Claim process

    Group Medical Insurance Policy Claim Process

    How to file a Claim
    • In case of any event leading to a claim under the policy, please call our customer care number 022-6234 6234
    • 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
    • DItemized 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)

    All claims are subject to approval by Surveyor appointed by HDFC ERGO GIC LTD
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