Bajaj General Claim Settlement Ratio

Bajaj General health insurance claim settlement ratio indica ...Read More

Network hospital

18400+

Network hospitals

Claim settlement ratio

99.23%

Claim settlement ratio

Sum Insured

Up to 25 Cr

Sum insured

No of Plans

1

No. of Plans

Solvency Ratio

3.25

Solvency Ratio

Pan India Presence

1100+

Pan India Presence

Google Ratings (2500+)

11+ Years

IRDAI Approved

5M+

Quotes Generated

100K+

Happy Customers

PolicyX is one of India's leading digital insurance platform

Customized Health Insurance Plan for you.

Get upto 15% Online Discount*

Select members you want to insure

Google Ratings (2500+)

11+ Years

IRDAI Approved

5M+

Quotes Generated

100K+

Happy Customers

PolicyX is one of India's leading digital insurance platform

PolicyX Exclusive Benefits

No Spam

No Spam
No Gimmicks

Advice

Personalised
Insurance Advice

Support

24×7
Claim Assistance

Anshika Ojha
Written By:
Anshika

Anshika Ojha

Health Insurance

Anshika Ojha is a content writer with more than 2 years of experience and holds expertise across various formats of content. She focuses on simplifying health insurance jargon and making it easy for readers to understand.

|
Reviewed By:
Raj Kumar

Raj Kumar

Health Insurance

Raj Kumar has more than a decade of experience in driving product knowledge and sales in the health insurance sector. His data-focused approach towards business planning, manpower management, and strategic decision-making has elevated insurance awareness within and beyond our organisation.

Bajaj General Health Insurance Claim Settlement Ratio

Bajaj General health insurance claim settlement ratio indicates the claims settled by Bajaj General 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.

Bajaj General Health Insurance Claim Settlement Ratio

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.

Bajaj General Health Insurance Claim Settlement Processes

The company offers two types of claim settlement processes designed according to the needs of the customers:

  • Cashless Claims
  • Reimbursement Claims

Let’s look into each one of these in detail:

Cashless Claims:

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:

  • Step 1:

    Visit any of the Bajaj General network hospitals.

  • Step 2:

    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 General.

  • Step 3:

    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.

  • Step 4:

    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.

Reimbursement Claims:

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 General are as follows:

  • Step 1:

    After the completion of your treatment, collect all the documents and submit them to the Bajaj General General Insurance Company Limited - Health Administrative Team.

  • Step 2:

    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.

  • Step 3:

    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.

Bajaj General Health Insurance Network Hospital List

Bajaj General Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, Bajaj General Health Insurance ensures that you are medically secured, irrespective of the city you reside in.

Recommended Videos

Bajaj Health Insurance

Bajaj Health Insurance

Explore other Bajaj General Health Insurance

To cater to the different medical needs of an individual & their family, Bajaj General 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 General Health Insurance plans explore more:

Individual

This plan allows HER to be in HERizon! Bajaj General HERizon Care is a groundbreaking policy that addresses the holistic health and wellness of women....

Unique Features

  • Exclusive plan for women
  • Covers prophylactic surgeries
  • Vita Shield and Cradle Care

Bajaj General HERizon Care (Pros)

Bajaj General HERizon Care
  • Surrogacy support
  • Oocyte donor cover
  • Nurture nest

Bajaj General HERizon Care (Cons)

Bajaj General HERizon Care
  • Waiting period
  • Diagnostic tests not included
  • Non-medical items

Bajaj General HERizon Care (Other Benefits)

Bajaj General HERizon Care
  • Prophylactic Surgeries
  • Legal Expense Support
  • Fetal Flourish

Bajaj General HERizon Care (Eligibility Criteria)

Bajaj General HERizon Care
  • Entry age - 90 days
  • Max entry age - 80 years
  • SI - INR 3 L to 2 Cr
  • Waiting Period - 30 days

Individual

Bajaj General Critical Illness plans provide a multitude of benefits that protect the insured from life-threatening critical diseases. The numerous cr...

Unique Features

  • 43 CI cover
  • All-stage cancer cover
  • Physiotherapy care

Criti Care (Pros)

Criti Care
  • 43 critical illnesses cover
  • All-stage cancer cover
  • Physiotherapy care available

Criti Care (Cons)

Criti Care
  • ICU cover not available
  • No pre and post-hospitalisation cover
  • No room rent cover

Criti Care (Other Benefits)

Criti Care
  • Early Stage Cancers
  • Carotid Artery Surgery
  • Removal of one Kidney

Criti Care (Eligibility Criteria)

Criti Care
  • 18 to 65 Years

Top Up and Super Top Up

Bajaj General Extra Care Plus is a super top-up plan launched by Bajaj General that covers all your medical expenses. Bajaj General Extra Care Plus is...

Unique Features

  • Bajaj General Super Top-Up
  • Avail High Sum Insured
  • Entry Age Up To 80 Years

Bajaj General Extra Care Plus (Pros)

Bajaj General Extra Care Plus
  • High sum insured
  • Entry age up to 80 years
  • Cover for family members available

Bajaj General Extra Care Plus (Cons)

Bajaj General Extra Care Plus
  • AIDS not covered
  • Self-inflicted injury not covered
  • Global coverage not available

Bajaj General Extra Care Plus (Other Benefits)

Bajaj General Extra Care Plus
  • Comprehensive features
  • Affordable premiums
  • Family cover

Bajaj General Extra Care Plus (Eligibility Criteria)

Bajaj General Extra Care Plus
  • Entry Age: 18 Years
  • SI: Up to 50 L
  • Initial Waiting Period: 30 Days

Senior Citizen Health Insurance

Bajaj General 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

  • Cover 15 Critical Illnesses
  • Preventive Health Check-ups
  • Long Term Policy

Silver Health Plan (Pros)

Silver Health Plan
  • Cover 15 critical illnesses
  • Preventive health check-ups
  • Long term policy

Silver Health Plan (Cons)

Silver Health Plan
  • Organ donor expenses not covered
  • Vaccination charges not covered
  • Self-inflicted injury not covered

Silver Health Plan (Other Benefits)

Silver Health Plan
  • 2 Plan variants
  • Preventive Health Checkups
  • Modern Treatments Covered 

Silver Health Plan (Eligibility Criteria)

Silver Health Plan
  • Entry Age: 46 to 80 Years
  • SI: Up to 10 L
  • Initial Waiting Period: 30 Days

Accident Health Insurance

Bajaj General Personal Accident Policy is a safety net for policyholders as life is uncertain and can throw any curveballs your way. Bajaj General's P...

Unique Features

  • High sum insured
  • Death cover
  • Disability cover

Bajaj General Personal Accident Policy (Pros)

Bajaj General Personal Accident Policy
  • High sum insured
  • Death cover
  • Disability cover

Bajaj General Personal Accident Policy (Cons)

Bajaj General Personal Accident Policy
  • Hospitalization out of war/riot/strike NA
  •  Intentional self-injury

Bajaj General Personal Accident Policy (Other Benefits)

Bajaj General Personal Accident Policy
  • Affordable premiums
  • Complete security

Bajaj General Personal Accident Policy (Eligibility Criteria)

Bajaj General Personal Accident Policy
  • 18 to 65 Years

Individual and Family Health Insurance

A versatile policy covering every family member. Bajaj General Arogya Sanjeevani is a comprehensive health plan for individuals and families alike. Av...

Unique Features

  • Life-long Renewability
  • Hassle-free Claim Settlement
  • Flexible Payment Modes

Bajaj General Arogya Sanjeevani (Pros)

Bajaj General Arogya Sanjeevani
  • Lifelong renewability
  • Affordable premiums
  • Cover for pre-policy health checkups

Bajaj General Arogya Sanjeevani (Cons)

Bajaj General Arogya Sanjeevani
  • Low SI options
  • No cover for dental treatments
  • No cover for mental illness

Bajaj General Arogya Sanjeevani (Other Benefits)

Bajaj General Arogya Sanjeevani
  • Pre-policy health check-up coverage
  • Daycare procedures covered
  • Ambulance cover available

Bajaj General Arogya Sanjeevani (Eligibility Criteria)

Bajaj General Arogya Sanjeevani
  • 18-65 Years

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

  • In-house claim settlement team
  • Multiple Sum Insured Options
  • Lifelong Renewability

Premium Personal Guard (Pros)

Premium Personal Guard
  • In-house claim settlement team
  • Multiple sum insured options
  • Lifelong renewability

Premium Personal Guard (Cons)

Premium Personal Guard
  • Does not cover self-inflicted injury
  • No AIDS cover
  • Organ donation not covered

Premium Personal Guard (Other Benefits)

Premium Personal Guard
  • High sum insured up to INR 25 Lakhs
  • Lifetime renewal
  •   Annual policy

Premium Personal Guard (Eligibility Criteria)

Premium Personal Guard
  • 18 to 65 Years

Individual

Bajaj General Health Infinity Plan is a unique health insurance plan. Bajaj General Health Infinity Plan has been designed to give policyholders unlim...

Unique Features

  • Comprehensive Health Plan
  • Lifetime Renewability
  • Quick Claim Process

Bajaj General Health Infinity (Pros)

Bajaj General Health Infinity
  • Comprehensive coverage
  • Lifelong renewal
  • Easy and quick claim process

Bajaj General Health Infinity (Cons)

Bajaj General Health Infinity
  • OPD not covered
  • Infertility treatments not covered
  • Organ donor coverage not available

Bajaj General Health Infinity (Other Benefits)

Bajaj General Health Infinity
  • Pre- Hospitalization
  • 60 days Coverage for Day Care Procedures
  • Pre-existing disease covered after 36 months

Bajaj General Health Infinity (Eligibility Criteria)

Bajaj General Health Infinity
  • 18 to 65 Years

Individual and Family Health Insurance

Bajaj General Health Guard plan provides policyholders with a comprehensive range of benefits, ensuring that they are covered for the larger expenses ...

Unique Features

  • About Health Guard Variants
  • Buying Process ’On a Go’
  • Quick Claim Settlement

Bajaj General Health Guard (Pros)

Bajaj General Health Guard
  • Lifelong entry age
  • SI upto 1 Crore
  • Variants available

Bajaj General Health Guard (Cons)

Bajaj General Health Guard
  • Domiciliary not covered
  • E-consultation not available
  • No second medical opinion

Bajaj General Health Guard (Other Benefits)

Bajaj General Health Guard
  • 3 variants available
  • Comprehensive coverage
  • Different family sizes covered

Bajaj General Health Guard (Eligibility Criteria)

Bajaj General Health Guard
  • 18 Years to Lifelong

Individual and Family Health Insurance

Health Care Supreme is a comprehensive health care plan offered by Bajaj General Health Insurance that provides lifetime coverage against the medical ...

Unique Features

  • Cover 15 Critical Illnesses
  • Preventive Health Check-ups
  • Long Term Policy

Bajaj General Health Care Supreme (Pros)

Bajaj General Health Care Supreme
  • Cover 15 critical illnesses
  • Preventive health check-ups
  • Long-term policy

Bajaj General Health Care Supreme (Cons)

Bajaj General Health Care Supreme
  • Global coverage not available
  • Domiciliary hospitalisation not covered
  • No compassionate travel benefits

Bajaj General Health Care Supreme (Other Benefits)

Bajaj General Health Care Supreme
  • 100% of the sum insured will be restored
  • Maternity cover
  • Lifelong renewability 

Bajaj General Health Care Supreme (Eligibility Criteria)

Bajaj General Health Care Supreme
  • Entry Age: 18 Years to Lifetime
  • SI: Up to 50 L

Critical Illness Health Insurance

Get maximised care and an additional layer of protection against your critical illness worries. The base coverage options of Bajaj General Criti Care ...

Unique Features

  • 43 critical illnesses cover
  • All-stage cancer cover
  • Physiotherapy care available

Bajaj General Criti Care Plan (Pros)

Bajaj General Criti Care Plan
  • 43 critical illnesses cover
  • All-stage cancer cover
  • Physiotherapy care available

Bajaj General Criti Care Plan (Cons)

Bajaj General Criti Care Plan
  • Sexually transmitted diseases
  • War injuries
  • Self-Inflicted injuries

Bajaj General Criti Care Plan (Other Benefits)

Bajaj General Criti Care Plan
  • Cardiovascular care
  • Kidney care
  • Cancer care
  • Sensory organ care

Bajaj General Criti Care Plan (Eligibility Criteria)

Bajaj General Criti Care Plan
  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 2 Cr

Critical Illness Health Insurance

Protection from critical illnesses when you need it the most! Bajaj General women specific critical illness plan protects women against the serious th...

Unique Features

  • Critical illness coverage for women
  • Loss of job cover
  • Children education benefits

Bajaj General Women Specific Critical Illness Plan (Pros)

Bajaj General Women Specific Critical Illness Plan

Bajaj General Women Specific Critical Illness Plan (Cons)

Bajaj General Women Specific Critical Illness Plan

Bajaj General Women Specific Critical Illness Plan (Other Benefits)

Bajaj General Women Specific Critical Illness Plan

Bajaj General Women Specific Critical Illness Plan (Eligibility Criteria)

Bajaj General Women Specific Critical Illness Plan

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...

Unique Features

  • Pre & post-hospitalization cover
  • In-house claim settlement
  • Ambulance cover

Bajaj General Extra Care Policy (Pros)

Bajaj General Extra Care Policy
  • In-house claim settlement
  • Global expertise
  • Quick disbursement of claims

Bajaj General Extra Care Policy (Cons)

Bajaj General Extra Care Policy
  • War
  • Cost of spectacles
  • Rest and rehabliation

Bajaj General Extra Care Policy (Other Benefits)

Bajaj General Extra Care Policy
  • Uterine Artery Embolization and HIFU
  • Balloon Sinuplasty
  • Deep Brain stimulation
  • Oral chemotherapy

Bajaj General Extra Care Policy (Eligibility Criteria)

Bajaj General Extra Care Policy
  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 15 L

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...

Unique Features

  • Vector-borne diseases cover
  • Lifetime renewable options
  • Affordable premiums

Bajaj General M-Care Plan (Pros)

Bajaj General M-Care Plan
  • Dengue Fever
  • Malaria
  • Filariasis

Bajaj General M-Care Plan (Cons)

Bajaj General M-Care Plan
  • Only covers vector-borne diseases
  • Hospital admission for less than 24 hours
  • Diagnosis and treatment outside India

Bajaj General M-Care Plan (Other Benefits)

Bajaj General M-Care Plan
  • Covers the proposer/spouse/dependent children
  • Affordable premiums
  • Only 15 days waiting period

Bajaj General M-Care Plan (Eligibility Criteria)

Bajaj General M-Care Plan
  • Min entry age: Day 1
  • Max entry age: 65 Years
  • Initial Waiting Period: 15 Days
  • Sum Insured: Up to 75 K

Individual

Bajaj General Global Health Care plan secures you from losing all the money on healthcare. With the changing facet of health complications, we need to...

Unique Features

  • International medical cover
  • Daily cash benefit
  • Mental health treatment

Bajaj General Global Health Care (Pros)

Bajaj General Global Health Care
  • Preventive health check-up
  • Pre and post-hospitalization cover
  • Compassionate visit
  • Mental health cover

Bajaj General Global Health Care (Cons)

Bajaj General Global Health Care
  • Obesity/ weight control
  • Change of gender treatments
  • COVID-19 not covered
  • Hazardous or adventure sports
  • Maternity not covered

Bajaj General Global Health Care (Other Benefits)

Bajaj General Global Health Care
  • Lifelong renewability
  • Organ donor cover
  • International coverage
  • Optional dental treatment cover
  • Air ambulance

Bajaj General Global Health Care (Eligibility Criteria)

Bajaj General Global Health Care
  • Entry Age - 3 months
  • Max Entry Age - 65 Years
  • SI - 37.5 L - 3.75 Cr
  • Waiting Period - 30 Days

Individual and Family Health Insurance

Bajaj General critical illness insurance plan ensures you a round-the-clock protection against critical illnesses. With a progressive and changing lif...

Unique Features

  • Covers 10 critical illnesses
  • In-house claim settlement
  • Lifelong renewability

Bajaj General Critical Illness (Pros)

Bajaj General Critical Illness
  • Cover for 10 critical illnesses
  • Lifelong renewability
  • Affordable premium options

Bajaj General Critical Illness (Cons)

Bajaj General Critical Illness
  • No cover for childhood defects
  • No cover for HIV/AIDS
  • Survival period of 30 days

Bajaj General Critical Illness (Other Benefits)

Bajaj General Critical Illness
  • Long Term Policy Discount
  • Major Organ Transplantation
  • Hassle free In House claim process

Bajaj General Critical Illness (Eligibility Criteria)

Bajaj General Critical Illness
  • 18 to 65 Years

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

  • Comprehensive Coverage
  • Cumulative Bonus
  • Life Long Renewal

Bajaj General Health Ensure (Pros)

Bajaj General Health Ensure
  • Comprehensive coverage
  • Cumulative bonus
  • Lifelong renewal

Bajaj General Health Ensure (Cons)

Bajaj General Health Ensure
  • Domiciliary not covered
  • No coverage for infertility
  • Sub-limits applicable

Bajaj General Health Ensure (Other Benefits)

Bajaj General Health Ensure
  • Individual and family plan
  • Flexible premium payment term
  • AYUSH cover

Bajaj General Health Ensure (Eligibility Criteria)

Bajaj General Health Ensure
  • 18 Years to no upper age limit

Individual and Family Health Insurance

Bajaj General Tax Gain Plan is a family floater health insurance policy providing coverage for outpatient expenses and hospitalization expenses under ...

Unique Features

  • OPD Cover
  • Senior Citizen Cover
  • 4 Plan Variants

Bajaj General Tax Gain Policy (Pros)

Bajaj General Tax Gain Policy
  • Multiple plan options available
  • OPD cover
  • Coverage for senior citizens

Bajaj General Tax Gain Policy (Cons)

Bajaj General Tax Gain Policy
  • ICU charges not covered
  • Pre-hospitalisation not covered
  • No coverage for post-hospitalisation

Bajaj General Tax Gain Policy (Other Benefits)

Bajaj General Tax Gain Policy
  • Choose from Plan A/B/C/D
  • OPD and hospitalization coverage available
  • Multiple discounts are available depending on policy term

Bajaj General Tax Gain Policy (Eligibility Criteria)

Bajaj General Tax Gain Policy
  • 18 to 75 Years

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

  • Super Cumulative Bonus
  • Co-Pay Available
  • 8 Benefit Options

Bajaj General Star Package (Pros)

Bajaj General Star Package
  • Super cumulative bonus
  • Co-pay available
  • 8 benefit options

Bajaj General Star Package (Cons)

Bajaj General Star Package
  • Domiciliary hospitalisation not covered
  • OPD coverage not available
  • Weight management treatments not covered

Bajaj General Star Package (Other Benefits)

Bajaj General Star Package
  • Select from 8 plan options
  • Hospital Cash Daily Allowance
  • Up to INR 1 Crore SI 

Bajaj General Star Package (Eligibility Criteria)

Bajaj General Star Package
  • 18 to 65 Years

Individual and Family Health Insurance

Bajaj General 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

  • Avail Optional Cover
  • Maternity Cover
  • High SI

Bajaj General My Health Care Plan (Pros)

Bajaj General My Health Care Plan
  • High SI options
  • OPD cover
  • Cataract cover

Bajaj General My Health Care Plan (Cons)

Bajaj General My Health Care Plan
  • No cover for gender change treatments
  • No cover for obesity treatments
  • Infertility cover not available

Bajaj General My Health Care Plan (Other Benefits)

Bajaj General My Health Care Plan
  • Avail Optional Cover
  • Maternity Cover
  • High SI

Bajaj General My Health Care Plan (Eligibility Criteria)

Bajaj General My Health Care Plan
  • 18 to 65 Years

Accident Health Insurance

Global Personal Guard Policy by Bajaj General is an individual and family floater global accident insurance policy that covers you against death, perm...

Unique Features

  • Death Cover
  • EMI Payment Cover
  • Hospital Cash Benefit

Bajaj General Personal Guard (Pros)

Bajaj General Personal Guard
  • Death Cover
  • EMI Payment Cover
  • Hospital Cash Benefit

Bajaj General Personal Guard (Cons)

Bajaj General Personal Guard
  • Intentional self-injury
  •  AIDS
  •  Miscarriage
  • and abortion

Bajaj General Personal Guard (Other Benefits)

Bajaj General Personal Guard
  • Accidental Hospitalization
  • Expenses Air Ambulance Cover
  • Loss of Income due to Disability from Accident

Bajaj General Personal Guard (Eligibility Criteria)

Bajaj General Personal Guard
  • 18 to 70 Years

Health Insurance Companies

Choose Right Insurance Banner Choose Right Insurance Banner

Bajaj General Health Insurance CSR: FAQs

1. After the submission of the documents for reimbursement claims, how long does it take to settle the claims of Bajaj General Health Insurance ?

It takes 7 working days to settle the claims after the document submission.

2. What is the name of the mobile application provided by Bajaj Health Insurance Company ?

The mobile application offered by the company is called "Bajaj Allianz GIC"

Share your Valuable Feedback

Rating Icon

4.4

Rated by 2675 customers

Was the Information Helpful?

Select Your Rating

We would like to hear from you

Let us know about your experience or any feedback that might help us serve you better in future.

Reviews and Ratings