When you are preparing for a planned hospitalization, the last thing you want is stress about the claim process. With Bajaj Allianz Health Insurance, filing a planned hospitalization claim is simple and hassle-free. This guide will help you understand the step-by-step process, documents required, and key points to ensure a smooth claim settlement.
What is a Planned Hospitalization?
Planned hospitalization refers to an admission to the hospital that is pre-scheduled, such as for:
- Surgeries (like knee replacement, gallbladder removal, etc.)
- Maternity-related admissions
- Scheduled treatments recommended by your doctor
Since the admission is pre-planned, you have time to intimate Bajaj Allianz Health Insurance and get cashless approval in advance.
Steps to File a Bajaj Allianz Planned Hospitalization Claim
1. Pre-Authorization Request
- Inform Bajaj Allianz at least 48–72 hours before hospitalization.
- Submit a pre-authorization form at the hospital helpdesk (available at network hospitals).
- The hospital sends the request to Bajaj Allianz along with treatment details.
2. Claim Verification
- Bajaj Allianz evaluates the request and verifies policy coverage.
- You will receive an approval letter if the treatment is covered under your plan.
3. Hospital Admission & Treatment
- Once approved, you can get admitted without paying from your pocket.
- Hospital bills are directly settled by Bajaj Allianz under the cashless facility.
4. Claim Settlement
- After discharge, the hospital submits final bills to Bajaj Allianz.
- Bajaj Allianz settles the claim directly with the hospital.
- You only need to pay non-medical expenses or amounts beyond policy coverage.
Documents Required for Planned Hospitalization Claim
To ensure faster claim settlement, keep these documents ready:
- Health insurance policy card
- Pre-authorization request form
- Doctor’s prescription / admission advice
- Identity proof (Aadhar, PAN, etc.)
- Any previous medical reports (if applicable)
Key Benefits of Planned Hospitalization Claim with Bajaj Allianz
- Cashless facility at 8,000+ network hospitals across India
- Quick pre-authorization approval for planned treatments
- Minimal out-of-pocket expenses
- 24×7 support from Bajaj Allianz Claim Assistance Team
Tips for a Hassle-Free Planned Hospitalization Claim
- Always choose a network hospital for cashless claims.
- Inform Bajaj Allianz well in advance.
- Double-check the documents before submission.
- Keep copies of all medical reports and bills for reference.
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