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 

Intimate claim process

How to intimate travel claim with Apollo Munich Health Insurance

E-Mail
 travelclaims@hdfcergo.com
Claim Helpline
022 6234 6234 / 0120 6234 6234
Intimation must be done immediately and with in 7 days of the Insured Person’s admission to Hospital.

Details required for Registration/ Intimation of Claim

To register a claim/seek assistance 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
  • Hospital Name & Address
  • Doctor Name & Contact No 

Types of Claims

How to intimate health claim with Bajaj Allianz General Insurance

Points to Remember

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

The claim file has to be submitted at the below mentioned addresses within 30 days of return to India. 
List of Documents

  • Our claim form, duly completed and signed for on behalf of the Insured Person. 
  • Original Bills (including but not limited to pharmacy purchase bill, consultation bill, diagnostic bill) and any attachments thereto like receipts or prescriptions in support of any amount claimed which will then become Our property. 
  • All reports, including but not limited to all medical reports, case histories, investigation reports, treatment papers, discharge summaries. 
  • A precise diagnosis of the treatment for which a claim is made. 
  • A detailed list of the individual medical services and treatments provided and a unit price for each.  
  • Prescriptions that name the Insured Person and in the case of drugs: the drugs prescribed, their price and a receipt for payment. Prescriptions must be submitted with the corresponding Medical Practitioner’s invoice.  
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
The treatment is to be intimated with respective service providers within prescribed timelines.
2
All prescriptions, investigation reports & medicine bills are to be kept handy.
3
The claim file is to be prepared with ref to check list & to be submitted upon return to India.
4
Duly filled claim forms along with all necessary documents are to be submitted within prescribed timelines.
5
Insurer will inform about any deficiency within 7 days.
6
Post receiving of all required info, the claim will be processed within 30 days.
7
If the claim is approved, amount will be transferred within 30 days.
8
If the claim is rejected, letter with details are to be shared with Insured.
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