Reimbursement
Points to Remember
  • check-mark Assistance service provider is to be intimated in the event of any treatment, non intimation may invalidate the claim.
  • check-mark Cashless will be extended for all in-patient treatments only when service provider is intimated & pre approval obtained (as per policy T & C)
  • check-mark OPD Claims & claims other then In-Patient will be reimbursed upon return to India.
  • check-mark Policy does not cover traveling abroad for obtaining medical treatment & travelling against medical advice.

The claim file has to be submitted at the below mentioned addresses within 30 days from after the date of loss.

Courier Address
Strive Insurance Brokers pvt. ltd.
Personal Accident
  • check-mark Copy of FIR (filed with the local police authorities)
  • check-mark Claim Form (to be filled and signed by insured)
  • check-mark Release of Medical Information Form (ROMIF) BAJAJ and AGA (to be filled and signed by insured) to obtain the medical records from facility
  • check-mark Medical records/Consultation Papers/Investigation Reports in case any hospitalization
  • check-mark Death certificate/Post Mortem report in case its conducted (In case of Death)
  • check-mark Certificate from Civil surgeon certifying the extent and percentage of disability (For Disability claims)
  • check-mark NEFT form and Cancelled cheque stating insured's (nominee in case of death claim) Claimant Indian Bank account details
  • check-mark Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India
Personal Accident
  • check-mark Claim Form (to be filled and signed by insured)
  • check-mark Attending Physician Statement (to be filled and signed by overseas treating doctor)
  • check-mark Release of Medical Information Form (ROMIF) BAJAJ and AGA (to be filled and signed by insured) to obtain the medical records from facility
  • check-mark Medical records/Consultation Papers/Investigation Reports
  • check-mark Invoices / Bills towards medical expenses.
  • check-mark NEFT Form and Cancelled cheque stating insured’s / Claimant Indian Bank account details (for reimbursement claim).
  • check-mark Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India.
  • check-mark Deductible amount as per policy schedule to be issued with DD/ Cheque in favour of Bajaj Allianz General Insurance Company Ltd (in case of complete cashless subject to confirmation of admissibility from “Us”. In case inability to provide deductible amount from insured same can be deducted from your cashless bill.
Medical Evalution
  • check-mark Claim Form (to be filled and signed by insured)
  • check-mark Attending Physician Statement (to be filled and signed by overseas treating doctor)
  • check-mark Release of Medical Information Form (ROMIF) BAJAJ and AGA (to be filled and signed by insured) to obtain the medical records from facility
  • check-mark Medical records/Consultation Papers/Investigation Reports
  • check-mark Invoices / Bills towards medical expenses.
  • check-mark Original Paid receipts (hardcopy) in case of reimbursement claim.
  • check-mark Form and Cancelled cheque stating insured’s / Claimant Indian Bank account details (for reimbursement claim).
  • check-mark Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India.
  • check-mark Deductible amount as per policy schedule to be issued with DD/ Cheque in favour of Bajaj Allianz General Insurance Company Ltd (in case of complete cashless subject to confirmation of admissibility from “Us”. In case inability to provide deductible amount from insured same can be deducted from your cashless bill.
Repartiration
  • check-mark Claim Form (to be filled and signed by assignee)
  • check-mark Invoices / Bills towards medical expenses
  • check-mark Original Paid receipts (hardcopy) in case of reimbursement claim
  • check-mark Death certificate/Post Mortem report/ Certificate of emblem in case its conducted
  • check-mark NEFT Form and Cancelled cheque stating assignee‘s Indian Bank account details (for reimbursement claim.)
  • check-mark Cancelled passport and Visa copy