Health Claim Forms

A) For Critical Illness Products

• Original Policy Certificate
• Duly Filled & Signed Claim Statement Form
• Attending Doctor’s Certificate
• Discharge Card/ Discharge Summary
• Admission Notes / Indoor Case Papers

B) For Hospitalization Products (For Re-imbursement Claims)

• Photocopy of Policy Certificate & Health Card
• Duly Filled and signed Claim Statement Form 
• Attending Doctor’s Certificate
• Discharge Card/Discharge Summary
• Admission Notes/Indoor Case Papers
• Hospital/Pharmacy/Doctor Bills

C) Claim Forms (For Cashless Claims)

• Pre-Authorization Form for Hospitalization Products
• Copy of Valid photo id proof (Pan card, Passport etc.)
• Copy of Health Card