At this very moment, we know that none of us is getting any younger. The kind of lifestyles we lead and the food habits we have are bound to affect the quality of our health in the future.
Moreover, diseases due to changing lifestyles such as cardiovascular diseases, diabetes, hypertension, are on the rise. So to take care of the expenses arising from such medical emergencies, it is wise to have a health insurance plan that covers you and your loved ones.
About Health Insurance
Health insurance, as the name suggests, is insurance coverage that takes care of your medical and hospitalisation expenses. In other words, the insurer reimburses the expenses incurred by the insured for their medical treatment(s) or compensates the amount directly with the hospital.
With health insurance plans at Finserv MARKETS, you get coverage for yourself and your family against medical emergencies, and you can deal with sudden illnesses without having to drain your life savings.
Benefits of Health Insurance
Safeguard yourself and your family’s health with bespoke health insurance plans that will fulfil your medical needs. Get access to some best-in-class healthcare services at the network hospitals and extensive coverage with comprehensive health insurance plans available on Finserv MARKETS.
Buy health insurance for yourself and your loved ones at affordable premiums and benefit from features like:
Personalized health insurance plans that suit your medical needs
Swift claim settlements within 60 minutes
Sum Insured up to 50 Lacs
Sum insured Restoration even for Same Illness
No medical check-up up to age 55 Years
No capping on room rent
Cashless facilities in 6500+ Network Hospital
Pre- and Post-Hospitalization Expenses covered
Maternity and Newborn Baby expenses covered
Optional Air Ambulance Cover up to 50 Lacs
Organ donor expenses
Free Health check-ups and guidance after 3 years
Ayurvedic and Homeopathic Treatment Cover
Cumulative bonus up to 100% of sum insured
Types of Health Insurance Plans
There are two types of health insurance plans available on Finserv MARKETS.
Individual Health Insurance Plan
Family Health Insurance Plan
Individual Health Insurance Plan
With healthcare costs on the rise, having a good health insurance plan to help deal with medical emergencies is important. Get a comprehensive individual health insurance plan
that provides the extensive healthcare options, cashless facility and timely assistance to help tackle medical emergencies, without affecting your finances.
Family Health Insurance Plan
Protect your loved ones from unforeseen incidents with health insurance. Get coverage for your children
and spouse when you buy the best family health insurance plan offered by Bajaj Allianz.
Difference between Individual and Family Health Insurance Plans by Bajaj Allianz
Here, we will be mainly discussing Bajaj Allianz health insurance plans available on Finserv MARKETS. The following table will help you understand the difference between the two plans in detail –
KEY FEATURES |
INDIVIDUAL HEALTH INSURANCE |
FAMILY HEALTH INSURANCE |
Entry Age |
Individuals within the age group of 18 years and 65 years can seek this policy. Also, children above the age of 3 months and under the age of 30 years can be covered under the plan. |
The primary policyholder should be between the age of 18 years and 65 years old. Children between the age of 3 months and 30 years old can be added to the policy. |
Pre-Hospitalization And Post-Hospitalization Expenses |
You are covered for all the expenses incurred 60 days before the hospitalization. On the other hand, post-hospitalization charges are covered for 90 days from the discharge date. |
All the pre-hospitalization expenses of up to 30 days before the admission to the hospital are covered. Also, the policy covers the post-hospitalization expenses of up to 90 days after the discharge. |
Tax Benefits |
The premiums paid towards individual Bajaj Mediclaim are exempted for tax under Section 80D of the Income Tax Act for up to INR 1 Lakh. |
The premiums paid towards family health insurance are tax-deductible. A maximum amount of INR 1 lakh can be availed under Section 80D of the Income Tax Act, 1961. |
Sum Insured |
The sum insured amount can be between INR 2 Lakhs and INR 50 lakh. Choose a value depending on the coverage you need. |
The sum insured starts from INR 2 Lakhs and goes up to INR 50 lakhs. Depending on your affordability and necessity, choose adequate coverage for family Bajaj Allianz medical insurance. |
Cashless Services |
Cashless claims can be availed at any of the network hospitals. |
Cashless claims can be availed across more than 6500 network hospitals in India. |
Ambulance Cover |
The policy also provides maximum coverage of up to INR 20,000 annually for ambulance charges. |
The policy also provides maximum coverage of up to INR 20,000 annually for ambulance charges. |
To enhance the coverage amount of your primary health insurance plan, you can buy top-up plans at Finserv MARKETS. Let us know a little more about these plans.
About Top-Up Health Insurance
The Bajaj Allianz Extra Care Plus is a top-up plan available on Finserv MARKETS that allows you to take care of the medical expenses if your basic coverage amount is exhausted. In simple words, the policy acts as an extension to the basic health insurance plan and offers a high sum assured with low deductibles – all at a nominal premium.
The features and benefits of Bajaj Allianz Extra Care Plus available on Finserv MARKETS are as follows:
The policy acts as a financial backup in case the basic health coverage is exhausted.
It offers dual benefits of high sum assured and low cost.
The policy takes care of the rising medical costs so that you don’t have to endure any financial overburden.
You can purchase this health insurance top-up plan easily and securely from Finserv MARKETS online.
You can also enjoy tax benefits on the premiums paid towards the policy.
Key Things to Consider when Buying Health Insurance
-
Are you aware of your insurer’s Claim Settlement Ratio?
Claim Settlement Ratio or CSR is an indication of the number of claims an insurance company has settled against the total number of claims received. A health insurance provider with a high CSR is what you should look for. Bajaj Allianz General Insurance has a high claim settlement ratio of 94% and promises to settle claims within an hour - the best across the industry
-
How to choose the best health insurance policy?
An ideal health insurance plan should fulfil your medical-related needs. However, when buying health insurance online, check what is covered in your policy. Also, make it a point to check what’s not covered. Bajaj Allianz General Insurance has plans that offer health insurance with extensive coverage. Also, the claims by Caringly Yours App - an insurance wallet app by Bajaj Allianz General Insurance that allows you to settle claims up to Rs. 20,000.
-
Are you picky about your insurance provider?
You should be! After all, protecting yourself and your loved ones is important, isn’t it? Bajaj Allianz General Insurance offers individual and family health insurance plans with coverage for a dependent child up to the age of 30 and medical insurance coverage up to Rs. 50 lacs.
-
What are your coverage options?
The insurance plan that you opt for should provide cashless facilities and covers pre- and post-hospitalization, diagnostic and medical expenses. Bajaj Allianz Health Insurance offers cashless facilities across 6500+ empaneled hospitals in India and provides a number of coverage options – organ donor expenses, reinstatement benefits, homoeopathic and ayurvedic hospitalization cover and covers you and your family.
-
Is the Incurred Claim Ratio of an insurer important?
The incurred claim ratio (ICR) is nothing but the number of claims settled against the total premiums received in the said financial year. For instance, if the insurer has paid INR 80 crores under claims against INR 100 crore of total premiums received, then the ICR will be 80%. It is advisable to choose an insurer with a high ICR as the chances of getting your claim settled is more.
Factors Affecting Health Insurance Premiums
When purchasing health insurance plans or health insurance top ups, it is necessary to be aware of different factors that may affect your premiums. Here’s a list of factors that can have an impact on your health insurance premiums-
How to Reduce Health Insurance Premiums?
Here’s how you can reduce your health insurance premiums and save a significant amount of money –
Purchase health insurance at an early age
Choose adequate coverage in the beginning
You can opt for deductibles and copayments
Choose long-term health insurance plans
Different Variations of Bajaj Allianz Health Insurance Plans
The different Bajaj Allianz Health Insurance plans available on Finserv MARKETS are explained below based on certain parameters -
Parameters |
Health Guard –Silver Plan |
Health Guard - Gold Plan |
Extra Care Plus |
Min Entry Age |
3 Months, 18 Years for proposer |
3 Months, 18 Years for proposer |
3 Months, 18 Years for proposer |
Max. Entry Age |
30 years for children, 65 years for adults |
30 years for children, 65 years for adults |
25 Years for Children, 80 Years for adults |
Renewal Age |
Lifelong |
Lifelong |
Lifelong |
Exit age for Children from Parents policy |
Greater than 35 years |
Greater than 35 years |
Greater than 35 years |
Sum Insured |
2 Lacs |
3/4/5/7.5/10/15/20/25/30/35/40/45/50 Lacs |
3/5/10/15/20/25/50 Lacs |
Aggregate Deductible |
Not Applicable |
Not Applicable |
2/3/5/10 Lacs |
Room rent Capping* |
1%* of Sum Insured per day, No capping on ICU charges |
Not Applicable |
Not Applicable |
Cumulative Bonus |
10% of base sum insured per claim free year maximum 100% |
10% of base sum insured per claim free year maximum 100% |
Not Applicable |
Family Definition |
|
|
Self, Spouse, Dependent Parents and Dependent Children |
Medical Test |
|
|
|
Policy Term |
1 year, 2 years & 3 years |
1 year, 2 years & 3 years |
Not Applicable |
Organ Donor Expenses |
Yes |
Yes |
Yes |
Sum Insured Reinstatement Benefit |
Yes |
Yes |
Not Applicable |
Preventive Health Check up** |
1% of the sum insured max up to Rs. 2000/- |
to1% of the sum insured max up to Rs. 5000/- |
Not Applicable |
Ayurvedic/ Homeopathic Hospitalization Expenses |
Not Applicable |
Liability is maximum up to Rs. 20000/-per policy year |
Not Applicable |
PAN India Cover (Optional) |
Yes |
Yes |
Yes |
Air Ambulance Cover (Optional) |
Not Applicable |
Not Applicable |
Available |
Long Term Policy Discount |
|
|
Not Applicable |
The details regarding the waiting period for each of these plans are as follows –
Details of Waiting Period |
Health Guard –Silver Plan |
Health Guard - Gold Plan |
Extra Care Plus |
All treatments except any accidental injury |
First 30 days |
First 30 days |
First 30 days |
Any Pre-existing conditions |
36 Months |
36 Months |
12 Months |
Specific disease like- Cataracts, Hernia of all types, Fistulae, Fissure in ano, Hysterectomy etc |
24 Months |
24 Months |
12 Months |
Joint replacement surgery |
36 Months |
36 Months |
12 Months |
Surgery for prolapsed inter vertebral disc (unless necessitated due to an accident) |
36 Months |
36 Months |
12 Months |
Surgery to correct deviated nasal septum |
36 Months |
36 Months |
12 Months |
Hypertrophied turbinate |
36 Months |
36 Months |
12 Months |
Congenital internal diseases or anomalies |
36 Months |
36 Months |
12 Months |
Treatment for correction of eye sight due to refractive error recommended by Ophthalmologist for medical reasons |
36 Months |
36 Months |
12 Months |
Maternity Cover |
Not Applicable |
72 Months |
12 Months |
Bariatric Surgery Cover |
Not Applicable |
36 Months |
Not Applicable |
Bajaj Allianz Health Insurance – Inclusions
Cashless facility at more than 6500+ hospitals across the country
Post-hospitalization and pre-hospitalization expenditures for a maximum of 90 days and 60 days, respectively
Ambulance service without any charges, but subject to a limit as specified in the policy document
Reimbursement of your medical expenses
Free medical check-ups subject to a continuous 3 claim-free years
Bajaj Allianz Health Insurance – Exclusions
Three years of the waiting period will be applicable in case of pre-existing illnesses
Diseases arising in the first 30 days of the policy are not covered
Medical expenses incurred due to criminal activities, suicide or self-injuries
Medical care or hospitalization needed due to war or war-like situations
Medical attention required when under the influence of alcohol and other intoxicants
For sexually transmitted diseases like AIDS
For participating in naval, military or air force operations or dangerous sports like racing and driving.
Mental disorders
Maternity/New-born baby expenses have a waiting period of six years
Medical emergencies arising due to consumption of intoxicants and/or addictive substances like drugs, alcohol, etc. are not covered
Reasons to Buy Bajaj Allianz Health Insurance
Here are a few reasons why you should purchase Bajaj Allianz Health Insurance available on Finserv MARKETS-
Rising Medical Expenses
Managing medical expenses is #1 reason to buy health insurance. The healthcare costs across the country have risen by 15% over the last few years. With a sound health plan, you will be able to financially deal with unforeseen emergencies, treatments, and hefty medical bills.
Rising Health Issues
While prevention is better than cure, one should always be prepared for emergencies. With hectic work schedules and unhealthy eating habits have led to an increase in diabetes and cardiovascular-related illnesses. An appropriate health insurance plan will cover you against such conditions and bear the medical treatment expenses.
Tax Benefits
For salaried individuals who are having health insurance plans can claim deductions of up to INR 75,000 in tax under Section 80D of the Income Tax Act, 1961.
Coverage for Self and Family Members
Health emergencies can arise anytime and anywhere. With our family health insurance plans, you can safeguard yourself as well as your loved ones – all under a single policy.
Unforeseen Medical Emergencies
The need for hospitalization can arise at any hour. Thus, choosing the right health insurance plan will help you protect yourself and family members from unexpected health emergencies.
Save on Premiums
Age is a determining factor when calculating health insurance premiums. Thus, the younger you are, the lower premiums you need to pay.
Why Choose Finserv MARKETS
How to Buy Health Insurance Plans at Finserv MARKETS
Buying Bajaj Allianz Health Insurance Plans at Finserv MARKETS is a hassle-free process. Just follow the steps given below –
Visit Finserv MARKETS website and navigate to the health insurance section.
Choose the type of policy you are looking for – individual health insurance, family health insurance, top-up plans.
Read about these plans carefully before you proceed with the application.
Once you have chosen the type of health insurance plan, you want to purchase, enter the requested details and get a quote.
Based on the details provided, you will be recommended a few coverage options to choose from.
After careful evaluation, select the coverage that you think will best suit your needs to proceed with the purchase.
Enter your personal and contact details as requested.
Make secure online premium payment for the chosen health insurance plan.
The policy will be issued to you in no time.
Get Bajaj Allianz Health Insurance Today
Tackle any medical emergency head on by availing world-class medical care, cashless facility and timely assistance with a comprehensive Bajaj Allianz Health Insurance policy. Enjoy tailor made health insurance plans at affordable premiums and get extensive coverage across 6500+ network hospitals.
Steps To Renew Your Bajaj Health Insurance Policy Online
We understand that you are busy with your life and checking-off your to-do list every day can be overwhelming. Hence, we have made Bajaj health insurance renewal quite an easy and straightforward process.
It is a quick and hassle-free process. Just follow these steps
Visit us online
Fill in your basic details like existing policy number and date of birth
Pick your renewal quote and review the policy terms and conditions before agreeing
Make an online payment
You are done! The renewed health insurance plan will be sent to you in no time
This is all it takes for Bajaj Allianz health insurance policy renewal at Finserv MARKETS online. The renewal can be done anytime and on the go. It eliminates the need of visiting us in person at our branch.
Steps to Claim Your Health Insurance Online
Filing a claim through Finserv MARKETS is simple. Just follow these steps and you are done.
-
1
Register your claim through Finserv MARKETS online
-
2
Upload the necessary documents
-
3
Your insurer will assess the claim
-
4
Check claim status online
For further information, refer to the ‘Process’ section below.
- Process
- Download
- Emergency Contact
- Cashless Claims
- Claim Intimation
- Claim Reimbursement
- Cancellation Process
You need to approach the network hospital along with your policy details.
The network hospital verifies the details provided by you and sends a pre-authorization form to the network hospital.
The insurance provider verifies the pre-authorization request and informs the network hospital about your policy's coverage. If needed, the insurance provider may send a query letter to the network hospital requesting more details. The network hospital needs to respond to this query with the information requested for.
Once the network hospital receives approval from the insurance provider, treatment begins. Upon discharge from the network hospital, the final bill, along with the discharge papers, are sent to the insurance provider. The insurance provider will settle the final amount with the network hospital after deducting co-payment (if applicable) and other consumable expenses.
Should the pre-authorization request get rejected; you will have to bear all treatment expenses which can be reimbursed later.
-
Claim Intimation
- Claims should intimated within 48 hours in case of emergency hospitalization*
- Claims should be intimated within 24 hours in case of planned hospitalization*
-
Claims can be intimated on the following platforms:
- Contact the executes at the Call Center- 1800 209 5858 (Main Toll Free) and dedicated health toll free (1800 103 2529)
- Email on health.admin@bajajallianz.co.in
- Branch walk-in at the customer care desk
- Visit the website- https://general.bajajallianz.com/BagicHCM/cstprtl/getCustDtls.do
- Download the Caringly Yours App on App store/Play store
-
Following details are required for claim intimation:
- Policy Number
- Name of the Patient
- Hospital Name
- Hospital Address
- Date of Admission
- Diagnosis
- Mobile Number
- Email Id
*Note: Relaxations in the timelines mentioned above may be considered in the extreme cases of hardship where it is proved to our satisfaction that under the circumstances in which you were placed, it was not possible for you or any other person to give notice or file claim within the prescribed time limit.
Once discharged from hospital, you need to collect all original documents and bills and submit them to the insurance provider.
The insurance provider initiates scrutiny of all claim-related documents. If additional documents are needed, you will be intimated about the additional documents required.
Once all necessary documents are received, the insurance provider approves the claim.
Payment will be released to you based on what is admissible under the insurance policy.
-
Company Cancellation
The insurance provider may cancel your insurance policy providing a written notice 15 days prior to cancellation date. If no claim has been made, a refund of the premium for the unexpired policy period shall be provided on a pro-rata basis.
Your insurance policy will be cancelled for reasons such as non-disclosure of material facts, misrepresentation, fraud and non-cooperation.
-
Customer Cancellation
As a customer, you may cancel your insurance policy by providing a written notice 15 days prior to cancellation date. If you've made no claims, the insurer will refund short-term rates for the unexpired policy period as per the rates detailed below.
Period of Risk Premium Refund - 1 Year Policy Period Exceeding 15 days but less than 3 months 65.00% Exceeding 3 months but less than 6 months 45.00% Exceeding 6 months but less than 12 months 00.00% Period of Risk Premium Refund - 2 Year Policy Period Exceeding 15 days but less than 3 months 75.00% Exceeding 3 months but less than 6 months 65.00% Exceeding 6 months but less than 12 months 45.00% Exceeding 12 months but less than 15 months 30.00% Exceeding 15 months but less than 18 months 20.00% Exceeding 18 months but less than 24 months 00.00%
- Cashless Claims
- Claim Reimbursement
- Other Health Insurance Related Claims
- Links for Claim Settlement Forms
- List of Network Hospitals
- Brochure
Link to redirect customers to links category.
-
Cashless Claims Request Form
-
Reimbursement Form
-
Self Declaration of KYC Document Submission - For Individual Partner
-
Non-Medical Expenses List of Exclusions
-
Personal Accident Claim Form
-
Cashless Claims Request Form
-
Reimbursement Form
-
Self Declaration of KYC Document Submission - For Individual Partner
-
Personal Accident Claim Form
-
Non-Medical Expenses List of Exclusions
-
List of Network Hospitals
-
Health Guard Brochure
-
Extra Care Plus Brochure
Need further assistance? Reach out on the Toll-Free Number: 1800-209-5858 to connect with an insurance expert.
Health Insurance Tax Benefits
You can save taxes on your Bajaj Allianz Health Insurance available on Finserv MARKETS.
1. Deductions for Family and Self:
A deduction allowed for self and family (Spouse, dependent children) is a maximum amount of Rs. 25,000 per year on health insurance premium.
A deduction allowed if you are a senior citizen is a maximum amount of Rs. 50,000 per year.
2. Deductions for Parents:
Maximum deduction of Rs. 25,000 per year on health insurance premium paid on behalf of parents.
Maximum deduction of Rs. 50,000 per year on premium payments for senior citizen parents.
Note: This deduction is in addition/ over and above the maximum deduction allowed for an individual and his family.
3. Additional Deductions:
A yearly deduction on expenses related to health check-ups of Rs. 5,000 can be claimed. This limit is inclusive of the check-up expenses of all members in a family, including spouse, kids and parents and forms part of the applicable deduction limit.
Pradhan Mantri Jan Arogya Yojana (PMJAY) - A Government Health Scheme
The Pradhan Mantri Jan Arogya Yojana (PMJAY) is a government-managed national healthcare program which is also famously known as Ayushman Bharat Yojana. Through the PMJAY scheme, our government wants to make the primary healthcare facilities available to all citizens in all parts of the country. Under this scheme, over 10 crore families that are below the poverty line are covered with health insurance of INR 5 Lakh.
A list of schemes under the PMJAY program are as follows –
Central Government Health Scheme (CGHC)
Employee State Insurance Scheme (ESIS)
National Health Protection Scheme (NHPS)
To Conclude
Keep your health in safe hands with Bajaj Allianz Health Insurance which offers extensive coverage at affordable premiums. Whether you need a policy for yourself or your family, Finserv MARKETS hosts a range of comprehensive medical plans with attractive health insurance benefits.
Apply for a health insurance plan today!
Have a look at our exclusive products to stay healthy and protected. Below are blogs by Finserv MARKETS to help you understand health insurance in depth.
- Health Insurance Copay
- Health Insurance Tax Benefits
- No Claim Bonus in Health Insurance
- Compare Health Insurance
- Benefits of Family Health Insurance
- Benefits And Advantages Of Individual Health Insurance
- Coverage with Extra Care Plus
- Health Insurance Glossary
- How to Use a Health Insurance Premium Calculator?
- Health Insurance vs Mediclaim Insurance
- Co-Payment vs Deductible
- Health Insurance vs Life Insurance
- Waiting Period For Health Insurance
- What is Sum Insured In Health Insurance
- How Health Insurance Claims Get Paid
- What is Health Insurance?
- Get Insurance on Finserv MARKETS App
Manage all your Health Insurance Questions Here
-
✔️If I am young, fit, and healthy, do I need health insurance?
Yes of course, not just you, but your family too needs a health insurance policy. It is a well-known fact that medical expenses are increasing significantly, and it is hence sensible to invest in a Bajaj Allianz health insurance plan, irrespective of your age. The pace at which treatment costs are rising, one hospitalization event can take a huge toll on your savings. Also, there is a noteworthy increase in the number of life-threatening diseases, which makes it essential for every individual and his family (be it spouse, kids or senior citizen parents) to have the best health insurance plan available out there. -
✔️What factors are considered while calculating my health insurance premiums?
Your Bajaj Allianz health insurance premiums mainly depend upon the following factors: 1. The type of cover chosen (Individual/Family Floater) 2. Amount insured selected 3. Amount limit (if selected) 4. Add-ons you choose (optional covers). -
✔️Is there a health check-up required before applying for any health insurance in India?
A health check-up is required only in case of new proposals. No medical tests are required for a person up to 45 years of age if there are no adverse health conditions. Medical tests would only be conducted for the adverse health conditions given below: 1. Diabetes 2. Hypertension 3. Lipid Disorders 4. Obesity 5. Joint Disorders 6. Combination of any of the above. When applying for a health insurance, medical tests (pre-plan check-up) are necessary for members above 45 years of age. The pre-plan check-ups would be conducted at Bajaj Allianz Health Insurance's empanelled diagnostic centres. The full cost of pre-plan check-up would be refunded if the proposal is approved & policy gets issued. -
✔️What is covered under my Bajaj Allianz Medical insurance plan?
Your health insurance plan will cover the pre and post hospitalization expenses for 60 and 90 days respectively. These expenses include: 1. In-hospital expenses, hospital room rent and boarding expenses 2. Cashless treatment in more than six thousand hospitals across India 3. Charges for medical examinations 4. Physician fees and doctor’s consultation fees 5. Charges for the ambulance. -
✔️Are the claims easily accessible? Is the settlement process quick?
Our partner Bajaj Allianz has an in-house claim settlement process, and an average claim settlement time of about 1 hour. Apart from this, Bajaj Allianz Health Insurance also provides cashless claims facility, at more than 6,000 hospitals across the country. -
✔️Will I get any value-added services with my Bajaj Allianz health insurance plans?
Yes, you will get value added services when you choose a health insurance policy available on Bajaj Finserv MARKETS. The Pro-Fit - service by Bajaj Allianz acts like your very own health portal, which helps you with: 1. Storing your personal health records 2. Setting workout goals 3. Tracking health parameters 4. Carrying out Heath Risk Assessments along with results and recommendations related to it. 5. Chatting with an experienced doctor -
✔️What is the procedure for Claim by Direct Click (CDC) for a Bajaj Allianz health insurance claim?
Now with your Bajaj Allianz General Insurance Wallet, you can easily make health insurance claims up to Rs. 20,000. It is really a simple claim process which allows you to raise claim requests easily as per your requirements. To help you navigate through the app, we have noted down the steps below and explained the process step by step: 1) Log in to ‘my insurance wallet’ 2) Go to my plans and add your plan number and other details related to the plan. 3) Go to my plans and add your plan number and other details related to the plan 4) You will then receive an OTP on your registered mobile number 5) Go to “My Claims” and select the health insurance plan for which you want to make the claim and the member details under “Register a claim” 6) After selecting the claim of the insured, select the state, city, and hospital where the insured was being treated 7) Add other required details like the email address, phone number, date of discharge and estimated expense 8) When you have added the details, proceed and upload the images of the bills and other important documents and before you upload all the images write “Claimed for Bajaj Allianz General Insurance for below 20,000”. 9) After all the documents have been uploaded successfully, you will be directed to the home page of the app. -
✔️What can I do if I have a small claim amount and need it immediately?
Our partner Bajaj Allianz has a great feature known as the Bajaj Allianz Insurance Wallet App which enables you to raise claim requests on your health insurance plan up to Rs. 20,000/- through the app. It is the easiest way to make claim requests as you upload all the required documents on the app and get regular updates of your claim status. This entire process is paperless; therefore, it helps you save both, time and money. -
✔️What is meant by pre-existing disease?
Pre-existing disease is any ailment or health condition for which you have been diagnosed or received medical advice/treatment, before buying your first Bajaj Allianz Health insurance plan with the insurer. These could be anything ranging from blood pressure to diabetes to cancer to any other disease/ailment. -
✔️What is a waiting period?
Waiting period refers to the duration only after which you can make a claim from your Bajaj Allianz health insurance plan. -
✔️What is meant by a health card?
A health card is a kind of identity card that comes along with your health insurance plan. This card will enable you to avail cashless hospitalization facility at any of the Bajaj Allianz Health Insurance network hospitals. -
✔️When am I supposed to renew my Bajaj Allianz Health Insurance plan?
It is best to renew your health insurance plan before it’s expiry date. In this plan you have a grace period of 30 days (after the expiry date of the plan), within which you can renew the plan without having to apply afresh. During this grace period, you will not be covered for any ailments or accidents, but the same plan can be continued. However, it is suggested that you pay your renewal premium while your plan is still in force so that you can enjoy the uninterrupted coverage. -
✔️Will I be able to avail medical and premium reimbursements in case my policy gets rejected?
In the event of your policy getting rejected, you can avail premium reimbursements within the next seven working days. However, your medical check-up expenses will not get reimbursed. -
✔️What documents will be required for a Bajaj Allianz Health Insurance claim?
Depending upon the situations, additional information or additional documents may be asked for the settlement of the claim. All the documents should be provided in originals unless it is agreed by the Company. Document in vernacular should be accompanied by the translation of the same in English and duly attested. The list of documents required if you want to raise a claim are as follows: 1) A copy of health card. 2) Duly filled claim form which is signed by you and a medical specialist. 3) Original bills, receipts, and discharge certificate or card from the hospital or medical practitioner. 4) Original bills from the chemists along with proper prescription. 5) Original investigation test reports and payment receipts. 6) Indoor case papers. 7) Medical practitioner's referral letter advising hospitalization in non-accidental cases. -
✔️In case of a claim being already made, can I renew the health insurance plan for the second year? Or will I have to undergo a medical check-up again?
Yes, you can renew the plan for the second year and the medical check-up is not required again at the time of renewal. Medical check-up is required to be done only once at the time of taking a Bajaj Allianz health insurance plan. -
✔️After the claim is filed, what happens to the Bajaj Allianz health insurance policy?
When the claim is filed and settled the coverage amount will be reduced by the amount that has been paid to you (claim). Your policy will continue to be in existence with the remaining coverage amount. -
✔️Are there any tax benefits that I can avail by purchasing Bajaj Allianz health insurance plans?
Yes, there are tax benefits under the Income Tax Act, 1961. Every taxpayer can avail an annual deduction of up to Rs. 50,000 from his/her taxable income for health insurance premium paid for self and dependent family members. -
✔️How should I decide the amount of coverage while purchasing any good health insurance plan?
When buying any health insurance plan, you must be realistic while deciding the level of coverage. Today, even a small routine surgical procedure can easily cost up to Rs. 1,00,000. A bypass surgery at a well-reputed hospital costs more than Rs. 2,00,000 today and will certainly cost more in the next five years. A Sum Insured that appears sufficient today may be inadequate to cover your health care expenses in the next few years. The right amount of health insurance coverage depends upon several factors like the type of hospital you prefer, your current age and health conditions, your affordability etc. It is advised to have a health insurance cover of at least 50% of your annual income. -
✔️How can I terminate my medical insurance plan?
You can terminate your Bajaj Allianz Health insurance plan by visiting our online customer care portal ‘Experia’ and placing a request for the same. -
✔️Where can I get the details of the hospitals covered under the network of the insurance company?
Our partner, Bajaj Allianz Health Insurance has tie-ups with more than 6000 network hospitals across India and the details of those hospitals are available in the download section. -
✔️Why should I buy a health insurance online?
Buying Bajaj Allianz health insurance online gives you a hassle-free and an all-digital, cash-free experience. The entire process is quick and seamless as the policy is issued online, and policy documents are sent to your email id, in no time. Our partner, Bajaj Allianz offers swift claim settlements due to its in-house claim settlement team. All these factors, along with a proactive customer support centre makes buying health insurance plans online a great and convenient choice. -
✔️What is the procedure to make a cashless claim?
To make any cashless claim for a Bajaj Allianz Health insurance plan, you need to follow these steps: 1) Approach the hospital(s) in our network with your health insurance plan details. 2) The hospital will verify the details provided by you and send a pre-authorization form to your health insurance company. 3) The health insurance company will verify the pre-authorization request and convey the plan coverage and other details to the hospital 5) Now, the insurance company may approve or reject the pre-authorization request. It may also send a query to the hospital and request more details. 6) If the pre-authorization request is rejected, then you will have to bear the expenses for the treatment, which you might be able to reimburse later. 7) In case your insurer sends a query to the hospital, they will have to send the additional information as requested by the insurance company. 8) Once the pre-authorization gets approved, the treatment starts. Finally, after you get discharged from the hospital, the final bill and discharge papers are sent to the medical insurance company. They will be settling the final amount after deducting the payment and the consumable expenses. -
✔️What are ‘Health Insurance Deductibles’?
Health Insurance Deductible is the amount that you pay for health care services before your health insurance company starts to pay for the same. For example: You are unwell and get admitted to the hospital. The medical expenses to be paid are Rs.2500 and your deductible is Rs.500, then you pay Rs.500 from your own pocket first, before your insurance company pays the balance amount of Rs.2000. Suppose your medical care expenses added up to just Rs.500, then in that case, you would pay Rs.500 and the insurance company would pay nothing. -
✔️What is meant by day care medical treatment?
Day care medical treatments are those medical procedures (surgeries or treatments) which can be completed in less than 24 hours. In such cases, even though you are hospitalized, you do not need to stay in the hospital for more than 24 hours. -
✔️What are pre and post hospitalization medical expenses?
Pre and post hospitalization medical expenses cover refers to the feature when the insured is covered as per the health insurance plan, against relevant medical expenses incurred for a certain number of days, both before and after the event of hospitalization. -
✔️What do you mean by pre-existing disease and waiting period applicable?
re-existing diseases are diseases/conditions which a person has before buying a medical insurance plan. Therefore, any pre-existing disease/condition is supposed to be declared by a consumer at the time of buying a Bajaj Allianz health insurance in India. It is one of the key factors in deciding any health insurance premium. Another key factor to keep in mind is that the pre-existing diseases have a waiting period which may differ from company to company. To get more details on this, please refer to the product brochure in our download section. -
✔️Using my Bajaj EMI card, how frequently do I need to make the premium payment?
You can pay your health insurance premium in easy installments based on your preference with the Bajaj EMI card available on Finserv MARKETS. -
✔️Are there any added benefits of paying via the Bajaj Finserv EMI Network card?
Using the Bajaj EMI card gives you the biggest benefit of ease of premium payment along with freedom from the burden of having to pay a lump sum amount. -
✔️How to apply for Bajaj Finserv EMI Network card?
Applying for the Bajaj EMI card online is a simple no fuss process. You simply need to visit the Bajaj EMI Card page on website, view all the steps and apply for the EMI card.
