Bajaj Allianz Claim Process
  • CSR of the company
  • Cashless Claims
  • Reimbursement Claims
Bajaj Allianz Health Insurance
premium

Network hospitals

8000+

premium

Claim settlement ratio

96.59%

premium

Sum insured

Up to 1 CR

premium

No. of Plans

8

premium

Solvency Ratio

3.41

premium

Pan India Presence

240

Customized Health Insurance Plan for you.

Get upto 15% Online Discount*

Select Members You Want To Insure

Age of Eldest Member

premium

Network hospitals

8000+

premium

Claim settlement ratio

96.59%

premium

Sum insured

Up to 1 CR

premium

No. of Plans

8

premium

Solvency Ratio

3.41

premium

Pan India Presence

240

Bajaj Health Insurance Claim Process

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 96.59%, which translates to the readiness of the company to settle the claims.

Health Insurance Companies: Policy and Claim Process

Types of Claims Offered by Bajaj Allianz

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 as follows :

  • Cashless Claims: In cashless claims, the policyholder receives the treatment and does not pay upfront for the covered expenses. The insurance provider directly settles the medical bills with the hospital.
  • Reimbursement Claims: Reimbursement claims give policyholders the flexibility of getting treated at any of the healthcare facility and later get the medical costs reimbursed from the insurance provider.

How To Claim Bajaj Allianz Health Insurance: Cashless Claims

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 act 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:

Step 1: Inform the Company and Contact the TPA

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.

Step 2: Document Submission

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.

Step 3: Verification Process

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:

  • The company will send a letter of query to the hospital asking for more documents or details.
  • Once the company receives all the additional documents they will send the authorization letter within 7 days.
  • After receiving the authorization letter the, network hospital will notify the patient.

Step 4: Settlement

Finally, after completing all the treatment procedures the bill will be settled with the hospital.

How To Claim Bajaj Allinaz Health Insurance: Reimbursement Claims

Reimbursement process gives the liberty to the policyholder, to choose the hospital of his choice. Let us go through the procedure:

Step 1: After completing treatment procedures and paying the bill at the hospital, collect all documents from the hospital.

Step 2: 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

  • Advance Notice: If any documents or details are missing, Bajaj Health Insurance Company will send advance notice and give time to the policyholder to send the details.
  • Document Submission: After receiving the required documents and clarification on additional detail the company will start the claim processing.

Step 3: The company will settle the compensation amount with ECS within 10 days and will notify the customer about the same.

Note:

  • If in case, the company doesn't receive the pending document, they will send 3 reminders within 10 days apart from the initial notice.
  • If the policyholder is unable to provide the missing document within 30 days, from the initial notice, the claim will be considered closed. The company will notify the policyholder of the closure.

Documents Required For Filing a Bajaj Health Insurance Claim

Here is the list of documents required to file a claim:

  • Original discharge summary documents
  • Original hospital bill with cost break -up
  • Original paid receipt
  • All lab and test reports
  • Copy of invoice/stickers/barcode in case of implants
  • First consultation letter from the doctor
  • KYC Form
  • Completely filled and signed NEFT form by the policyholder

Conclusion

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.

Explore other Bajaj Allianz Health Plans

Bajaj Allianz Health offers a wide range of health insurance plans to fulfill the medical needs of individuals, families, and senior citizens.

Bajaj Allianz Critical Illness

A plan which covers you against major life-threatening diseases such as cancer, major organ transplant, heart attack, and more. The plan covers 10 critical diseases.

Unique Features

  • Avail discounts on policy terms
  • 50 Lakh SI
  • Flexible premium payment

Bajaj Allianz Critical Illness (Pros)

  • Joint Replacement
  • Major Organ Transplantation
  • Surgery of Aorta
  • Limbs Permanent Paralysis
  • Dialysis Care

Bajaj Allianz Critical Illness (Cons)

  • No C- Section Coverage
  • No Weight Surgery Cover
  • No War Injury Cover
  • HIV/AIDS not covered
  • No Natural Peril Cover

Bajaj Allianz Critical Illness (Other Benefits)

  • First Heart Attack
  • Open Chest CABG
  • Regular Dialysis
  • Neuro Care
  • Multiple Sclerosis

Bajaj Allianz Critical Illness (Eligibility Criteria)

  • Entry Age - 18 Years
  • Max Entry Age - 65 Years
  • SI - 1 L to 50 L
  • Waiting Period - 90 Days

Bajaj Allianz Extra Care

Bajaj Allianz Extra Care is a perfect health protection plan that offers financial support to you and your family. It is a floater Policy with a single premium for the family.

Unique Features

  • Avail Modern Treatments
  • Avail Ambulance coverage
  • Avail discounts on policy terms

A super top-up health plan that provides additional coverage to the existing health insurance policy. The plan provides wider health protection to you and your family.

Unique Benefits

  • Air Ambulance cover
  • Avail maternity expense
  • Organ donor expenses covered

Bajaj Allianz Extra Care Plus (Pros)

  • Modern treatment Covered
  • Air Ambulance Cover
  • Maternity Benefit
  • Organ Donor Expenses
  • Free Medical Check-Up

Bajaj Allianz Extra Care Plus (Cons)

  • No New Born Baby Cover
  • No Dental Treatment
  • No Obesity Cover
  • STD not covered
  • No BMI Cover

Bajaj Allianz Extra Care Plus (Other Benefits)

  • Day Care Treatment Covered
  • ICU Covered
  • Specialist Doctor Cover
  • Post-hospitalisation expenses
  • Spouse and Child Cover

Bajaj Allianz Extra Care Plus (Eligibility Criteria)

  • Entry Age - 91 Days
  • Max Entry Age - 80 Years
  • SI - 3 L to 50 L
  • Waiting Period - 30 Days

Bajaj Allianz M care

The plan offers wide coverage and comes at an affordable price and takes care of the most common vector-borne ailments.

Unique Features

  • Avail Lifetime Renewal
  • Coverage against Dengue
  • Avail family coverage

Bajaj Allianz M care (Pros)

  • Chikungunya Cover
  • Malaria Cover
  • Filariasis Cover
  • Kala Azar Cover
  • Pre & post hospitalisation

Bajaj Allianz M care (Cons)

  • No Global Coverage
  • No Dental Treatment
  • No Parkinson's Cover
  • HIV/AIDS not covered
  • No Obesity/Weight Cover

Bajaj Allianz M care (Other Benefits)

  • Zika Virus Cover
  • Japanese Encephalitis Cover
  • Dengue Fever Cover
  • Bariatric surgery cover
  • SI reinstatement benefit

Bajaj Allianz M care (Eligibility Criteria)

  • Entry Age - 18 Years
  • Max Entry Age - 65 Years
  • SI - 25 Thousand to 75 Thousand
  • Waiting Period - 30 Days

Bajaj Allianz Personal Accident Plan is designed to protect you and your family from serious financial problems in case of death, and partial and total disability

Unique Features

  • Covers children’s education
  • Avail cumulative bonus
  • Avail additional covers with plan

Bajaj Allianz Sankat Mochan

A plan that covers Death, Permanent Total Disability, Permanent Partial Disability, and Temporary Total disability caused due to accidental injury.

Unique Features

  • Offers 16 variants
  • Lifetime renewal available
  • Avail Hospitalization expenses

Premium Personal Guard covers you and your family against bodily injury or death caused due to an accident and offers a high sum assured ranging from 10 lakhs to 25 lakhs

Unique Features

  • Avail cumulative bonus
  • Cover dependent children
  • Cover death and disability

Bajaj Allianz Loan Care

A unique insurance policy that covers loan borrowers providing comprehensive protection in the event of an unfortunate incident.

Unique Features

  • Personal Accident Covered
  • EMI Payment Cover
  • Child education benefit available

Bajaj Allianz Saral Suraksha Bima

Saral Suraksha Bima offers a sum assured up to 1 Cr and offers optional covers for temporary Total Disablement and Hospitalisation Expenses due to Accident.

Unique Features

  • Lifetime renewal available
  • Child education benefit available
  • Cumulative Bonus

Bajaj Allianz Saral Suraksha Bima (Pros)

  • Total Temporary Disablement
  • Installment Premium Payment
  • Cumulative Bonus
  • Hospitalization Expenses
  • 10% Education Grant

Bajaj Allianz Saral Suraksha Bima (Cons)

  • No Alcoholism Cover
  • No War Injury Cover
  • No Cataract Cover
  • No Suicide Cover
  • No STD Cover

Bajaj Allianz Saral Suraksha Bima (Other Benefits)

  • Partial Disablement Cover
  • Total Disablement Cover
  • Nursing Expenses Cover
  • Prosthetic Cover
  • ICU Cover

Bajaj Allianz Saral Suraksha Bima (Eligibility Criteria)

  • Entry Age - 18 Years
  • Max Entry Age - 65 Years
  • SI - 2.5 L to 1 cr
  • Waiting Period - 30 Days

Bajaj Allianz Star Package

An all-in-one family floater policy that covers health, household contents, travel baggage and much more.

Unique Features

  • Covers Household content
  • Avail education grant
  • Avail critical illness cover

Bajaj Allianz Global Health Care

This plan provides comprehensive coverage for planned and emergency medical treatment within and outside India.

Unique Features

  • USD 1,000,000 cover
  • Mental Illnesses covered
  • Air Ambulance covered

A Comprehensive Plan with a wide range of benefits, ensuring a cover for maximum expenses related to Illness and Accidents offering optional add-on benefits.

Unique Features

  • Avail Maternity Cover
  • Avail Newborn baby cover
  • Physiotherapy expenses covered

A plan designed for senior citizens offering cashless benefits or reimbursement for hospitalisation expenses due to illness or accident.

Unique Features

  • Avail Hospitalization expenses
  • Pre-existing illnesses Cover
  • 130 day care procedures

Bajaj Allianz Tax Gain Policy

A floater health policy that covers out patient expenses (OPD) & hospitalization expenses under a single policy for self and spouse.

Unique Features

  • OPD covereage available
  • 130 Day care procedures
  • Avail free health check up

Bajaj Allianz Health Ensure

A comprehensive plan that takes care of medical expenses for you and your family in case of unfortunate event of hospitalisation for illness/ injury.

Unique Features

  • Upto 10lakh sum assured
  • Avail cumulative bonus
  • Day care procedures covered

Bajaj Allianz Corona-Kavach Policy

An affordable health insurance policy, Corona Kavach, takes care of your expenses at the time of hospitalization for COVID-19 treatment.

Unique Features

  • Avail homecare treatment
  • AYUSH treatment available
  • Avail hospital daily cash

Bajaj Allianz Corona-Kavach Policy (Pros)

  • Covid Hospitalization Cover
  • AYUSH Treatment
  • Pre Hospitalization
  • Post Hospitalization
  • Home Care Treatment Expenses

Bajaj Allianz Corona-Kavach Policy (Cons)

  • No Global Coverage
  • No Dental Treatment
  • No Alcoholism Cover
  • No Unproven Treatments
  • No Suicide Cover

Bajaj Allianz Corona-Kavach Policy (Other Benefits)

  • Hospital Daily Cash
  • Oxygen cylinder Cover
  • Diagnostic tests Cover
  • Consultation charge cover
  • Road Ambulance Cover

Bajaj Allianz Corona-Kavach Policy (Eligibility Criteria)

  • Entry Age - 18 Years
  • Max Entry Age - 65 Years
  • SI - 50 Thousand to 5 L
  • Waiting Period - 15 Days

Bajaj Allianz Hospital Cash Daily Allowance

Hospital Cash Daily Allowance Policy guards you and your family against hospitalization expenses.

Unique Features

  • Avail discounts
  • Flexible premium payment term
  • Avail family cover

Bajaj Allianz Women Specific Critical Illness

This is a Women Specific Critical Illness Plan that provides you protection against the risk of serious illness.

Unique Features

  • Congenital Disability Benefit
  • Children Education Bonus
  • Avail various discounts

Bajaj Allianz Family Health Care Policy

A group policy that takes care of you and your family and protects you from hospitalization expenses in case of any unfortunate incident.

Unique Features

  • Avail Daycare procedures
  • Hospital cash benefits
  • Modern treatment covered

Bajaj Allianz Criti-Care

Criti-Care plan covers over 43 critical illnesses and offers you to choose from a wide range of Sum Assured.

Unique Features

  • Avail lifetime renewal
  • Avail coverage against cancer
  • Avail wellness discount

Bajaj Allianz Criti-Care (Pros)

  • Dialysis Care Cover
  • Cancer reconstructive surgery
  • Cardiac Nursing Cover
  • Physiotherapy care
  • Dialysis Care

Bajaj Allianz Criti-Care (Cons)

  • No Intoxication Coverage
  • No Cosmetic Surgery
  • No Postpartum Cover
  • STD not covered
  • No Natural Calamity Cover

Bajaj Allianz Criti-Care (Other Benefits)

  • Cancer Care
  • Cardiovascular Care
  • Kidney Care
  • Neuro Care
  • Transplants care

Bajaj Allianz Criti-Care (Eligibility Criteria)

  • Entry Age - 18 Years
  • Max Entry Age - 65 Years
  • SI - 1 L to 2 Cr
  • Waiting Period - 30 Days

Bajaj Allianz Health Insurance Claim Process : FAQ's

1. How much in advance should we intimate the company about the claim in planned hospitalization?

In case of planned hospitalization, we must inform the company 48 hours before being admitted to the hospital.

2. When should we inform the Bajaj Allinaz Health Insurance Company about the claim in case of emergency hospitalisation?

In case of emergency hospitalization we must inform the company about the claim within 24 hours of being admitted to the hospital.

Health Insurance Companies

What Our Customers Have to Say

Customer Review Image

Raj Kumar

Bhopal

October 16, 2023

Invested in a senior citizen health insurance with Bajaj Allianz for my parents and the coverage benefits are very helpful

Customer Review Image

Riya Chatterjee

Pune

October 9, 2023

Recently purchased a senior citizen plan from Bajaj Allianz and it provided my parents with wellness benefits and annual health check-ups that are useful for me as I stay away from my family.

Customer Review Image

Rishabh Singh

Chandigarh

October 9, 2023

Quick and efficient response from customer care of Bajaj Allianz when it comes to claim settlement queries.

Customer Review Image

Priyanka Kumari

Guwahati

October 9, 2023

Provides different options in health insurance and offers unique benefits. I purchased a maternity plan from Bajaj 2 years ago and now I am planning to start a family. Bajaj Allianz has been ve...

Customer Review Image

Smita Patil

Bengaluru

May 1, 2023

I have availed health insurance services from PolicyX in the year 2021 and I must say that they are reliable and have supported me with claim settlement without any delay.

Customer Review Image

Pawan

Delhi

June 6, 2022

Trust me, friends, Bajja is one of the best insurance companies in India. It offers good health insurance plans and its claim service is superb. I am very impressed by the work done by Bajaj Al...

Customer Review Image

Himanshi Nalwa

Pune

May 26, 2022

My claim was settled in no time... I went to a non-network hospital and Bajaj Allianz reimburse my claim within 2 days

Customer Review Image

Priya Singhania

Guwahati

May 26, 2022

I took the health insurance plan for my family. Bajaj Allianz is a nice company. Go for it. Thanks to Policyx.com, they helped me a lot.

View All Bajaj Allianz Health Insurance Reviews

Daina Mathew

Written By: Daina Mathew

Daina is a content writеr with a profound grasp of Insurancе, Stocks, and Businеss domains. Hеr extensive 3-year еxpеriеncе in thе insurancе industry еquips hеr with a nuancеd undеrstanding of its intricaciеs. Hеr skills еxtеnd to crafting blogs, articlеs, social mеdia copiеs, vidеo scripts, and wеbsitе content. Her ability to simplify complex insurancе concepts into reader-friendly content makes her an еxpеrt in the domain.