What is Health Insurance?

Get access to the best medical insurance coverage and stay on top of life with a comprehensive health insurance policy. Get coverage for yourself and your family against medical exigencies and deal with sudden illnesses without adversely affecting your finances.

Individual Health Insurance

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 comprehensive individual health insurance plans that provide the best-in-class healthcare options, cashless facility and timely assistance to help tackle medical emergencies, without affecting your finances.

insurance plans that provide the best-in-class healthcare options, cashless facility and timely assistance to help tackle medical emergencies, without affecting your finances.

Family Health Insurance Plan

Family Health Insurance Plan

Protect your loved ones from unforeseen incidents with health insurance. Get coverage for your child, spouse, best health insurance for parents, siblings and even your parents-in-law when you buy the best family health insurance plans offered by Bajaj Allianz.

siblings and even your parents-in-law when you buy the best family health insurance plans offered by Bajaj Allianz.

Reasons To Buy Health Insurance

  • Rising Medical Costs

    Dealing with healthcare related expenses is the #1 reason for buying medical insurance. Healthcare costs in India have risen by 15% over the last few years and a good health insurance policy will help deal with hospitalization, diagnostic and medical bills.

  • Rise in Health Issues

    As per studies conducted in 2017, out of 100 people, 21 women and 19 men are obese. Hectic work schedules combined with poor eating habits has led to a rise in diabetes and cardiovascular-related diseases. Good insurance plans provide coverage for medical conditions caused by such diseases.

  • Tax Saving Benefit

    Salaried taxpayers who buy health insurance plans ensure the best medical assistance when needed and get to save up to Rs. 50,000 under section 80 (D) of the Income Tax Act, 1961.

  • Coverage for Self and Family

    Health-related issues strike without warning and can affect anyone. With complete family insurance plans, safeguard yourself and your loved ones today.

  • Unexpected Health Emergencies

    Life is unpredictable! 44 out of every 1000 Indians are hospitalized every year! Choosing a good health insurance plan helps protect you and your family from medical emergencies.

  • Save on Premium

    Age is a determining factor when buying health insurance. The younger you are, the lesser premium you need to pay. So why wait? Buy health insurance now!

Why Choose Finserv Markets For Health Insurance?

Trusted Companion

We have a customer base of 100+ million across the country. It’s time you choose us as your financial partner.

Swift Claim Settlement

With no third party involved, Bajaj Allianz Insurance boasts a 94% settlement success rate and promises to settle your claims within an hour!

Reinstatement Benefit

If your sum insured gets exhausted, this plan offers reinstatement for the same illness, unlike other health insurance companies.

Tailor-made Insurance Plans

From bariatric surgery to offering medical coverage for your parents-in-law too, Bajaj Allianz offers customized plans like no other!

Extensive Coverage

With 6000+ empaneled hospitals across India and plans that offer medical coverage from 1.5 lakh to 50 lakh, why look elsewhere?

Key things to consider when buying Health Insurance

Buy Health Insurance Online
  • Are you aware of your insurers 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 boasts a 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?

    your policy and especially what’s not, is important. Bajaj Allianz General Insurance offers plans that offer health insurance for a host of medical related issues and expenses. Also, the claims by Direct Click Wallet - 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. 50,00,00.

  • What are your coverage options?

    The insurance plan that you opt for provides cashless facility and covers pre- and post-hospitalization, diagnostic and medical expenses. Bajaj Allianz Health Insurance offers cashless facility across 6000+ empaneled hospital in India and provides a number of coverage options – organ donor expenses, reinstatement cover, homoeopathic and ayurvedic hospitalization and covers you and your children/family (siblings, parents and parents-in-law).

Factors Affecting Health Insurance Premium

Type of Plan

Based on the type of health insurance plan you opt for - individual or family, your premium is calculated.

Age

The younger you are, the lesser premium you pay when buying health insurance.

Add-on Covers

Extra coverage comes at an extra cost. The more add-on's you choose, your premium amount increases.

Claim Process for Health Insurance

Filing claims was never so simple. Just follow these steps and you’re done!

  • 1

    Register your claim online

  • 2

    Upload documents online

  • 3

    Claim Assessment

  • 4

    Claim Decision

For information on your health insurance policy, refer to the 'Process' section below.

  • Process
  • Download
  • Emergency Contact
  • Cashless Claims
  • 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.

  • 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%

Period of Risk Premium Refund - 3 Year Policy Period
Exceeding 15 days but less than 3 months 80.00%
Exceeding 3 months but less than 6 months 75.00%
Exceeding 6 months but less than 12 months 60.00%
Exceeding 12 months but less than 15 months 50.00%
Exceeding 15 months but less than 18 months 45.00%
Exceeding 18 months but less than 24 months 30.00%
Exceeding 24 months but less than 27 months 20.00%
Exceeding 27 months but less than 30 months 15.00%
Exceeding 30 months but less than 36 months 00.00%
  • Cashless Claims
  • Claim Reimbursement
  • Other Health Insurance Related Claims
  • Links for Claim Settlement Forms
  • List of Network Hospitals

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

Need further assistance? Reach out on the Toll-Free Number: 1800-209-5858 to connect with an insurance expert.

Health Insurance: An Overview

Health insurance is a policy that helps you to be better prepared in case any medical emergencies arise. In the event of hospitalization, due to an illness/injury, you can get cashless treatment benefits and/or reimbursement of your medical bills. Also, with a health insurance policy, the expenditure you have incurred on medical treatments is covered. A health insurance policy also gives you access to the best medical care to ensure you are protected and taken care of at the time of need. You can insure yourself and your family so that your finances aren’t adversely affected in the event of a medical exigency/illness.

Importance of Health Insurance in India

With rising medical expenses, unbalanced lifestyle and increase in pollution, it you never know when you might need medical care. A Bajaj Allianz Health Insurance can help you be prepared for any medical emergency instead of arranging for finances at the eleventh hour which could result in unnecessary stress. 

 

Individual Health Insurance Plan

Choose a comprehensive individual health insurance plan which helps you tackle any medical emergency and avail world-class medical care, cashless facility and timely assistance without affecting your finances.

 

Family Health Insurance Plan

Protect your family against any unforeseen medical exigencies. Avail a family health insurance plan and get coverage for yourself, your spouse and children against medical, hospitalization and accidental expenditure. 

Myths about Health Insurance –

·         If you are young and healthy you do not need a health insurance

It is great that you do not need a health insurance now. However, you never know what tomorrow brings. Having a health insurance now will prepare you for any medical emergencies in the future. With medical costs rising quickly, even a day of hospitalization can put a strain on your finances. A health insurance policy not only offers you security, but also helps safeguard your finances. 

·         You need to be in hospital for 24 hours.

Thanks to technology, medical sciences have become so advanced that, today one doesn’t need to be hospitalized for procedures like chemotherapy, dialysis, cataract operations, etc. Hence, even if you have not been hospitalized for 24 hours, you can still avail various health insurance benefits.

·         You get health insurance benefits from day one

Health insurance has a ‘waiting period’. There are high chances that any claims made before this waiting period could get rejected. No diseases are covered from day one. However, do note that you can claim the benefit of accidental hospitalization from day one of the policy.  

·         The affordable the policy, the better

A cheaper insurance policy not only offers you restricted coverage but also excludes important coverages. Therefore, it is not advisable to look at cost when buying health insurance for yourself or for your family. Instead, it is advisable to look at coverages, reimbursements and benefits that offer end-to-end protection.

·         A group medical insurance provided by employer

Before you rely on a group insurance policy, it is important that you review all the parameters like what’s covered, terms and conditions etc. Moreover, you can only enjoy its benefits as long as you are employed. It is hence advisable to have a separate health insurance policy so that you can get maximum coverage for you and your family.

 

Tax savings with Health Insurance

You can save taxes on your Bajaj Allianz Health Insurance available on Finserv Markets. Under section 80D of the Income Tax Act, 1961, you can avail a deduction of Rs. 25,000 on your insurance premium installments. The premium paid should be for you, your spouse and dependent children. In case if you or your spouse is a senior citizen (above 60 years of age); or if the policy is for your parents who are senior citizens, then, this value increases to Rs. 30,000 per person.

 

Health Insurance Terms

Listed below are some key terms in health insurance you must know:

Sub limit- 

It is a monetary cap that your insurance company places on your policies. This is an extra limit put on coverage of certain losses to limit the insurer’s liability. For example, a Sub limit can be applied for hospital room rent, ambulances charges, doctor’s consultancy fees, etc.

Co-payment-

In co-payments, you / the insured bears a part of the claim amount from his / her own pocket. This amount is a pre-determined percentage of the claim amount. The remaining amount of the claim value is borne by the insurance company / the insurer.

Waiting period-

Waiting period is the time duration during which the insurance company does not make payment for the filed claims. This waiting period varies for different medical aliments. Like for a pre-existing disease, this waiting period is 4 years. On the other hand, for accidents, there is no waiting period. 

Cashless cover-

If you are getting treated in one of our network hospitals listed in your policy, you don’t need to carry any documents. You can also avail a cashless medical cover. Your expenses will be directly paid or reimbursed by the insurance company.

Reinstatement Benefit-

100% of the sum insured gets reinstated provided, inpatient hospitalization treatment cover and the sum insured inclusive of the cumulative bonus (if applicable) has been completely exhausted during the policy year.

Claim Reimbursement-

If you have paid your medical bills and other costs involved in hospitalization/treatment, then you can make a claim on your health insurance policy. In order to avail claim reimbursement, you have to provide the necessary documents including your original bills to the insurance company.

Free Health Check Up-

You are eligible for a free preventive health check-up at the end of every continuous period of 3 years, and you can get a benefit of 1% of the sum insured (max up to Rs. 2,000).

Convalescence Benefit-

If you are convalescing from an illness, your Bajaj Allianz Health Insurance provides additional payment of Rs. 5,000 (for a sum insured of up to Rs. 5 Lakhs) and Rs. 7,500 (for a sum insured of Rs. 7.5 Lakhs and above). This sum is payable in case of any ailment having continuous hospitalization above 10 days.

Maternity & New Born Baby Coverage-

The maternity cover, if the sum insured is between Rs. 3 Lakhs to Rs. 7.5 lakhs, is restricted to Rs. 15,000 for normal delivery and Rs. 25,000 for caesarean section. If the sum insured is between Rs. 10 Lakhs and Rs. 50 Lakhs, the maternity expenses are restricted to Rs. 25,000 for normal delivery and Rs. 35,000 for caesarean section. The new born baby cover is available up to the limit of the sum insured.

In-Patient Hospitalization Expenses-

If you are hospitalized in one of our network hospitals, your room and boarding charges, nursing expenses and/or ICU costs will be covered. Moreover, any medical practitioner or specialist’s fees will also be covered.

Pre & Post Hospitalization-

Medical expenses incurred during the 60 days immediately before hospitalization and the medical expenses incurred during the 90 days after hospitalization are covered under health insurance.

Ayurvedic/Homeopathic Hospitalization-

If you are hospitalized for an Ayurvedic or homeopathic treatment, your Bajaj Allianz Medical Insurance covers expenses up to Rs. 20,000 per policy year.

Organ Donor Benefit-

There is no capping/sub-limit towards the treatment cost for an organ donor’s treatment. 

 

What is included in a Health Insurance Plan?

  • Hospitalization charges
  • Ambulance, hospital room charges
  • ICU charges, Diagnostic charges during hospitalization
  • Certain pharmaceuticals/medicine
  • In-house medical expenditure
  • Cost of surgery and procedures
  • Preexisting diseases or illnesses
  • Expenses incurred during pre and post hospitalization
  • Health checkups

 

What does a Health Insurance Plan exclude?

  • Medical expenditure due to criminal act, suicide or self-injury
  • Medical care or hospitalization needed due to war or act of war
  • Medical care needed due to indulgence in intoxicants or drugs
  • For sexually transmitted diseases, like AIDS
  • For participating in naval, military or air force operation or in sports like racing, diving, etc.
  • Mental disorders

 

Health Insurance Renewals

To ensure continued benefits from your Bajaj Allianz Medical Insurance policy, you will need to renew the same before it expires. Your policy can be renewed annually as per the terms & conditions stated and agreed upon in your policy. You can now renew your health insurance policy online in a hassle free, easy and convenient way. As a first step, you must enter your necessary details including your policy number, date of policy and its expiry date. Once you have entered the details, you will be provided with the details of your policy which you can check and review for any updates / changes that might have happened in the premium amount over the duration of 6 months to one year. Once done reviewing, you need to agree to the stated terms and conditions, and renew your policy. Upon renewal, the policy is functional again for you to avail its benefits!

 

Health Insurance Plans

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 Bajaj Allianz Health Insurance plans at affordable premiums. Apply for a health insurance plan today! Have a look at our exclusive products to stay healthy and protected.

Manage All Your Health Insurance Queries 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 with your chosen health insurance policy. 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.

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