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Affordable and flexible health insurance plans are currently the demand of the hour. Raheja QBE health insurance helps policyholders with this exact need. It helps you cover yourself and your family members against multiple healthcare disasters and also provides a financial backup plan in case any of the insured is diagnosed with a serious disease.
Raheja QBE is a partnership between QBE Insurance and Rajan Raheja Group, the former being the second-largest global insurer in Australia. The company was established in 2008, and since then, the primary objective has been to create a more conducive environment for insurance customers and partners. Raheja QBE provides a wide and flexible range of health insurance plans. The company even got an A+ rating in the Standard and Poor’s Insurance Financial Strength Rating, making it one of the most reliable insurers in India.
Being completely devoted to the well-being of the policyholders. Raheja QBE provides a wide range of health insurance policies with wide coverage options. The company also provides other value-added services like quick and hassle-free claim settlement, a customer-oriented approach, and a huge network of hospitals with complete transparency. All this makes Raheja QBE health insurance plans a highly preferred choice among new-age insurance shoppers.
Let’s check the Raheja QBE health insurance details.
Coverage | In-patient hospitalisation expenses, Pre-hospitalisation expenses, Post-hospitalisation expenses. |
Network Hospitals | 5000+ |
Renewability | Lifelong |
An unexpected medical emergency can create trauma in your family. It is not just the loss of income you might face at such times. But also, it may require extensive investigation to determine the underlying cause and treatment options. This can mean more visits to doctors' offices, time off from work and costs that exceed the insured limit. If you have opted for health insurance from Raheja QBE General Insurance, your family does not have to suffer at all since it covers huge expenses for treating extraordinary cases like this.
Here is a list of the features of Raheja QBE health insurance plans:
Raheja QBE General Insurance offers Health QuBE, Arogya Sanjeevani Policy, Health QuBE Super Top Up Plan, Cancer Insurance, Individual Personal Accident Insurance, Group Personal Accident Insurance, Hospital Daily Cash-Group, Pravasi Bhartiya Bima Yojana, Corona Kavach Policy, Group Corona Kavach Policy, Group Health Insurance, Group Premier Personal Accident Policy, Saral Suraksha Bima, Group Loan Insurance, and Group Health Super Top Up.
Health QuBE plans are specially tailored according to the needs of the policyholder. The policyholder has complete flexibility regarding the sum insured and the coverage he or she wants. These plans can be classified into Basic Plan, Comprehensive Plan, Super Saver Plan, and A-La-Carte Plan.
Except for Comprehensive Plan, Basic Plan, Super Saver Plan, and A-La-Carte Plan are available in two variants each.
Aspects | Basic Plan | Comprehensive Plan | Super Saver Plan | A-La-Carte Plan |
Sum Insured | Variant 1- INR 1-2 lakh Variant 2 - INR 3-50 lakh | INR 3-50 lakh | Variant 1 -INR 1–2 lakh Variant 2 - INR 3-50 lakh | Variant 1 - INR 1- 2 lakh Variant 2 - INR 3-50 lakh |
Plan Type | Individual/ Family Floater (Both Variant 1 & 2) | Individual/ Family Floater | Individual/ Family Floater (Both Variant 1 & 2) | Individual/ Family Floater (Both Variant 1 & 2) |
Coverage | Variant 1
Variant 2
|
| Variant 1
Variant 2
| Variant 1
Variant 2
|
Entry Age Limit | 18 – 65 years for adults 90 days – 25 years for dependent children (Variant 1 & 2) | 18 – 65 years for adults 90 days – 25 years for dependent children | 18 – 65 years for adults 90 days – 25 years for dependent children (Variant 1 & 2) | 18 – 65 years for adults 90 days – 25 years for dependent children (Variant 1 & 2) |
Co-payment Obligation | 20% for both variant 1 & 2 | 20% for both variant 1 & 2 on an optional basis |
Note - Choosing the co-payment option reduces your premium.
This is a pocket-friendly health insurance plan offered by Raheja QBE. The coverage can be purchased on an individual or family floater basis on a sum insured amount ranging from INR 50,000–10 lakhs. 5% co-pay is included on all claims.
Sum Insured | INR 50,000 – 10 lakhs |
Plan Type | Individual / Family Floater |
Age Requirement | 18 – 65 years for adults 3 months – 25 years for dependent children |
Coverage
This super top-up policy enhances your current health insurance policy up to a sum insured amount of INR 1 crore. Policyholders are not required to go through any pre-acceptance medical screening until the age of 55 years.
Sum Insured | INR 50,000 – 10 lakhs |
Plan Type | Individual / Family Floater |
Age Requirement | 18 – 65 years for adults 3 months – 25 years for dependent children |
Coverage
Add-on Coverage
This health insurance is specially devised for cancer patients to provide them with financial assistance for all cancer stages. The sum insured ranges from INR 1 lakh to 10 lakhs.
Sum Insured | INR 1 lakh – 10 lakhs |
Min Age Requirement | Day 1 |
Entry Age Limit | 70 years |
Coverage
The insurance provides defined benefits depending on the insured person’s injury in an accident within the policy term.
Sum Insured | – |
Min Age Requirement | 5 years |
Entry Age Limit | 65 years |
Coverage
This group policy covers expenses against unfortunate accidents during the policy term.
Sum Insured | – |
Min Age Requirement | 5 years |
Entry Age Limit | 65 years |
Coverage
Optional Coverage
Raheja QBE's Hospital Daily Monetary plan implements this concept by delivering the convenience of daily cash rewards to the insured individual and their help.
Sum Insured | INR 500 – 5000 per day |
Coverage Term | 30, 60, 90, 180 days |
Plan Type | Individual / Family Floater |
Coverage
Optional Coverage
This Pravasi Bhartiya Bima Yojana policy is an insurance coverage required by the Emigration Act for all Indian nationals relocating to other countries. The insurance protects travellers against personal accidents, medical problems, and other risks.
Sum Insured | – |
Plan Term | 2, 3 years |
Age Requirement | 18 for adults Up to 21 years for children |
Coverage
This plan is specially designed for individuals looking for coronavirus coverage. The sum insured ranges from INR 50,000 – 5 lakhs. The policy includes AYUSH treatment and hospital cash. The last date for this policy purchase is 30th September 2022.
Sum Insured | INR 50,000 – 5 lakhs |
Waiting Term | 15 days |
Policy Term | 3 ½ months, 6 ½ months, 9 ½ months |
Coverage
This policy offers group coverage of the Corona Kavach Policy. It covers in-patient coronavirus hospitalisation. The last date for this policy purchase is 30th September 2022.
Sum Insured | INR 50,000 – 5 lakhs |
Waiting Term | 15 days |
Policy Term | 3 ½ month, 6 ½ month, 9 ½ month |
Coverage
This policy covers a large group of people under a single master plan where the employer is usually the policyholders and the employees or staff members are the insured.
Sum Insured | INR 25,000 – 1 crore |
Policy Type | Individual / Family floater |
Policy Term | - |
Coverage
Add-on Coverage
This group personal accident policy covers hospitalisation and other benefits to the insured when he or she gets involved in any unfortunate accident.
Sum Insured | – |
Plan Term | Up to 1 year |
Age Requirement | – |
Coverage
Add-on Coverage
With the Saral Suraksha Bima policy, you may protect yourself and your family from losses caused due to an accident. The policy provides straightforward yet comprehensive protection against the financial effects of unanticipated catastrophes and disasters.
Sum Insured | – |
Waiting Term | Not applicable |
Payment Basis | Indemnity plan |
Coverage
Add-on Coverage
Raheja QBE Group Loan Insurance plan is intended for both new and current financial institution clients. This insurance covers and compensates for unforeseen catastrophes, personal accidents, as well as critical diseases. It also provides coverage for hospital cash (daily) and job loss for debtors. Furthermore, this Group Loan Insurance covers personal and other types of loans.
Sum Insured | – |
Entry Age | 18-65 years |
Policy Term | 6 months – 5 years |
Coverage
Add-on Coverage
Raheja QBE Group Health Super Top Up policy is a group health insurance policy that pays for hospital expenditures in excess of the deductible sum up to the level stated in the policy.
Coverage
Add-on Coverage
So, these are the details of health insurance policies offered by Raheja QBE General Insurance.
Medical costs are ever-rising, making it imperative for people to have a proper health insurance policy offering maximum protection against healthcare expenses. Raheja QBE strikes a balance between a wide range of comprehensive plans and affordable premium rates. But, if you are still not convinced, here are the benefits offered by Raheja QBE health insurance plans.
Mentioning Raheja QBE health insurance, you can't think of anything else. This is because its plans offer financial protection against life's unforeseeable emergencies such as heart attack or any other medical problems that could happen anytime, anywhere. This way, you don't have to face the enormous financial burden that comes along with medical treatments and hospitalization.
From individual plans to family floater plans and group coverage, Raheja QBE has multiple options for each type of health insurance plan. This makes the life of policyholders that much easier.
Health insurance may be one of the most common and convenient types of coverage in India. However, you should consider some factors before getting yourself insured. Raheja QBE Health insurance is crafted specifically to meet the needs of the population at large in India. It offers a unique combination of value for money and innovative features with an all-around focus on health and wellness, helping you stay healthy all through life.
For instance, Raheja QBE Group Health Insurance offers a sum insured amount up to INR 1 crore. Other than that, QuBE health insurance plans offer a sum insured ranging from INR 1- 50 lakh.
Raheja QBE health insurance offers affordable premium rates on their health insurance plans. However, it offers you more than just affordable premiums. They have a wide range of insurance plans for individuals, families, and groups that offer comprehensive benefits at a cost you can afford.
As an added benefit, multiple Raheja QBE health insurance policies provide a second opinion from the doctor. This is extremely beneficial for anyone suffering from a little or serious ailment, or even if you receive treatment from doctors. You should see a specialist since hospitals may be extremely expensive at times, and you don't have to exhaust your health insurance policy to cope with it.
Medical second views might be especially beneficial if you plan to obtain treatment outside of the country. This can safeguard your life by recommending suitable therapy or, at the very minimum, saving you money.
AYUSH therapies are becoming increasingly popular. Because so many individuals choose these, Raheja QBE health insurance policies have opted to include the same in their health coverage. This benefits those who do not trust allopathy and are seeking alternative medical therapies. They may now do so effortlessly and without breaking the bank.
The need for healthcare is never-ending. A large network of hospitals is the need of the hour. Raheja QBE Health insurance has 5000+ partnered hospitals where you can get cashless treatment. This makes it convenient for the customer to get admitted with ease and peace of mind.
Income Tax Act Section 80D provides tax breaks to medical insurance policyholders who properly pay their premiums. Tax deductions for those under 60 are limited to INR 25 thousand, including INR 5 thousand for preventative health check-ups. The same for elderly individuals above the age of 60 has been enhanced to INR 50 thousand.
When looking for a health insurance policy, it's important to understand its benefits and costs. One of the most commonly checked facts when shopping for health insurance policies is the claim settlement ratio or CSR. It is the proportion of settled claims over the total number of claims filed by the policyholders in a particular year. So, a higher number reflects the insurance company has settled maximum claims in a particular year. However, it needs to be highlighted that a good number of claims get rejected due to the policyholder’s fault. Most of them forget to include policy documents or file claims for reasons not covered by their policy. Nevertheless, CSR can provide a pretty good head-start if the company has a good claim settlement ratio.
Raheja QBE health insurance has a claim settlement ratio of 30.29% in less than three months and 7.21% in a period ranging from three to six months.
The main concern for policyholders looking to buy health insurance coverage is how to get the best value for their money. The best way to confirm that you are getting the best coverage under your budget is by comparing available health insurance plans. Paytm Insurance helps policyholders by providing a platform where they can compare and contrast their health insurance policies before purchasing.
Here is a step-by-step procedure for Raheja QBE health insurance purchase:
Here is a list of documents required by the insurance provider to confirm your eligibility for a certain health insurance plan.
Note: The insurer may require more documents to confirm your eligibility.
It is important to renew your existing health insurance policy online on time. It confirms the insured does not have to worry about policy lapse or a break in insurance coverage. Raheja QBE medical insurance policies can be digitally renewed on the company’s official website. Here is a step-by-step breakdown of the same:
There are mainly two different claim types with Raheja QBE health insurance plans.
The first one is cashless claims. It helps you receive treatment at any of the partnered medical facilities without any out-of-pocket expenses. This is beneficial especially if the insured-patient needs to be urgently admitted to any hospital and the medical treatment expense is too high.
The second one is reimbursement claims. This claim refunds you the amount you have spent on hospitalisation or any of the covered expenses. This is beneficial when you do not have any nearby hospital to admit the insured patient.
Before we dive into the details of the claims, let’s go through the generic claim intimation process.
To register a claim for the retail or GMC policies, contact the TPA via 1800-4259-449 or the email address via info@mediassistindia.com or contact.phs@paramounttpa.com. For any other policy, you need to contact the call centre team by dialing 1800-102-7723 or emailing customercare@rahejaqbe.com.
If the insured is diagnosed with any major health issue, you can get them admitted to any of your insurance provider’s network hospitals and take advantage of the company's cashless claims. This is how you can save a lot of money and get quality treatment for the patient.
Here is a breakdown of the Raheja QBE cashless health insurance claim procedure:
The reimbursement claim needs you to settle the hospital invoice and other expenses before filing for a refund. When filing your claim, you need to provide the necessary hospital bills and other medical expenses. Once your claim is approved, you will receive the entire amount in your provided bank account.
Here is a breakdown of the Raheja QBE reimbursement health insurance claim procedure:
The following documents are needed when submitting a claim with Raheja QBE:
You do not really want to overpay for your health insurance coverage. You desire a sense of security that an insurance provider will be available when you require it. Raheja QBE has put up a strategy to assist you in finding a policy with the most coverage and the lowest prices that meet your budget.
When reading through the insurance specifics individually, you can get a free premium estimate from a Raheja QBE General representative by clicking on the 'get quote' button. This is a fantastic approach to contrasting and evaluating the premiums and benefits of each insurance policy before purchasing one that matches your needs.
Section 80D of the Income Tax Act offers tax benefits to health insurance policyholders on the premiums paid. Policyholders over 60 years receive a tax deduction limit of INR 50 thousand, while those under the age limit receive tax breaks up to INR 25 thousand. So, if you are under 60 and you have someone over 60, you will be entitled to an age deduction limit of INR 75 thousand. In the same way, if there are two senior citizens under the same plan, they can receive tax advantages up to INR 1 lakh.
Premium paid for | Tax Deduction Under Section 80D | |
< 60 years | >= 60 years | |
Self, spouse and dependent children | INR 25,000 | INR 50,000 |
Dependent parents | INR 25,000 | INR 50,000 |
Total tax deduction 80D | INR 50,000 | INR 1,00,000 |
The most reliable aspect of Raheja QBE health insurance policies is its comprehensive coverage. It responds to every policyholder’s needs by offering a wide range of medical insurance plans. The following list offers typical Raheja QBE health insurance plan inclusions:
This coverage covers expenses related to the treatment of covered medical issues that takes more than 24 hours of hospitalisation.
Raheja QBE health insurance covers medical expenses related to the relevant medical condition treatment that does not require hospitalisation for more than 24 hours.
Medical expenses related to the relevant treatment before actual hospitalisation are covered.
This coverage covers healthcare expenses related to the relevant treatment after the insured patient’s discharge from the hospital.
You get coverage for advanced treatment methods.
Like every other health insurance policy, Raheja QBE does not cover every situation. There are certain conditions excluded from the scope of its coverage. These are called policy exclusions. The insurance company will not be liable for settling a claim if you file it for any of the following conditions:
Note: Please refer to the health insurance policy wording to receive a detailed list of exclusions under every plan.
Medical facilities under insurance providers offer both cashless and reimbursement claims to the policyholders of that certain insurance company. So, if a company has a good number of network hospitals, it means more options for the insured patient to get admitted to any of the medical facilities for high-quality treatment at no out-of-pocket costs. All these make emergency and planned hospitalisation episodes less stressful.
Raheja QBE has a network of 5000+ hospitals across the country. To search for a local hospital under its network, visit the company’s official website.
Raheja QBE health insurance offers comprehensive coverage at affordable rates. Raheja QBE Health Insurance provides medical coverage for people all over the country. It has one of the most extensive hospital networks on the market and is famous for its personalised service for its large client base. With numerous premium packages and personalised solutions, Raheja Health Insurance offers the best insurance deals to consumers. Even if you are a first-time customer or have lost your previous policy, the company can help you get another affordable policy.
Phone Number | Tollfree Hotline: 1800-102-7723 |
customercare@rahejaqbe.com | |
Address | Raheja QBE General Insurance Ltd. Ground Floor, Procter and Gamble Plaza, Cardinal Gracious Road, Chakala, Andheri East, Mumbai, Maharashtra-400099 |
Website | www.rahejaqbe.com |
Yes. Raheja QBE health insurance offers in-patient hospitalisation expenses coverage with capped room rent limits on some plans, not all. Again, it is advisable to go through the policy brochure or prospectus to understand the cap limit.
Yes. Most Raheja QBE health insurance plans cover AYUSH treatment. However, it is advisable to go through the policy brochure or prospectus to confirm the same before purchasing.
Yes. You can add your spouse as insured under any Raheja QBE health insurance plan.
Yes. Raheja QBE offers group insurance plans for employer-employee coverage.
Yes. You can easily port your existing policy to Raheja QBE health insurance by contacting the company before the renewal date.
In order to get cashless treatment, you need to get the insured admitted to any of the partnered medical facilities of Raheja QBE General. Next, you have to show the ID proof and health card of the concerned person. Upon confirmation from Raheja QBE, the hospital will provide you with cashless treatment.
To get covered under a Raheja QBE health insurance plan, adults need to be at least 18 years old, and children need to be three months old.
Buy a Raheja QBE health insurance plan on the company’s official website and follow the application procedure. Alternatively, you can visit the Paytm Insurance website and go through multiple insurance plans, including those of Raheja QBE. After comparing all the plans, you can purchase the Raheja QBE health insurance policy if it serves your needs.
To contact Raheja QBE online, you need to email them at customercare@rahejaqbe.com.
You can locate your nearest Raheja QBE General branch by visiting the official website of the insurance company. Here’s what you need to do afterward.