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Health Insurance (501) - Plan 2
  • Health Coverage
    ৳1,000,000
  • Premium
    ৳18,275 / Year
    Total Sum Insured ৳2,000,000

What is covered?

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৳1,000,000
Hospitalization (IPD)
৳1,000,000
Coverage for in-patient treatment in a registered hospital

Extra Benefits

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৳1,000,000
Term Life Insurance
৳1,000,000
Lump sum benefit paid to the legal nominee if the Insured Person dies.

Features

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Room/Bed Rent
10,000 Tk.
10,000 Tk.
Maximum room/bed rent per day
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Co-payment
None
None
A fixed amount of medical expenses that are not paid by the insurance company
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Co-insurance
10%
10%
A percentage of medical expenses that are not paid by the insurance company
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No Claim Bonus
Up to 50%
Up to 50%
Increase in coverage if there were no claims in the previous year
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Pre-existing Conditions
Covered after 4 years
Covered after 4 years
Coverage for pre-existing conditions/illnesses
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Pre & Post Hospitalization Expenses
Covered
Covered
Coverage for medical costs incurred before or after a hospitalization, such as Doctor Visits, Diagnostic Tests, Small Procedures, etc.
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Ambulance Expenses
Covered
Covered
Coverage for ambulance rental expenses
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Worldwide Treatment
Covered
Covered
Coverage for hospitalization/treatments abroad
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Maternity
Not covered
Not covered
Coverage for maternity/child-birth related issues
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Income Tax Rebate
Available
Available
Income tax rebate eligibility against the premium paid for the insurance policy
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Lifestyle Benefits
Up to 45% discount at network outlets
Up to 45% discount at network outlets
Complimentary benefits to enjoy various discount and privilege at partner outlets

Special Features

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Cashless/Direct Payment Facility
Available at 100+ hospitals
Available at 100+ hospitals
Settlement of hospital bill directly at the time of discharge
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What is not covered?

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Congenital Conditions/infirmity
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Terrorism, war, illegal activity
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Dental and optical treatment
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Obesity, cosmetic treatment, eating/sleeping disorder
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Police or military service
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Pregnancy, maternity, childbirth, and foetal surgery
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Routine medical examinations
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Self-Inflicted Injuries, Suicide/Attempted Suicide
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Organ donation
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HIV/AIDS
More Details »

Waiting periods

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Accident: 0 Day
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Illness: 30 Days
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Selected conditions/illnesses: 2 years
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Pre-existing Conditions: 4 Years
More Details »

Claim Process

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See Details
Tips for selecting the best plan
Look for plans with minimum Waiting Periods
Look for plans with low co-payment/co-insurance
Plans with OPD benefits provide coverage for out-door treatments
Choose plans with Cashless/Direct Payment Facility
If you worry about critical illnesses then look for plans with Critical Illness (CI) benefits
Need more help?
We are always here to assist you!
Health Insurance (501) - Plan 2
  • Health Coverage
    ৳1,000,000
  • Premium
    ৳18,275 / Year
    Total Sum Insured ৳2,000,000
Description

List of Network Hospitals Eligible for Cashless/Direct Payment Facility: Click Here

Lifestyle Benefit Network (up to 45% Discount on selected services): Click Here

WHAT IS COVERED

  • This policy covers you for the diagnosis and treatment of medical conditions that arise after the start of your policy. It may also provide coverage for medical conditions that you had prior to taking out your policy, but only if you declare about them when you apply for cover and the insurance company agrees to cover them.
  • It will cover the items detailed in your table of benefits subject to any limits detailed
  • Insurance company will pay for treatment received during the period of cover for which the premium has been received
  • Insurance company will only pay reasonable and customary charges

WHAT IS NOT COVERED (EXCLUSIONS)

  • Medical Expenses incurred for any disease/illness within 30 days of the commencement of the Policy Period and claims arising out of any medical conditions where signs or symptoms or diagnosis of an ailment/sickness occurring during the first 30 days of cover and leading to any hospitalization after the 30 day waiting period is over. Accidents would be covered from Day 1.
  • treatment received before the inception of the policy or after its expiry, or for any period for which you have not paid premium
  • Acts of terrorism, war, and illegal acts
  • Alcohol or drug abuse
  • Alternative therapies
  • Chemical exposure
  • Circumcision
  • Congenital conditions
  • Cosmetic treatment
  • Costs covered elsewhere
  • Dental treatment
  • Developmental issues
  • Domestic and long term care
  • Eating disorders
  • External prosthesis
  • Experimental treatment and drugs
  • Failure to seek medical advice
  • Flying
  • Hearing tests or aids
  • Hazardous sports
  • HIV, AIDS, and sexually transmitted disease
  • Infertility and gender reassignment
  • Mental or psychiatric illness - except where specifically included
  • Non-medical charges
  • Not medically necessary or reasonable and customary
  • Obesity
  • Optical care
  • Organ donation
  • Personal medical exclusions - any treatment of any medical condition shown on your Policy Schedule as excluded
  • Police or military service
  • Pre-existing Conditions
  • Pregnancy, maternity, childbirth, and foetal surgery
  • Routine medical examinations
  • Removal of foreign bodies
  • Self-inflicted injuries or suicide
  • Sleep disorders
  • Medical expenses incurred for conditions having a waiting period of 24 months of continuous coverage:

-Deviated Nasal Septum/ Nasal & Paranasal Sinus Disorders (except Malignancy), Treatment for Chronic Suppurative Otitis Media (CSOM) and Serous Otitis Media (Grommet Insertion)
-Medical or Surgical management of diseases of Tonsils / Adenoids (except Malignancy)
-Surgery of Thyroid Gland excluding for the reason of Malignancy
-All types of Hernias and Cataract excluding traumatic cataracts
-Hydrocoele / Varicocoele / Spermatocoele
-Piles / Fissure / Fistula-in-Ano / Rectal Prolapse / Pilonidal Sinus
-Benign Prostatic Hypertrophy
-Treatment of all gynecological conditions (Such as but not limited to Uterine Fibroid, Dysfunctional Uterine Bleeding,
Hysterectomy, Uterine Prolapse, Endometriosis, Adenomyosis Uteri, Ovarian Cyst, etc.) except those arising from malignancy
-Diabetes, Peripheral Vascular Disease due to Diabetes, Diabetic Foot / Hypertension, and related complications
-Skin and all internal cysts / tumors / nodules / polyps / ganglions / lipomas of any kind unless malignant
-Calculus Diseases of any etiology
-Retinopathy / Retinal Detachment
-All types of CRF and acute on chronic Renal Failures but not ARF, including Renal Failure due to Diabetes
-Osteoporosis / Pathological Fracture / Degenerative Joint Diseases / Prolapsed Intervertebral Disc
-Treatment for degenerative joint conditions including joint replacement surgeries. However, joint surgeries necessitated due to accidents would not be a part of this exclusion
-Treatment for benign breast disorders fibroadenoma, fibrocystic diseases, etc.
-Treatment for Carpal tunnel syndrome and Peripheral Vascular disease including varicose veins

*Please read the policy wording document for detailed terms and conditions of this insurance policy.

Claim Process

Claim submission guideline: Download

1. Cashless/Direct Payment Process

Cashless/Direct Payment will be applicable only at the network hospitals of the insurance company.

If you receive treatment from a network hospital, the insurance company will pay pre-authorized eligible treatment charges directly to the hospital. You do not need to worry about the bill payment. You will only need to pay any costs or fees not covered under your insurance policy.

To enjoy a cashless/direct payment facility, you must notify the insurance company before admitting to the hospital. If the hospitalization is due to an emergency medical condition, you should inform the insurance company within 48 hours of admission.

Send an email to [email protected] by providing the following information to raise a Guarantee of Payment: 

  1. Name of Policy Holder
  2. Policy Number
  3. Policy date
  4. Plan name (i.e., 501 - Plan 1 or 2)
  5. Address
  6. Phone number
  7. Email address
  8. Patient Name (should be same as the policyholder)
  9. Hospital Name
  10. Date of admission
  11. Bed/Cabin/Ward Number
  12. Provisional Diagnosis
  13. Approximate date of discharge

2. Reimbursement Process

When your treatment cost is not pre-authorized, or there is any out-patient or pre and post-hospitalization cost, in that case, you need to pay for the charge by yourself and then claim the expense for reimbursement. You should submit reimbursement claims within 7 days of discharge from the hospital. 

Fill up the claim form and submit it to the insurance company/Bimafy for reimbursement.

Claim form: Download



What is Health Insurance?

Health insurance is a type of insurance policy that provides financial coverage against illness, diseases, and accident-related treatments. That means you can get financial benefit agaisnt your medical expenses if you have a health insurance policy. All you have to do is buy a good health insurance policy and renew it every year because you never know when an accident may happen or you get sick.

Health insurance usage is relatively new in Bangladesh, and most of the insurance companies in Bangladesh do not offer retail health insurance policies to individual customers. Instead, insurance companies provide group health insurance plans to enterprises and corporates for their employees and workforce. For this reason, access to health insurance is still difficult for the mass people of Bangladesh. Bimafy is working with selected insurance companies to make health insurance easy and accessible for everyone. Bimafy offers various health insurance plans on its website and mobile app from where you can easily understand the terms and conditions and purchase online and submit claims.


Why does everyone need a Health Insurance policy?

Everyone should have a health insurance policy because:

  • Health insurance provides coverage against unexpected illness or accidental injuries to better manage your financial situation in case of an emergency hospitalization or treatment.
  • Health insurance helps you to afford better healthcare services as you have the financial independence to seek quality healthcare services.
  • Health insurance ensures peace of mind as you are covered against unexpected situations and do not need to worry about spending your savings on treatment.


Types of Health Insurance policies available in Bangladesh

Regardless of the scarcity of up-to-date health insurance coverage and plans, mostly there are few types of health insurance policies/plans available in Bangladesh and Bimafy also offers them for your consideration. A brief description of different health insurance plans are listed below.

Health Insurance for Hospitalization

Almost all health insurance plans covers hospitalization expesnes incurred due to medical conditions or illnesses. Some of the plans also covers hospitalization due to maternity/child-birth cases after a certain waiting period. These plans usually come with a yearly total coverage amount up to which the policyholder or insured person can claim back the medical expenses incurred due to hospitalization.

An important note to consider here is that health insurance policies give back the medical expenses (subject to exclusion and deductibles) as per the hospital bill. You need to properly collect and preserve the medical documents and bills at the time of discharge to submit an insurance claim.

Health Insruance for Hospitalization and OPD Treatment

Health insurance policies often covers out-door treatment costs such as doctor consultation, diagnostic tests, prescription medicines, etc. Usually these type of plans are a bit more expensive in terms of yearly premium as they covers OPD (out-door) treatments. However, buying these types of health insurance plans are always a better idea since they provide coverage against serious illnesses which requires hospitalization as well as the minor ones which does not require hospital admission. These plans also come with a yearly total coverage amount for hospital treament and out-door treatments, up to which you can claim and get financial benefit.

Critical Illness Plans

A critical illness (CI) plan is a type of health insurance policy that provides a fixed benefit or reimbursement of expenses up to the coverage amount in case of a diagnosis of a life-threatening illness. Hence it is called the Critical Illness insurance. These plans usually cover severe or life-threatening diseases such as cancer, heart attack, stroke, coronary artery bypass surgery, major organ transplantation, etc. This list may include more diseases or illnesses based on the insurance company or plan. Critical illness health insurance policies are affordable and can be a lifesaver for you in an unfortunate situation.

Sometimes, critical illness coverages are bundled with a standard hospitalization health insurance policy so that you can get complete coverage simply by purchasing a single policy. Otherwise, you can buy a standard health insurance plan and get critical illness coverage separately to ensure better financial safety in an emergency.

Note: If the health insurance is offered by a life insurance company then you may get an extra term life insurance coverage along with the health coverage without any additional premium, this can be a good option for you to secure your dependent family members in case any unfortunate event occurs to you.


Individual Plan vs Family Floater Plan, whats the difference?

This is a very common question when searching for a health insurance plan as often we want to have our family memers to be included under the health insurance coverage as illnesses/accidents do not happen to us only, they affect our families as well and we have to spend a lot of money for their treatment. Although, we may buy insruance policy for our parents or extended family members but there is a scenario where this question comes in.

An individual health insruance plan covers only a single person, be it yourself or your spouse, or father, or mother. On the other hand, family floater health insruance policy covers up to 4 persons (usually) under a single policy and the health coverage amount can be used for all family members included in the policy. In other words, family members (including yourself) can share the coverage of the policy. Apart from your spouse, in order to get coverage for your minor children, you may have to take a family floater plan as most individual health insurance plans cannot be purchased for persons aged below 18 years. So, if you have dependent children, in most cases, your best suited option is a family floater plan.

However, you have the freedom to buy seperate policies for each members of your family. But, the main advantage of buying a family floater plan is cost saving on the premium payment. Because, if you buy separate policies for each person, it will cost you more (though you will be able to ensure more coverage for each person - at a higher cost). So, if you are looking for an affordable health insruance plan for your family, then go for the family floater plans.


Why is Bimafy the best place to buy health insurance policies?

Bimafy (bimafy.com) is the first digital insurance platform in Bangladesh, from where you can easily buy the insurance policy you prefer or need and submit your insurance claims using the same platform, digitally. Bimafy is not an insurance company; it is a digital platform through which you can take the insurance services provided by various insurance companies using the website and mobile app. It is a new solution offered by Bimafy for the people of Bangladesh to make insurance easily accessible and more user-friendly.

Bimafy promotes and markets the insurance services of reputed insurance companies using its website and mobile app. People can now get many services through digital platforms like e-commerce, ride-sharing, doctor consultation, etc. But, before Bimafy, insurance was not available to people through digital channels, and Bimafy made it available to Bangladeshi people.

Through Bimafy, you can get the following insurance services: Health Insurance, Travel Insurance, Accident Insurance, Motor insurance, Life Insurance, and many more.

Bimafy is the best platform to get a health insurance policy for yourself and your loved ones. As it provides various insurance policies in one place, you can easily compare and select the best policy suited to your needs and budget. You can also check the terms, conditions, exclusions, and features of the policies before buying so that you can make an informed decision.

Bimafy not only helps you get the best insurance policy for you but also assists you in submitting the insurance claims digitally and getting the settlement as fast as possible.

Various reputed insurance companies provide their insurance services through Bimafy. You can get your suitable health insurance plan today without any hassle through online purchases or with just a phone call. Bimafy considers customer satisfaction the highest priority and aims to provide the best insurance experience you have ever enjoyed.


To know more about health insurance and for any other information, send us an email or call Bimafy Customer Support.

Customer Support Hotline: +88 09606991991

Email address: [email protected]