Applicable only for Accidental Hospitalization Expenses Optional Cover
Cashless treatment is only available at Network Hospitals. In order to avail of cashless treatment, the following
procedure must be followed by You:
a. Prior to taking treatment and/or incurring Medical Expenses for any Accidental Injury, at a Network Hospital,
the Insured Person must call Us and request pre-authorization by way of the written form which the Company
will provide. Waiver of this condition shall be considered in case of emergency hospitalisation arising out of
accidental bodily injury.
b. After considering the Insured’s request and after obtaining any further information or documentation the
Company have sought, the Company may if satisfied send to the Insured Person or the Network Hospital, an
authorization letter. The authorization letter, the ID card issued to the Insured along with this Policy and any
other information or documentation that the Company have specified must be produced to the Network
Hospital identified in the pre-authorization letter at the time of Insured’s admission to the same.
c. If the procedure above is followed, the Insured Person will not be required to directly pay for the Medical Expenses
raised out of Accidental Bodily Injury, in the Network Hospital that the Company is liable to indemnify under
Accidental Hospitalization Expenses Section and the original bills and evidence of treatment in respect of the
same shall be left with the Network Hospital. Pre-authorization does not guarantee that all costs and expenses
will be covered. We reserve the right to review each claim for Medical Expenses and accordingly coverage will be
determined according to the terms and conditions of this Policy. Insured Person shall, in any event, be required
to settle all other expenses directly.
Duly completed pre authorization signed by the Claimant
Other documents as may be required by the Company to process the claim
If you meet with any Accidental Bodily Injury that may result in a claim, then as a condition precedent to our
liability:
Duly Completed Claim Form signed by Nominee/ legal heir of the Insured Person.
Bonafide certificate from school / college or certificate from the educational institution
Duly Completed Claim Form signed by Nominee/ legal heir of the Insured Person.
Health Administration Team
Bajaj Allianz General Insurance Co. Ltd
2nd Floor, Bajaj Finserv Building
Viman Nagar, Pune 411014
Toll Free no: 1800 209 5858
Note: If the original documents are submitted with the other insurer, the Xerox copies attested by the other insurer should be submitted
FORM 1
FORM 2
In case of any doubts or confusions please read the policy wordings pdf here or write to us info@asc360.com
IRDAI or its officials do not involve in activities like sale of any kind of insurance or financial products nor invest premiums.
IRDAI does not announce any bonus.
Public receiving such phone calls are requested to lodge a police complaint along with details of phone call, number.