Bajaj Allianz Health Insurance Claim Settlement Ratio
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Bajaj Allianz Health Insurance Claim Settlement Ratio
Bajaj Allianz health insurance claim settlement ratio is essential to consider before buying a health policy. The health insurance claim settlement ratio indicates the percentage of claims settled by the insurance company against the total claims filed by policyholders in a financial year. A higher claim settlement ratio of above 85% means a greater possibility of your insurance claim being paid by the insurance company.
The Bajaj Allianz General Insurance Company enjoys a good reputation in the market as it has a claim settlement ratio of 93.1% in FY 2021-22. Besides, the in-house claims team of the insurer approves cashless claims within 60 minutes.
Claim Process of Bajaj Allianz Health Insurance Plans
The procedure for Bajaj Allianz health insurance cashless and reimbursement claims is given below:
Bajaj Allianz Cashless Claim Process:
The insured needs to get admitted to one of the network hospitals of the Bajaj Allianz General Insurance Company for cashless treatment. Here are the steps to file a Bajaj Allianz health insurance cashless claim:
- Notify the insurer about your emergency hospitalization within 24 hours and planned hospitalization at least 48 hours in advance.
- Hospital will verify your identity using your photo ID card and policy copy.
- The hospital will send your pre-authorization form to the Bajaj Allianz Health Administration Team (HAT).
- After verifying the details in your pre-authorization form with your policy coverage, the team will convey its decision within 60 minutes.
- If any additional details are required, then the insurer will ask for the same from the hospital.
- After your discharge, the Bajaj Allianz HAT will settle the bill amount with the network hospital.
Bajaj Allianz Reimbursement Claim Process:
The following steps can be followed to raise a Bajaj Allianz health insurance reimbursement claim:
- Inform Bajaj Allianz General Insurance Company about your planned and emergency hospitalization within the specified timelines.
- Avail treatment and pay the entire hospital bill at the time of discharge. You must keep all the documents with you, including medical test reports, payment receipts, bills, etc.
- Submit all the supporting documents to the Bajaj Aliianz HAT.
- The team will verify your documents as per your policy coverage. If additional documents are required, they will let you know.
- Post verification, the team will process your claim amount.
Documents Required for Bajaj Allianz Health Insurance Claim
For the processing of a Bajaj Allianz health insurance claim, you need to submit the following documents:
- Claim form duly signed and filled by the policyholder
- Discharge summary from the hospital (original)
- KYC form
- Original hospital bill with detailed cost breakup
- All test and lab reports
- Original payment receipts
- Invoice copy in case of implants
- Doctor’s first consultation letter
- NEFT form filled and signed by the policyholder
- Original death summary
- Certificate of legal heir containing affidavit and indemnity bond
For further information, you can get in touch with our customer care team at Policybazaar on the helpline number- 1800-208-8787.
Policybazaar exclusive benefits
- 30 minutes claim support*(In 120+ cities)
- Relationship manager For every customer
- 24*7 claims assistance In 30 mins. guaranteed*
- Instant policy issuance No medical tests*
Health insurance companies
Disclaimer: The list mentioned is according to the alphabetical order of the insurance companies. Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by any insurer. For complete list of insurers in India refer to the Insurance Regulatory and Development Authority of India website www.irdai.gov.in
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*We will respond in the first instance within 30 minutes of the customers contacting us. 30-minute claim support service is for the purpose of giving reasonable assistance to the policyholder in pursuance of the claim. Settlement of claim (including cashless claim) is the responsibility of the insurer as per policy terms and conditions. The 30- minute claim support is subject to our operations not being impacted by a system failure or force majeure event or for reasons beyond our control. For further details, 24x7 Claims Support Helpline can be reached out at 1800-258-5881.
*Product information is authentic and solely based on the information received from the Insurer. Policybazaar is acting only as a facilitator and claims settlement shall be at the sole discretion of the Insurer. Policybazaar does not provide any medical or surgical advice or diagnosis and is not responsible for your interactions / treatment by a medical practitioner/hospital. Please consult a registered medical practitioner for any medical or surgical advice. The Information that you obtain or receive from Policybazaar, and its employees, or otherwise on the Website is for informational purposes only. As per the Insurance guidelines, you are allowed to cancel the policy with-in 30 days from the date of Issuance of policy.This option is available incase of policies with a term of one year or more.
*All the health insurance plans cover hospitalization expenses including COVID-19 treatment cover up to the specified limits. You can also buy specific COVID-19 health insurance policies such as Corona Kavach Policy and Corona Rakshak policy.
**All savings and online discounts are provided by insurers as per IRDAI approved insurance plans. #Tax Benefits are subject to changes in tax laws. GST Exemptions depend on fulfilment of qualification criteria and submission of relevant documents.
*₹1748/month is the starting price for a 1 crore health insurance for an 18-year-old male, with no pre-existing diseases. Discount on renewal premium is subject to the number of wellness points earned in the health insurance policy. For more details about the plans, please read the sale brochure carefully to get upto 100% discount on renewal premium.
*₹400/month is the starting price for ₹ 5 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases
*₹541/month is the starting price for ₹ 10 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases
*₹762/month is the starting price for ₹ 1 Crore Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases
*₹243/month(₹ 8/day) is the starting price for a 5 lakh health insurance for a 20-year-old male, non-smoker, living in Bengaluru with no pre-existing diseases
*₹2020/month is the starting price for ₹ 1 Cr Health insurance for a 50 year old male & 50 years old female, living in Bangalore with no pre-existing diseases rounded off to nearest 10.
*₹390/month (₹13 per day) is starting price for 1 cr. Health insurance for 25 years old male, with pre-existing diseases, residing from tier 1 city rounded off to the nearest 10.
*No medical tests are required unless requested by the insurer’s underwriter. In-case of pre-existing diseases relevant medical proof would be required as per the terms and condition of the policy opted.
*The values taken for effective cost calculation are indicative values and may change as per the selected plan.
*Coverage upto double the amount of Sum Insured is available on certain covers for a minimum plan of Rs. 5 Lakh on the first claim only to an individual of upto 45 years of age with no pre-existing diseases. The benefit is available with or without extra cost depending on the plan chosen.
*Coverage of pre-existing diseases is provided by insurer as per their underwriting policy.
*The scope of coverage may vary from plan to plan.
~Source: Google Review Rating available on:- http://bit.ly/3J20bXZ
##On ground claim assistance is available in 114 cities
Tax Benefits are subject to changes in tax laws. GST Exemption depends on fulfilment of qualification criteria and submission of relevant documents as required by the insurers. For more details on risk factors, terms and conditions, please read the sales brochure and applicable rules and regulation carefully before concluding a sale.
STANDARD TERMS AND CONDITIONS APPLY. For more details on risk factors, terms and conditions, please read the sales brochure carefully before concluding a sale.
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