Health Insurance with Dental Cover
No Capping
on Room Rent
24/7
Customer Support
Zero
Co-payment
No Capping
on Room Rent
24/7
Customer Support
Zero
Co-payment
Is Dental Treatment Covered in Health Insurance Policy in India?
To simply put it, a dental health insurance is a health insurance that also covers for your necessary dental treatment expenses. Typically, many standard health insurance plans do not offer insurance for dental treatments and care. However, at Digit we cover the same under our OPD benefit which is included as part of our Digit Health Care Plus plan.
Why do you need a Dental Health Insurance?
What’s great about Digit Health Insurance covering Dental treatments?
What’s covered in Digit Health Insurance with OPD cover, including coverage for dental treatments?
Smart + OPD
Dental Treatments Out-patient dental treatment for the immediate relief of dental pain; taken from a dentist, provided that we will only pay for X-rays, extractions, amalgam or composite fillings, root canal treatments and prescribed drugs for the same, and teeth alignment for adolescents. |
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OPD Coverages |
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Professional Fees Fees for medically necessary consultations and examinations by medical practitioners to assess your health for any illness. |
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Diagnostic Fees Medically necessary out-patient diagnostic procedures such as x-rays, pathology, brain and body scans (MRI, CT scans) etc... used to make a diagnosis for treatment from a diagnostic center. |
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Surgical Treatments Minor Surgical procedure such as POP, suturing, dressings for accidents and animal bite related outpatient procedures etc. carried out by a Medical Practitioner. |
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Medicine Bills Medication drugs and medicines as prescribed by your medical practitioner. |
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Hearing Aids Hearing aids required for serious hearing conditions are covered. |
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Other Coverages |
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All Hospitalization, including for Coronavirus This covers for hospitalization expenses due to an Illness, Accident or even a Critical Illness. It can be used to cover for multiple hospitalizations, as long as the total expenses are up to your sum insured. |
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Daycare Procedures Health insurances generally cover medical expenses only for hospitalizations exceeding 24 hours. This covers for medical treatments undertaken in a hospital, requiring less than 24 hours due to technological advancement. |
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No Age Based Copayment A Copayment refers to the amount of money you need to pay from your pocket, during a health insurance claim. In our plans, there is no age based copayment involved! |
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No Room Rent Capping Different categories of rooms have different rents. Just like how hotel rooms have tarrifs. With Digit, some plans give you the benefit of having no room rent cap, as long as it is below your Sum Insured. |
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No ICU Room Rent Capping ICU (Intensive Care Units) are meant for serious patients. The level of care is higher in ICUs, which is why the rent is higher too. Digit does not put any limit to the rent as long as it is below the your Sum Insured. |
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Cumulative Bonus Get rewarded for every claim free year. If you do not make any claim in a year, some plans reward you with a discount in the next year. This extra discount is called Cumulative Bonus |
10% CB for each claim free year (Up to 50%)
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Road Ambulance Charges Road Ambulance Charges |
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Complimentary Health Checkups Annual health checkups are important to ensure you are aware of your overall health and well-being. This is a renewal benefit that allows you to reimburse your expenses towards any annual medical tests and checkups, at any hospital of your choice. |
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Post Hospitalization Lumpsum This is a benefit you can use to cover all your medical expenses post hospitalization, at the time of discharge. No bills required. You can choose to either use this benefit or use the standard post-hospitalization benefit, through the process of reimbursement. |
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Psychiatric Illness Cover If due to a trauma, one has to be hospitalized for a psychiatric treatment, it will be covered under this benefit. However, OPD consultations are not covered under this. |
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Bariatric Surgery This coverage is for those facing organ issues due to their obesity (BMI > 35). However, in case the obesity is due to eating disorders, hormones or any other treatable conditions, this surgery cost will not be covered. |
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Additional Covers you can opt for |
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Maternity Benefit with Newborn Baby Cover If you plan on having a baby in the next two years or so, you can opt for this. It covers for child-delivery (including medically necessary terminations), infertility expenses and coverage for the newborn baby up to its first 90 days. |
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Zone Upgrade Every city falls either in Zone A, B or C. Zone A has Delhi and Mumbai. Zone B has cities like Bangalore, Hyderabad, Kolkatta. The zones are divided as per medical costs. Zone A cities have highest medical costs therefore the premium to get a treatment under health insurance in these cities is a bit higher. If you wish to get treated in a bigger city than where you live, you can upgrade your plan for the same. |
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What’s not covered?
This insurance for dental treatment does not include expenses for cosmetic surgeries, dentures, dental prosthesis, dental implants, orthodontics, orthognathic surgeries, jaw alignment or treatment for temporomandibular (jaw), or upper and lower jaw bone surgery and surgery related to the temporomandibular (jaw) unless necessitated by an acute traumatic injury or cancer.
Apart from this, the OPD cover excludes expenses incurred towards Spectacles, Contact Lenses and Physiotherapy, Cosmetic Procedures, Ambulatory Devices like Walkers, BP Monitors, Glucometers, Thermometers, Dietician Fees, Vitamins and Supplements.
How to file a claim?
Benefits of having a Health Insurance that covers Dental Treatments
How to ensure healthy Dental hygiene and wellbeing?
FAQs about Dental Health Insurance
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