Personal Accident Insurance

Process of Claim

Claim Process

Apollo Munich Health Insurance

Instant Help With Emergency Claim

For any emergency claim call us on 8659986599

Steps

Navigating Claims Made Simple: Your Guide to a Hassle-Free Process.

  1. Intimation     
  2. Compilation/ Submission of claim file post survival period

Intimate claim process

How to intimate Personal Accident claim with Apollo Munich Health Insurance

E-Mail
healthclaims@hdfcergo.com
Claim Helpline
022 6234 6234 / 0120 6234 6234
Register Claim Online
Click Here
Hdfc Ergo should be informed within 30 Days of an event occurred.

Details required for Registration/ Intimation of Claim

To Register a claim through the above contact points, the following information has to be provided to the customer support executive:-
  • Your contact details
  • Name of the Insured
  • Policy number
  • Date and time of problem
  • Nature of problem
  • Location of problem
Once the claim is registered, a Claim Reference/Intimation Number will be generated and has to be preserved for further correspondence.

Types of Claims

How to intimate health claim with Bajaj Allianz General Insurance

Points to Remember

  • Every claim should be intimated & file to be submitted within time, as non adherence can lead to delay in claim settlement.
  • The claim is decisioned only when all required & necessary documents are submitted.
  • Every claim should be intimated & file to be submitted within time, as non adherence can lead to delay in claim settlement.
  • The claim is decisioned only when all required & necessary documents are submitted.

The claim file has to be submitted at the below mentioned addresses within 15 days of completion of the survival period.
The claim file has to be submitted at the below mentioned addresses within 15 days of completion of the survival period.
List of Documents

  • Duly filled and signed Claim Form
  • Policy copy
  • Copy of FIR (First Information Report) /Spot Panchnama / Inquest Panchnama ? Death Certificate
  • Original death summary
  • Post Mortem Report
  • Original legal heir certificate (in case nomination has not been filed by deceased)

List - I (Accidental Death)

  • Duly filled and signed Claim Form
  • Policy Copy ? Copy of FIR (First Information Report)
  • Original treating doctor certificate describing disablement
  • Original Discharge summary from the hospital
  • Original photograph of the injured reflecting disablement
  • Prescription and consultation papers
  • Leave certificate from the employer (If Employed)
  • Disability Certificate issued by Civil Surgeon or equivalent as authorised by State Government
  • Medical reports, case histories, investigation reports, treatment papers as applicable

List - II (Permanent Total Disablement/ Permanent Partial Disablement/Temporary Total Disablement/ Permanent Serious Disablement)

  •   All Documents of List - I, plus

  •  Original Bills and payment receipt of transportation

List - III (Transportation of Mortal Remains)

  • All Documents of List - I, plus

  • Original Bills and payment receipt

List - IV (Cremation Ceremony)

  •  All documents of List - I or List - II , plus

  •  Original Bills and payment receipt

  •  Treating Doctor’s consultation indicating Emergency care

List - V (Emergency Ambulance Charges)

  • All documents of List - I or List - II , plus

  •  Study Certificate from the school of the dependent child mentioning the parent’s name

List - VI (Education Fund)

  • All documents of List - I or List - II , plus

  • Original Bills and payment receipt

  • Proof of the immediate family member such as Ration Card

List - VII (Family Transportation)

  •   All documents of List -I or List - II , plus

  •  Original Bills and payment receiptt

List - VIII (Purchase of Blood)

  •   All documents of List - I or List - II , plus

  •   Prescription of the doctor mentioning the indication

  •  Bill of Loading

  • Original Medicine bill and payment receipt

Prescription of the doctor mentioning the indication List - IX (Transportation of Imported Medicine)

  • All documents of List - II , plus

  • Original Bills and payment receipt

  •   Prescription of the doctor mentioning the indication

Reason for Import List - X (Cost of Wheel Chair / Crutches)

  •  Duly filled and signed Claim Form

  • Policy Copy

  • Copy of the Discharge Summary

  •   Copy of First Information Report (FIR) / Medico-Legal certificate (MLC)

  •  If MLC not done, Treating doctor certificate giving details of Injury Sustained

List - XI (Accident Hospital Cash)

  • All documents of List - II , plus

  • Original Bills and payment receipt

  • Prescription of the doctor mentioning the indication

List - X (Cost of Wheel Chair / Crutches)

  •  Duly filled and signed Claim Form

  • Policy Copy ? Copy of the Discharge Summary

  •  Copy of First Information Report (FIR) / Medico-Legal certificate (MLC)

  •  If MLC not done, Treating doctor certificate giving details of Injury Sustained

List - Xl (Accident Hospital Cash)

  •   Same as the documents of List - II , plus

  •  Medical Bills with Prescription ? Medical Investigations report with prescription

  •   First Consultation and subsequent prescription      

List - XII (Accident Medical Expenses / Hospitalization -Inpatient)

  •  Same as the documents of List - XII except discharge summary

List - XIII (Accident Hospitalization - Outpatient)

  •   Same as the documents of List - II , plus

  •  X-ray reports and films reflecting the fracture/s

List - XIV (Broken Bones)

  •  Same as the documents of List - I , plus                                                                

List - XV (Widowhood Cover)

  •  All documents of List - I or List - II , plus

Marriage certificateList - XVI (Marriage Expenses for Children)

  • Duly filled and signed Claim Form

  • Policy Copy 

  • Original Ticket

  •  Copy of the Documents proving transportation of the Insured in the carrier

Proof of unmarried dependent Children [Affidavit and Age proof] List - XVII (Common Carrier)

  •  All documents of List - I or List - II , plus

  •  Proof of unmarried dependent Children [Affidavit and  Age proof]

List - XVI (Marriage Expenses for Children)

  •  Duly filled and signed Claim Form

  •  Policy Copy ? Original Ticket

  •  Copy of the Documents proving transportation of the Insured in the carrier

List - XVII (Common Carrier)

  • Duly filled and signed Claim Form                         

  • Policy Copy

  • Copy of FIR (First Information Report)

  •  Prescription and consultation papers mentioning neurological findings

  •  Investigations report / neurological assessment report

  •  Clinical summary of the comatose patient  from the treating Neurophysician /    Neurosurgeon

  • Proof of hospitalization

List –XVIII (Coma)

  • All documents of List - II , plus

  • Original Bills and payment receiptList –XVIII (Coma) 

  • Duly filled and signed Claim Form                         

  • Policy Copy

  • Copy of FIR (First Information Report)

  • Prescription and consultation papers mentioning neurological findings

  • Investigations report / neurological assessment report

  •  Clinical summary of the comatose patient  from the treating Neurophysician / Neurosurgeon

  •  Proof of hospitalization

Registered Address
HCS - Noida, HDFC ERGO General Insurance Co. Ltd., 5th floor, Tower 1, Steller IT Park, C-25, Sector-62, Noida - 201301.

Process of claim

1
Claim has to be intimated to Hdfc Ergo
2
Compile the claim file with all required documents
3
Submit the claim file within the pre defined timeline
5
On successful resolution of investigation/query HDFC Ergo pays the claim amount
6
HDFC Ergo the file and may call for an investigation/query
Retirement Plan Offer
+
-
  • Save ₹3,900/month & get
    up to ₹50 Lakhs on Retirement
    or ₹30,000 Pension/month
    CHECK NOW