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icon Health Insurance icon Companies icon Raheja Qbe Health Insurance

Raheja QBE Health Insurance

Raheja QBE Health Insurance is offered by Raheja QBE General Insurance Company Limited, a general insurance company registered with the IRDAI under Registration No. 141. The company provides a range of health insurance solutions designed to meet different healthcare and financial protection needs. Its health portfolio includes Health QuBE, Health QuBE Super Top Up, Arogya Sanjeevani and Health Bharosa, along with group health insurance products for organisations and their employees.

Raheja QBE Health Insurance

Features of Raheja QBE Health Insurance

  • Health QuBE Sum Insured: ₹1 lakh to ₹50 lakh across the available plan variants.

  • Adult Entry Age: 18 years to 65 years under Health QuBE.

  • Child Entry Age: 90 days to 25 years.

  • Family Floater: Up to 6 family members can be included under Health QuBE.

  • Room Rent: 1% of the sum insured per day under the Basic, Super Saver and A-La-Carte plans; the Comprehensive plan has no room-rent limit.

  • ICU Charges: 2% of the sum insured per day under the Basic, Super Saver and A-La-Carte plans; the Comprehensive plan has no ICU limit.

  • Pre-Hospitalisation: 30 days for ₹1 lakh to ₹2 lakh sum insured and 60 days for ₹3 lakh to ₹50 lakh sum insured; the Comprehensive plan allows 60 days.

  • Post-Hospitalisation: 60 days for ₹1 lakh to ₹2 lakh sum insured and 90 days for ₹3 lakh to ₹50 lakh sum insured; the Comprehensive plan allows 90 days.

  • Organ Donor Benefit: Up to 20% of the sum insured under eligible Health QuBE variants.

  • Daily Allowance: ₹500 per day under eligible Health QuBE variants.

  • Cashless Sum Insured Increase: 10% of the paid claim amount is added back to the sum insured after eligible cashless treatment.

  • Restore Benefit: 100% of the original sum insured can be restored once during the policy year after exhaustion of the available cover.

  • No Claim Bonus: The sum insured can increase by 5% for each claim-free policy year, up to 100% under the applicable Health QuBE structure.

  • Policy Term: A 2-year policy option is available under eligible Health QuBE variants.

Raheja QBE Health Insurance Plans

Plan Eligibility / Sum Insured Key Details
Health QuBE 90 days to 65 years; ₹1 lakh to ₹50 lakh Available in Basic, Comprehensive, Super Saver and A-La-Carte variants. Family floater cover is available for up to 6 members.
Health QuBE Super Top Up 90 days to 65 years; ₹2 lakh to ₹1 crore Additional health cover that works above a selected deductible. Deductible options range from ₹1 lakh to ₹50 lakh.
Arogya Sanjeevani Policy 90 days and above; ₹50,000 to ₹10 lakh Standard health insurance product available on individual and family floater basis.
Health Bharosa 1 day to 65 years; ₹4 lakh and ₹5 lakh Health cover specifically structured for persons with physical or mental disabilities and people living with HIV/AIDS.
View Health Plans

Add-ons and Riders Available with Raheja QBE Health Insurance

The available add-ons depend on the product and variant. Under the Health QuBE A-La-Carte plan, the insurer specifically lists two optional covers:

  • Sub-limit Waiver:

  • Removes the applicable sub-limits on room rent and/or doctor charges for an additional premium.

  • 20% Co-payment Option:

  • Allows the policyholder to opt for a 20% co-payment arrangement in exchange for the applicable premium structure.

For group health products, additional covers can include organ donor cover, maternity, baby day-one cover, and pre- and post-natal expenses, subject to the terms of the relevant group policy.

Waiting Period Under Raheja QBE Health Insurance

The current Health QuBE policy wording specifies the following waiting periods:

  • Initial Waiting Period:

  • 30 days from the first policy commencement date for illnesses. Claims arising from covered accidents are excluded from this waiting period.

  • Pre-existing Diseases:

  • 36 months of continuous coverage from the inception of the first policy.

  • Specific Diseases and Procedures:

  • 24 or 36 months, depending on the condition or procedure listed in the policy wording.

  • Enhanced Sum Insured:

  • Waiting periods apply afresh to the increased portion of the sum insured when the cover is enhanced.

The exact condition-wise waiting period should be checked in the policy wording because the specific-disease list contains separate 24-month and 36-month categories.

Why Consider Raheja QBE Health Insurance?

  • Four Health QuBE variants:

  • Basic, Comprehensive, Super Saver and A-La-Carte let customers choose between standard limits, wider limits, a co-payment-based option and a modular structure.

  • High-cover option:

  • Health QuBE goes up to ₹50 lakh, while the Super Top Up extends the available cover to ₹1 crore.

  • Dedicated specialised cover:

  • Health Bharosa is specifically structured for persons with disabilities and people living with HIV/AIDS rather than being a generic medical policy.

  • Choice of TPA:

  • Health QuBE allows a choice of third-party administrator, giving customers an additional servicing option.

  • Two-year policy option:

  • Eligible Health QuBE variants can be purchased for two years, rather than restricting the policy term to one year.

  • Cashless-linked enhancement:

  • An eligible cashless claim can result in an additional 10% of the paid claim amount being added to the sum insured.

  • Digital servicing:

  • The insurer supports online policy issuance and claim registration for Health QuBE.

Insure Your Family

How to Buy Raheja QBE Health Insurance Online

Buying a Raheja QBE policy through Coverfox lets you assess its premium and coverage alongside health plans from other insurers before making a purchase.

Step 1: Enter your details: Provide information such as your age, city and the family members you want to insure.

Step 2: Compare available plans: Review the sum insured, room-rent limits, waiting periods, co-payment, exclusions and premium across the available policies.

Step 3: Select the policy: Choose the Raheja QBE plan and coverage amount that match your requirements.

Step 4: Complete the proposal: Enter the required personal and health information in the online proposal form.

Step 5: Review the quote: Check the premium, selected cover, policy term and applicable add-ons before payment.

Step 6: Pay online: Complete the premium payment through the available online payment options.

Step 7: Receive the policy: Once the proposal is accepted and the insurer completes the required checks, the policy document is issued digitally.

Raheja QBE Health Insurance Network Hospitals

  • Cashless Network Hospitals: 5,000+ hospitals across India.

  • Hospital Locator: Raheja QBE has an online hospital locator where customers can search for participating hospitals by state and city.

  • Cashless Facility: Eligible treatment at a network hospital can be processed through the cashless facility after the required authorisation.

  • Cashless Claim Approval: The insurer states that initial cashless requests are authorised within 1 hour, while final bills are authorised within 3 hours, subject to the applicable claim conditions.

  • TPA Network: Health QuBE claims are registered through the insurer's authorised TPAs, with the applicable TPA details available for customers during the claims process.

Buy Health Plan

Raheja QBE Health Insurance Customer Support

  • Customer Care: 1800 102 7723

  • Website: Raheja QBE official website

  • Email: customercare@rahejaqbe.com

  • Address: Fulcrum, 501 & 502, A Wing, 5th Floor, International Airport Project Road, Sahar, Andheri East, Mumbai - 400059.

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Frequently Asked Questions

  • Q. What is the maximum sum insured available under Raheja QBE Health Insurance?

    • Health QuBE has a sum insured range of ₹1 lakh to ₹50 lakh. The Health QuBE Super Top Up goes up to ₹1 crore, with deductible options from ₹1 lakh to ₹50 lakh.

  • Q. Does Raheja QBE Health Insurance offer cashless hospitalisation?

    • Yes. Cashless treatment is available at the insurer's network hospitals, subject to pre-authorisation and the terms of the selected policy. Raheja QBE states that initial cashless requests are authorised within 1 hour.

  • Q. What is the waiting period for pre-existing diseases in Raheja QBE Health Insurance?

    • The current Health QuBE policy wording specifies a 36-month waiting period for pre-existing diseases. Portability credits can reduce the applicable waiting period to the extent of prior continuous coverage, subject to IRDAI rules and policy conditions.

  • Q. What is the waiting period for specific diseases under Raheja QBE Health Insurance?

    • The specific waiting period is 24 or 36 months, depending on the disease, surgery or treatment listed in the policy wording. The exact condition should be checked against the applicable list.

  • Q. Can I buy Raheja QBE Health Insurance for my family?

    • Yes. Health QuBE is available on a family floater basis and can include up to six family members. The minimum sum insured for a family floater starts at ₹2 lakh.

  • Q. Does Raheja QBE Health Insurance have a co-payment option?

    • Yes. The Health QuBE Super Saver plan has a 20% co-payment, while the A-La-Carte plan allows the customer to select a 20% co-payment option as an add-on.

  • Q. How can I check the Raheja QBE Health Insurance hospital list?

    • The network hospital list can be checked through the Raheja QBE hospital locator. Customers can search for hospitals by selecting the relevant state and city.

  • Q. Can I renew my Raheja QBE Health Insurance policy online?

    • Yes. Raheja QBE provides online renewal facilities for eligible health insurance products. The renewal option is available through the insurer's website, where the existing policy details can be used to proceed with renewal.

  • Q. How can I file a Raheja QBE Health Insurance claim?

    • For Health QuBE, Health QuBE Super Top Up, Arogya Sanjeevani and Group Health Insurance claims, customers are directed to the insurer's authorised TPAs for claim registration. The relevant TPA contact details are available through Raheja QBE's health claims page.

  • Q. Does Raheja QBE Health Insurance provide tax benefits?

    • Health insurance premiums can qualify for deductions under Section 80D of the Income Tax Act, subject to the applicable tax rules and limits.

  • Q. How can I check my Raheja QBE Health Insurance policy status?

    • Policyholders can use Raheja QBE's online policy servicing facilities or contact customer care for assistance with policy status, servicing requests and other policy-related information.

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