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HDFC Ergo Claims
Claim
Health Suraksha
In case of any event leading to a claim under the policy, please call the Toll Free number of our TPA, FHPL on 1800-425-4075, the Claims service personnel will guide you on the claim procedures and documents required.

A) Hospitalisation in Network Hospitals

For Availing the Cashless facility FHPL will authorize “Cashless Service” at the empanelled hospitals in all cases eligible under the insurance policy.

  • As soon as possible inform FHPL and coordinate with the hospital to have the details sent to FHPL for authorization of cashless service.
  • On discharge, verify and sign the bills and pay for the items that are not payable under the health policy.
  • The original discharge summary and other investigation reports should be handed over to the hospital. Please retain a photocopy for your records.
  • Incase of a planned hospitalisation, kindly coordinate with the hospital and send in all the details of your hospitalisation at least 3 days prior to the admission, including the plan of treatment, cost estimates etc. to FHPL. Also indicate the contact details of the hospital to send the authorization.

B) Hospitalisation in Non - Network Hospitals

As soon as possible, inform FHPL about the hospitalisation. At the time of discharge, settle the hospital bills in full and collect all the bills, documents and reports. Register your claim with FHPL for processing and reimbursement.

How to lodge your claim with FHPL for processing and reimbursement?

Please register your claim with FHPL within 7 days of discharge. Kindly send the documents listed below for processing your claim:
  • Duly signed claim form.
  • Identity proof
  • Copy of Policy Document.
  • All hospital bills in original with detailed breakup for consolidated amounts.
  • Bills for medicines purchased from outside, should be accompanied with a doctor’s prescription.
  • Discharge summary / Discharge card in original.
  • All investigation reports in original.

Documents in addition to those mentioned above may be called for depending on the nature of claim lodged.Please retain a copy of the documents sent for your records.

Kindly be informed that delay in intimation of claim may lead to rejection of claim.

Issuance of claim form should not be taken as admission of liability under the policy on the part of the insurer.

Address for sending documents:

Family Health Plan (TPA) Ltd.,
Plot No 25, MCH no 8-2-334,
Road no 3, AZAM Colony,
Banjara Hills, Hyderabad -500034.
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