• Overview
  • Renewal
  • Claim Settlement
  • Customer Care

Overview

While we wish a good health to you, in case any unprecedented were to occur, knowing all about your claim process is critical. Bajaj Allianz, with its customer-first approach, understands the importance of bringing the best to the table when it comes to customer satisfaction. This is why, the claim settlement process of Bajaj Allianz is painless and hassle-free. With huge network of hospitals in its list of partnered healthcare centres, Bajaj Allianz General Insurance takes care of health insurance claims with easy reimbursement and cashless treatment at any network hospital in India. Moreover, with an impressive claim settlement ratio of more than 90%, the company highlights its commitment to serve better.

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

  • 5

    Check claim status online

What are Cashless Claims

A pioneer in cashless claim settlement, the company works towards 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 6500 network hospitals in the country, this process becomes even more easy. 

 

Here’s how you can file a cashless claim:

 

  1. Fetch a Bajaj Allianz network hospital in a city where you want to get treatment done
  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-authorization request form available at the hospital desk and submit it to the hospital.
  5. The hospital sends the pre-authorization request form to Bajaj Allianz-HAT (Pune), post verification.
  6. The insurer reviews your application and conveys the claim decision
  7. On approval, the hospital begins the cashless treatment. 

Document Required for Filing a Cashless Claim

  • Duly signed Hospitalization Claim form and signed by the insured
  • Original paid receipts
  • Original Discharge summary document
  • Original hospital bills with detailed cost break-up
  • All Lab and test reports
  • Copy of Invoice/Stickers/barcode in case of implants
  • First consultation letter from doctor
  • KYC form

What are Reimbursement Claims

While cashless claims highlight the ease of getting your cashless treatments done, you can also choose to get your treatment done at your cost and reimburse the claim amount later. Here’s where the reimbursement claim process gains significance. 

 

This is what you need to do, in case you were to face those rainy days–

 

  1. Submit all original hospitalization 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

  • Hospitalization Claim form signed by the insured and duly signed by you
  • Completely filled and signed NEFT form by Policy Holder/propose
  • Original paid receipts and discharge summary document
  • Copy of Invoice in case of implants
  • Original hospital bills with detailed cost break-up
  • All Lab and test reports
  • Doctor’s first consultation letter
  • KYC documents and form

 

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 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 for, your claims may get rejected

Ignoring exclusions 

In case the claim is made for a treatment cost that is not covered under the plan, you 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 of the treatment of a disease having a certain waiting period which is still not completed, your claim could be denied.

We are Here to Help You

You can also get in touch with the Finserv MARKETS team, should you need any help with Bajaj Allianz Health Insurance

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

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.

  • ✔️What if my cashless claim request is rejected by the insurer?

    On denial of cashless claim request, you need to get the treatment done at your expense. You can choose to file for claim reimbursement later.

  • ✔️What is the contact number for claim related queries?

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

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.