What are the steps involved in a reimbursement claim?
Unlike cashless claim, you have to take the initiative when it comes to making a reimbursement claim. Here are the steps involved in a reimbursement claim process under our health insurance.
1. Step 1: You intimate the claim
You can call our 24x7 toll-free number 1800 2666 or SMS ‘HEALTHCLAIM’ to 575758 (charge – ₹3 per SMS) or email us at ihealthcare@icicilombard.com to inform us about your hospitalization.
2. Step 2: You get your papers ready
Once you have made the payment at the hospital, arrange all the documents chronologically. Start from the original bills for doctor’s consultation, X-ray and other medical expenses to your discharge summary, medical reports and hospital bill. With us, you can also include the bills of your medical expenses 30 days before hospitalization and 60 days after.
3. Step 3: You fill & submit the claim form
Next, you’ll have to download the claim form from our website. Take a print, fill in the details in section A, C and D. The section B needs to be filled in by your treating doctor or the hospital. After that, sign on the claim form and also get it signed from your treating doctor. Then mail it to us along with the documents listed below. Those marked with an “*” are mandatory, and the rest will depend upon your claim request.
- Duly filled claim form*
- Original discharge summary/daycare summary*
- Original final hospital bill and other bills if any*
- Original payment receipts and other receipts supporting bills*
- Original investigation reports (Including ECG/ CT/ MRI/ USG/ HPE)*
- Original pharmacy bills*
- Original implant sticker/invoice
- Photocopy of doctor’s prescriptions*
- Photocopy of the consultation paper
- Photocopy of age proof (Driving license/ PAN card/ Passport/ Aadhar card)*
- Photocopy of indoor case paper
- EFT (Copy of cancelled cheque/self-attested ID poof/Bank attested copy of passbook with IFSC code)*
- KYC (Copy of ID proof, Residence proof, & 2 Passport size photos) if the total claimed amount is more than ₹1 lakh
Mailing address: ICICI Lombard Health Care, ICICI Bank Tower, Plot No. 12, Financial District, Nanakramguda, Gachibowli, Hyderabad - 500 032
4. Step 4: We go through your claim request
Once you successfully submit all the documents, we’ll go through your claim request. Your claim can either be approved or turned down as per your policy coverage. There may also be a case where we ask for more documents from you to process your claim faster.
Till then you can track your claim status with your claim number on our website. If your claim is approved, we will transfer the claim amount into your bank account. If your claim is turned down, we’ll convey the reason for declining it.
Also read: #NotFAQS: Under what circumstances can my health claim get rejected?
How can I have a smooth reimbursement claim process?
To ensure you have a smooth and speedy reimbursement claim process follow the below checklist:
- Check your hospital bill before you sign and pay it for any errors or unexplained extra charges.
- Collect all your receipts, reports and relevant documents from the hospital at the time of discharge.
- Also, collect any bills for medical expenses incurred 30 days before and 60 days after hospitalization.
- Don’t forget to submit the mandatory documents along with other necessary proofs.
- Take time out to go through the policy inclusions and exclusions when you make a reimbursement claim to avoid any confusion at a later stage. ICICI Lombard also provides health insurance plans like Family Health Insurance, Health Booster, Personal Accident Insurance, Arogya Sanjeevani Policy, Corona Kavach Policy which offers people with the much needed financial backup during any medical emergencies.