Raheja QBE offers two types of claim settlements – cashless and reimbursement. Follow the steps to raise a claim:
- Find the nearest network hospital of Raheja QBE
- 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 Raheja QBE 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 Raheja QBE policy
- The network hospital will send the hospital bill to Raheja QBE.
- After review, the insurance company will pay the bill amount directly to the network hospital.
- Intimate Raheja QBE 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 Raheja QBE Health Insurance
Raheja QBE Health Insurance plans are offered by the Raheja QBE General Insurance Company. The Company provides a variety of health insurance plans designed for individuals, families, persons with disabilities, surrogate mothers and oocyte donors. They also offer a super top-up insurance plan and an affordable health policy. Moreover, the insurance company promises to approve all initial cashless requests within 1 hour.
Types of Raheja QBE Insurance Plans
The Raheja QBE Health plan provides comprehensive coverage against a wide range of planned and emergency medical expenses. The plan comes in four variants – Basic, Comprehensive, Super Saver and A la Carte.
Features and Benefits:
- In-patient hospitalization, advance treatment and domiciliary hospitalization are covered
- Daily allowance, organ donor benefit, and ambulance cover is available
- Cost of non-medical expenses and pre-post hospitalization expenses are covered
- Recharge benefit, annual health check-ups, sum insured increase and no claim bonus are available
- Optional covers, such as OPD cover, home care treatment, etc., are available
- Voluntary co-payment and sub-limit waiver are also available as optional covers
- No pre-acceptance medical tests are required up to 55 years and ₹10 lakh sum insured
Raheja QBE Health QuBE Super Top Up plan is a super top-up health insurance policy that provides additional coverage to the policyholder if the base policy amount has been exhausted.
Features and Benefits:
- Coverage for in-patient treatment and AYUSH treatments are available
- Donor's medical expenses and pre & post-hospitalization expenses are covered
- No claim bonus and domiciliary hospitalization are also available
- Restoration benefit is available as an optional cover
- No pre-policy health check-up is required for up to 55 years
The Raheja QBE Arogya Sanjeevani policy covers the medical expenses of individuals and families for an affordable premium.
Features and Benefits:
- In-patient, pre-hospitalization and post-hospitalization expenses are covered
- Coverage for cataract treatments and AYUSH treatments are available
- No claim bonus is also available
- No pre-acceptance medical tests are required for up to 55 years
Raheja QBE Health Bharosa plan has been designed to cover the medical needs of persons with disability and HIV AIDS.
Features and Benefits:
- Coverage for in-patient treatment and in-patient AYUSH treatments are available
- Modern treatments and cataract treatments are covered
- Emergency ground ambulance cover are also available
- Both pre-hospitalization and post-hospitalization expenses are covered
The Raheja QBE Surrogacy and Oocyte Donor Insurance plan covers the medical expenses incurred by surrogate mothers and oocyte donors.
Features and Benefits:
- In-patient hospitalization and day care treatment are covered
- Coverage for AYUSH treatments and advance treatments are available
- Domiciliary treatments are also covered
Key Benefits of Raheja QBE 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 Raheja QBE Cashless Network Hospital list
Policybazaar Claim Process
Here is the list of documents required to file a Raheja QBE health insurance claim:
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Claim FormDuly filled and signed Raheja QBE health insurance claim form
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Health Card/Policy CopyHealth card or a copy of Raheja QBE 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.
Choose Raheja QBE Health Insurance Coverage of Your Choice
The process to buy a Raheja QBE 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 Raheja QBE health insurance policy and pay the premium online
The process to renew a Raheja QBE 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 Raheja QBE health insurance policy you want to renew and pay the premium online
Here are the contact details of HDFC ERFO General Insurance Company:
| Categories | Contact Details |
|---|---|
| Toll-free Number | 1800 102 7723 |
| Email id | customercare@rahejaqbe.com |
Raheja QBE Health Insurance: FAQs
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Q1. What is the claim settlement ratio for Raheja QBE health insurance?
Ans: The claim settlement ratio of Raheja QBE health insurance for the last 3 months is 93.30%. However, the claim settlement ratio is subject to change.
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Q2. How do I renew my Raheja QBE health insurance?
Ans: You can renew your Raheja QBE health insurance policy on the official website of the insurer or by contacting their customer support team. Besides, the Raheja QBE health insurance renewal is also possible on Policybazaar.com.
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Q3. Where can I get the Raheja QBE health insurance hospital list?
Ans: You can get the Raheja QBE health insurance hospital list on the official website of the insurer or Policybazaar.com. You can also contact their customer care team to get the list of network hospitals.
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Q6. How many days is the grace period for Raheja QBE health insurance?
Ans: The grace period for Raheja QBE health insurance plans ranges from 15 days to 30 days after the policy due date.
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Q7. How many years is Raheja QBE health insurance valid for?
Ans: The Raheja QBE health insurance policy will be valid for as long as you pay the renewal premium.
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Q8. What is the maximum waiting period for Raheja QBE health insurance?
Ans: The maximum waiting period for Raheja QBE health insurance is 3 years for pre-existing diseases and specific diseases.
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Q11. How can I check the Raheja QBE health insurance policy status?
Ans: The best way to check the Raheja QBE health insurance policy status is by visiting the website of the insurance company. You can enter the required policy details and get the status.
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Q12. What is the process to settle claims for Raheja QBE health insurance?
Ans: The Raheja QBE General Insurance Company authorizes all pre-authorization requests for cashless treatments within 1 hour and final settlement within 3 hours. On the other hand, the insurer settles all reimbursement claims within 30 working days of receiving all the claim documents.
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Q13. What is the policy cancellation process for Raheja QBE health insurance?
Ans: The Raheja QBE health insurance policy can easily be cancelled online or by calling their customer care toll-free number. The customer executive will provide you with a list of required documents. After all the formalities, you will get an intimation letter regarding your policy cancellation.
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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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