Bajaj Allianz Claim Process
- CSR of the Company
- Cashless Claims
- Reimbursement Claims
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Updated on Aug 09, 2023 4 min read
The claim is a formal request made by the policyholder to the insurance provider to seek compensation for the medical expenses incurred due to treatment. In the constantly evolving world of insurance, filling claims accurately is the key to maintaining financial stability. Bajaj Allianz has designed a simple process to do so, so that, you can easily submit your claims in a matter of few steps.
Bajaj Allianz stands at the forefront of providing comprehensive and affordable healthcare. The company has a Claim Settlement Ratio of 93.54%, which translates to the readiness of the company to settle the claims.
The claim process can be submitted in two ways, based on the payment we make in the hospital following the treatment. The two types are
In the case of cashless claims, the policyholder must initiate the claim by informing the company about the claim. It can be done by either TPA (Third Party Administrator) or by directly contacting Bajaj Allianz Health Administration Team- (HAT). TPA acts as a mediator between the policyholder and the company. TPA will verify the policy coverage and help to facilitate the pre-authorization of the cashless treatment.
Here are a few actions to raise a cashless claim:
Upon admission to a network hospital, inform the company about the claim. Contact the TPA for claim intimation, you can show your ’Health Insurance Card’ to the TPA for policy details. You can find the list of Bajaj Allianz TPA, on the official website of the company.
The TPA will coordinate with the hospital and collect all the documents along with the duly filled pre-authorization form. Then the TPA desk of the hospital contacts BAGIC (Bajaj Allianz General Insurance Company Limited) and submits all details and the form to the company.
BAGIC team will verify all the details about the claim and notify the policyholder after verification, whether the claim is accepted or rejected. Bajaj Allianz Health Insurance Company asserts that it only takes 60 minutes for the verification.
More Details Asked By The Company
Sometimes the company asks for more details. Here are the steps taken by the healthcare provider:
Finally, after completing all the treatment procedures the bill will be settled with the hospital.
The reimbursement process gives the liberty to the policyholder, to choose the hospital of his choice. Let us go through the procedure:
After completing treatment procedures and paying the bill at the hospital, collect all documents from the hospital.
Submit documents along with the duly filled claim form to BAGIC-HAT. (Bajaj Allianz General Insurance Company - Health Administration Team)
More Details Asked By The Company
The company will settle the compensation amount with ECS within 10 days and will notify the customer about the same.
Note:
Here is the list of documents required to file a claim:
Bajaj Allianz is committed to providing accessible and reliable healthcare solutions. Designing a comprehensive plan is not enough, settlement of the claim is also crucial as it is the ultimate goal of the lifecycle of a policy.
An insurance company is regarded as a trustworthy partner when it provides good healthcare plans along with a robust claim process. Bajaj Health Insurance is one of them as the company has an efficient mechanism to settle the claim. Backed by technology and trained staff, their claim settlement process is fast and seamless.
Bajaj Allianz Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, Bajaj Allianz Health Insurance ensures that you are medically secured, irrespective of the city you reside in.
Bajaj Allianz Health Insurance
To cater to the different medical needs of an individual & their family, Bajaj Allianz Health Insurance offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to Bajaj Allianz Health Insurance plans explore more:
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Bajaj Allianz Silver Health Plan for Senior Citizens is an adequate health plan if you are a senior citizen and are looking for an insurance plan or j...
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Accident Health Insurance
Bajaj Allianz Personal Accident Policy is a safety net for policyholders as life is uncertain and can throw any curveballs your way. Bajaj Allianz's P...
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Individual and Family Health Insurance
A versatile policy covering every family member. Bajaj Allianz Arogya Sanjeevani is a comprehensive health plan for individuals and families alike. Av...
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Accident Health Insurance
Bajaj Premium Personal Guard supports you in the hour of crisis and helps you to sustain the unforeseen risks providing security for the future and en...
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Bajaj Allianz Health Infinity Plan is a unique health insurance plan. Bajaj Allianz Health Infinity Plan has been designed to give policyholders unlim...
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Bajaj Allianz Health Guard plan provides policyholders with a comprehensive range of benefits, ensuring that they are covered for the larger expenses ...
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Individual and Family Health Insurance
Health Care Supreme is a comprehensive health care plan offered by Bajaj Allianz Health Insurance that provides lifetime coverage against the medical ...
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Critical Illness Health Insurance
Get maximised care and an additional layer of protection against your critical illness worries. The base coverage options of Bajaj Allianz Criti Care ...
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Critical Illness Health Insurance
Protection from critical illnesses when you need it the most! Bajaj Allianz women specific critical illness plan protects women against the serious th...
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Top Up and Super Top Up
Extra Care policy is an additional layer of protection that ensures adequate health coverage. Sometimes, it's not enough to have a health insurance po...
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Critical Illness Health Insurance
Get additional protection against diseases carried by mosquitoes with the M-Care health policy. According to The New Indian Express report of May 2024...
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Individual
Bajaj Allianz Global Health Care plan secures you from losing all the money on healthcare. With the changing facet of health complications, we need to...
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Individual and Family Health Insurance
Bajaj Allianz critical illness insurance plan ensures you a round-the-clock protection against critical illnesses. With a progressive and changing lif...
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Individual and Family Health Insurance
We all want to give the best facilities to our families and their sound health is of supreme importance to us; hence, we want to be the best regarding...
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Individual and Family Health Insurance
Bajaj Allianz Tax Gain Plan is a family floater health insurance policy providing coverage for outpatient expenses and hospitalization expenses under ...
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Individual and Family Health Insurance
Bajaj Allianz Star Package Policy is a 360-degree family floater health insurance plan wherein you and your family members are protected against medic...
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Individual and Family Health Insurance
Bajaj Allianz My Health Care Plan is a truly flexible plan for personalized health care. The health insurer offers a bouquet of features allowing insu...
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Accident Health Insurance
Global Personal Guard Policy by Bajaj Allianz is an individual and family floater global accident insurance policy that covers you against death, perm...
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Know More About Health Insurance Companies
In case of planned hospitalization, we must inform the company 48 hours before being admitted to the hospital.
In case of emergency hospitalization we must inform the company about the claim within 24 hours of being admitted to the hospital.
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Bindiya is a seasoned content writer specializing in keeping readers acquainted with the insurance industry, term insurance developments, and life insurance sector shifts. With an experience of 3 years in insurance, Bindiya ensures that her readers stay well informed with the insurance developments and factually correct information.
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