Bajaj Allianz Health Insurance
![Bajaj Allianz Health Insurance](https://healthstatic.insurancedekho.com/prod/oem/20230407124557.png)
Claim Settlement Ratio | 92.24% |
Network Hospitals | 7,000+ |
Pre-existing Disease Waiting Period | 2 years |
Starting Premium for Rs. 5 lakhs SI | Rs. 364/month |
Health problems can knock on your door any day! Our bad eating habits and lifestyle choices are the major reasons behind health issues. Today, health conditions have become so worse that even for a minor health issue you require a doctor visit or consultation resulting in heavy healthcare expenses. Not every other person can manage these heavy expenses from their basic salary. This is where health insurance plans come to your rescue.
In an era where healthcare costs are soaring, health insurance plans add a sense of relief. Be it an emergency case, accident, doctor consultation, or maternity expenses, health insurance plans offer good coverage in times of need. Bajaj Health Insurance is one of the prominent players in the Indian insurance market, and it has provided financial protection against unexpected medical expenses to several people and families over the years.
About Bajaj Allianz Health Insurance
In 2001, Allianz SE (a European financial services company) and Bajaj Finserv (an Indian Financial service company) started a joint venture named Bajaj Allianz General Insurance Company. It soon became the top private insurance company in the market which also offered Bajaj Allianz health insurance. At present, the company has various branches spread across India as well as offers cashless hospitalization in over 10,000 + network hospitals.
Bajaj Allianz Health Insurance plans offered by the insurer are tailored to meet the different health needs of the people. It includes various plans and policies that include multiple benefits, such as room rent, ambulance charges, pre and post-hospitalization expenses, cashless treatment, and much more. It even offers customized plans that cover senior citizen health needs, women, critical illnesses, and vector-borne illnesses. Bajaj Allianz General Insurance Company is known to be a trusted insurance company with a good claim settlement ratio of 96.85%.
Key Features of Bajaj Health Insurance
Apart from the add-ons, there are a few unique features that can offer you great benefits, including:
- Hospital coverages: Bajaj Health Insurance offers a variety of plans that save you from big surgical and medical expenses. These policies include room rent, ambulance charges, tax benefits, free health checkups, No Claim Bonus (NCB), and more.
- Daycare Procedures: Offers coverage for daycare operations that do not demand 24-hour hospitalization. Generally, health insurance companies cover medical expenses if you stay at least a day in the hospital. However, even if you don't stay overnight after your treatment or surgery, you can still take full advantage of insurance benefits. This feature is helpful in many cases as today most of the treatments get completed in a single day or few hours and do not require hospitalization. Remember, cosmetic surgery is an exceptional case that is not covered under daycare procedures.
- Pre and post-hospitalization: These offer coverage for expenses incurred before admitting the patient (i.e. consultation fee, diagnostic tests, or medication) and after discharging a patient (for example, follow-up consultations and medical expenses). Usually, pre-hospitalization expenses are only covered if the patient's condition leads to hospitalization.
- Cashless treatment: The policy wherein the insurance company and the network hospital directly cover hospital bills and medical expenses. As per this feature, there is no financial payment required of the insured. Thus, offering immediate care without financial strain to the policyholder.
- Co-payment or Voluntary deductible: A specific percentage of the claim amount that the insured pays from his own pocket and the remaining is paid by the insurance company is known as co-payment or voluntary deductible. This feature helps in cheaper premiums and affordable health insurance plans.
- Tax Saving Under Section 80D: Offers tax exemptions on health insurance premiums as per the Tax saving Sec 80 D. Thus, not only helps save people from heavy healthcare expenses but also taxes.
- Organ Donor Expenses: Offers coverage for costs of organ donation-related medical care, i.e., organ donor's surgery, hospital stay, and other associated costs.
- Ayurvedic and Homeopathic Treatment Coverage: Some health insurance plans even include expenses related to Ayurvedic, Homeopathic, and other alternative treatments. Thus, allowing patients to choose the desired mode of treatment without worrying about out-of-pocket expenses.
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Key Metrics
Metric |
Value |
No. of Products and Addons |
15+ products and 6 add-ons |
Claim Settlement Ratio |
96.85% |
Solvency Ratio |
1.5 |
Network Hospitals |
10,000 + across India |
Retention Rate |
85% |
Eligibility To Purchase Bajaj Health Insurance Plan
There are various eligibility criteria that one must meet to purchase a Bajaj Health Insurance Plan, such as:
- Entry Age: The basic policy you have chosen will determine your eligibility. Make sure you fulfill the age requirements associated with that plan.
- Policy Period: Insured Individual has the option to choose a policy period of 1, 2, or 3 years based on the base plan. There is a maximum 5-year policy length for group health insurance policies.
- Premium: Monthly, quarterly, annual, or half-yearly premium installments can be paid, but in the same mode as your base health policy. Both base policy and health insurance plan will be subject to any adjustments in premiums.
- Waiting Period: All covers are subject to a 30-day waiting period. The waiting period will follow the standard policy for pre-existing illnesses.
Bajaj Allianz Health Insurance Top Up List
- Family (2)
- Top-up (2)
Name of Plan | Sum Insured |
Top Plan Offered by Bajaj Health Insurance
Health Insurance Plans |
Variant |
Eligibility |
Sum-insured |
Silver, Gold, and Platinum |
Entry age for Individuals and families is between 18 years to 65 years |
₹1.5L - ₹1 Cr |
|
Individual and Family |
Individuals Age between 18 to 65 are eligible |
No limit |
|
Basic and Enhanced |
Individuals aged 18 to 65 |
₹1L - ₹50L (for 61-65, it might go up to ₹10L) |
|
Individual and Family |
Entry age for Individuals and families is between 18 years to 65 years |
₹1L - ₹25L |
|
Silver, Gold, and Platinum |
Individuals aged 18 to 65 |
₹50K - ₹25 Cr |
|
Standard |
Individuals and families 3 months to 80 years |
₹10L - ₹15L |
|
Standard |
Individuals and families 3 months to 80 years |
₹3L - ₹50L |
|
M-Care Plan |
Standard |
Individuals and families 3 months to 80 years |
₹10K - ₹75K |
Riders Offered By Bajaj Allianz Health Insurance
Critical Illness Rider
Offers a lump-sum payment to patients who are diagnosed with certain serious conditions, such as cancer, a heart attack, or a stroke, to help with treatment expenses.
Hospital Cash Rider
Provides a daily cash benefit to help with incidental costs such as caregiver or transportation costs that one incurs during hospitalizations.
Accidental Death and Disability Rider
Provides additional coverage to health insurance in the event of an accident-related disability or death by paying a lump amount or continuous benefits.
Maternity Rider
The plan offers coverage to a mother's and her newborn's medical costs during childbirth. In short, it includes Pre and Post-Natal Cover, delivery cover, vaccination expenses of the newborn, and any other expenses that took place to provide special care to the newborn for congenital diseases and other complications. With this feature, parents can enjoy a special time with their new one without any stress.
Top Up plans
Let us assume that within the policy year, the insured used all the coverage amount during his treatment. Now, with this Sum Insured Reinstatement Benefit or Top Up plan, the insured individual gets the benefit to recover the initial sum insured which can be later used for covering additional claims made during the same year. This plan is generally beneficial for high-cost treatments or cases where patients need to undergo multiple treatments.
How To Purchase Bajaj Health Insurance Policy?
Online Process
Purchase Bajaj Allianz Health Insurance with InsuranceDekho
Follow the below-listed steps to quickly purchase Bajaj health insurance online from InsuranceDekho:
Step 1: Visit the official portal www.insurancedekho.com and press the “health” tab visible on the screen.
Step 2: Fill up all the details, including your Name, mobile number and gender as requested. An OTP (One Time Password) will be sent to your registered mobile number to proceed further.
Step 3: Select an option from the drop-down menu to respond to the question, "When do you want to buy the policy?" and click on "View Quotes."
Step 4: Choose family members you wish to include within your health insurance coverage and press the "continue" button.
Step 5: Add the age of your family members.
Step 6: Fill in the email and city details and press the ‘Submit and View Quotes’ button. The quotes that best fit your needs will appear on your screen. Compare and choose the one you wish to buy.
Step 7: Choose the duration of the policy that you want to purchase. Proceed to the online payment page by providing the necessary information.
Purchase Bajaj Allianz Health Insurance Policy via Insurer Website
Follow these steps to quickly obtain health insurance from the comfort of your home:
- Visit Bajaj Finserv’s official website or download the Bajaj Allianz General Insurance Company application on your mobile.
- Login to your account and browse through different health insurance plans available on the screen. Select the one that meets your needs and budget requirements.
- Submit all the requested personal information, i.e., your name, age, contact details, and required medical history.
- You can also compare different policies depending on their benefits, premium rates, and coverage using the comparison tool.
- Once you have finalized the health insurance plan, fill in the payment details and initiate payment through secure payment gateways.
- As soon as the payment is processed and complete, you will receive a notification on the registered email sharing policy document confirming your coverage.
Offline Process
Go to a nearby Bajaj Finserv branch office or contact an authorized insurance agent. Complete and submit the application form, attach all the necessary documents, and work with the agent to complete the purchase.
Benefits of Purchasing Your Policy from InsuranceDekho
- Comparison: At InsuranceDekho, you can compare the different Bajaj Health Insurance plans and get the right guidance. Additionally, the team can help you choose the one that best suits your needs by sharing all the crucial details.
- Convenience: Purchasing and administering your policy is made easier by the online platform, which you may access from any location at any time.
- Expert Guidance: Understanding the features and advantages of various plans is made easier with the help of InsuranceDekho's knowledgeable advisors.
- Customer Support: Offers full support and assistance for queries and concerns pertaining to policies.
Documents Required for Purchasing Your Policy
Here are some of the essential documents that one must carry when purchasing Bajaj health insurance in India:
- Passport-Size Photographs
- Policy Proposal Form provided by insurer
- Residential proof that can be voter ID, Aadhaar card, passport, driving license, etc.
- Age proof documents, such as passport, PAN card, Aadhaar card, Birth certificate, etc.
- Identity Proof documents, i.e. driving license, Aadhaar card, PAN card, Passport, or voter ID.
Additional documentation (medical history or current lifestyle choices) might also be required depending on the coverage you select.
How to Claim Your Health Insurance?
Avail quick and hassle-free settlement by following this effective claim procedure provided by Bajaj Allianz General Insurance Company. Understand how your Bajaj Allianz health insurance plans allow you to submit reimbursement and cashless claims:
Steps to Make a Cashless Claim:
Step 1: Hospitalization in a Network Hospital
For cashless treatment, check yourself into a Bajaj Allianz network hospital. Email at bagichelp@bajajallianz.co.in or call their toll-free number 1800-209-5858 for contacting.
Step 2: Verify using Bajaj Allianz Health ID Card
Carry your Bajaj Allianz Health ID card as well as a valid ID proof to the hospital for quick verification.
Step 3: Submit Pre-Authorization Form
Fill up the pre-authorization form, which will be forwarded to the Bajaj Allianz Health Administration Team (HAT) by the hospital.
Step 4: Document Verification
The Bajaj Allianz Health Administration Team will match your policy benefits with the submitted pre-authorization form and update the hospital about your status.
Step 5: Claim Settlement
Your healthcare provider will be contacted within 60 minutes of receiving your claim approval. You won't have to worry about anything because the insurer will pay the hospital immediately for your treatment costs.
Steps to Make Reimbursement Claim:
Step 1: Hospitalization and Treatment
Visit a non-network hospital of your choice, get hospitalized, and receive the necessary medical care and treatment. Later, send an email at bagichelp@bajajallianz.co.in or call 1800-209-5858 to notify the insurer about the hospitalization.
Step 2: Pay Hospital Bills
Clear all the pending payments and dues at the hospital for the treatment.
Step 3: Document Collection
Make sure to collect your discharge summary document (original), laboratory and test reports, hospital bills and receipts (original), claim form, health card issued by the insurer, copy of invoice/barcode (in case of implants), FIR copy (in case of an accident or death) KYC form, and all doctor consultation papers. These documents are essential for health insurance claim settlement with Bajaj Allianz General Insurance. Make sure you do not miss any important documents.
Step 4: Verify your documents
Once you submit all the documents, the team will validate them and notify you in advance if you require more documentation.
Step 5: Claim Settlement
After the claim has been reviewed by the insurer and authorized, the payment will be released within 7 working days via ECS.
Awards and Achievement Of Bajaj Allianz Health Insurance
Bajaj Health Insurance has received awards for its superior customer care and innovative product offerings. Some of the notable awards and achievements are:
- Product Innovator of the Year: At the 4th Annual BFSI Excellence Awards in 2023, Bajaj Allianz General Insurance Co. Ltd. took home the title of Product Innovator of the Year (Health Insurance).
- Customer Experience Initiative: At the ELETS Insurance Innovation Awards 2023, Bajaj Allianz General Insurance Co. Ltd. took home the Leader in Customer Experience Initiative title.
- Best Customer Experience (Insurance) award
Bajaj Allianz Health Insurance - Customer Service & Support
Bajaj Health Insurance offers a robust customer support system that deals with people's queries and grievances in real time.
Customer Support and Service |
How to Contact? |
Email ID |
bagichelp@bajajallianz.co.in |
Email ID for senior citizens |
seniorcitizen@bajajallianz.co.in |
Whatsapp number |
+91 75072 45858 |
Missed Call Facility |
Call 8080945060 |
SMS option |
SMS < WORRY > to 575758 |
24x7 Roadside Assistance |
1800-103-5858 |
Toll-free number for intermediaries |
1800-209-7073 |
Additionally, you can also reach out to us at InsuranceDekho on call +91-755 1196 989 or email support@insurancedekho.com
Complaints & Grievance Redressal
For all kinds of grievances /complaints, you can take the following actions for quick resolution:
- Call the toll-free number18002095858 to submit your concern.
- If you're not happy with the response you received from Bajaj Health Insurance staff, you can send an email to ggro@bajajallianz.co.in to the Grievance Redressal Officer, Mr. Jerome Vincent for a quick resolution.
- Consumers who have concerns or grievances can address any branch for assistance.
- E-mail your concern at o bagichelp@bajajallianz.co.in or write letters at head.customerservice@bajajallianz.co.in
- If the consumer is still dissatisfied following all escalations, they can write to the CEO.
FAQs
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Why should I buy a Bajaj Allianz Health Insurance Policy?
Bajaj Allianz provides a wide range of features and benefits to its customers. Some of them are- 1. Peace of mind: It keeps your family financially protected against unforeseen health care expenses. 2. Get the best medical care: The health insurance plans enable you to get treatment from the best hospitals and doctors. 3. Cashless settlement: You can get cashless treatment at any of the network hospitals after informing the company. 4. Hassle-free claims: Bajaj Allianz has a hassle-free claim process. You can benefit from the following: a. 24x7 on-call support. b. An in-house Health Administration Team to ensure a quick claim settlement process. c. Cashless settlements in under one hour. d. One of the highest claims settlement ratios among health insurance providers in India. e. Health CDC benefit: Quick claim settlement through the app. 5. Comprehensive coverage: Affordable health insurance policies that cover you and your family against medical expenses, critical illnesses, and accidents. 6. Affordable plans: Maximum coverage at a price that is easy on the pocket. 7. Preventive care: Free medical check-ups once every three claim-free years. 8. Ease of transaction: Buy or renew your policy in just a few clicks online.
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What is covered under hospitalisation in Bajaj Allianz Health Insurance?
Following things are covered under hospitalisation in Bajaj Allianz Health Insurance: 1. Room rent 2. Doctor’s fee 3. Nursing expenses 4. ICU charges 5. Operation theatre 6. Diagnostics 7. Medicines
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What are the benefits provided by Bajaj Allianz Health Insurance?
People choose Bajaj Allianz health insurance because it provides them: 1. Cashless treatment at 6,000+ network hospitals 2. Tax saving benefit under Sec 80D 3. Claim settlement in an hour (terms and conditions applied) 4. In-house health administration team
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What is the toll-free customer care number of Bajaj Allianz Health Insurance?
The toll-free number of Bajaj Allianz Health Insurance is 1800-209-5858.