Cashless Health Insurance

Plans Available	Sum Insured	Starting Rate of Premiums
Bajaj Allianz Health Insurance	₹3 Lakhs to ₹50 Lakhs	₹3,200	View Plan
Aditya Birla Health Insurance	₹3 Lakhs to ₹50 Lakhs	₹3,294	View Plan
Care Health Insurance	₹4 Lakhs to ₹50 Lakhs	₹4,472	View Plan

How to Buy Cashless Health Insurance at Bajaj MARKETS?

You can buy cashless health insurance on Bajaj MARKETS in just a few minutes by following the given steps: 

 

Step 1: Go to the ‘Health Insurance Premium Calculator’ on Bajaj MARKETS. 

 

Step 2: Enter your personal details on the form available on the page and click ‘Get Quote’. 

 

Step 3: Choose a cashless health insurance plan from the set of health insurance options available on the page. 

 

Step 4: Select any add-on riders you wish to buy on top of your cashless health plans. 

 

Step 5: Pay the online premiums for your chosen cashless health policy. 

 

Your cashless health insurance will be activated shortly and the policy details will be sent to you through email.

Why is it Important to Have Cashless Health Insurance?

It is important to get cashless health insurance for the following reasons: 

• Financial Help

A cashless treatment will provide you with financial support during any planned or emergency medical treatment, requiring hospitalisation.

• Extensive Coverage

The policy covers a wide range of medical procedures, like surgeries on the eye, bones, skin, ear, etc. It also covers critical illnesses, including cardiac ailments, kidney failure, stroke, organ transplant, and limb paralysis. You can also get cashless treatment for ailments, like piles, cataracts, sinusitis etc. after having completed a minimum number of policy years as stipulated in the policy.

• Health Protection During Travel

Along with pre and post-hospitalisation expenses, a cashless mediclaim policy also covers your health while travelling. In the case of an emergency during travel, you can avail cashless hospitalisation at an empanelled hospital across all of India. 

• Tax Benefits

You can avail health insurance tax benefits under Section 80D of the Income Tax Act on premium payments made for availing a cashless health insurance policy.

How to Claim Cashless Health Insurance in India?

If you want to make a cashless health insurance claim, here’s what you need to do:

 

Step 1: Make sure that you seek treatment or hospitalisation at a network hospital enlisted by your insurer.

 

Step 2: Visit the hospital insurance desk and get a pre-authorisation form.

 

Step 3: Submit the duly filled pre-authorisation form as soon as possible.

 

Step 4: Get in touch with your insurer as per the mentioned time and submit the necessary documents.

 

Step 5: The insurer will verify the documents. Based on the verification and further assessment, the claim management team will approve/reject your claim.

 

Step 6: Note that if the claim management team requires additional information, they will raise a request. After you submit the required details, the insurer will proceed with your claim request.

 

Step 7: If the claim is approved, the insurer will settle the expenses with the hospital directly.

 

Step 8: In case the claim is rejected, you can file for reimbursement claim settlement after your discharge.

Exclusions Under Cashless Health Insurance

Any cashless mediclaim policy will invariably have exclusions. This simply means that these charges are not covered under the policy, and you need to make separate payments for them. You may have to cover the following charges since they will not be covered under a cashless policy: 

 

• Service charges

• Registration fees

• Admission fees

• Charges on toiletries

• Attendant’s fees

Important Points to Remember Before Availing a Cashless Health Insurance Policy 

You must always remember to consider the following points: 

• Treatment Only at Network Hospitals

The cashless insurance policy is only valid at the empanelled network hospitals. You must verify the details of the hospital before getting admitted.

• Display Health Insurance Card

You must display your health insurance card to the concerned authorities at the time of getting admitted to the network hospital.

• Timely Intimation

All details pertaining to the medical treatment should be provided to the insurance company in a time-bound manner. Remember, delays could result in the rejection of claims.

• Proper Documentation

All original documents, including doctor’s prescription, medical tests, and laboratory reports etc. should be provided to the insurance company. In case you fail to submit the requisite documents, your claim can be rejected.

• Careful Perusal of the Policy Document

You must always read the fine print, or the terms and conditions of any cashless health insurance policy carefully. This will help you know the scope and coverage of the policy.

Top Reasons for Claim Rejection in Cashless Health Insurance 

You should avoid making the following mistakes to ensure that your claim does not get rejected:

• Providing Incorrect Information

If you have intentionally or unintentionally added any wrong information while registering for your policy or in the claim application process, the insurance provider will most likely reject your claim. 

• Missing Documents 

Similarly, if there are any documents that you have not submitted such as the relevant medical bills or the documents that you have submitted are not satisfactory to the insurance provider, your claim can get rejected. 

• Expired Policy 

If you make an insurance claim on your health policy which has already expired, your claim will also be rejected. 

• Claiming for Exclusions 

If you make any insurance claim for diseases or medical conditions that are not covered under your policy, the claim will most likely get rejected.