Claim Form ICICI Lombard Health Insurance in Pdf

Claim Form ICICI Lombard Health Insurance in Pdf

All across India and all around the world, ICICI is among the few well-known names for provisioning the finest health insurance services and one of the most important factors emphasizing the importance of health insurance is that various wellness and claim services are given with more than hundreds of partnered hospitals associated and are always ready to facilitate the policyholders in need

Claim Form ICICI Lombard Health Insurance

The customers of Health Insurance Schemes available take the hospitalization and medical facilities in need and the scheme can also be considered to give future-benefits

The process to claim the Health insurance in a prescribed way is described The health benefits subscribed by ICICI Lombard Health Insurance Policyholders can be availed along with the hospitalization facility if the claim is done properly and in time The Health Insurance customer care can also be contacted in case of any queries

The claim form can be downloaded for ICICI Health insurance and Before applying the claim form make sure to get the claim form printed and properly filled

Insurer Admission and Invoice Details- Part A to D

To be filled by the insurer there are four sections as Part A, Part B, Part C, and Part D to be filled Any of the family members or spouse can fill the form out in case of any medical emergencies

Required Documents

Some of the documents are requested to be submitted so that the ICICI Lombard documents verification team verify your medical bills and admissions as legit The documents include reports, invoices, medical admission details and hospital declarations by the doctors Along the claim form make sure to tick mark the linked documents

Claim Section

Before filling out the claim form it is important to note that there are 4 subsections in a claim form to explain the type of claim and all the required information from hospital, doctors, funds transfer details, and completed KYC are to be provided

  • Part A: Part A is to be filled by the insurer given under the claim section of the document and the asked information is to be filled and ticked by the insurer
  • Part B: The doctor or the hospital admanistration have to fill the Part B
  • Part C: The section is to be filled accurately with account details if the fund’s transfer is needed and policy information is to be given
  • Part D: The insurer KYC is to be completed in the section
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