What is Health Insurance?
"Health is like money; we never have a true idea of its value until we lose it."
You cannot enjoy wealth if you are not in good health. When you are thinking about taking care of yourself, health insurance would be your ultimate backup plan. In case of a medical emergency, health insurance permits you to focus on getting better instead of worrying about medical bills.
Our Health Insurance covers hospital bills and all the medical treatment-related expenses you might face before and after hospitalization. Along with this, we also have life insurance coverage with it. So, you can lay back and relax, knowing Pragati Life is always there to save you when a medical emergency knocks at the door.
Why Choose Pragati Life?
Pragati Life is a trusted name in the field of life insurance in Bangladesh since 2000. With 250+ network hospitals and 25,000 agents and branches, our objective is to make health insurance accessible for everyone so that you can stay at absolute peace of mind!
What is Covered in Health Insurance?
Benefits of Buying Health Insurance
How to Make Health Insurance Claims?
Who Should Buy Health Insurance?
Anyone with financial dependents should buy a Health Insurance Policy. This includes:
- Young professionals with dependent parents
- Married couples
- Parents
- Business people
- Self-employed
According to Section 44(2) of Income Tax Ordinance 1984, premiums will be admissible for income tax rebate. Hence, it carries double benefits for taxpayers—protection and tax savings.
I Want to Buy Health Insurance
Ready to secure your health and peace of mind? Get started with Pragati Life's Health Insurance today!
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Frequently Asked Questions
1. What is Health Insurance?
Insurance coverage that pays for medical and surgical expenses that are incurred by the insured person during the treatment of a disease or injury.
2. What are the features of this Health Insurance Policy?
- Worldwide treatment facility
- During hospitalization - All diagnostic tests - Doctor consultation fees - Surgery fees
- 15 days treatment cost before admission in hospital
- 30 days treatment cost after discharge from hospital
- Ambulance cost
- Nominee will get full sum assured in case of death
- Income Tax rebate facility
- Up to 45% discount in 250+ networked hospital & diagnostic center
3. What is the benefit of Health Card?
You will get up to 45% discount in investigations in our 250+ network provider hospitals and diagnostic centers.
4. What are the coverages?
| Coverage | Plan 1 (Co-Payment 15%) | Plan 2 (Co-Payment 10%) |
|---|---|---|
| Life risk | BDT 5,00,000 | BDT 10,00,000 |
| Hospitalization | BDT 5,00,000 | BDT 10,00,000 |
| Room & Board Charge (Maximum) per day | BDT 5,000 | BDT 10,000 |
| ICU / CCU / HDU | Full Reimbursement | Full Reimbursement |
| Inpatient hospital costs, Operation Theatre fees, Medicines and dressings, Doctors /Surgeons fees, Nursing fees, Diagnostic tests (pathology, X-Rays, MRI, CT, PET scans), Physiotherapy and other therapeutic treatments (Insurer do not pay for Non-medical or personal items.) | At actual | At actual |
| Surgical Expenses Limit | Full Reimbursement | Full Reimbursement |
| Local Ambulance transport expense limit in case of emergency (per disability) | BDT 2,000 | BDT 2,000 |
| 15 days Pre-hospitalization, Investigation & Consultation fees | Full Reimbursement | Full Reimbursement |
| 30 days Post hospitalization, Investigation & Consultation (maximum 2 visits) | Full Reimbursement | Full Reimbursement |
| Investigation (In Patient) | Full Reimbursement | Full Reimbursement |
| Consultant Fee (In Patient) | BDT 2,000 /Day | BDT 4,000 /Day |
| Ancillary Services maximum (Excluding Bed charges, investigations, surgery/procedure fees, medicines) | BDT 25,000 | BDT 50,000 |
| Exclusions | ||
| Organ Transplant (Donor) | Not covered | Not covered |
| Repatriation of remains | Nil | Nil |
| Pre-existing diseases cover | 2 years Waiting Period | 2 years Waiting Period |
5. Is there any tax rebate facility of this Health Insurance?
Yes. According to Section 44(2) of Income Tax Ordinance 1984, premium paid under this policy shall be eligible for income tax benefit.
6. What is the age limit to buy Health Insurance policy?
An individual age range between 18-60 years may buy this Health Insurance policy.
7. What documents are required to buy Health Insurance policy?
- Proposal form
- Health related questionnaire
- NID/ Passport/ SSC certificate
- Passport size picture
- Nominee list
8. Can I include my family members in this Health Insurance policy?
Certainly. In this case, you have to pay individual premiums based on their age.
9. What if I have a medical policy/ group insurance policy of any other insurance company, can I still buy health insurance of Pragati Life?
We do not have any limitation on buying Health Insurance. It is as per your requirement if you wish to have additional coverage, however you must inform us regarding the existing policy at the time of buying.
10. Is there any option to reduce/discount the premium if taken as group?
As, this is an individual term policy, so there is no option to reduce/discount the premium.
11. Do you need pre-authorization before admitted in hospital?
Yes. To pre-authorize, you need to contact us at least 48 hours well in advance before any previously planned admission in hospital. If it is not possible, then you should contact us within 48 hours of an emergency admission. In such case, no penalty for failing to pre-authorize will apply.
12. What is cashless payment?
If you receive treatment from our network provider hospital, then we will pay pre-authorized eligible treatment charges directly to the hospitals. You do not need to worry about the bill payment. You will only need to settle any charges, that are not covered by your policy directly with the hospital/doctor.
13. What is Reimbursement?
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 cost by yourself and then claim the cost for reimbursement. Claims for reimbursements should be submitted within 7 days of discharge from the hospital.
14. How long is the claim settlement period?
We will settle the claim within 30 days of documents submission. Provided that, all the necessary documents are submitted required by us.
15. What documents you need to submit for claim?
An Insured need to submit following documents duly attested by him:
- Original bills, receipts and discharge certificate/card from hospital
- Medical history of the patient recorded by hospital
- Original cash-memo from the hospital/chemists supported by proper prescription
- Original receipt, pathological and other test reports from a pathologist/radiologist including film etc. supported by the note from attending doctor demanding such test
- Attending consultants/Anesthetists/Specialists’ certificates regarding diagnosis and bill receipt etc. in original
- Surgeons original certificate stating diagnosis and nature of operation performed along with bills/receipts
- Any other information required by us
16. How long is the waiting period?
Only 30 days after the commencement of policy for medical expense incurred for any disease. However, accidents would be covered from the Day 1.
17. When I should pay premium for renewal of policy?
You must pay renewal premium within 30 days of your policy renewal date. If failed, we will automatically cancel your policy. If any treatment is received within these 30 days, without your premium received by us and policy reinstated, we will not cover the expenses.
18. What if I don’t pay the renewal premium within 60 days of due date?
In that case, you have to apply for a new policy. All the pre-existing condition will be re-verified and waiting period will apply from the start date of your new policy.
19. Can I get refund of premium?
No. There is no option to get refund of premium.
20. Can I upgrade or downgrade my package?
Certainly. You could make any alterations only at the time of renewal. But in that case, no claim bonus will not be provided. However, any such change request will be subject to underwriting decision or requirement of medical tests on a case-to-case basis.
21. What will happen if anyone dies during hospitalization?
This is an unfortunate issue. In that case, we will provide the full sum assured to nominee.
22. How do I find a list of Pragati Life Health Insurance network hospitals and diagnostic centers?
Please visit our website www.pragatilife.com
23. Whom may I keep as my nominee?
A nominee can be anyone - spouse, children, and blood relatives. A minor (under 18) should not be declared as a nominee
24. Whom should I contact to buy this Health Insurance policy?
Please contact Pragati Careline at 09678771208 or Tel. 02-8189184-8