Policybazaar, a leading insurance platform, has introduced a 100% claim promise on planned hospitalizations for select health insurance policies. This initiative aims to provide a hassle-free and financially secure experience for policyholders, ensuring that they can focus on their recovery without worrying about hospital bills. The benefit is available on specific plans from Bajaj Allianz, Niva Bupa, and Aditya Birla Health Insurance (ABHI).
To be eligible for the 100% claim promise, policyholders must complete certain pre-admission steps and meet policy conditions. These steps include informing the Third-Party Administrator (TPA) 48 hours before hospitalization and selecting a hospital from the insurer’s network. The network includes over 10,000 partner hospitals for Bajaj Allianz, over 2,100 hospitals for Niva Bupa, and a panel of hospitals for ABHI.
The policy-specific details vary among the insurers. Bajaj Allianz offers the benefit to both new and port policies with any sum insured, provided a consumables rider is added. Aditya Birla Health Insurance requires a minimum sum insured of ₹10 lakh and pre-admission intimation, after which the insurer connects the customer with a panel of doctors. Niva Bupa also requires a minimum sum insured of ₹10 lakh and 48-hour prior notification to the claim team.
Policybazaar aims to streamline documentation and coordination with hospitals, reducing delays and enhancing the cashless experience. However, claims will not be paid in cases of non-disclosure, waiting periods, or exclusions as per policy terms. The initiative does not apply to emergency hospitalizations, which will continue to be processed under standard policy terms.
According to Siddharth Singhal, Head of Health Insurance at Policybazaar, the 100% claim promise is designed to alleviate financial worries during hospitalization, allowing policyholders to focus on their recovery. With this initiative, Policybazaar aims to provide a more customer-centric and secure experience for its policyholders, making it an attractive option for those seeking comprehensive health insurance coverage.