Downloads

You can download the following:

• Brochure

View and print ICICI Pru MediAssure brochure for your convenience. Download here.

• List of day care procedures 

Complete list of 136 day care procedures (which require less than 24 hrs hospitalisation) that you are covered for under ICICI Pru MediAssure. Download here.

• Pre-authorisation form

Use this form to apply for pre-authorisation in order to avail of the cashless facilty at a network hospital. Download here.

 

• Claim form 

Use this form to apply for a reimbursement claim. Download here. 

• Network hospital list 

Complete list of hospitals covered under our network, along with classification of List A and List B. Download here. 

• Policy wordings 

Understand your policy conditions better with ICICI Pru MediAssure policy wordings. Download here.

 

ICICI Pru MediAssure: UIN 105N082V01