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Helpline Numbers
24*7 toll-free ClaimCare Cell: 1800-103-6363
With ICICI Prudential’s MediAssure policy, you can now plan ahead, be in control in any medical eventuality and focus on getting better without having to worry about the money. ICICI Prudential provides a seamless and hassle-free claims experience with MediAssure.
The claims can be under two scenarios:
- Planned Hospitalisation
- Emergency Hospitalisation
Claims can either be in a ‘Network Hospital’ or in ‘Non-Network Hospital’ depending on the need and location of the claim.
On issuance of the policy, as part of the Welcome Kit, you will receive the following:
- Health Card - a card with your unique policy number and 24*7 toll-free number. (This card can be utilized only in Network Hospitals)
- Claims Form
When there is a need for hospitalization (includes day care procedures), you can inform ICICI Prudential about hospitalisation by calling on the contact number provided on the health card. You need to provide following information when you call ICICI Prudential about the claim
- Name of insured person
- The Policy Number (as mentioned on the health card)
- Nature & Details (location, date of accident or commencement of sickness, etc.)
- Name & Address of Hospital for treatment
All the above information can be provided to ICICI Prudential immediately or 4 days prior to availing treatment in case of Planned Hospitalization. In case of Emergency Hospitalization the customer needs to inform ICICI Prudential within 24 hours of hospitalization in Network Hospitals.
The below mentioned documents would need to be submitted to the company in order to process the claim.
- Duly filled & signed original claimant application form.
- Photocopy of the policy certificate.
- Duly attested original claim file documents from hospital authority.
- All original investigation reports validating the diagnosis for which the insured has been hospitalized.
- Original discharge summary for the patient detailing the onset, duration & progression of clinical symptoms & diagnosis
- Original detailed bill breakup for the expenses incurred with all invoices
- Copy of MLC/FIR as applicable
- Letter from competent authority detailing history of circumstances surrounding injury or clearly mentioned in discharge summary.
- Photocopy of health card
- Additional acceptable photo ID proof (copy)
All the documents need to be attested by self as well as competent medical authority from the provider where the treatment was sought.
From time to time in select circumstances further document requirements may be triggered by way of –
- First OPD consultation papers
- Indoor case papers for hospitalization
- Certificate from competent medical authority validating medical facts
Please note additional documents may be warranted / asked for at the time of claims adjudication in exceptional circumstances.
Pre & post-hospitalisation treatment
In case of pre-hospitalisation treatment all supporting claim papers / documents as listed above should be submitted within 7 days after discharge from the hospital.
In case of post-hospitalisation treatment, all supporting claim papers / documents as listed above should also be submitted within 7 days after completion of such treatment (up to 60 days or actual period which ever is less) to the Company. All documents must be duly attested by the insured person.
Points to remember for a smooth claim settlement:
To ensure faster processing and settlement of claims, please adhere to the following.
Complete disclosure:
Make sure that all the information related to your health is given to the company as this would ensure faster settlement of claims and avoid disappointments later. Please refer to the copy of your application form in the welcome kit to check the disclosure made by you.
Claims intimation and processing:
You have to provide complete and accurate information asked by the company at the earliest to ensure faster claim settlement. Please refer to the policy document for details.
Despatch your claim documents to:
ICICI Prudential Life Insurance Company Limited
Ground & First Floor,
Trade Point,
Kamla Mills Compound
Pandurang Budhkar Marg,
Lower Parel, Mumbai - 400013
MediAssure: UIN 105N082V01
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