Bajaj Allianz Group Health Insurance Policy – Features, Benefits, Exclusions, Claim Process, Eligibility Criteria, Free Quote Online
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What is Bajaj Allianz Group Health Insurance Policy?
Bajaj Allianz Group Health Insurance Policy is a comprehensive Group Health Insurance Plan providing coverage for medical expenses incurred by employees because of unexpected illnesses, injuries or accidents. The Policy covers expenses incurred by the Insured Employee towards Room Rent, Doctor’s Fees, Surgery, Medicines etc. Bajaj Allianz General Insurance Company is a leading Insurance Company in India for Group Health Insurance Policy. A Group Health Insurance Policy provides reimbursement for the hospitalization expenses incurred by the employees during the Policy Period. The Policy provides Health Insurance Coverage to a group of people under a common Health Insurance Plan. The Premiums for Group Health Insurance Policy are lower than premiums of Individual Health Insurance Policy with similar features.
About Bajaj Allianz General Insurance Company
Bajaj Allianz General Insurance Company, incorporated in 2001, is India’s first Private Sector General Insurance Company providing a range of Insurance Policies such as Health Insurance, Motor Insurance, Fire Insurance, Liability Insurance etc.
What are the Key Features of Bajaj Allianz Group Health Insurance Plan?
Bajaj Allianz Group Health Insurance Policy is comprehensive Group Health Insurance Policy providing the following coverages:
- Coverage for Hospitalization Expenses: Bajaj Allianz Group Health Insurance Policy provides coverage for hospitalization expenses including expenses for Room Rent, Doctor’s Fees, Nursing Charges, Pharmacy Charges, Surgery Charges, and other expenses incurred. The Policy has a provision to provide a coverage without any Room Rent Capping.
- Coverage for Pre and Post-Hospitalization Expenses: In addition to Hospitalization Expenses, Bajaj Allianz Group Health Insurance Policy also provides cover for Pre and Post-Hospitalization Expenses incurred for the Insured Employee for a period of 30 days and 60 Days respectively. Pre and Post-Hospitalisation Expenses constitute a substantial chunk of medical expenses in the form of Diagnostic Reports, Follow-Up Consultations, Pharmacy Bills and coverage for the same provides a big support to the Insured.
- Cashless Claims Settlement: Bajaj Allianz Group Health Insurance Policy offers Cashless Hospitalization facilities across a network of more than 18,000+ network hospitals across India. The insured person can avail of cashless hospitalization by showing their health card at the network hospital. As a result, the Insured Employee does not have to pay any money out of his own pocket and the claim is directly settled by Bajaj Allianz Health Insurance with the Hospital. You can view the list of Bajaj Allianz Health network hospitals at this Link – https://www.bajajallianz.com/branch-locator.html
- Coverage for Pre-Existing Diseases: Bajaj Allianz Group Health Insurance Policy covers Pre-Existing diseases without any waiting period. Pre-Existing Diseases are covered from Day 1, which is a big benefit of Group Health Insurance Policy.
- Maternity Benefits: Bajaj Allianz Group Health Insurance Policy provides coverage for maternity expenses including pre and postnatal care, delivery expenses and new-born baby cover. This is a very helpful cover for female employees as well as spouses of male employees.
- Coverage for Day Care Procedures: Bajaj Allianz Group Health Insurance Policy covers a wide range of daycare procedures like cataract surgery and tonsillectomy that do not require hospitalization.
- Tax Benefits: The Premiums Paid towards Bajaj Group Health Insurance Policy are tax deductible. The Tax Benefits of a Group Health Insurance Policy make it an attractive option to provide employee benefits for employers.
What are the Major Exclusions in Bajaj Allianz Group Health Insurance Policy?
The major exclusions in Bajaj Allianz Group Health Insurance Policy are as follows:
- Treatments availed outside India are not covered under Bajaj Allianz Group Health Insurance Policy.
- Change of gender treatments or cosmetic surgeries/procedures are not covered by the Insurance Policy
- Expenses relating to treatment of obesity or treatment for weight control are not covered
- Expenses incurred for any treatment required due to injuries caused by participation in hazardous or adventure sports as a professional are not covered by Bajaj Allianz Group Health Insurance Policy
- Expenses incurred for admission mainly for investigation or diagnostic purposes are excluded under the Bajaj Allianz Group Health Insurance Policy
- Treatment for Alcoholism, drug or substance abuse or any addictive condition and consequences thereof are also excluded under the Policy
- Expenses for cosmetic or plastic surgery or any treatment to change appearance is excluded unless it is a medical necessity are not covered under the Bajaj Allianz Group Health Insurance Policy
What is the Claim Process for Bajaj Allianz Group Health Insurance Policy?
The claim process for Bajaj Allianz Group Health Insurance Policy is like the process for claiming a regular Group Health Insurance Claim Process.
Bajaj Allianz Group Health Insurance Reimbursement Claims Process
- Intimate the Insurance Claim to the Bajaj Allianz General Insurance Company. The Company will provide a Claim Intimation Number to track Claim Status.
- Make the payment to the hospital for the medical expenses incurred and submit original copies of all the Bills, Reports and other documents to the Insurance Company.
- On receipt of the relevant documents, Bajaj Allianz will examine the details and then approve or reject the claim.
- The approved Claim Amount gets credited directly to the Bank Account of the Insured
What are the documents Required for a Reimbursement Claim under a Group Health Insurance Policy?
The Insured needs to submit the following documents to Bajaj Allianz to avail Reimbursement Claim Settlement under the Policy:
- ID Proof and E-Card
- Duly Filled and Signed Claim Form
- Diagnostic Reports
- Prescriptions and Pharmacy Bills
- Pre and Post-Hospitalisation Bills
- Final Hospital Bills
- Discharge Summary
Bajaj Allianz General Insurance Cashless Claims Process
The Cashless Claim Settlement Process under Bajaj Allianz Group Health Insurance Policy is listed below:
- The Insured Employee approaches the Network Hospital covered by the Bajaj Allianz.
- Show the E-Card issued by the Insurance Company to the Insurance desk at the hospital and fill the Claim Form provided by the hospital
- The Hospital sends the Claim Form and other relevant documents to Bajaj Allianz for Claim Settlement
- Bajaj Allianz inspects the details and inform the Insured about the Claim approval or rejection
The advantage of cashless claim settlement is that the Policyholder does not need to pay any amount from his own pocket as the Group Health Insurance Company directly settles the claim with the hospital. You can view the list of Bajaj Allianz network hospitals at this Link – Bajaj Allianz General Insurance Network Hospital List
What is the Eligibility Criteria to purchase a Bajaj Allianz Group Health Insurance Policy?
Usually, Employers purchase Bajaj Allianz Group Health Insurance Policy for Employees. However, other non-employee groups like customers of a bank, members of a club or a professional association can also purchase the Group Health Insurance Policy. Bajaj Allianz requires a minimum of 10 employees for a Group Health Insurance Policy
How to purchase a Bajaj Allianz Group Health Insurance Policy for Employees?
Qian is a licensed Group Health Insurance Broker and can assist you to purchase a Comprehensive Group Health Insurance Policy for Employees. Employers need to follow the below mentioned steps to purchase a Bajaj Allianz Group Health Insurance Policy for employees:
- Contact Qian: If you wish to purchase a Bajaj Allianz Group Health Insurance Policy for Employees, contact the Group Health Insurance Team at Qian by mailing them at insurance@qian.co.in. Provide them with employee data such as employee name, date of birth and gender.
- Finalise Coverage and Quote: The Employer finalises the Group Health Insurance Coverages and Quotes based on the budget and requirements. The team at Qian will provide you with quotes from top Group Health Insurance Companies in India to finalise the Policy.
- Onboard Employees: After purchasing Bajaj Group Health Insurance Policy, the team at Qian will assist you with the onboarding process for employees, share E-Cards and also assist you with the entire Claims Process in Group Health Insurance Policy.
What are the Benefits of Bajaj Allianz Group Health Insurance Policy
- Affordable Premiums: Bajaj Allianz Group Health Insurance Policy is affordable and the premiums are lesser than Individual Health Insurance Policies.
- Comprehensive Coverage: Bajaj Allianz Group Health Insurance Policy provides comprehensive coverage for hospitalization expenses, including pre and post-hospitalization expenses, ambulance charges, and maternity benefits. Additionally, the Waiting Period for Pre-Existing diseases, specified diseases is zero unlike in Individual Health Insurance Policies.
- Cashless Hospitalization: The policy offers cashless hospitalisation facilities across a network of more than 18,000+ hospitals across India. This means that the Insured Employee can avail cashless treatment across all major hospitals in India and does not have to worry about arranging cash for hospitalization expenses.
Is Medical Check-up Required Before Buying Bajaj Allianz Group Health Insurance Policy?
Bajaj Allianz Group Health Insurance Policy does not require pre-medical check-up for any of the Insured Employees. This is a big advantage of Bajaj Allianz Group Health Insurance Policy.
Download Bajaj Allianz Group Health Insurance Policy Wordings
Bajaj Allianz Group Health Insurance Policy Wordings can be downloaded at the following link: Bajaj Allianz Group Health Insurance Policy Wordings
Download Bajaj Allianz Group Health Insurance Policy Claim Form
Bajaj Allianz Group Health Insurance Policy Claim Form can be downloaded at the following link: Bajaj Allianz Group Health Insurance Claim Form
Get Best Quotes Bajaj Allianz Group Health Insurance Policy with Qian!
Today, purchasing a Group Health Insurance Policy is not an option but a necessity. Bajaj Allianz Group health Insurance Policy offers comprehensive coverage at very reasonable premiums. At Qian, we can customize the features of Group Health Insurance Policy as per the needs and the budgets of the employer and also assist in providing a hassle-free claim settlement process. If you wish to purchase a Group Mediclaim Policy for employees, you can email us at insurance@qian.co.in or call us on 022-35134695. We would be glad to assist you
Testimonials
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Hemik of Qian is knowledgable, prompt and very professional - highly recommended. I had to claim for a critical illness under my health insurance policy and Qian’s assistance with the claims process and advice on how to deal with the insurer was invaluable.