INTIMATE CLAIM BY PROVIDING THE FOLLOWING DETAILS:
Insured's Name:
Patient's Name:
Policy No.:
Hospital / Doctor's Name & Address:
Date of Hospitalization / Operation:
Type of Disease/ illness:
Forms to be submitted along with the Medical File:
1. CLAIM FORM PART A (TO BE SIGNED BY MAIN POLICYHOLDER)
2. CLAIM FORM PART B (TO BE FILLED COMPLETELY BY THE HOSPITAL)
3. CKYC FORM (TO BE SIGNED AT 2 PLACES BY MAIN POLICYHOLDER)
KYC DOCUMENTS REQUIRED:
1. MAIN POLICYHOLDER: (PAN CARD + AADHAR CARD + CANCELLED CHEQUE (NAMED) + 1 PASSPORT SIZE PHOTO)
2. PATIENT: AADHAR CARD.
SOME OF THE IMPORTANT DOCUMENTS REQUIRED FROM HOSPITAL:
1. DISCHARGE SUMMARY
2. FINAL MAIN BILL & RECEIPTS.
3. ALL THE BILLS SHOULD BE ACCOMPANIED BY RECEIPTS AND PRESCRIPTIONS. (If the Bills are without Prescriptions: - Make sure that all the Bills are Stamped/ signed on the back by the Doctor/ Hospital)
4. ALL THE INVESTIGATIONS PERFORMED SHOULD CONSIST OF REPORTS & RELATED BILLS/RECEIPTS.
5. PHOTOCOPY OF HOSPITAL C FORM. (Hospital Registration Form).
GENERAL POINTS TO KEEP IN MIND (IMPORTANT)
1. ALL THE DOCUMENTS SHOULD BE SUBMITTED IN ORIGINALS. (keep a photocopy of all the documents with you for your reference).
2. CHECK DISCHARGE SUMMARY FOR PAST HISTORY LIKE DIABETES, BP, SMOKING HABIT ETC. PLEASE MAKE SURE THAT THE SAME HAS BEEN DECLARED WHILE TAKING POLICY.
3. 24 HOURS HOSPITALISATION IS MANDATORY (ELSE, DO CHECK DAYCARE PROCEDURES LIST TO CONFIRM ADMISSIBILITY OF CLAIM)
4. MAKE SURE THE NAME & AGE IN THE HOSPITAL DOCUMENTS MATCHES YOUR AADHAR CARD.
LINKS:
3. CKYC FORM (REQUIRED IF CLAIM VALUE IS GREATER THAN 1 LAKH)
DISCLAIMER:
The above LIST is not exhaustive & is simplified for better understanding.
The company may ask for further documents based on the disease/ illness.
You can ask for product literature at: hi@theinsuranceguys.in
Read the Complete Disclaimer here.