Page 341 - Ebook health insurance IC27

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Claim Procedures under a
health insurance policy?

There are two methods for getting a claim under a health
insurance policy

1. Cashless Hospitalisation
2. Non-cashless Hospitalisation

In case of Cashless/planned Hospitalisation
1. In case of planned hospitalization inform the TPA/insurance company about the

date of admission in the hospital quoting your policy number and health ID card
atleast 4-5 days in advance.
2. The form for intimation to TPA and obtaining pre authorization for cashless claims
services is available with the admission counter of the hospitals.
3. The patient must fill up the form carefully as any incorrect information may lead to
rejection of pre authorization.
4. The medical condition of the patient or the requirement of any surgical procedure is
filled up by the doctor attending the patient. Be sure that the doctor is briefed

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