Bajaj Allianz Health Insurance Claim Settlement Ratio

The claim settlement ratio is also an important factor to consider before buying a policy. The health claim ratio indicates the number of claims settled by the insurance company against the claims filed.

A Higher Claim settlement ratio means a greater possibility of an insurance claim being settled.

Health Insurance companies with a higher health insurance claim settlement ratio like Bajaj Allianz General Insurance enjoy a good reputation in the market.  The Insurer has a claim settlement ratio of 98%.

Claim Process of Bajaj Allianz Health Insurance Plans 

The claim procedure for Bajaj Allianz health insurance plans is quick and easy.  You can easily get in touch with their claim team and avail financial cover at the right time to protect yourself and your loved ones against any life-threatening medical conditions.

Bajaj Allianz Cashless Claim Settlement Process is as follows:

  • You go to one of the network hospitals for treatment.
  • Hospital will verify the details filled by you in the pre-authorization form and send it to the Bajaj Allianz health insurance department.
  • After verifying the pre-authorization request details with policy coverage, the decision is conveyed to the healthcare provider.
  • On receiving approval, the treatment will continue without any cash payment till the date of discharge.
  • If any additional details are required, then the insurer will ask the same from the hospital and then approve your claim
  • If disapproved, then the same information will be sent to the hospital and you will need to make the payment for treatment on your own. 

Claim settlement process for reimbursement:

  • After discharge from the hospital, you need to keep all the documents with you along with medical tests, payment bills etc.
  • Your documents will be sent for verification to the Bajaj health insurance team
  • If additional documents are required the insurer will inform and you need to submit them timely.
  • If submitted timely, your claim will be processed within 15 days after the intimation date
  • Failing to submit the documents on time means your claim request will be closed within 45 days.

Documents Required for Bajaj Allianz Claim Process

For claim processing you need to submit the following documents:

Documents Required for Hospitalization Claims with Bajaj Allianz General Insurance:

  • Hospitalization Claim form duly signed and filled by you/policyholder
  • Discharge summary from the hospital ( original)
  • KYC form
  • Original hospital bill with detailed cost break-up
  • All test and lab reports
  • Original paid receipts
  • Invoice copy in case of implants
  • Doctor’s consultation letter
  • NEFT Form filled and signed by the insured/proposer/policyholder

Documents Required for Death Claims with Bajaj Allianz General Insurance:

  • Claim form duly filled and signed by the insured
  • KYC form
  • The original document of death summary
  • Original hospital bills with a detailed break-up of the cost
  • All hospital paid receipts ( in original)
  • All Lab and test reports
  • Copy of Invoice
  • First consultation letter from the doctor
  • Certificate of legal heir containing affidavit and indemnity bond
  • NEFT Form filled and signed by the insured/proposer/policyholder

For further information, you can get in touch with our customer care team at Policy bazaar on the helpline number- 1800-208-8787

Written By: PolicyBazaar - Updated: 02 February 2021
Disclaimer: Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by an insurer.

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