Personal Accident Insurance

Process of Claim

Claim Process

Niva Bupa Health Insurance Company Limited

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 Niva Bupa Health Insurance Company Limited

E-Mail
customercare@maxbupa.com
Claim Helpline
 1860-500-8888
Max Bupa should be informed within 48 hours of Hospitalisation.

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.
List of Documents

A) Accidental Death

  • Claim form duly completed and signed by the claimant. 
  • Original Death Certificate (issued by the office of Registrar of Births and Deaths) 
  • Copy of First Information Report (FIR) / Panchnama duly attested by the concerned police station 
  • Copy of Medico Legal Certificate duly attested by the concerned Hospital. 

B) Accidental Permanent Total Disability and Accidental Permanent Partial Disability

  • Claim form duly completed and signed by the claimant. 
  • Hospital Discharge Summary (in original) / self attested copies if the originals are submitted with another insurer. 
  • Final Hospital Bill (in original) / self attested copies if the originals are submitted with another   insurer. 
  • Medical consultations and investigations done from outside the Hospital. 
  • Original certificate of Disability issued by a Medical Board duly constituted by the Central and the State Government. 
  • Copy of First Information Report (FIR) / Panchnama duly attested by the concerned police station 
  • Copy of Medico Legal Certificate duly attested by the concerned Hospital. 

Income proof of the Proposer:

  • Last three months Salary Slip  
  • Last year's ITR / Form 16 
  • Employer's Certificate 
  • Audited Accounts
Registered Address
Customer Services Department Max Bupa Health Insurance Company Limited 2nd Floor, Plot No D-5 ,Sector 59, Noida , Gautam Budhnagar – 201301

Process of claim

1
Claim has to be intimated to Max Bupa
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 Max Bupa pays the claim amount
6
Max Bupa scrutinizes the file and may call for an investigation/query
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