Bajaj Allianz offers two types of claim settlements – cashless and reimbursement. Follow the steps to raise a claim:
- Find the nearest network hospital of Bajaj Allianz
- Get admitted to the hospital
- Notify the insurance company about the hospitalization
- In case of pre-planned hospitalization, intimate the insurer before hospital admission.
- Fill up the pre-authorization form and submit it to the hospital staff
- The pre-authorization form will be sent to Bajaj Allianz for approval.
- Once approved, obtain medical treatment.
- At the time of discharge, sign all the medical documents.
- Pay for the items/services not covered under the Bajaj Allianz policy
- The network hospital will send the hospital bill to Bajaj Allianz.
- After review, the insurance company will pay the bill amount directly to the network hospital.
- Intimate Bajaj Allianz about the hospitalization
- In case of planned hospitalization, inform the insurance provider before hospital admission.
- Obtain medical treatment
- During discharge, pay the hospital bill in full.
- Collect all the medical documents, hospital bills and receipts
Our Claim specialists in below cities will reach your hospital or home in 30 minutes to support your health insurance claim
About Bajaj Health Insurance (Formerly known as Bajaj Allianz Health Insurance)
Bajaj Health Insurance (Formerly known as Bajaj Allianz Health Insurance) is offered by the Bajaj General Insurance (formerly known as Bajaj Allianz General Insurance Company), which was started together by India’s Bajaj Finserv Limited and world leader Allianz SE in May 2001. The insurer offers a wide range of health insurance plans catering to the varying health needs of the public. Customized plans to cover women, senior citizens, vector-borne diseases and critical illnesses are also available.
Types of Bajaj Allianz Insurance Plans
The Bajaj (Formerly known as Bajaj Allianz) Health Guard plan provides comprehensive coverage for medical expenses incurred during hospitalization. Moreover, the plan is available in 3 types – Silver, Gold and Platinum.
Features and Benefits:
- Ambulance, hospitalization and day care treatment expenses are covered
- Bariatric surgery, AYUSH treatment and convalescence benefit are available
- Maternity and newborn baby expenses are also covered
- No pre-policy check-up is required for up to 45 years
- 100% reinstatement of the sum insured is available once in a policy year
- Preventive health check-up facilities are available after a fixed block of years
- Recharge benefit and super cumulative bonus is available under the Platinum plan
The Bajaj (Formerly known as Bajaj Allianz) Health Infinity plan covers the medical expenses of the insured up to a coverage amount based on the chosen per day room rent limit. Bajaj Health Guard Family Floater Option plan which can be taken for the coverage of the entire family covering yourself, spouse, children and dependent parents.
Features and Benefits:
- Coverage for in-patient treatment and day care procedures are available
- Ambulance charges, pre-hospitalization and post-hospitalization expenses are covered
- No pre-policy medical tests are required for up to 45 years
- No sub-limits on hospital room rent are applicable
- Preventive health check facilities are available after every 3 renewals
The Bajaj (Formerly known as Bajaj Allianz) Health Care Supreme plan provides extensive medical coverage so that the insured can avail best treatments without worrying about arranging money.
Features and Benefits:
- Hospitalization expenses, OPD expenses and physiotherapy expenses are covered
- Coverage for maternity expenses and newborn baby are available
- No pre-policy medical examinations are required for up to 45 years
- Recovery benefit and air ambulance cover are also available
- 10% cumulative bonus for up to 50% is available on every claim-free year
- Free annual preventive health check-up is available
- Ancillary expenses, personal accident cover and critical illness cover are available as add-ons
The Bajaj (Formerly known as Bajaj Allianz) Extra Care plan provides additional medical coverage to the insured in case the hospitalization expenses cross the base policy limit.
Features and Benefits:
- Cost of in-patient hospitalization is covered
- Modern treatments and emergency ambulance cover are available
- Pre-hospitalization and post-hospitalization expenses are covered
- No pre-policy medical tests are required for up to 55 years
Bajaj (Formerly known as Bajaj Allianz) Extra Care Plus is a super top-up plan that offers wider health insurance coverage to cover higher medical expenses.
Features & Benefits:
- Coverage for in-patient, pre-hospitalization and post-hospitalization are available
- Day care procedures and modern treatments are covered
- Emergency road ambulance and organ donor cover are available
- Maternity expenses, including pre-natal and post-natal expenses, are also covered
- No pre-policy medical tests for up to 55 years of age
- Free medical check-ups are available after every 3 continuous renewals
- Option to air ambulance cover to the policy
The Bajaj (Formerly known as Bajaj Allianz) Silver Health plan has been designed to cover the medical expenses of people above the age of 45 years. The plan is available in two types – Plan A and Plan B.
Features and Benefits:
- Coverage for hospitalization and modern treatments are available
- Road ambulance charges and day care procedures are covered
- Domiciliary hospitalization cover is available under Plan B only
- 10% cumulative bonus for up to 100% is granted for every claim-free year
- Preventive health check-up facilities are available after a block of fixed years
- Room rent capping is available as an add-on cover
The Bajaj (Formerly known as Bajaj Allianz) Women Specific Critical Illness plan covers insured women against a range of critical illnesses, including cancer, burns, paralysis, etc.
Features and Benefits:
- Coverage for 12 critical illnesses are available
- Congenital disability benefit is available for the first two newborn children
- Children education bonus and loss of job cover are also available
- No pre-policy medical examination is required for up to 40 years
- A survival period of 30 days is applicable
Bajaj (Formerly known as Bajaj Allianz) Criti Care is a critical illness insurance plan that offers medical coverage for cardiovascular care, cancer care, kidney care, sensory organs care and neuro care & transplants.
Features and Benefits:
- Lump sum payment is made on the diagnosis of 43 critical illnesses
- Cost of cancer reconstructive surgery and cardiac nursing is covered
- Dialysis care, sensory care and physiotherapy care are available
- No pre-policy medical examination is required for up to 55 years
- A survival period of up to 15 days may apply
The Bajaj (Formerly known as Bajaj Allianz) Premium Personal Guard plan covers the insured against accidents leading to severe injuries.
Features and Benefits:
- Both accidental death and hospitalization expenses are covered
- Coverage for permanent total/partial disability and temporary total disability are available
- Ambulance charges and transportation of mortal remains are covered
- Children’s education bonus and hospital confinement allowance are available
- 10% cumulative bonus for a maximum of 50% is available on every claim-free year
Bajaj (Formerly known as Bajaj Allianz) M-Care is a customized plan designed to provide coverage against 7 vector-borne diseases, such as dengue, malaria, chikungunya, etc.
Features and Benefits:
- Lump sum benefit is paid on the first diagnosis of the disease
- A waiting period of 15 days is applicable
The Bajaj (Formerly known as Bajaj Allianz) Loan Care plan protects the insured from the burden of repaying a loan in case of any unfortunate incident.
Features & Benefits:
- Personal accident cover, including accidental death & permanent total disability, is available
- Cost of transportation of the mortal remains is also covered
- Daily allowance cover and children’s education benefit are also available
- EMI payment cover is also available in case of termination of the job
The Bajaj (Formerly known as Bajaj Allianz) Global Personal Guard plan offers personal accident coverage to the insured across the globe.
Features and Benefits:
- Accidental death and permanent total/partial disability are covered
- Coverage for accidental hospitalization expenses, coma and fracture care are available
- Road ambulance, air ambulance and travel expenses are covered
- Adventure sports benefit, hospital cash benefit and children educational benefit can be opted
- Loss of income due to an accidental disability, EMI payment cover and loan protector cover is available
- 10% cumulative bonus is granted for every claim-free year for a maximum of 50%
The Bajaj (Formerly known as Bajaj Allianz) My Health Care plan is a mix of a basic hospitalization plan and a super top-up plan that provides all-round medical protection to the insured.
Features and Benefits:
- In-patient hospitalization, OPD treatments and AYUSH treatments are covered
- Home nursing benefit, family visit and airlift cover are available
- Maternity expenses, including surrogacy and ART complications, and baby care are covered
- Annual preventive health check-ups and renewal premium waiver benefit are available
- Consumables expenses and the cost of prescribed external medical aid are covered
- Sum insured reinstatement, cumulative bonus and recharge benefit are available
- International cover, super cumulative bonus and loss of income are available as optional covers
- Option to add double sum insured benefit and major illness & accident multiplier is also available
The Bajaj (Formerly known as Bajaj Allianz) Personal Accident plan covers the insured against any health uncertainties arising out of an accident.
Features and Benefits:
- Coverage for accidental death and permanent total disability are available
- Permanent partial disability and temporary total disability are covered
- Transportation of mortal remains and children’s education bonus are available
- 10% cumulative bonus for up to 50% is granted for every claim-free year
- Accidental medical expenses and hospital confinement allowance are available as optional covers
The Bajaj (Formerly known as Bajaj Allianz) Hospital Cash Daily Allowance plan covers the incidental expenses incurred during the hospitalization of the insured.
Features and Benefits:
- Daily allowance is paid for each day of hospitalization
- Double the cash amount is paid in case of ICU hospitalization
- Coverage is available for a maximum of 30/60 days per policy year
The Bajaj (Formerly known as Bajaj Allianz) Tax Gain plan provides coverage for hospitalization and outpatient expenses of an entire family on a floater basis
Features and Benefits:
- OPD expenses, day care procedures and hospitalization expenses are covered
- Coverage for road ambulance are available
- Modern treatments and cataract surgery are also covered
- Crutches expenses are covered from Day 1
- Free health check-ups are available after every 4 claim-free years
- No pre-policy medical tests for up to 45 years
The Bajaj (Formerly known as Bajaj Allianz) Global Health Care plan provides comprehensive coverage against medical expenses incurred within India and abroad. The plan is available in 2 types – Imperial and Imperial Plus.
Features and Benefits:
- Cost of in-patient treatments and pre-post hospitalization is covered within India and abroad
- Ambulance charges as well as mental illness treatment and rehabilitation are covered
- Annual preventive health check-ups within India are available
- Palliative care, medical repatriation and in-patient cash benefit is available abroad
- OPD treatment, physiotherapy benefit and alternate treatment outside India are covered
- 20% cumulative bonus is granted under the domestic cover for every claim-free year
- Option to add dental benefits to the international cover
The Bajaj (Formerly known as Bajaj Allianz) Critical Illness plan offers financial support to the insured for the treatment of 10 critical illnesses, including stroke, cancer, etc.
Features & Benefits:
- Lump sum payment is made on the diagnosis of the critical illnesses
- A survival period of 30 days is applicable
The Bajaj (Formerly known as Bajaj Allianz) Health Ensure plan offers comprehensive coverage to the insured for medical expenses incurred due to an illness or injury.
Features & Benefits:
- Coverage for in-patient treatment, AYUSH treatment and day care procedures are available
- Road ambulance charges and organ donor expenses are covered
- No pre-policy medical tests are available for up to 50 years
- Preventive health check-up facilities are available after every 3 continuous renewals
- 5% cumulative bonus for up to 25% is granted on every claim-free year
The Bajaj (Formerly known as Bajaj Allianz) Sankat Mochan plan covers the insured against any accidents that may lead to a major financial burden.
Features & Benefits:
- Coverage for death and permanent total disability due to an accident are available
- Permanent partial disability and temporary total disability are available
- Cost of accidental hospitalization is covered
- Hospital confinement allowance for up to 30 days per policy year is available
Key Benefits of Bajaj Health Insurance (Formerly known as Bajaj Allianz Health Insurance)
or select from popular citiess In case of emergency we are just a call away. Take care of your family, we will do the rest. Our claim specialists will reach your location & complete the formalties from filing the claim to documentation to coordinating with insurer, TPA & hospital. Available in New Delhi and 114+ cities View cities list ›Search Bajaj Allianz Cashless Network Hospital list
Policybazaar Claim Process
Here is the list of documents required to file a Bajaj health insurance claim:
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Claim FormDuly filled and signed Bajaj health insurance claim form
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Health Card/Policy CopyHealth card or a copy of Bajaj health insurance policy
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Medical DocumentsHospital discharge card, doctor’s prescriptions, test reports, etc.
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Medical Bills & Payment ReceiptsAll medical bills, including hospital bills and pharmacy bills, along with payment receipts
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KYC DocumentsKYC documents to be submitted for claims above ₹1 lakh
Note: The exact list of claim documents varies from case to case. Contact the customer support team for the complete list.
The process to buy a Bajaj Health Insurance (Formerly known as Bajaj Allianz Health Insurance) plan is given below:
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Visit the Health Insurance SectionGo to the ‘Health insurance’ section on Policybazaar.com
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Fill in Personal DetailsProvide necessary details like age, mobile number, city, medical history, gender, etc.
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Pay the Premium OnlineChoose your preferred Bajaj Health Insurance (Formerly known as Bajaj Allianz Health Insurance) policy and pay the premium online
The process to renew a Bajaj Health Insurance (Formerly known as Bajaj Allianz Health Insurance) plan is given below:
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Go to the Renewal SectionNavigate to the ‘Renew Your Policy’ tab on Policybazaar.com and select ‘Health Renewal’
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Verify Your IdentityEnter your registered mobile number and the OTP sent to your device
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Pay the Renewal Premium OnlineSelect the Bajaj Health Insurance (Formerly known as Bajaj Allianz Health Insurance) policy you want to renew and pay the premium online
Explore Bajaj Allianz Health Insurance
Take a look at the Bajaj Health Insurance (Formerly known as Bajaj Allianz Health Insurance) contact number below:
| Categories | Contact Details |
|---|---|
| Toll-free No. | 1800-209-0144 (for sales assistance) 1800-103-2529 (for health claim assistance) 1800-210-1030 (for senior citizens) 1800-209-5858 1800-102-5858 020 30305858 |
| Whatsapp No. | 75072 45858 |
| Email ID | bagichelp@bajajallianz.co.in seniorcitizen@bajajallianz.co.in (for senior citizens) |
Bajaj Health Insurance (Formerly known as Bajaj Allianz Health Insurance): FAQs
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Q1. Where can I get the Bajaj Health Insurance (Formerly known as Bajaj Allianz Health Insurance) hospital list?
Ans: You can find the list of network hospitals for Bajaj Health Insurance (Formerly known as Bajaj Allianz Health Insurance) along with the policy document issued by your insurer. You can also visit Policybazaar.com to check the list of network hospitals in your city.
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Q2. How can I check my Bajaj Health Insurance (Formerly known as Bajaj Allianz Health Insurance) policy status?
Ans: You can check the policy status of your Bajaj Health Insurance (Formerly known as Bajaj Allianz Health Insurance) policy on the website of the insurer or by contacting the customer care team. You can also get in touch with Policybazaar if you have purchased your policy from here.
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Q3. What should I do if there is a mistake in my Bajaj Health Insurance (Formerly known as Bajaj Allianz Health Insurance) policy document?
Ans: If there is a mistake in your policy document, you can contact Bajaj Health Insurance (Formerly known as Bajaj Allianz Health Insurance) customer care to get it rectified. You can also send an email to the insurer asking for the mistakes in the policy document to be corrected.
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Q. What is the advantage of selecting a policy with a duration of more than 1 year?
Ans: If one buys Aditya Birla Health Insurance for more than a year, one can save 7.5 % and 10% on the 2 and 3 years premium, respectively.
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Q. How is an Individual cover different from a Floater cover?
Ans: In an Individual cover, coverage is offered to each individual in the family separately. In a Family Floater health insurance plan, each family member is covered based on a floater sum insured.
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Q. How is an Individual cover different from a Floater cover?
Ans: In an Individual cover, coverage is offered to each individual in the family separately. In a Family Floater health insurance plan, each family member is covered based on a floater sum insured.
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Q. What is a waiver of a mandatory co-pay cover?
Ans: This benefit is covered on payment of an additional premium. Therefore, any mandatory co-payment that is applicable under the Aditya Birla Activ Health Essential Plan will be waived off.
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