Policybazaar, a leading insurance marketplace, has introduced a 100% claim promise on planned hospitalizations for select health insurance policies. This initiative aims to provide a hassle-free and cashless experience for policyholders, ensuring zero deductions on eligible hospital bills. The benefit is available on specific plans from Bajaj Allianz, Niva Bupa, and Aditya Birla Health Insurance (ABHI).
To avail of this benefit, 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 choosing 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 across insurers. For Bajaj Allianz, the benefit is available for both new and ported policies with any sum insured, provided a consumables rider is added. For ABHI, the benefit is applicable only to new policies with a minimum sum insured of ₹10 lakh, and pre-admission intimation is required. For Niva Bupa, the benefit is available for both new and ported policies with a minimum sum insured of ₹10 lakh, and the customer must notify the claim team 48 hours prior.
Policybazaar has stated that this initiative will 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 100% claim promise 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, this initiative aims to alleviate financial worries during hospitalization, allowing policyholders to focus on their recovery. With this move, Policybazaar aims to provide a more customer-centric and hassle-free experience for its policyholders. The introduction of this benefit is expected to enhance the overall customer experience and increase trust in the insurance marketplace.