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How to intimate health claim with Bajaj Allianz General Insurance
Duly completed and signed Claim form, in original
Passport copy with entry and exit stamp
Any other document as required by the Company or Assistance Service Provider
Additional documents as specified under each Benefit
It is a Condition Precedent to the Company's liability under this Benefit that the following information and documents shall be submitted to the Company or the Assistance Service Provider immediately and in any event within 30 days of the event giving rise to the Claim under this Benefit :
Duly filled and signed Claim form
Duly filled and signed 'Release of Medical Information Form'
Original pathological and diagnostic reports, discharge summary, indoor case papersand prescriptions issued by the treating Medical Practitioner or Network Provider.
Copy of Passport with entry and exit stamp of the country of treatment.
Original bills and receipts for:
Charges paid towards Hospital accommodation, nursing facilities and other medical services rendered.
Fees paid to the Medical Practitioner and for special nursing charges.
Charges incurred towards any and all test and/or examinations rendered in connection with the treatment from a registered pharmacy other than the Network Provider duly supported by the prescriptions of the Medical Practitioner attending to the Insured Person.
Any other document as required by the Company to assess the Claim.
Only in the event that original bills, receipts, prescriptions, reports or other documents have already been given to any other insurance company or to a reimbursement provider the Company will accept properly verified photocopies of such documents attested by such other insurance company/reimbursement provider along with an original certificate of the extent of payment received from such insurance company/reimbursement provider.
The Company will only accept bills/invoices which are made in the Insured Person's name.
The Company shall condone delay on merit for delayed Claims where delay is proved to be for reasons beyond the control of the Policyholder or the Insured Person.
A certificate from the Medical Practitioner recommending the presence in the form of special assistance to be rendered by an additional member during the entire period of Hospitalization. The certificate shall also specify the minimum period of Hospitalization.
Discharge summary of the Hospital furnishing details including the date of admission and date of discharge.
Original ticket with invoice used for the travel by the Immediate Family Member.
Copy of passport of Immediate Family Member with entry and exit stamp.
A certificate from the Medical Practitioner specifying the minimum period of Hospitalization.
Original ticket used for the return travel of the children to the Country of Residence.
Copy of passport of the children with entry and exit stamp.
Copy of the economy class air ticket issued by the Common Carrier indicating the cost the ticket and receipt for the refund of the fare of the Common Carrier and the cancellation charges retained.
Boarding pass and copy of business class ticket confirming the return journey and the cost of ticket
Original pathological or diagnostic reports and medical prescriptions issued by the treating Medical Practitioner or Hospital;
Original Bills and receipts for:
Fees paid to the Medical Practitioner and special nursing charges; and
Charges incurred towards any and all test and/or examinations rendered in connection with the treatment.
Charges incurred towards medicines or drugs purchased from a registered pharmacy other than the Hospital duly supported by the prescriptions of the Medical Practitioner attending to the Insured Person; Any other information or documents related to the treatment taken.
Medical reports giving the details of the Accident, nature of the Injury, the extent of disability (if applicable) and the details of treatment provided.
Death certificate (if applicable)
Postmortem report, if conducted
Police report.
Medical Practitioner's certificate in case of Injury stating the reasons for and the extent of the Injury.
Medical reports giving the details of the Accident and nature of Injury.
Death certificate.
Postmortem report, if conducted.
Valid ticket or certificate from the Common Carrier establishing the Insured Person's bonafide travel in the affected Common Carrier at the time of the Accident.
Medical reports and transportation details issued by the evacuation agency, prescriptions and medical report by the attending Medical Practitioner furnishing the name of the Insured Person and details of treatment rendered along with the statement confirming the necessity of evacuation;
Documentary proof for all expenses incurred towards the Medical Evacuation.
Copy of the death certificate providing details of the place, date, time, and the circumstances and cause of death;
Copy of the postmortem certificate, if conducted;
Documentary proof for expenses incurred towards disposal of the mortal remains;
In case of transportation of the body of the deceased to the Country of Residence or Place of Residence, the receipt for expenses incurred towards preparation and packing of the mortal remains of the deceased and also for the transportation of the mortal remains of the deceased.
Confirmation in writing of cancellation of the journey from the Common Carrier detailing the circumstances of cancellation;
Ticket/boarding pass issued by the Common Carrier indicating the cost of ticket and receipt for the refund of the fare of the
Common Carrier towards the cancelled portion of the journey indicating cancellation charges retained by the Common Carrier.
Boarding pass in original for return journey from the place of cancellation to the Country of Residence which indicates the cost of the tickets together with the receipts for the refunds obtained towards the unfulfilled portion of the journey.
A declaration from the Insured Person furnishing the circumstances that compelled him to cancel the journey
Medical evidence as may be required in case of the cancellation of the journey arising out of personal contingencies of the Insured Person or his Immediate Family Member;
Receipt for the refund of the fare of the Common Carrier towards the cancelled portion of the journey indicating the cancellation charges retained;
Property irregularity report issued by the appropriate authority.
Voucher of the Common Carrier for the compensation paid for the non-delivery/short delivery of the Checked-In Baggage.
Copies of correspondence exchanged, if any, with the Common Carrier in connection with the non-delivery/short delivery of the Checked-In Baggage.
Property irregularity report issued by the appropriate authority stating the scheduled time of delivery and actual time of delivery of the Checked-In Baggage.
Voucher of the Common Carrier for the compensation paid for the delay in delivery of the Checked-In Baggage.
Copies of correspondence exchanged, if any, with the Common Carrier in connection with the delay in delivery of the Checked-In Baggage.
Copy of the police report
Details of the attempts made to trace the passport
Original receipt for payment of charges to the authorities for obtaining a new or duplicate passport.
Statement of Claim furnishing particulars of the event leading to the liability such as the court order; Photocopy of the police report (wherever reported).