My Swasthya Care Plan Coverage Explained

Looking for wellness sessions, outpatient consultations, and preventive health benefits under your health insurance policy? Look no further than the My Swasthya Care Plan, which offers digital health and wellness support for lifestyle and chronic condition management. But you may ask - ‘What is My Swasthya Care?’

My Swasthya Care is a healthcare policy that offers cashless benefits like consultations, health sessions, preventive care, and step-by-step guidance through a mobile application. This article discusses the various My Swasthya Care coverage details, from annual health checkups to lab test benefits.

Coverage Under My Swasthya Care

My Swasthya Care provides support for monitoring, management and wellness needs to encourage healthier lifestyle practices. From specialist consultations to diet and nutrition, fitness videos to a step tracker, it provides digital wellness benefits through the designated platform. Read on to know My Swasthya Care coverage details.

Annual Health Check-up (AHC)

Under this health insurance policy, you are entitled to one annual health check-up during each policy year. The diagnostic tests that you can avail include diabetes, lipid disorder, thyroid disorder, kidney function test (KFT), and liver function tests (LFT).

The listed tests need to be completed in a single appointment. This benefit is available through network centres, and the lab results may be used to support other eligible benefits under the plan, subject to applicable terms.

Teleconsultation

My Swasthya Care provides you with one specialist teleconsultation and three general practitioner/internal medicine teleconsultations in a policy year through the designated digital platform.

Specialist teleconsultation includes specialities like Diabetology, Cardiology, Endocrinology, Nephrology, and Gastroenterology. GP teleconsultation is available exclusively through qualified and registered allopathic medical practitioners.

Lab Tests (Profile)

You can avail any two of the lab test profiles as listed below.

Based on the lab test results, you may be guided towards an appropriate specialist teleconsultation. Lab tests other than those specified above are not covered under My Swasthya Care.

Diet Consultations

This plan will provide you with six diet consultation sessions with qualified dietitians and nutritionists. These sessions are intended to support healthy lifestyle practices, weight management and overall health management through personalised guidance. Diet consultation sessions can be availed through video, audio or text/chat on the designated digital platform.

Note that the policy will not cover any nutritional supplements, vitamins, or meal replacement products.

Check out Bajaj General Insurance to know the full scope of the My Swasthya Care plan.

Fitness Video Access

My Swasthya Care grants you access to a library of fitness videos on the digital platform. The company may, however, update, modify, add, or remove content categories from time to time. Also, the videos are intended for general wellness and physical activity guidance. They are not to be mistaken for personalised therapy or medical treatment.

Keep in mind that the policy does not cover medical expenses arising from injuries resulting from improper exercise practices or activities undertaken beyond an individual's physical capabilities and will not be covered by the policy.

Smart Face Scan

Smart Face Scan is an AI-enabled wellness assessment tool that uses a compatible device camera to provide wellness scores, cardiac age, body vitals and stress indicators. The results generated might be used to support other eligible wellness benefits under the My Swasthya Care policy.

Managed Care AI Models

The Managed Care AI Models use artificial intelligence and analytics to analyse health, lifestyle, and wellness information. It identifies lifestyle factors like weight, diet, physical activity, sleep, and stress. However, these AI-generated estimates do not substitute for laboratory measurements or clinical diagnosis.

Step Tracker

My Swasthya Care gives you access to the Step Tracker feature through the digital platform to track daily steps, distance covered, and calories burned. Activity information recorded through this feature may be used for generating Smart Health Insights.

Smart Health Insight

This feature is a personalised digital health analytics feature that may process eligible health, lifestyle, laboratory, and wellness information to generate personalised insights. It is to be kept in mind that the quality and relevance of these insights depend on the completeness and accuracy of the information that you provide.

Final Thoughts

My Swasthya Care plan is designed for personalised support for lifestyle and wellness management. It supports your journey towards a healthier lifestyle and provides cashless digital benefits suited to your needs. Check out Bajaj General Insurance to know more about My Swasthya Care coverage details and how you can avail them.

Frequently Asked Questions

Who is Eligible to Purchase My Swasthya Care Plan?

Individuals from 18 to 65 years of age are eligible to purchase the My Swasthya Care plan, subject to the applicable eligibility criteria.

How Long Does My Swasthya Care Plan Last?

My Swasthya Care is available for one policy year. If an eligible benefit is not availed during the applicable period, it lapses at the end of that period. The plan may offer renewal benefits subject to its applicable terms and conditions.

Can You Buy My Swasthya Care Outside India?

No. My Swasthya Care is available to Indian nationals residing in India, subject to the applicable eligibility conditions.

Disclaimer: The content on this page is generic and shared only for informational and explanatory purposes. It is based on several secondary sources on the internet and is subject to changes. Please consult an expert before making any related decisions.

Insurance is the subject matter of solicitation. For more details on benefits, exclusions, limitations, terms, and conditions, please read the sales brochure/policy wording carefully before concluding a sale.