however, there would be no waiting period for any other listed vector-borne diseases.

Waiting period of 15 days

If your M-Care Health Insurance Policy is renewed 60 days after the date of admission

Read more

If your M-Care Health Insurance Policy is renewed 60 days after the date of admission of the previously paid claim, then a fresh waiting period of 15 days shall apply for all listed vector-borne diseases under the policy.

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I hereby authorize Bajaj Allianz General Insurance Co. Ltd. to call me on the contact number made available by me on the website with a specific request to call back at a convenient time. I further declare that, irrespective of my contact number being registered on National Customer Preference Register (NCPR) under either Fully or Partially Blocked category, any call made or SMS sent in response to my request shall not be construed as an Unsolicited Commercial Communication even though the content of the call may be for the purposes of explaining various insurance products and services or solicitation and procurement of insurance business. Furthermore, I understand that these calls will be recorded & monitored for quality & training purposes, and may be made available to me if required.

Customer Reviews & Ratings

Average Rating:

4.75

(Based on 3,912 reviews & ratings)

Rama Anil Mate

The online health insurance policy renewal on your website is excellent, user-friendly, and smooth.

Suresh Kadu

Bajaj Allianz’s executive has provide an extreme support and would like to appreciate the same. Kudos.

Ajay Bindra

Bajaj Allianz's executive very nicely elaborated the benefits of the policy. She has very good communication skills and explained very well.

Written By : Bajaj Allianz - Updated: 10th  January 2024

Disclaimer

I hereby authorize Bajaj Allianz General Insurance Co. Ltd. to call me on the contact number made available by me on the website with a specific request to call back at a convenient time. I further declare that, irrespective of my contact number being registered on National Customer Preference Register (NCPR) under either Fully or Partially Blocked category, any call made or SMS sent in response to my request shall not be construed as an Unsolicited Commercial Communication even though the content of the call may be for the purposes of explaining various insurance products and services or solicitation and procurement of insurance business. Furthermore, I understand that these calls will be recorded & monitored for quality & training purposes, and may be made available to me if required.

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