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Contributor
Phalguni
Posts: 28
Registered: ‎09-06-2016

Procedure for reimbursement settlement under Health Policy

Procedure for reimbursement settlement under Health Policy

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Regular Contributor
Arti
Posts: 182
Registered: ‎30-08-2021
Solution

Re: Procedure for reimbursement settlement under Health Policy

Hi , 

You can raise either a cashless claim request by contacting the insurance department at the network hospital or get your claim registered through Hdfcergo mobile app post discharge about the hospitalization and upload all the invoices to avail reimbursement benefits.

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Contributor
sindian
Posts: 50
Registered: ‎31-03-2016

Re: Procedure for reimbursement settlement under Health Policy

Step 1. Inform the company and submit the duly filled reimbursement claim form available with the insurer within 30 days from the date of discharge from the hospital.
Step 2. Attach all the original copies of the medical reports, medicine bills and hospital bills duly stamped and signed with the claim form. The hospital bill should clearly mention the Registration No of the hospital.

Step 3. After your discharge from the hospital, it will issue a Discharge Summary/Card which claims that you were fit to be discharged. This Card is to be submitted to the insurer.

Step 4. Your doctor’s follow-up prescription which shows your fitness after hospitalization is also needed to be submitted in original. For post hospitalization expenses, you can submit the bills within 60/90120 days from discharge, depending on the terms of your insurance policy.

Step 5. You should retain the copies of all submitted documents for future reference. Your claim will be settled within 2-3 weeks after the claim is registered.

Regular Contributor
Arti
Posts: 182
Registered: ‎30-08-2021
Solution

Re: Procedure for reimbursement settlement under Health Policy

Hi , 

You can raise either a cashless claim request by contacting the insurance department at the network hospital or get your claim registered through Hdfcergo mobile app post discharge about the hospitalization and upload all the invoices to avail reimbursement benefits.

View solution in original post

New Member
Khilawan
Posts: 1
Registered: 3 weeks ago

Re: Procedure for reimbursement settlement under Health Policy

Despite claimed in the right procedure, my claim is not being paid since 2.5 months even I got SMS that they will pay in 2 days. What to do next. I have sent 4 reminders, provided all documents. I claimed small amount against my testing for first time in last 4 years. Looks HDFC ERGO is not good company. Probably I am being cheated by the company.