Bajaj Allianz Health Insurance Claim Settlement Process & Status

The claim settlement process for health insurance policies from Bajaj Allianz is simple and hassle-free. You can file a claim online from anywhere in the world and at any time in just 4 simple steps. 

 

There are two different kinds of insurance claims that you can file online depending on where you undergo treatment. In the case of medical treatment through network hospitals, you can file a cashless claim with Bajaj Allianz. And in case you choose non-network hospitals, you can file a reimbursement claim.

 

Once you’ve filed a claim, you can check its status by simply visiting the official Bajaj Allianz General Insurance website. Alternatively, you can also contact the customer support team for more information regarding your claim.

 

If your Health Plan falls short while covering additional medical expenses exceeding existing coverage, Health Insurance Top-up will get you covered!

  • Overview
  • Renewal
  • Claim Settlement
  • Customer Care

How to Claim Your Bajaj Health Insurance Policy Online

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

  • 1

    Visit Finserv MARKETS

  • 2

    Click on the ‘Register a claim’ button

  • 3

    Upload the necessary documents

  • 4

    Your insurer will assess the claim

The insurer will transfer the claim amount to your bank account once the claim is processed. You can visit the Bajaj MARKETS website to check your claim status online.

What are Cashless Claims?

A pioneer in cashless claim settlement, the Bajaj Allianz General Insurance works toward making this process better. With cashless treatments across the empanelled hospitals, you get treated for a particular illness without paying a single penny of the medical bills. With over 6,500 network hospitals of Bajaj Allianz Health Insurance in the country, this process becomes even easier.

Here’s how you can file a cashless claim:

  1. Find the nearest Bajaj Allianz network hospital in your city where you want to get treated.

  2. Inform the insurer regarding your hospitalisation.

  3. Carry your identity proof and your Bajaj Allianz cashless card while visiting the hospital.

  4. Fill the pre-authorisation request form available at the hospital desk and submit it to the hospital.

  5. The hospital will then send the pre-authorisation request form to Bajaj Allianz-HAT (Pune) for verification.

  6. The insurer will review your application and convey the claim decision to the hospital.

  7. On approval, the hospital will begin the cashless treatment.

Document Required for Filing a Cashless Claim

  • Duly signed hospitalisation claim form
  • Original discharge summary document
  • All lab and test reports
  • First consultation letter from doctor
  • Original hospital bills with detailed cost breakup
  • Copy of invoice/stickers/barcode in case of implants
  • KYC form

What are Reimbursement Claims?

While cashless claims come with the ease of getting your treatments done without paying for the hospital bills out of pocket, you can also choose to get your treatment done at your cost and get the amount reimbursed later against your health insurance policy

These are the steps you will need to follow for the Bajaj Allianz health insurance claim process:

  1. Submit all original hospitalisation-related documents to the insurer.

  2. Bajaj Allianz General Insurance will then complete the verification, for which other documents may be required.

  3. The insurer then takes the process forward.

  4. Once your claim is approved, the customary verification is initiated, post which the team releases the payment.

Document Required for Filing a Reimbursement Claim

  • Duly filled hospitalisation claim form
  • Completely filled and signed NEFT form by the policyholder/proposer
  • Original payment receipts and discharge summary document
  • Copy of the invoice in case of implants
  • Original hospital bills with detailed cost breakup
  • All Lab and test reports
  • Doctor’s first consultation letter
  • KYC documents

How to Check Bajaj Allianz Health Insurance Claim Status

Here are the steps you can follow to check your Bajaj Allianz health insurance claim status:

 

  1. Visit the official Bajaj Allianz General Insurance website.

  2. On the website, visit the ‘Support’ section.

  3. Click on ‘Policy Tracker’.

  4. Submit all the details and documents required.

  5. Your online Bajaj Allianz health insurance claim status will be displayed on the screen.

In case you want to check the status of your claim offline, you can contact the Bajaj Allianz customer care team or visit their office in person.

With a health insurance claim settlement ratio of 98% and the option for lifelong insurance renewals, Bajaj Allianz can be an excellent choice when buying health insurance.

Why Your Bajaj Allianz Health Insurance Claims May Get Rejected

Apart from understanding the process, it is also very important to note why your claims on your health insurance policy may get rejected. This way, you can prevent the rejection of your claim and make full use of your insurance coverage. Here are a few reasons why your claims may get rejected:

  • Cost Exceeds Sum Insured

In case the treatment cost exceeds the sum insured amount you are entitled to, your claims may get rejected.

  • Ignoring Exclusions

In case the claim is made for a treatment that is not covered under the plan, your claim request is rejected.

  • Invalid Claim

If any incorrect or false information is provided during claim intimation, the claim is held invalid and is rejected.

  • Inactive Policy

If you file a claim after your policy has lapsed, the claims stand null. This further reinstates the importance of renewing your health insurance on time.

  • Waiting Period

In case you file a claim for the expenses incurred for the treatment of a disease within the waiting period, your claim could be denied.

We are Here to Help You

At Bajaj MARKETS

You can get in touch with the Bajaj MARKETS team, should you need any help with your Bajaj Allianz health insurance plan:

At Bajaj Allianz General Insurance

Here’s how you can connect with the Bajaj Allianz Health Insurance customer care in case you need any assistance regarding the product:

Here’s how you can connect with the Bajaj Allianz health insurance team, in case you need any assistance regarding the product. 

  • Contact the executes at the Call Centre- 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

Health Insurance Plans Available at Finserv MARKETS

Manage all Your Queries Here

  • ✔️What is a claim settlement ratio?

    A claim settlement ratio (CSR) helps understand the percentage of claims an insurer has settled during a financial year. It is the percentage of insurance claims settled by an insurer with regards to the total number of claims received.

  • ✔️How can I check my Bajaj Allianz health insurance claim status?

    You can check your health insurance claim status on the ‘Support’ section of the Bajaj Allianz website.

     

  • ✔️What is the contact number for Bajaj Allianz health claim intimation-related queries?

    You can call on the dedicated health toll-free number 1800 103 2529 for any claim-related queries.

     

  • ✔️How can I contact Bajaj MARKETS support by email?

    You can contact Bajaj MARKETS at insuranceconnect@bajajfinservmarkets.in.

     

  • ✔️How can I contact Bajaj Allianz support by email?

    You can contact Bajaj Allianz support by email at health.admin@bajajallianz.co.in.

     

  • ✔️Can I buy Bajaj Allianz Health Insurance online?

    Yes, you can buy Bajaj Allianz Health Insurance on Bajaj MARKETS.

     

  • ✔️What is the Bajaj Allianz health insurance claim settlement ratio?

    The claim settlement ratio of Bajaj Allianz health insurance is 98%.

Health Insurance Claim Settlement Reviews

Health Insurance Claim Settlement Reviews

4.2out of 5

4 reviews

Hassle Free Claims

My decision of getting a Bajaj health plan was great! When my hospitalization costs were to be taken care of, the plan acted as a great friend to me. Further, wiith quick and hassle-free claims, I had nothing to worry about.

Awesome Customer Support team

The customer support team at Finserv MARKETS was at great help to me when i had to get claim my Bajaj Allianz Health Insurance. The executive helped me through the process, very nicely.

Easy claim process

Purchasing the Bajaj Allianz individual health insurance plan was very easy. And, so was the its claim process. Quick assistance and easy process made it very convenient.

Super-fast Claim Settlement

During my recent hospitalization for a surgery, I experienced the quick and hassle-free claim settlement process of the Bajaj Allianz individual health insurance policy.