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Bajaj Health Insurance Pre-Authorization Form – A Complete Guide

When you are admitted to a hospital and wish to avail of cashless treatment under Bajaj Health Insurance, the first and most important step is submitting a Pre-Authorization Form. This form allows the hospital and the insurance company to coordinate your treatment expenses without requiring you to make upfront payments.

What is a Pre-Authorization Form?

A pre-authorization form is a request submitted by the hospital on your behalf to Bajaj Health Insurance before your treatment begins. It ensures that:

  • Your policy is active and covers the treatment.
  • The medical expenses will be directly settled between Bajaj Health Insurance and the hospital.
  • You don’t have to worry about immediate cash payments.

How to Get the Bajaj Health Insurance Pre-Authorization Form?

  1. At the hospital: The form is available at the insurance help desk in all network hospitals.
  2. Online download: You can visit the official Bajaj Health Insurance website and download the pre-authorization form.
  3. Third-party administrator (TPA): Sometimes, the TPA provides the form directly to the hospital.

Steps to Fill the Pre-Authorization Form

The form usually has two sections:

  1. To be filled by the patient/insured
    • Policy number
    • Name of insured/patient
    • Contact details
    • Reason for hospitalization
    • Date of admission
  2. To be filled by the treating doctor/hospital
    • Diagnosis and proposed treatment
    • Estimated expenses
    • Doctor’s details and hospital seal

Documents Required Along With the Form

  • Copy of health insurance card/policy
  • Doctor’s prescription or admission advice
  • Identity proof (Aadhaar, PAN, etc.)

Pre-Authorization Process in Bajaj Health Insurance

  1. Submit the filled form at the hospital insurance desk.
  2. The hospital forwards it to Bajaj Health Insurance/TPA.
  3. The insurer verifies the details and approves or queries the request.
  4. Once approved, the cashless treatment facility is granted.

Important Tips

  • Always carry your Bajaj Health Insurance card at the time of admission.
  • Try to initiate the pre-authorization process at least 48–72 hours before planned hospitalization.
  • In case of emergencies, the hospital must send the pre-authorization form within 24 hours of admission.

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