Allianz India Claims Assistance

Find out:

• How to make a claim with Allianz Worldwide
• How to make a claim with Allianz Indonesia
• How to make a claim with Bajaj Allianz
• How to make a claim with Allianz EFU

The Allianz Helpline can provide you with assistance throughout the claims process. Allianz members can use the service to discuss their policy benefits and receive instructions on how to claim.

Contact the Allianz Helpline on +353 1 630 1301

24 hours a day, 7 days a week

Contact the Bupa International Helpline on: +44 (0) 1273 333 911

For more information about Allianz health insurance plans, or to receive a free Health Insurance Quote, please contact one of our dedicated advisers today.

How to make a claim with Bajaj Allianz

The majority of Bajaj Allianz health insurance plans have a cashless claims service.

• Cashless claims allow Bajaj Allianz members to receive medical treatment without the need to submit a claim form or pay for treatment. Bajaj Allianz has over 2000 hospitals registered in their Network.
• If the policy holder receives treatment at a Non Network Hospital, they can pay for their medical treatment and submit a claim form for reimbursement.

Some treatments will need to be pre-authorized by Bajaj Allianz, such as hospital treatment.

• Pre-authorisation is getting approval from your insurance company, prior to receiving your treatment. The policy holder will need to complete a pre-authorisation form and submit to Bajaj Allianz prior to hospital admission.
• In the case of a medical emergency, you do not need pre-authorisation.

The Bajaj Allianz Helpline can provide you with assistance throughout the claims process. Bajaj Allianz members can use the service to discuss their policy benefits and receive instructions on how to claim.

Contact the Bajaj Allianz Helpline 24 hours a day, 7 days a week

Find out:

• Which Bajaj Allianz Health Insurance Plans have a cashless claims service
• How to make a Cashless Claim
• How to submit a claim (after treatment at a Non Network Hospital)
• Non-cashless Claims: How to make a claim with Health Guard Insurance
• How to preauthorize treatment in the event of an emergency

For more information about Bajaj Allianz health insurance plans, or to receive a free Health Insurance Quote, please contact one of our dedicated advisers today.

Which Bajaj Allianz Health Insurance Plans have a cashless claims service?

The below health insurance plans have a cashless claims benefit:

How to make a Cashless Claim

1. The policy holder approaches a hospital within the Bajaj Allianz Hospital Network (Bajaj Allianz has over 2000 hospitals registered in their Network).
2. The Network Hospital submits a Pre-authorisation claim form to Bajaj Allianz by fax (details on diagnosis, treatment, and doctor are provided).
3. Bajaj Allianz receives the Pre-authorisation request and makes a decision on claim (referring to the policy holders' medical benefits as stated in their health insurance plan).
4. Bajaj Allianz sends a response to the hospital: Approval Letter, Denial Letter, or Query Letter (the hospital will respond to the query letter).
5. Approval by Allianz: the policy holder is admitted to hospital for treatment. The hospital and Allianz settle the medical bill and there is no need for the policy holder to pay for the medical treatment. Policy holder pays for non-medical expenses upon discharge from hospital.
6. Denial by Allianz: the policy holder is admitted to hospital for treatment. The policy holder pays for the medical treatment and submits a claim form for reimbursement.

How to submit a claim (after treatment at a Non Network Hospital)

The policy holder may need to submit a claim form when:

• The policy holder received treatment at a Non Network Hospital*.

  *Bajaj Allianz has over 2000 hospitals registered under their network. If you go to a Network Hospital, you can receive a cashless claim service. This means you will not have to pay your medical bill or submit a claim form.

• Allianz submitted a Denial Letter at the request for hospital treatment

1. Policy holder approaches Non Network hospital and is admitted for medical treatment.
2. Policy holders pays for medical treatment and is discharged from hospital.
3. A claim form is downloaded from the Bajaj Allianz website
4. The policy holder completes the claim form and attaches documents as requested.
5. Bajaj Allianz receives the claim and makes a decision on claim (referring to the policy holders' medical benefits as stated in their health insurance plan).
6. Bajaj Allianz sends a response to the policy holder: Approval Letter, Repudiation Letter, or Query Letter (the policy holder will need to respond to the query letter).
7. Approval by Bajaj Allianz: the policy holder receives pay instrument and discharge voucher from Bajaj Allianz. Policy holders signs discharge voucher and sends to Bajaj Allianz.
8. Repudiation by Allianz: claim for treatment has been denied by Bajaj Allianz.

Non-cashless Claims: How to make a claim with Health Guard Insurance

Health Guard Insurance provides cover for a serious accident or illness. Health Guard Insurance covers medical expenses, weekly benefits or lum sum payment, depending on the severity of the illness or disability.

1. Bajaj Allianz is notified of serious accident or illness by telephone, email or letter.
2. Bajaj Allianz sends a claim form to the insured, with a checklist of requested documents (eg. Doctor's Medical Certificate).
3. The insured sends the completed claim form with the requested documents.
4. Bajaj Allianz receives the claim and makes a decision.
5. Bajaj Allianz sends a response to the hospital: Approval Letter, Denial Letter, or Query Letter. Bajaj Allianz may request further information or refer the insured to a (non-bias) medical specialist for an independent opinion.
6. Claims is approved: the insured receives entitlements as per policy benefits.

How to preauthorize treatment in the event of an emergency

1. In the event of an emergency, pre-authorisation of hospital treatment is not required.
2. If you require emergency treatment, you must contact the Bajaj Allianz Helpline within 48 hours of the accident or health event.
3. Contact the Bajaj Allianz Helpline 24 hours a day, 7 days a week
4. The Bajaj Allianz Helpline will take down details of your treatment details, treating doctor and hospital.
5. Allianz will arrange a direct settlement if possible with the treating hospital or medical facility.

For more information about Bajaj Allianz health insurance plans, or to receive a free Health Insurance Quote, please contact one of our dedicated advisers today.