Bajaj MHCP Edge+

Bajaj My Health Care Plan EDGE+ is a modular health insurance plan that covers hospitalisation and allows policyholders to add optional riders for benefits such as global treatment, premium locking, consumables, wellness, and catastrophic medical expenses.

The plan offers a sum insured from ₹5 lakh to ₹5 crore and includes unlimited sum insured reinstatement as a standard feature.

Bajaj My Health Care Plan EDGE+ at a Glance

What Is Bajaj   My Health Care Plan EDGE+?

Bajaj   My Health Care Plan EDGE+ is a health indemnity insurance plan designed around a modular structure.

The base plan covers major hospitalisation-related expenses. Policyholders can then choose additional riders based on their requirements. These riders include Global Cover, Consumables Plus, Age Shield, Smart Tenure, Health Limitless, Super Cumulative Bonus, Health Prime Rider, and Air Ambulance, among others.

This structure allows customers to select additional benefits instead of paying for every feature in the base premium.

The plan provides coverage from ₹5 lakh to ₹5 crore, making it suitable for individuals and families looking for different levels of health insurance protection.

What Are the Main Features of MHCP EDGE+?

What Hospitalisation Expenses Are Covered?

The base plan covers eligible hospitalisation expenses such as:

• Room rent for a single private A/C room

• ICU charges

• Doctor's fees

• Medicines

• Implants

• Diagnostic expenses

Hospitalisation generally needs to be for more than 24 hours, subject to the policy terms.

What Riders Are Available With MHCP EDGE+?

MHCP EDGE+ has several optional riders that allow policyholders to customise their coverage.

Global Cover Rider

The Global Cover rider provides coverage for planned and emergency treatment outside India, subject to a mandatory co-pay and applicable conditions.

It requires a sum insured above ₹10 lakh and may be relevant for NRIs or people who require international medical treatment.

Consumables Plus

The Consumables Plus rider extends coverage to eligible non-medical items such as gloves, syringes and bandages.

It can help reduce deductions for consumable items during a cashless claim.

This rider requires a sum insured above ₹10 lakh.

Age Shield

Age Shield is a premium-locking rider that locks the premium at the policyholder's entry age until the first claim, subject to the rider's terms.

The feature is designed to help policyholders manage future premium increases related to age.

Smart Tenure

Smart Tenure combines the sum insured across a multi-year policy period.

For example, a ₹5 lakh sum insured for a five-year policy can provide a combined limit of ₹25 lakh across the policy tenure, subject to the rider terms.

StepUp Benefit

The StepUp Benefit allows the policyholder to upgrade to the next sum insured slab at the first renewal.

The existing coverage can continue without a fresh waiting period for the existing cover, subject to applicable terms.

Health Limitless

Health Limitless provides an additional catastrophic medical expense benefit.

Under this rider, one catastrophic hospitalisation during the policy lifetime can be covered without an annual sum insured cap, subject to the rider terms.

The rider requires a sum insured of ₹10 lakh or more.

Super Cumulative Bonus

The Super Cumulative Bonus (SCB) rider increases the sum insured at a faster rate than the standard cumulative bonus.

With this rider, the sum insured can increase by up to 600% over five years, subject to the applicable terms.

Major Illness & Accident Multiplier

This rider can increase the available sum insured by up to 2X for specified major illnesses and accidents.

Health Prime Rider

The Health Prime Rider (HPR) provides additional outpatient and wellness-related benefits.

These can include:

• Teleconsultations

• In-clinic consultations

• Preventive health check-ups

• Dental wellness

• Nutrition support

• Fitness services

• Emotional wellness support

These benefits are not included in the base plan by default.

What Is Covered Under MHCP EDGE+?

The major inclusions under the plan are:

• In-patient hospitalisation

• Single private A/C room

• ICU expenses

• Doctor's fees

• Medicines and diagnostics

• Pre-hospitalisation expenses for up to 60 days

• Post-hospitalisation expenses for up to 90 days

• Day care treatment

• Domiciliary hospitalisation

• Emergency ambulance

• Eligible modern treatments

• AYUSH treatment

• Organ donor expenses

• Family visit benefit

• Cumulative bonus

• Unlimited sum insured reinstatement

What Is Not Covered Under MHCP EDGE+?

The following are not covered by default or may be excluded under the policy:

• Cosmetic or elective procedures

• Non-medical and consumable items unless the Consumables Plus rider is selected

• Treatment outside India unless Global Cover is selected

• Pre-existing diseases during the applicable waiting period

• OPD services unless the Health Prime Rider is selected

• Teleconsultations unless the Health Prime Rider is selected

• Dental and wellness services unless covered through the Health Prime Rider

• Other exclusions specified in the policy wording

The waiting period for pre-existing diseases can be up to 36 months, subject to the policy and applicable waiver provisions.

Policyholders should check the current policy wording and product-specific exclusion list before purchasing.

What Are the Eligibility Criteria for MHCP EDGE+?

What Is the Minimum Entry Age?

The minimum entry age is:

• 3 months for children

• 18 years for adults

There is no maximum entry age specified for the plan.

What Documents Are Required to Buy MHCP EDGE+?

Depending on the policy and sum insured, the following documents may be required:

• Identity proof such as Aadhaar, passport, voter ID or driving licence

• Age proof such as birth certificate, school certificate or passport

• Address proof such as Aadhaar, utility bill or rental agreement

• Income proof such as salary slips, Form 16 or bank statements

• Medical records or health check-up reports where applicable

• Recent photographs of insured members

• Additional documents for NRIs or OCIs

What Are the Pros and Cons of MHCP EDGE+?

Pros

• Sum insured available up to ₹5 crore

• Unlimited sum insured reinstatement included in the base plan

• Health Limitless offers an uncapped catastrophic claim option

• Age Shield can lock the premium at entry age until the first claim

• Smart Tenure can pool the sum insured across multiple years

• Wide range of optional riders

• Lifetime renewability

• 18,400+ network hospitals

• Modern treatment coverage

• Renewal premium waiver for eligible dependents

Cons

• Several major riders require a sum insured above ₹10 lakh

• Maternity and newborn cover are not available under EDGE+

• OPD and wellness benefits are not included by default

• Global treatment requires an additional rider and co-pay

• Consumables require an additional rider

• Riders can only be added or changed at renewal

• The overall coverage depends on the riders selected

MHCP EDGE+ Coverage: What Is Included?

How Does MHCP EDGE+ Compare With Other Health Insurance Plans?

Is MHCP EDGE+ a Good Health Insurance Plan?

MHCP EDGE+ may be suitable for people who want to customise their health insurance coverage rather than choose a plan with every feature built into the base premium.

Its key features include ₹5 lakh to ₹5 crore sum insured, unlimited reinstatement, lifetime renewability, modern treatment coverage and a wide range of optional riders.

However, the suitability of the plan depends on the coverage required. Buyers should pay particular attention to maternity exclusions, room category limits, waiting periods, co-pays and the cost and conditions of optional riders.

A policy should be selected based on the insured person's healthcare requirements, family structure, budget and expected level of coverage.

Important Information Before Buying MHCP EDGE+

MHCP EDGE+ is a modular plan, so the final coverage depends on the base plan, sum insured and optional riders selected.

Before purchasing, check the latest:

• Policy wording

• Product brochure

• Rider terms and conditions

• Waiting periods

• Room-rent conditions

• Co-pay requirements

• Sub-limits