Bajaj Allianz Health Insurance Claim Settlement

As per IBAI’s General Insurance Claim Insights Handbook For Policyholders-3rd and 4th Edition, the Claim Settlement Ratio of Bajaj Allianz General Insurance for the financial years 2017-18 and 2018-19 is 93.95% and 93.68% respectively.

The Claim Settlement Ratio of Bajaj Allianz General Insurance is calculated using the following formula:

Claim Settlement Ratio = (Total no. of claims approved/Total no. of claims received)x100

You must report Bajaj Allianz General Insurance as soon as possible in case of hospitalisation. You can inform them about the same by calling 1800-209-5858 or writing at bagichelp@bajajallianz.co.in. 

To process cashless insurance claims under health insurance plans offered by Bajaj Allianz General Insurance, you are required to follow the steps given below:

• Visit a network hospital of your choice and intimate the insurance company by calling them on their toll-free number 
• Show your Bajaj Allianz Health ID card along with the valid ID proof at the hospital 
• Fill in the pre-authorization form. The hospital will then send the same to Bajaj Allianz Health Administration Team (HAT).  
• Your documents will then be verified by the insurance company.
• If the claim made was in accordance to the terms and conditions of the policy, then your request will be accepted and the insurance company will settle the bills directly at the hospital. 

Making a reimbursement claim under the health insurance policy offered by Bajaj Allianz General Insurance is as simple as making a cashless claim. You need to follow steps for the same:

• Get hospitalised at a non-network hospital of your choice and avail the required treatment. 
• Pay from your own pocket for the treatment availed at the hospital.
• Collect all the documents related to your treatment from the hospital. These include original discharge summary document, KYC form, medicine bills, all laboratory tests, receipts, etc. 
• The insurance company will verify your documents and will accept the claim request if it was made in accordance to the terms and conditions of the policy. 
• The insurance company will then pay you for the treatment availed.