Bajaj Allianz Health Insurance Claim Settlement Ratio

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.

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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.