Health Infinity Plan

1.        Inform the Bajaj Allianz General Insurance HAT about the hospitalisation.

        a)     To register your claim online click here,

        b)     To register your claim offline, please call us on our toll-free number: 1800-209-5858.

2.         After discharge, you must submit the following documents to HAT within 30 days.

• Duly filled and signed claim form with mobile number and email ID.
• Original hospital bill and payment receipt.
• Investigation report.
• Discharge card.
• Prescriptions.
• Details of pre hospitalisation expenses (if any)
• In-patient papers, if required.

3.         All documents to be sent to HAT for further processing and based on the assessment, the final settlement will be done within 10 working days.

4.         Post hospitalisation claim documents must be sent within 90 days from the date of discharge.

•  Original pre-numbered hospital payment receipt duly sealed and signed.
•  Original prescriptions and pharmacy bills.
•  Original consultation papers (if any). 
•  Original investigation and diagnostic reports along with original bills and payment receipt for the investigation done within and outside the hospital.
•  If you availed a cashless claim but did not utilise it, a letter from the hospital stating so.
•  A letter from the treating doctor mentioning incident details (in case of an accident).
•  Hospital registration certificate and hospital infrastructure on the letterhead.
•  A cancelled cheque bearing IFSC code and name of the insured.
•  Indoor case paper copy attested from the hospital from the date of admission to the date of discharge with detailed medical history and doctor’s notes with temperature, pulse and respiration charts.
•  X-ray (in case of a fracture).
•  Obstetric history from treating doctor (in maternity cases).
•  FIR copy (in accident case).

 Additional requirements for some special cases:

     a) In case of a cataract operation, lens sticker with a bill copy. 

     b) In case of a surgery, implant sticker with a bill copy. 

     c) In case of a heart-related treatment, stent sticker with a bill copy.

All original documents need to be submitted to the following address:

Health Administration Team

Bajaj Finserv Weikfield IT park, Viman Nagar, Pune, Maharashtra 411014\

Mention your Policy Number, Health Card Number and Mobile Number clearly on the face of the envelope.

Note: Keep a photocopy of the documents and courier reference number for your records.

Cashless facility at network hospitals is available 24x7, throughout the year, without any interruption in service. The list of hospitals where cashless settlement can be availed is dynamic and liable to change without notice. You must check the hospital list before getting admitted. The updated list is available on our website and with our call center. Bajaj Allianz Health Card along with a government ID proof is mandatory at the time of availing cashless facility.

When you are opting for cashless claims, follow the steps given below:

•   Get the pre-authorisation request form filled and signed by the treating doctor/hospital and signed by you, at the hospital’s insurance desk.
•   The network hospital will fax the request to HAT.
•   HAT doctors will examine the pre-authorisation request form and decide on cashless availability, as per the policy guidelines.
•   Authorisation letter/denial letter/additional requirement letter is issued within 3 hours depending on the plan and its benefits.
•   At the time of discharge, the hospital will share the final bill and discharge details with HAT and based on their assessment, final settlement will be processed.

Important points to note

  In case of planned hospitalisation, register/reserve your admission as per the network hospital’s procedure for admission in advance.

•    Admission at network hospital is subject to availability of a bed.
•   Cashless facility is always subject to your policy terms and conditions.
•   The policy does not cover the following :

  ✓      Telephone charges

  ✓      Food and beverages for relatives

  ✓      Toiletries

The cost of the above services have to be borne by you and paid directly to the hospital before discharge.

•   In-room rent nursing charges are included. However, if a higher cost room is used then the incremental charges will be borne by you.
•   In case the treatment is not covered as per the policy terms and conditions, your claim, cashless or reimbursement, will be denied.
•   In case of inadequate medical information, pre-authorisation for cashless claim can be denied.
•   The denial of cashless facility does not mean denial of treatment and does not in any way prevent you from seeking necessary medical attention or hospitalisation.

Reimbursement of pre/post hospitalisation expenses

Relevant medical expenses incurred before admission and after discharge from the hospital will be reimbursed as per the policy. Prescriptions and bills/receipts of such services should be submitted to Bajaj Allianz General Insurance along with the duly signed claim form.

Bajaj Allianz General Insurance has introduced an app based claim submission process known as Health Claim by Direct Click.

This facility allows you to register and submit claim documents through the app itself for claims up to Rs 20,000.

What you need to do:

✓      Register your policy and card number in the Insurance Wallet App.

✓      Register your policy and health card number in the app.

✓      Register the claim.

✓      Fill the claim form and arrange for the hospital-related documents.

✓      Upload the documents using the app menu.

✓      Submit the claims for further processing.

✓      Get confirmation within a few hours.