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  • Bajaj Health Guard Proposal Form

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IMD CODE Bajaj Allianz General Insurance Company Limited IMD NAME Regd. & Head Office -GE Plaza, Airport Road, Yerwada, Pune 411 016 MOBILE No. Family Floater Health Guard - Proposal Form 1. Name.

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How to fill out the Bajaj Health Guard Proposal Form online

Filling out the Bajaj Health Guard Proposal Form online is a crucial step in securing health insurance coverage. This guide will walk you through each section of the form, ensuring you provide complete and accurate information necessary for your proposal.

Follow the steps to complete your proposal form effectively.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor. This allows you to access the proposal form online.
  2. Begin by filling in your personal information in the ‘Proposer Details’ section. Use BLOCK letters to ensure clarity. Include your full name, date of birth, gender, and contact information.
  3. Indicate your status as an existing Bajaj Allianz customer by answering the appropriate question. If yes, provide your existing policy number.
  4. Complete the marital status and occupation fields. It's essential to be truthful regarding your employment and family structure.
  5. Provide your residential and correspondence addresses ensuring that postal details are accurate for communication purposes.
  6. Specify your educational qualifications and family monthly income. Choose the options that best describe your situation.
  7. List the details of each person you wish to insure in the ‘Details of the persons to be insured’ section, including their names, dates of birth, and any health conditions.
  8. Answer questions regarding lifestyle habits such as smoking or alcohol consumption, as they can influence your insurance coverage.
  9. Respond to the health history questions truthfully, providing details of any past illnesses or treatments for yourself or your family members to ensure accuracy in risk assessment.
  10. Fill in the family doctor details and confirm the understanding of the health insurance terms, ensuring you consent to the information sharing required by the insurance company.
  11. Review your completed form for any inaccuracies or missing information before submitting it. Ensure all questions are answered comprehensively.
  12. Once satisfied with your submission, you can save the completed form, download it for your records, print a hard copy, or share it with the relevant parties.

Complete your Bajaj Health Guard Proposal Form online today for comprehensive health insurance coverage.

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Proof of identity (Passport/Ration Card/Driving Licence/Aadhaar/Voter's ID). Proof of address (Voter's ID Card/Passport/Aadhaar).

In a reimbursement claim, you must settle your medical bills with the hospital and subsequently file a reimbursement claim with your insurance provider. You can choose any hospital for your medical procedure, get the treatment done, settle the bills from your pocket, and then file for reimbursement.

In case you opt for online claims, click here. Otherwise, calling our Toll Free Number 1800-209-5858 will always help you reach us in an instant.

Other 020-30305858. Email bagichelp@bajajallianz.co.in.

Page 1 If your company has a TPA, enter the TPA's ID no. In case you. have another. health. insurance. ... Enter your. policy number. As on policy. document. Can be you or your family member Your employee code no. ... In case medical. treatment taken. at home. In case you. have benefit. ... Expenses. incurred before. and after. Hospitalization.

Claims can be intimated on the following platforms: Contact the executes at the Call Center- 1800 209 5858 (Main Toll Free) and dedicated health toll free (1800 103 2529) Email on health.admin@bajajallianz.co.in. Branch walk-in at the customer care desk. Download the Caringly Yours App on App store/Play store.

We have set up a dedicated claims settlement service for all Bajaj Allianz Life Insurance policy holders. Dial our toll-free number 1800-209-7272 for quick assistance. Visit your nearest branch for immediate support. Drop us an email at claimsscanning@bajajallianz.co.in for timely assistance.

If the hospitalisation and treatment you received took place in India, please submit your claim to Bajaj Allianz at below address: Bajaj Allianz General Insurance Company Ltd, 2nd Floor, Bajaj Finserv Building, Behind Weikfield IT park, Off Nagar Road, Viman Nagar, Pune 411014 Toll free phone: 1800-103-2529 1800-22- ...

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