HDFC ERGO - Group Medical Insurance

Toll Free : 1800 2 700 700

Home

Claim

Commercial Insurance

Group Medical Insurance

Claim

Personal Insurance

Commercial Insurance

Rural Insurance

Claim Forms

Group Medical Insurance

How to file a Claim

In case of any event leading to a claim under the policy, please call our Toll-free number 1800 2 700 700
Our Claims Service Representative will guide you on the claim procedures and documents required.
A claim form will be forwarded to you by mail, email or fax.
Complete the claim form relevant to the nature of loss as indicated below.

Attach the documents mentioned against the claim type.

Documents required for Claims :-

For Accidental Injury Claims	Claim form Police Report, if accident is reported to Police Medical papers, pathology reports, X-ray reports and plates, as applicable Doctor’s medical prescriptions, Itemized bills and cash memos* Hospital Discharge Card
For Hospitalisation due to Illness/Disease	Claim Form Medical papers, pathology reports, X-ray reports, as applicable Doctor’s prescription and line of treatment suggested Itemized bills and cash memos* Hospital Discharge Card

*Copies of fully itemized medical bills. Itemized bills must show the patient’s name, date of treatment, the type of treatment given, the diagnosis or nature of condition being treated and the Hospital/Nursing Home’s name and address.

Documents, in addition to those mentioned above maybe called for, depending on the nature of claim lodged.
You may also send the claim form with Annexure to our Claims Processing Cell at the following address:
Claims Department
HDFC ERGO General Insurance Company Limited
6 th Floor, Leela Business Park,
Andheri – Kurla Road, Andheri (East)
Mumbai - 400059
Please retain a copy of the documents sent for your records. (N.B. To be filled in by the Insured, or Insured’s Authorised representative enjoying power of attorney. Issuance of this claim form is not be taken as admission of liability under the policy on the part of the insurer)

Insurance is the subject matter of the solicitation. Registration Number : 125