Bajaj Allianz

Health Insurance

Bajaj Allianz Health Insurance

Bajaj Allianz General Insurance is a joint venture between Bajaj Finserv Limited (of Bajaj Group) and Allianz SE, a German financial services company. Founded in 2001, the company offers various health, travel, motor, and other general insurance products. It has health insurance products tailor made for individuals, senior citizens, families, and international travelers. It's health insurance has a network of cashless hospitals, an in-house health administration team. It provides 60mins claim settlements. It offers health insurance policies with life time renewability.

Network Hospitals - 6,500+

Bajaj Allianz Health insurance plans

Health Guard Silver

Health Guard Silver is a decent policy and is definitely an economical option. But with a low cover (less than 2 lakhs) and restrictions on the kind of rooms you can pick, maybe you ought to consider other options. Health-Guard Gold perhaps?

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Health Guard Platinum

Health-Guard Platinum is definitely pricey. But it offers a whole host of benefits. It covers most bases. It doesn't include outrageous conditions. And it includes coverage for maternity (after 6 years of buying the policy, of course). So you definitely get a lot at this price, but maybe consider health guard gold before you lock this one?

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Health Care Supreme Smart

Health Care Supreme Smart is a great policy. It covers most bases. It doesn't have any outrageous conditions. It doesn't make you wait too long before covering pre-existing diseases. And it even offers you adequate cover for outpatient consultations. The only caveat is that it's a fairly expensive policy and we wouldn't fault you if you sought other alternatives.

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Silver Health

Bajaj Allianz Silver Health is a decent policy if you're 46 and above. And while they only make you wait 1 year before covering complications arising out of pre-existing diseases(like diabetes), you will have to bear 50% of the costs in such cases. And it's not exactly cheap either. So maybe you could look at other alternatives?

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Extra Care Top-up

While it is a decent top up plan, it only allows you to pick a maximum cover of 15 lakhs. So if you're ever hospitalized for a complicated condition, then the cover might not suffice. More importantly in our opinion, it is never a good idea to buy a top up policy in the first place. Always choose a super to up plan and if you want to why, click here.

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Health Guard Gold

Health-Guard Gold is a pretty good policy. It covers most bases. It doesn't include outrageous conditions. It offers a whole host of benefits including coverage for maternity (after 6 years of buying the policy, of course). And it isn't pricey either. A solid pick overall.

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Health Care Supreme Vital

Health Care Supreme Vital is a great policy. It covers most bases. It doesn't have any outrageous conditions. It doesn't make you wait too long before covering pre-existing diseases. And it even offers you some cover for outpatient consultations. The only caveat is that it's a fairly expensive policy and we wouldn't fault you if you sought other alternatives.

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Health Care Supreme Ultimo

Health Care Supreme is a great policy. It covers most bases. It doesn't have any outrageous conditions. It doesn't make you wait too long before covering pre-existing diseases. And it even offers you more than adequate cover for outpatient consultations. The only caveat is that it's a fairly expensive policy and we wouldn't fault you if you sought other alternatives.

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Health Ensure Family Plan

It's a decent policy for your family and if any of you have pre-existing diseases (like diabetes), you can rest easy knowing that they'll cover complications arising out of these complications only after 2 years. But the policy does have a few unsavory conditions including limits on room rent. So you might want to read more.

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Extra Care Plus Super Top-up

Extra Care Plus (Super Top-up) is an excellent option. It doesn't have any restrictions on the kind of room you can pick. It offers you the luxury of topping up your base cover by about 50 lakhs and it even offer maternity benefits after 1 year of buying the policy. All in all, one of the best super top up plan out there.

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Bajaj Allianz Health insurance claim process

Bajaj Allianz Health Insurance claims can be of different types based on the hospital in which you are getting the treatment. If it’s part of Bajaj Allianz's network hospitals, you can get a “Cashless claim” in which insurance company directly pays the bills to the hospital. But if your choice of hospital is not part of their network, then you have to pay the bills and apply for reimbursement claim. Here’s a brief process for both types of claims:

Cashless Claims

Inform the Hospital Desk

All network hospitals have an insurance desk. You can submit your policy copy (even soft copy works), ID proof, initial diagnosis report and the insurance desk will request the insurance company for “pre-authorization”. In case of planned treatments, you need to do this process 2 days before hospitalization

Insurer’s decision

Based on the provided documents, insurance company approve the claim and the hospital will start the treatment and they will co-ordinate with insurer for the treatment costs. In case of Cashless claim rejection, you can still go ahead with the treatment. In this case, you will need to pay the bills initially and can file for a reimbursement claim later

Discharge

If your cashless claim is approved, at the time of discharge, the insurance company will do the final settlement with the hospital and once that is sorted, you are good to go.

Reimbursement Claims

Inform the insurance company

For any planned treatments, you need to inform the insurance company 2 days before hospitalisation. In case of emergency, you can inform within 24 hours of admission. Insurance company will acknowledge the intimation.

Hospitalization

You need to submit a insurance claim form along with original copies of hospital bills, doctor consultation reports, and diagonstic reports.

File the claim

Within 30 days post discharge, you can initiate the claim online or at any of the registered offices of the insurance company. You need to fill a claim form and attach all the reports and bills.

Insurer’s decision

Based on the claim form and submitted documents, insurance company will settle the claims as per policy terms and conditions.

Bajaj Allianz Customer Care

18002095858

bagichelp@bajajallianz.co.in

www.bajajallianz.com

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