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 Critical Illness claim with Niva Bupa Health Insurance Company Limited

E-Mail
customercare@maxbupa.com
Claim Helpline
 1860-500-8888
Max Bupa Health Insurance Company Co. Ltd. should be informed immediately on diagnosis of the first occurrence of the Critical Illness.

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:-
  • Contact Numbers
  • Policy Number (as on the Health Card//Policy Schedule)
  • Name of insured person who is hospitalized
  • Nature of disease / illness / injury
  • Date & time in case of accident/ Injury, commencement date of symptom of disease in case of illness
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

First consultation letter should also be preserved.

The claim file has to be submitted at the below mentioned addresses within 30 days of completion of the survival period.

 

The claim file has to be submitted at the below mentioned addresses within 30 days of completion of the survival period.
List of Documents

For Critical Illness

  • Claim form duly completed and signed by the claimant.

  • Final 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.

  • Original consultation notes and / or investigation reports from outside the Hospital prior to Hospitalization

  • Copy of First Information Report (FIR) / Panchnama duly attested by the concerned police station (if Critical Illness being claimed for is admissible in event of an Accident)

  • Copy of Medico Legal Certificate duly attested by the concerned Hospital. (if Critical Illness being claimed for is admissible in event of an Accident)

Hospital Cash

  • Claim form duly completed and signed by the claimant.

  • Final 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.

  • Original consultation notes and / or investigation reports from outside the Hospital prior to Hospitalization

  • Copy of First Information Report (FIR) / Panchnama duly attested by the concerned police station (if Hospital Cash being claimed for is admissible in event of an Accident)

  • Copy of Medico Legal Certificate duly attested by the concerned Hospital. (if Hospital Cash being claimed for is admissible in event of an Accident)

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.

  • Income proof of the Proposer - Last three months Salary Slip OR Last year’s ITR / Form 16, Employers Certificate, Audited Accounts

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 OR Last year’s ITR / Form 16, Employers 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
Intimation
2
Submission of Claim file
3
If any deficiency is found, query will be raised & shared with the insured.
5
Post receiving of all the required info the claim will be decisioned.
6
The query must be replied within specified time from the trigger date.
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