An accident can turn a person's life upside down in a matter of seconds. Furthermore, in case of hospitalisation, it can lead to financial burdens due to medical expenses. To be able to safeguard against such situations, it is always wise to opt for a personal accident insurance policy. This can be especially useful for those who need to travel extensively.
What is a personal accident insurance?
A personal accident insurance policy provides complete financial coverage to policyholders in case of accidental death, bodily injuries and physical disabilities (temporary and permanent). In case of the unfortunate death of the policyholder, the nominee gets 100% compensation.
Features of personal accident insurance policy
Here are the salient features of a personal accident insurance policy:
Get coverage for medical expenses and hospitalisation charges
Nominee gets full compensation in case of accidental death
Policyholders can make cashless or reimbursement claims
Tax benefits available on the premiums paid
Get a children's education bonus along with a personal accident insurance
Get up to 125% compensation in case of permanent total disability
Benefits of personal accident insurance policy
The benefits of opting for a personal accident cover are as follows:
Provides financial coverage against liabilities from personal injury or accident and helps keep the savings intact
Covers the medical bills for the treatment of an injury
Provides a daily cash allowance amount of Rs. 1,000 for up to 30 days of admission in a hospital
Covers education fees and medical expenses of dependent children
In case of permanent disability or death of the policyholder, his/her dependent children (below 19 years old) get a compensation amount
Policyholders receive up to 125% of the policy sum insured in case of permanent disability
Get a cumulative bonus starting from 10% and going up to 50% of each claim-free year
Claim disbursals within 7 working days after meeting all formalities
Why choose personal accident insurance from Bajaj Finance
Despite being careful and taking all the necessary precautions, accidents can happen at any time. Hence, personal accident coverage becomes essential for everyone. Bajaj Finance partners with leading insurers to offer a variety health insurance plans with extensive coverage and affordable premiums. The following are the reasons to opt for a personal accident insurance policy from Bajaj Finance:
Family’s financial security
Wide range of coverage at affordable premiums
No documents or medical tests required
Simple and prompt claim process
Reliable plans for family and policyholder
Customisable plans
Inclusions of personal accident insurance policy
Here is the list of things covered under a personal accident cover:
Accidental death of the policyholder
Permanent or partial disability due to an accident
Medications and hospitalisation
Child education bonus (if opted for in the plan)
Funeral and legal expenses (if opted for in the plan)
Coverage for fractures, burns, etc
Daily cash allowance
Exclusions of personal accident insurance policy
Here is the list of things that are not covered under a personal accident cover:
Terrorism and war-related injuries
Suicide or self-injury
Pre-existing disability or injury
Injury caused by adventure sports activities
Expenses for treatment of diseases or illnesses
Raising a cashless claim: No out-of-pocket expenses
You can get cashless treatments at partner network hospitals across India. Although in case of an accident, it is best to opt for the nearest hospital, if you have checked your insurer’s network hospital list previously and are in a position to get admitted to the closest one, you should do so. Follow these steps to get file this claim:
Step 1: Inform your insurer within 48 hours of hospitalisation.
Step 2: Share the policy details or the patient’s policy cashless card at the insurance desk at the hospital along with a valid ID proof.
Step 3: Fill up all details in the pre-authorisation form and submit it at the hospital.
Step 4: To expedite the procedure, fill up a request form on the official portal of the insurer and also inform your insurer about the same.
Step 5: Your insurance provider might take up to two hours to review the application and inform you accordingly via SMS and e-mail.
Step 6: You can even check the status of the claim online.
The insurer will process the claim as per the terms and conditions after the completion of all formalities.
Raising a reimbursement claim: Simple steps
Step 1: In case of emergencies, you will have to notify the insurance provider within two days and pay expenses to the hospital if you do not have a pre-authorisation.
Step 2: Submit all necessary documents within fifteen days after discharge.
Step 3: The insurance provider will accept or reject the claim after reviewing all documents.
Step 4: Once approved, the insurer will transfer the amount to your registered bank account via NEFT.
Step 5: in case of rejection, you will receive a message regarding the same to your registered e-mail address and phone number.
Documents required to be submitted for claim in case of accidental death of the policy holder
Original policy documents
Death certificate
Beneficiary’s ID proof
Age proof of the policyholder
Medical certificate
Discharge form
Police FIR (in case of unnatural death)
Hospital certificates/ records (in case of death due to illness)
Post-mortem report (in case of unnatural death)
Employer certificate and cremation certificate