Bajaj Allianz Group Health Insurance

Bajaj Allianz Group Health Insurance

Claim settlement ratio (2019-20)

92.24%

Network hospitals

6500+

TPA

External TPA

Total GHI lives insured (2020-21)

37.5 Lakhs

Total GHI claims incurred (2020-21)

Rs 674 crores

About Bajaj Allianz group health insurance

A joint venture between Bajaj Finserv Limited and Allianz SE, Bajaj Allianz Health Insurance Company Limited is headquartered in Pune. The company offers a range of comprehensive group health insurance plans securing people against large payouts. The company has successfully empowered millions of people and businesses with its services offering and personalized solutions in various sectors across India.

Bajaj Allianz Health Insurance provides affordable group health insurance plans, which include consultations & health check-ups, critical illness, maternity, accident-related medical expenses, and much more. Bajaj Allianz provides adequate cover to their clients with customized insurance policies, which gives cushioning against unseen events.

With the tech-enabled, hassle-free process at Pazcare, your Bajaj Allianz group health insurance experience is made seamless. The employee dashboard where employers and employees can easily track the policies, claims, inclusions, and exclusions, Pazcare has become the most preferred among HRs. The dedicated team at Pazcare will certainly help you get the best group health insurance quotes in the market.

How to Buy Bajaj Allianz group health insurance at Pazcare?

Here’s how you can easily purchase Bajaj Allianz group health insurance at Pazcare.

Step 1: Firstly, you will have to get in touch with Pazcare and submit a basic form that asks for your name, company details, employee strength, etc. That information will give us the approximate cost for the group health insurance plan.

Step 2: Secondly, it is important for you to communicate your requirements. Your group insurance policy is highly customizable. You can choose to have an employee-only plan (E), employees, spouse, and children plan (ESC), and employees, spouse, children, and parents or in-laws plan (ESCP). Moreover, you will have several other add-ons as well. Let us know your requirements, and we will ensure it is covered under your group's health insurance.

Step 3: After you have communicated your requirements well, it’s time to get competitive quotes from Bajaj Allianz group health insurance and other health insurance companies. After our team understands what you exactly need, we will reach out to different insurers and help get you the best quote.

Step 4: After you decide on the plan and agree to the terms and conditions of the group health insurance policy, it’s time to make the payment. Once the premium for the policy is paid, the group health insurance for your team is valid for the year.

Step 5: The final step is the onboarding process. After the payment is made, the onboarding process is done within 24 hours. Our team will explain and provide all the necessary resources to get your team started with a group health insurance policy with Pazcare during the onboarding process.

At Pazcare, we provide the employer dashboard to the HRs or the admins. All the inclusions and exclusions are mentioned in the app. The employees will also be provided with an employee app where they can access the entire plan, health insurance ID card, list of network hospitals, etc.

For further information, write to us at support@getpaz.com or call our customer care at +91 78291 11300. Alternatively, connect with us on Whatsapp using the number +91 81973 79596.

Why choose Bajaj Allianz group health insurance as your insurance partner?

The comprehensive, affordable, and personalized insurance solutions to its clients make Bajaj Allianz General Insurance a top choice of clients. Some of the main reasons for choosing Bajaj Allianz General Insurance are discussed below:

Cashless treatment facilities at over 6500+ hospitals across India,

The strong network of 6500+ hospitals under Bajaj Allianz where you can avail cashless treatment without having to pay from your pocket.

24*7 assistance facility

With the customer support service being available 24*7, Bajaj Allianz facilitates its customers in case of any grievances.

High claim settlement ratio

Bajaj Allianz group health insurance has an outstanding claim settlement ratio of 92.24%, which means your chances of getting an insurance claim are much higher.

Faster claim settlement under 60 minutes

Bajaj Allianz group health insurance has an impressive claim settlement under 60 minutes. They ensure a smooth and hassle-free claim settlement process.

In-House health administration team (HAT)

The in-house health administration team at Bajaj Allianz will help you in a quick and hassle-free claim settlement process.

Also Read: Why Buy Group Health Insurance For Your Employees?

Bajaj Allianz group health insurance claim settlement ratio

Claim Settlement Ratio (CSR) refers to the percentage of claims that an insurance provider settles in a year out of the total claims made. Higher the ratio, the more reliable the insurer is. Thus, it acts as a credibility indicator.

Financial Year Claim settlement ratio
2019-20 92.24%
2018-19 88.35%

Network hospitals of Bajaj Allianz group health insurance

Bajaj Allianz has tie-ups with over 6500+ hospitals across India that allow you to avail cashless medical treatment as per the terms and conditions. This means you do not have to pay out of your pocket. However, check if your nearest hospital is under the network hospital list or not before checking in.

Claim Bajaj Allianz group health insurance

Bajaj Allianz group health insurance cashless claim

The smooth and hassle-free claim process at Bajaj Allianz makes this the most preferred insurance carrier. Here’s how you can make cashless and reimbursement claims under your insurance plans issued from Bajaj Allianz group health insurance.

Follow these steps to avail of cashless treatment under your Bajaj Allianz group health insurance plan.

Step 1: Go to nearest network hospital

Get hospitalized at the nearest network hospital that is under the Bajaj Allianz network to avail of cashless treatment.

Step 2: Show identity proofs

Show your health insurance ID card, company ID card, and proof of identity.

Step 3: Fill and submit pre-authorization form

Fill in the pre-authorization form, which the hospital will then forward to Bajaj Allianz Health Administration Team (HAT)

Step 4: Request review

In this step, your documentation will be sent for verification to Bajaj Allianz, and they will check with your policy benefits. The insurer will then inform the hospital about the decision.

Step 5: Claim settlement

Your insurer will settle your medical bill with the hospital. After your claim request gets approved, you will be notified within 60 minutes. The insurer will directly settle at the hospital, which you do not have to worry about.

Bajaj Allianz group health insurance reimbursement claim process

Follow these steps to avail reimbursement claim facility under your Bajaj Allianz group health insurance plan.

Step 1: Hospitalized in a non-network hospital

Get hospitalized and get the treatment from a non-network hospital of your choice.

Step 2: Clear bills at the hospital up-front

Clear all the bills at the hospital from where you received the treatment.

Step 3: Collect all the documents

Collect all the original bills and supporting documents required. Contact us at support@pazcare.com

Documents required for Bajaj Allianz group health insurance claim settlement

Do not forget to submit these documents for a group health insurance reimbursement claim settlement with Bajaj Allianz

  • Original discharge summary document
  • All laboratory and test reports
  • Original hospital bills and other receipts
  • Copy of stickers/invoice/barcode in case of implants
  • KYC form
  • First consultation letter from the doctor

Step 4: Submit the documents

After you are done collecting all the required documents, submit them to the nearest Bajaj Allianz health insurance branch. Make sure it is done under 15 days of discharge.

Step 5: Claim processing

Once you submit all the required documents, your insurer will validate the documents. Insurer will either approve or reject the reimbursement claim process. Once it is settled, it will get deposited in your bank account.

You can also contact us at support@pazcare.com. We will guide you through the whole process. We provide 24X7 claim assistance for your employees.

Bajaj Allianz group health insurance renewal process

It is essential that you renew your Bajaj Allianz group health insurance policy before it expires so that you do not lose the benefits. All the steps are mentioned below:

Step 1: Contact team Pazcare by submitting a form containing your personal details like name, company details, employee strength, number of employees you are looking to insure etc.

Step 2: Our consultants will reach out to you once the form is submitted. Make sure you submit the following documents.

  • Active data of the employees - name, age, gender
  • Claim analysis report
  • Claim dump report from the insurer/TPA
  • Policy copy

Step 3: You have the flexibility to choose additional add-ons to your existing policy, which includes your dental insurance riders, maternity benefits and so on. With Pazcare, you can choose a range of additional add-one like wellness and therapy sessions, unlimited doctor consultations, and several other comprehensive packages.

Step 4: Our consultants will reach out to you with competitive quotes for Bajaj Allianz group health insurance. Consultants will go through your claim report and the add-ons you have chosen. Mind you, your insurance premium might vary from the previous financial year.

Step 5: In this step, you are given the terms and conditions, and once you agree to them, the premium should be paid to the Bajaj Allianz group health insurance policy.

Step 6: The onboarding process will be done in 24 hours by Pazcare. Our team members will reach out to you if any additional information is required to get you started.

We at Pazcare will ensure that your experience is made seamless with the help of Pazcare’s dashboard. Both the employer and employee can access their policy using our Pazcare app, which will have inclusions and exclusions of your policy.

Step 4: In this step, you have to verify all your documents. The insurer will let you know if any additional documents are required from your end.

Step 5: The final step is the claim settlement. Once your documents are verified, and the claim has been made per the policy terms and conditions, the payment will be made in 7 working days.

Also Read: Waiting Period In Health Insurance- What, Why & Types

What is covered under your Bajaj Allianz group health insurance?

In-Patient hospitalization expenses

If you’re ill or get into an accident, your Bajaj Allianz group health insurance plans cover you against in-patient hospitalization. Some of the expenses include hospital room rent charges, nursing expenses, hospital ICU, surgeon expenses, operation theater expenses, etc.

Pre- hospitalization and post-hospitalization expenses

Under Bajaj Allianz group health insurance plans, it covers 60 days of pre-hospitalization and 90 days of post-hospitalization expenses.

Maternity-related expenses

You can cover all the maternity-related expenses for normal and c-section delivery by just opting for a maternity insurance rider.

Covid -19 covers

Your Bajaj Allianz group health insurance policy covers all hospitalization expenses related to Covid-19.

Accidental hospitalizations coverage

All your hospitalization expenses due to any accidents are covered under a group health insurance policy. Mind you; these hospitalizations must be for a period of more than 24 hours. Also, the coverage is only limited to India.

What is not covered under your Bajaj Allianz group health insurance?

Nutritional supplements/ tonics

Bajaj Allianz group health insurance plans do not cover you for your vitamins, tonics, or any nutritional supplements unless it’s a part of the treatment procedure.

Injuries caused by self-harm

Bajaj Allianz group health insurance does not cover you against any diseases caused by the intention of self-harm.

Treatment due to abuse of substances

Bajaj Allianz group health insurance plans do not cover you against the disease or treatment caused due to the abuse of any substances like drugs, alcohol, etc.

Unproven Treatments

Bajaj Allianz group health insurance plans do not cover you against any treatment which is not yet proven.

Bajaj Allianz group health insurance benefits

Provides you with a range of choices for group health insurance

Bajaj Allianz group health insurance provides a range of choices in terms of coverage to individuals, families, and senior citizens. You can enjoy the benefits under the super top-up and top-up plans, which are provided at affordable prices. 

Sum insured reinstatement benefit

Bajaj Allianz group health insurance policy offers you a sum insured reinstatement benefit. If your sum insured bonus gets exhausted, then 100% of the sum insured specified under in-patient hospitalization treatment will be reinstated for that specific year. 

Lifetime renewability benefit

 Insurance plans offered by Bajaj Allianz have the lifetime renewability offer. However, some plans have restrictions when it comes to the maximum entry age. 

Faster Claim Settlement with App 

Just download the Bajaj Allianz insurance wallet app, and you can track and initiate the claim settlements. This hassle-free process allows you to register the claim, fill up all the forms, and submit/collect the documents from anywhere.

Bajaj Allianz group health insurance premium

There are several factors that play a vital role in deciding the premium of any policy. However, it is important to calculate premium using Bajaj Allianz group health insurance premium calculator before deciding on your insurance plan. Here are some factors used in deciding the premium of Bajaj Allianz group health insurance.

Age

The average age of the person is considered in order to determine the premium. This factor helps in accessing the risk. Generally, younger people will have better immunity compared to older people. Hence, the fewer health risks, and the premium would be low.

Nature of the job

While some jobs are risk-averse, some jobs are highly risky. Thus, high-risk jobs will have higher premiums. The nature of the job is a significant factor in determining the premium.

Sum insured

The monetary limit up to which the insurer can cover all his/her health expenses of an employee is referred to as the sum insured of a policy. Simply, the higher the sum insured, the higher the premium.

Claim history

The insurer will consider the claim history while calculating the policy's premium. The insurer will revisit all the previous claims and see if there are any chargeable premiums while renewing the policy.

Add-on covers

If the employee wants to customize his/her group health insurance plan, then the premium will increase. However, a standard group health insurance policy is offered to the employee.

Check Out: Niva Bupa Group Health Insurance

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Bajaj Allianz group health insurance claim process

1

Intimate your insurer

Make sure you inform Bajaj Allianz group health insurer about your claim to the insurer within 48 hours or at least 3 days prior in case of emergency. This is in the case of planned hospitalization.

2

Identity Verification

Have all the necessary documents with you from the proof of identity - policy number/health insurance ID card, company ID, and a valid unique govt. ID card.

3

Submission of pre-authorization form

Fill up the pre-authorization form and submit it to the hospital

4

Claim settlement

The claim will be settled directly at the network hospital once all your details are verified.

5

Contact us for any queries

For any queries or help, contact Pazcare at support@getpaz.com or call us at +91 78291 11300.

1

Intimate your insurer

Make sure you inform about your claim to the insurer within 48 hours or at least three days prior in case of emergency. This is in the case of planned hospitalization.

2

Clear all your bills

Clear all your billing procedures and collect the original copies of hospital bills, doctor consultation reports, and other essential documents.

3

Document Submissions

Make sure you submit all the necessary documents along with the claim form to the insurer.

4

Claim settlement

The claim will be settled in your bank account directly once all your documents are verified.

5

Contact us for any queries

For any queries or help, please contact Pazcare at support@getpaz.com or call us at +91 78291 11300. The team will make sure you are given the right solution.

Bajaj Allianz group health insurance reviews

4.1 / 5

Rating based on
(6596 reviews)

Harish

5 / 5

Implementation and coordination really stood out for me. Pazcare consultants are always happy to help and that made the process easy for us.

Nalin Raj Singh

4.5 / 5

Loved the overall experience from onboarding to the claim process. Really easy and hassle-free.

Radhika Rastogi

5 / 5

The cashless claim approval process was super quick and efficient. The team responded to all my queries swiftly and helped at each step. Great experience overall.

Aishwarya

5 / 5

Loved the entire experience, so well coordinated. Thank you to the amazing customer care.

Shruti Grag

4.5 / 5

The onboarding process was so easy. The slides were clearly explained and communicated which led to good product understanding.

Manali

5 / 5

Good customer relationship, knowledge and awareness of the product. It was really helpful when required. Great job guys!

Ashfaq Bhojani

5 / 5

Everything about the entire process felt nice from the onboarding, product, to resolving problems. Overall, nice thanks for the nice experience, team Pazcare!

Nancy Rastogi

4.5 / 5

The service offered made the entire process easy for us to sort of understand the product. Good communication structure in the company.

Kamini

5 / 5

The best customer support I ever experienced. Really nice coordination between the team. Good work guys!

Mayur

5 / 5

The way the team supported us online with proper communication and coordination is really remarkable. Keep up the good work, team Pazcare.

Rao Korupolu

4.5 / 5

The dashboard is quite unique and convenient. Really made the process easy for us.

Trinette Dmello

5 / 5

The service by the team of experts at Pazcare is really impressive. Hats off to the entire team.

Mansi Nigam

4.5 / 5

Incredible support system in the company. Like the spirit of the team. Everyone is helpful which makes the process seamless.

Darshan

5 / 5

Perfect coordination among the team at Pazcare really made the process hassle-free and easy for us. Kudos to the entire team!

Aathira U

5 / 5

The coordination and arrangement from the team Pazcare really made my experience awesome. Would definitely recommend it to a friend and other colleagues.

4.6 / 5

Rating based on
(3023 reviews)

Nalin Raj Singh

4.5 / 5

Loved the overall experience from onboarding to the claim process. Really easy and hassle-free.

Radhika Rastogi

5 / 5

The cashless claim approval process was super quick and efficient. The team responded to all my queries swiftly and helped at each step. Great experience overall.

4.4 / 5

Rating based on
(2193 reviews)

Manali

5 / 5

Good customer relationship, knowledge and awareness of the product. It was really helpful when required. Great job guys!

Kamini

5 / 5

The best customer support I ever experienced. Really nice coordination between the team. Good work guys!

Mayur

5 / 5

The way the team supported us online with proper communication and coordination is really remarkable. Keep up the good work, team Pazcare.

Mansi Nigam

4.5 / 5

Incredible support system in the company. Like the spirit of the team. Everyone is helpful which makes the process seamless.

4.8 / 5

Rating based on
(913 reviews)

Harish

5 / 5

Implementation and coordination really stood out for me. Pazcare consultants are always happy to help and that made the process easy for us.

Aishwarya

5 / 5

Loved the entire experience, so well coordinated. Thank you to the amazing customer care.

Shruti Grag

4.5 / 5

The onboarding process was so easy. The slides were clearly explained and communicated which led to good product understanding.

Ashfaq Bhojani

5 / 5

Everything about the entire process felt nice from the onboarding, product, to resolving problems. Overall, nice thanks for the nice experience, team Pazcare!

Nancy Rastogi

4.5 / 5

The service offered made the entire process easy for us to sort of understand the product. Good communication structure in the company.

Trinette Dmello

5 / 5

The service by the team of experts at Pazcare is really impressive. Hats off to the entire team.

Darshan

5 / 5

Perfect coordination among the team at Pazcare really made the process hassle-free and easy for us. Kudos to the entire team!

Aathira U

5 / 5

The coordination and arrangement from the team Pazcare really made my experience awesome. Would definitely recommend it to a friend and other colleagues.

4.2 / 5

Rating based on
(1267 reviews)

Rao Korupolu

4.5 / 5

The dashboard is quite unique and convenient. Really made the process easy for us.

Why buy a group health insurance
policy online from Pazcare?

  • Choose the suitable policy with our consulting approach
  • Custom-made plan with health and mental wellness add-ons
  • The tech-enabled Pazcare dashboard to manage endorsements
  • Integrate the dashboard with your HRMS tool

Bajaj Allianz group health insurance customer care number

For any queries or assistance, reach out to us at any time. We provide 24X7 customer assistance.

Bajaj Allianz group health insurance

Bajaj Allianz group health insurance FAQs

How to buy Bajaj Allianz group health insurance policy?

Firstly, get in touch with the team Pazcare and submit all the documents. Communicate all your requirements and get the quote. Once you agree to the terms and conditions of the group health insurance policy and make the payment, consultants at Pazcare will help you in the onboarding process.

Why should I buy a Bajaj Allianz group health insurance policy?

Bajaj Allianz group health insurance policy gives you peace of mind keeping you and your family protected against unforeseen events. Bajaj Allianz group health insurance gives you the best medical care from the best hospitals in its network. The cashless and hassle-free settlement process just makes Bajaj Allianz the most preferred one.  

What is Bajaj Allianz group health insurance customer care number?

Bajaj Allianz health insurance customer care number is 1800-103-2529. Alternatively, you can email them at bagichelp@bajajallianz.co.in

What is covered under hospitalization in Bajaj Allianz group health insurance?

Under Bajaj Allianz group health insurance, the following things are covered.

  • In-Patient Hospitalization Expenses
  • Pre- Hospitalization and Post-Hospitalization Expenses
  • Maternity-related expenses
  • Covid -19 cover
  • Accidental hospitalizations coverage

What are the major benefits if I buy Bajaj Allianz group health insurance?

Bajaj Allianz group health insurance is the most preferred because it gives cashless treatment at 6000+ network hospitals. The claim settlement process is done within an hour (terms and conditions applied). Moreover, provides you with a range of group health insurance policies at affordable prices.

How long does it take for Bajaj Allianz group health Insurance to settle the claim?

Bajaj Allianz group health insurance typically takes 7 working days if not rejected to settle the claim. However, it will not take more than 30 days.

Is there any limit as to the number of claims that can be made in a year?

The total amount of claims cannot exceed the sum insured under the plan. Keeping that in mind, the policyholder can make as many claims as possible in a year. If you want more, you can use the Pazcare super top-up feature as well.

How can I claim Bajaj Allianz group health insurance?

You have two options here. Either you can go for a cashless claim at a network hospital and a reimbursement claim at a non-network hospital.

How to go about Bajaj Allianz group health insurance renewal?

Follow these steps for the Bajaj Allianz group health insurance renewal.

  1. Get in touch with Pazcare and submit the necessary documents including the number of employees you wish to insure.
  2. Our expert consultant will get in touch with you and ask you to submit specific documents for renewal.
  3. They will look into your claims history and the add-ons you choose, your premium will be calculated.
  4. After you agree to the terms and conditions of the policy and make the payment, your group health insurance policy coverage starts.