Your Complete Health Protect Supreme Plan

is here!
Dear Subrata Mukherjee,
Now that you have taken your first step towards better health, an array of benefits awaits you.
Here is a quick glance at your plan details:

Customer ID CIN-3619610

Health Account No. BO01CHPS02693776

Product Name Complete Health Protect Supreme

Amount Paid (in Rs.) 1,299

Valid Up to 12/01/2023

Business Type Fresh

Your Plan Benefits

Teleconsultation Network Discounts

Doctor Consultation Health Insurance

To read in-depth about these benefits, here are the complete Terms & Conditions.

Vandana Irani
(Head, Operations & Customer Service)

020 48562555 customercare@bajajfinservhealth.in

We go wherever you go.
With your very own Bajaj Finserv Health App.
You can easily avail these benefits with just a few taps on your Bajaj Finserv Health App
from anywhere, any time.

Click here to download the

Bajaj Finserv Health App

Please find Terms and Conditions here

Doctor Consultation Benefits
Consult with a Doctor of your choice and enjoy huge savings while you do so, with no bar on the number of visits
and consultation charges.

Benefit Amount(in Rs.) 300

No. of members covered 1

Doctor Specialty All

Payment Mode Cashless + Reimbursement

Network Partner Health Prime Network

Teleconsultation
From routine consultations to taking a second opinion, get expert care from the convenience of your location,
device and conversation preferences : chat, audio or video.

No. of Consultation 5

No. of members covered 1

Doctor Speciality All

Payment Mode Cashless

Network Discounts
Avail a multitude of Network Discounts at any Bajaj Finserv Health Prime network provider.

10% Discount 10% Discount 10% Discount

on Doctor Consultation on Lab test on Pharmacy

10% Discount 5% Discount 10% Discount

on Dental Procedures on IPD Room Rent on Spectacles

10% Discount Free Ambulance

on Preventive Health Package Service on IPD Admission

Click here to view the complete list of Health Prime network providers.
Hello Subrata Mukherjee,

Greetings from Bajaj Allianz General Insurance Company Ltd.

You will be thrilled to know that you have been enrolled as a member under the Health Insurance program
supported by Group Mediclaim Master Policy No.: OG-21-9999-9960-00000021 ("Medical Insurance Policy"
issued by Bajaj Allianz General Insurance Company Limited).

The premium against insurance has been paid by the Group Master Policy Holder.

POLICY DETAILS OF INSURED MEMBER

Name Subrata Mukherjee Policy Amount(in Rs.) Complimentary

Policy Start Date 13/01/2022 Policy Status Issued

Policy End Date 12/01/2023 Risk Covered In-patient Hospitalization Indemnity

Policy

Insurance Tenure Annual Plan Type Individual

Deductible (in Rs.) 0 COI No. OG-22-1000-6021-00020431

Sum Insured (in Rs.) 1,00,000 Previous Policy No. N/A

GSTIN/UIN N/A Co Pay Percentage 20

INSURER DETAILS

Name Bajaj Allianz General Insurance Co. PAN No. AABCB5730G

Ltd.

Bajaj Allianz General Insurance Co. GSTIN/UIN 07AABCB5730G1ZZ

Address
Ltd GE Plaza, Airport Road,

Yerwada, Pune 411006 Master Policy No. OG-21-9999-9960-00000021

Master Policy Bajaj Finserv Health Ltd.

Product UIN IRDA/NLHLT/BAGI/P-H/V.I/47/13-14.
Holder
Insured Member Details
Insured Nominee Nominee Health ID
Relation Gender DOB PED*
Name Name Relation Card No.

Subrata
Self Female 09/06/1966 Legal Hire Others N/A 23-328077439
Mukherjee

Notwithstanding what is mentioned in this letter, the terms and conditions of Medical Health Insurance Group
Policy which is enclosed here with shall be applied and prevails.
*Pre-existing Diseases Click Here to view the *Terms and Conditions.

How to claim:
Cashless:

Approach any of the Bajaj Allianz Network Hospitals for complete cashless facility.

The hospital will verify your details and send the duly filled pre-authorization form to Bajaj Allianz General
Insurance Company - Health Administration Team (BAGIC-HAT).

BAGIC HAT team will duly verify the details of the pre-authorization request with the policy benefits and intimate
their decision to the healthcare provider.

Available only for policies with Cashless as claim type mentioned in T&Cs.

Reimbursement:

Collect all hospitalization related documents and submit them, in original, to BAGIC HAT.

BAGIC HAT will carry out a customary verification of the required documents and if found permissible within the
policy's purview, the payment will be released via ECS within 7 working days.

Address for submitting documents:

Manager - Health Claims
Bajaj Allianz General Insurance Co. Ltd.
Bajaj Finserv, 2nd Floor, Behind Hyatt Hotel. Off Nagar Road, Viman
Nagar. Maharashtra, Pune - 411014

Yours,
Bajaj Allianz General Insurance Company Ltd.

Authorized Signatory
 How to Redeem
You can process your claims in 2 easy ways:
1. If Reimbursement:
a) Start by downloading the Bajaj Finserv Health app, and then:

b) Or email your invoice details to customercare@bajajfinservhealth.in

2. If Cashless:
Start by downloading the Bajaj Finserv Health app, and then:

We hope it never comes to that,

but in case of package cancellation.
You can cancel your subscription as long as you haven't utilized any benefit or submitted
claims. The entire package can be cancelled and not any specific product component.

Days from purchase 100% down payment mode Instalment Payment Mode

Within 30 days Full Refund Full Refund

31 - 90 days 50% Refund No Refund

> 90 days No Refund No Refund

Bajaj Finserv Health Ltd. | CIN Number - U85320PN2019PLC185286 | Registered Address - C/O Bajaj Auto Limited, Mumbai Pune Road, Akurdi, Pune - 411035,
Corporate Address - Phoenix Fountainhead, 4th Floor, Nagar Road, Clover Park, Viman Nagar, Pune, Maharashtra - 411014, Customer Care Number - 020
48562555 Monday to Saturday 9:30 am to 6:30 pm | Email - customercare@bajajfinservhealth.in

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