Bajaj Allianz Claim Settlement Ratio
- CSR of the company
- Types of claims offered
- Claim filing process
Bajaj Allianz health insurance claim settlement ratio indicates the claims settled by Bajaj Allianz within a given time frame. Claim settlement ratio is important because a higher claim settlement ratio indicates the company’s reliability and prompt claim processing, instilling trust and reliability among policyholders. This ratio is calculated as the percentage of claims the company has paid against the total outstanding claims during a financial year.
The claim settlement ratio of 93.54% showcases the strong commitment to honoring the financial security of policyholders and their families in times of need. They have more than 18,400 network hospitals across India. Established in the year 2000, the company has rapidly grown to become one of the prominent insurance companies in India.
The company offers two types of claim settlement processes designed according to the needs of the customers:
Let’s look into each one of these in detail:
These claims are simpler for the policyholder since they are quick and hassle-free, and do not require advance payments. The process for cashless claims with Bajaj Alliance is mentioned below:
Visit any of the Bajaj Allianz network hospitals.
Once you notify the hospital about your health insurance, the hospital will send a filled pre-authorized form to the Health Administration Team (HAT) of Bajaj Allianz.
After the company verifies all the submitted details, it will send the approval to the healthcare provider in 60 minutes. After this, you do not need to pay anything at the hospital.
If by chance the insurer needs some further information, they will send a letter to the hospital asking for relevant details. If the cashless claim is denied, you can still get treated at the hospital and later file for a reimbursement claim with all the necessary information at hand.
Through reimbursement claims, the policyholder pays the hospital bills out of pocket before filing the claims with the insurer. The policyholder can visit any hospital of his choice and not necessarily the network hospital to get a reimbursement claim. The steps for filing a reimbursement claim with Bajaj Allianz are as follows:
After the completion of your treatment, collect all the documents and submit them to the Bajaj Allianz General Insurance Company Limited - Health Administrative Team.
After the submission of the documents, the company will go through them and/or request for some more information from you if it is necessary or missing. If not, the company will initiate the claim via ECS within 7 working days.
If you are unable to provide the requested information, the company will send you 3 reminders after 10 days. If you are unable to respond post these 3 reminders i.e. 30 days the company will reject the claim.
Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, ensures that you are medically secured, irrespective of the city you reside in.
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:
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...
Unique Features
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...
Unique Features
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...
Unique Features
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 ...
Unique Features
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...
Unique Features
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...
Unique Features
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 ...
Unique Features
Individual and Family Health Insurance
Bajaj Allianz Health Guard plan provides policyholders with a comprehensive range of benefits, ensuring that they are covered for the larger expenses ...
Unique Features
Individual
Bajaj Allianz Health Infinity Plan is a unique health insurance plan. Bajaj Allianz Health Infinity Plan has been designed to give policyholders unlim...
Unique Features
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...
Unique Features
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...
Unique Features
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...
Unique Features
Senior Citizen Health Insurance
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...
Unique Features
Top Up and Super Top Up
Bajaj Allianz Extra Care Plus is a super top-up plan launched by Bajaj Allianz that covers all your medical expenses. Bajaj Allianz Extra Care Plus is...
Unique Features
Individual
Bajaj Allianz Critical Illness plans provide a multitude of benefits that protect the insured from life-threatening critical diseases. The numerous cr...
Unique Features
Know More About Health Insurance Companies
It takes 7 working days to settle the claims after the document submission.
As per the latest report 2021-22, released by IRDAI, The Bajaj health insurance claim settlement ratio is 96.59%.
The mobile application offered by the company is called "Bajaj Allianz GIC"
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