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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 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 Premium Calculator

Use the Bajaj Allianz health insurance premium calculator to estimate your health insurance premiums.

Premium Calculator

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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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