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About Bajaj Allianz Health Insurance

Bajaj Allianz General Insurance Company Limited is one of the leading and the most financially robust general insurance companies in India. Established in the year 2001, the company is a joint venture between Bajaj Finserv Limited, India’s most diversified non-banking financial company and Allianz SE, a leading worldwide financial service provider. Bajaj Finserv Limited holds a 74% stake in the company while the remaining 26% is held by Allianz, SE. ICRA Limited, a well-known credit rating agency has consistently given iAAA (highest rating) rating to the company from 2005-06 to till now. The company has a country-wide presence in over 800 towns and cities. With diversified and innovative product portfolio, Bajaj Allianz has all types of products to cater to the needs of various customer segments.


The company has also been forthcoming in helping its policyholders deal with the pandemic. Over the past few months, the company has offered quicker claim settlements, covered daycare procedures, AYUSH treatments and ambulance charges. The health plans by Bajaj Allianz also cover comorbid conditions as well as home care treatments. With its latest Health CDC, Claim by Direct Settlement, Bajaj Allianz allows you to instantly settle a claim up to INR 20,000 by using the company mobile app-Caringly Yours


The company has received various awards and recognitions consistently for its contribution to the general insurance industry. Some of the main awards received are as follows

  1. The company has received ‘’Best Customer Service Provider of the Year’’ and ‘’The General Insurance Company of the Year’’ awards
  2. The company has won the prestigious Asia Insurance Technology Award 2019 for operational excellence
  3. The company was awarded as ‘’Marketer of the Year’’ award at The Insurance India Summit & Awards 2019
  4. The company was awarded as ‘’Best Motor Insurance Provider of the Year’’ by Money Today Award, 2019
  5. The company was awarded as ‘’India’s Leading General Insurance Company 2019-Private’’ by Dun & Bradstreet
  6. The company was awarded as ‘’ Most Trusted Global Brand’’ award by Herald Global & BARC Asia
  7. The company was awarded as ‘’Digital Insurer of the Year 2018 ‘’ at Asia Insurance Industry Awards
  8. The company was awarded as ‘’Non-Life Insurer of the Year’’ award at Outlook Money Awards 2017
  9. The company’s operational risk management process is ISO 9001:2015 certified, which means the company can exceed customer expectations by proactively managing risk
  10. The company has more than 97 approved non-life insurance products, of which 27 are health insurance products to cater to the varying needs of people
  11. The company is tied up with 6500+ network garages and 6000+ network hospitals, which makes insurance easily accessible

Bajaj Allianz Claim Settlement Ratio

98.48%

Bajaj Allianz

94.21%

Industry Average

Health claim settlement ratio is the percentage of claims settled against the total claims received by the insurance company in a given fiscal year. Bajaj Allianz has a claim settlement ratio of 98.48%, as compared to the industry average of 94.21%.

Bajaj Allianz Health Insurance Plans Overview

Bajaj Allianz health insurance offers 2 health insurance plans. The premium of these plans starts from Rs. 1687/yr. The sum insured ranges from Rs. 50,000 - 1 Cr. Details of the comprehensive coverage provided by the following 2 Bajaj Allianz health insurance plans are listed below:

Bajaj Allianz Family Health Care Policy

Starting Premium- 1,687/Yr

Eligible Age

91 days - 65 years

Coverage

50,000 - 10 Lakh

Bajaj Allianz Health Guard Policy

Starting Premium- 3,550/Yr

Bajaj Allianz's Health Guard is designed to suit all your health care needs. It takes care of the medical treatment expenses incurred during hospitalization resulting from serious illness or accident. This cover has comprehensive benefits with affordable price suitable to your needs

  • Convalescence Benefit of 5,000/- for Sum Insured up to Rs. 5 lacs and 7,500/- for Sum Insured 7.5 lacs and above per policy year

Eligible Age

91 days - 65 years

Coverage

2 Lakh - 1 Cr

Top Features From Bajaj Allianz Health Plans

Bajaj Allianz Health Insurance plans come with many amazing benefits.Following are the key benefits offered by the Bajaj Allianz Health Insurance plans.

  1. Comprehensive protection:Health insurance plans offered by Bajaj Allianz provides compete for protection to an individual and his/her family by covering all the major healthcare expenses and services
  2. Customisation:Bajaj Allianz health insurance plans come with many customisable features that can be added to the base plan depending on the need. There are many additional coverage options provided
  3. Affordability:Bajaj Allianz health insurance plans are known for providing extensive coverage at a reasonable cost of the premium
  4. Convenient:Bajaj Allianz health insurance plans are offered on the online platform which can be easily and conveniently bought
  5. Easily accessible:With nation-wide and strong digital presence, Bajaj Health insurance plans are easily accessible. Benefits are also easily accessible with 6000+ network hospitals across the country to avail cashless facility
  6. Easy claim process:Bajaj Allianz health insurance claim process is easy and quick with tie-ups with 6000+ hospitals across the country
  7. Tax benefits:Tax benefits can be availed on the premiums paid for Bajaj Allianz health plans under Section 80D of the Income Tax Act, 1961

Exclusions Across Bajaj Allianz Health Plans

  • War:Our health policies do not cover you for any claims raised for the treatment expenses resulting due to war
  • Dental treatment:Our insurance policies do not cover you for dental treatment unless it is necessitated by an acute traumatic injury or cancer
  • External appliances/devices:The cost of spectacles, contact lenses, hearing aids, crutches, artificial limbs, dentures, artificial teeth etc., are also excluded from the coverage provided by health insurance plans
  • Intentional self-injury: Taking care of you is our topmost priority and we do not want to see you hurt, specially by self-inflicting injury.Thus, our policies do not offer coverage for intentional self-injury
  • Plastic surgery:Any kind of cosmetic surgery, unless necessary for the treatment of cancer, burns, or accidental Bodily Injury, is excluded from the coverage of our health insurance policies
  • Treatment outside India:Our insurance policies do not cover any treatment that you receive outside India.

Bajaj Allianz Premium Calculator

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Bajaj Allianz Customer Care

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Bajaj Allianz Claim Process

Bajaj Allianz supports both cashless claims and reimbursement claims. This section covers the information on how to check Bajaj Allianz health insurance claim status, fill Bajaj Allianz health insurance claim form, and the claim settlement process.

Cashless health insurance claim process In case of a healthcare emergency, if you decide to avail the cashless facility by getting admitted in the nearest network hospital,the following is the process for the claim

  1. Take admission at network hospitals for cashless treatment
  2. For planned admission, you need to place a pre-authorisation request for cashless facility needs to be placed 48 hours before admission and for emergency admission at a network hospital,the request can be placed within 24 hours of admission to the hospital
  3. Hospital verifies customer details and sends the pre-authorisation form to the insurance company
  4. The company verifies pre-authorisation request details with policy terms and benefits and then communicates the decision to the provider
  5. If the cashless request gets approved, compensation will be directly given to the hospital at the time of discharge after all the relevant documents are submitted by the hospital

Reimbursement health insurance claim process:

  1. In case you decide to avail the treatment at non-network hospitals of the insurance company, then the cashless facility cannot be availed. However, you can get the incurred out of pocket expenses reimbursed. Following is the process to be followed for reimbursement of such claims
  2. Take admission at the preferred hospital. Payout of your pocket at the time of discharge and collect all the original documents and discharge papers
  3. Initiate the reimbursement claim with Bajaj Allianz General Insurance Company and submit all the relevant documents along with the duly signed and filled claim form
  4. Company will take decision-based on its review and verification of the documents submitted
  5. Once the claim is approved, the payment of the claim will be made within 15 days’ time

Bajaj Allianz Health Insurance Renewal Process

Online Process For Bajaj Allianz Health Insurance Renewal


Bajaj Allianz Health Insurance offers a simple two-step online renewal process, and here are the steps to follow:
Step 1: Visit the Bajaj Allianz General Insurance website and click on the 'Renew' tab. Then, under the health insurance section, click on the 'Renew Now' button.
Step 2: Enter the required details like Bajaj Allianz Health policy number, date of birth to view your premium details. Select your renewal quote and make the payment

Offline Process For Bajaj Allianz Health Insurance Renewal


For the offline method of renewing your Bajaj Health Policy, you can also call their customer service advisors at 1800 2700 700 who will help you renew your health insurance policy instantly, and provide clarification for any of your queries about the terms and conditions or anything else
The status of Bajaj Allianz policy renewal can be checked either online on their website or offline by visiting their nearest branch or calling their helpline number
There is another way to easily renew your policy with the help of Turtlemint Insurance Advisors. You can visit www.turtlemint.com for your Bajaj Allianz health policy renewal

FAQs

Premium payment for Bajaj Allianz Health Insurance plans can be done online as well as through offline mode. Following are the ways to make an online payment

  • Net banking
  • Credit card
  • Debit card

However, payment can also be done offline through the below ways

  • Company branch
  • Electronic Clearing System (ECS)
  • Drop boxes
  • Cash/ cheque collection centres

Health insurance plans not only give comprehensive protection but also benefit you by saving a few amounts of tax. You can avail tax deduction on premiums paid towards health insurance plans taken for self, spouse, children and parents. Here are the details

Description The maximum premium for self, spouse and dependent children Maximum premium for parents (dependent/non-dependent) Total deductions available under Section 80D of the IT Act
All members of the family < 60 years of age INR. 25,000 INR. 25,000 INR. 50,000
Self, spouse and children < 60 years ageEither of the parents > 60 years age

INR. 25,000

INR. 50,000 INR. 75,000
Self > 60 years ageSpouse and children < 60 years of ageParents > 60 years age INR. 50,000 INR. 50,000 INR. 1,00,000

Following are the illnesses covered under the plan

  • Kidney Failure
  • Major organ transplant
  • Cancer
  • First heart attack (myocardial infarction)
  • Coronary artery bypass surgery
  • Primary pulmonary arterial hypertension
  • Stroke
  • Permanent paralysis of limbs
  • Aorta graft surgery
  • Multiple sclerosis with persisting symptoms

Cumulative bonus is nothing but the no claim bonus which is given as a reward for not placing any claim during each policy year. This bonus can be accumulated for years. Cumulative bonus helps in lowering the premium amount

Free-look period is the first 10 to 30 days of time after taking the health insurance policy that allows the policyholder to decide whether to continue with the policy or not. If you as an insured are not satisfied with the terms and conditions of the policy, you can cancel the policy during this period by stating the reason for cancellation.
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