ICICI Lombard Health Insurance Claim Process

Claims are the requests forwarded by the policyholder to the insurance providers, outlining the details of the medical treatment and seeking compensation for the same. Filing the claim can be a daunting task, but insurance companies have diligently crafted platforms to transform this tedious task into an effortless journey.

When speaking of the claim filing process ICICI Lombard has designed a user-friendly interface, ensuring the policyholder to navigate easily. The claim can be raised through the company’s website and mobile application. Let us see how to claim ICICI Lombard Health Insurance.

Modes To Report The Claim: There are various ways a customer can register the claim. The various modes are designed to provide convenience to the customer:

• Through Website: The customer can access the official website by going to www.icicilombard.com and reporting a claim on the website.
• 24*7 Claim Care Number: To register a claim the company has a dedicated phone number. The Claim Care Number is 1800-2666.
• Email ID: The policyholder can send an email to the company at ihealthcare@icicilombard.com to notify the claim.
• SMS: The customer can even send an SMS to the service number of the company. They can text ’HEALTHCLAIM’ on the number 575758.
• Visit The Branch: The policyholder can visit the nearest branch and submit the claim offline along with the necessary documents.
• Mobile Application: The claims can also be raised through mobile phones. The name of the mobile application of the company is ’TakeCare App’

How To Claim ICICI Lombard Health Insurance

ICICI Health Insurance claim process can be categorized into two parts based on the nature of the claim and how the policyholder is seeking compensation. The types are:

• Cashless Claims: This claim allows the policyholder to receive medical treatment without paying the expenses upfront, later the company settles the medical bill directly with the network hospital.
• Reimbursement Claims: ICICI Lombard Health Insurance reimbursement claim process involves the insured person paying the bill from his pocket at the time of discharge, and then later asking for the compensation.

How To Raise ICICI Lombard Health Insurance Cashless Claim:

Cashless claims can be challenging to complete on our own, it is better to contact the TPA or call the company’s customer care number for assistance. Here is how it works:

• Step 1: Online Claim Intimation
  • Visit the network hospital of the company. Inform the company about the hospitalization, through email, call, or SMS.
  • Please do mention the ’Policy Number or Patient ID Number’, present on the ’Cashless Identification Card’ of the company.
• Step 2: Documentation

  After the treatment, submit all the documents along with the duly filled ’Pre-Authorization Form’. There are sections in the form which is filled by the doctor who is in charge of the treatment.

• Step 3: TPA

  You can mail the documents or submit them to the TPA. Now wait for the company for verification.

Points To Be Noted:

• Contacting the TPA for cashless claims is the best option because they act as a bridge between the insurance company and the hospital.
• Inform the insurance provider, 72 hours before a planned hospitalization
• Inform the insurance company within 24 hours in case of emergency hospitalization.
• You can download the pre-authorization form from the official website of the company.
• It is best to fill out the pre-authorization form during the treatment, as it requires the involvement of the doctor. This will save you the time and effort of revisiting the hospital for the same procedure.

Documents Required For Cashless Form

TPA will guide you with the documents and will also coordinate with the hospital to complete all the information asked in the form. Here is the list of documents required:

• Health Card
• Medical Reports
• Proposal Form
• Patient Discharge Summary
• Investigation Report
• FIR (If Required)
• Proof Of Age
• Pre-Authorization Claim Form

ICICI Lombard Health Insurance Reimbursement Process

This process gives the policyholder the freedom to receive treatment from any hospital, including those outside the network. Here is the process for reimbursement:

• Step 1: Inform The Company

  The policyholder has to inform the company about the hospitalization. They can call on the toll-free number ’1800-2666’ or SMS ’HEALTHCLAIM’ at ’575758’. They can even submit the claim in written form, by emailing at ’ihealthcare@icicilombard.com’.

• Step 2: Documents

  After receiving the treatment from the hospital and paying the bills. Place all the documents in sequence starting from the original bill, X-ray reports, medical expenses, discharge summary, and other hospital bills.

• Step 3: Fill and Submit the Claim Form

  Next, download the claim from the official website of the company. Fill in all the details in the A, B, C, and D sections of the claim form. The doctor who administered the treatment has to fill and sign Section B of the form. After completing all the sections post the form along with the required documents. Your contribution to the work is completed here.

Post Address: ICICI Lombard Health Care, ICICI Bank Tower, Plot No 12, Financial District, Nanakramguda, Gachibowli, Hyderabad,500032.

Points to Be Noted:

• Submit the documents along with the claim form, within 15 days of discharge from the hospital.
• Do keep all the documents signed and handy for smooth claim filling.
• Download the claim form from the official website of the company.

Documents Required For Reimbursement Claims:

Keep all the documents aligned before filing the claim. List of the documents is as follows:

ICICI Lombard Health Insurance Policy Online Renewal Process

Below are the steps that will help you renew your health insurance policy online with ICICI Lombard General Insurance:

• Visit the official website of ICICI Lombard General Insurance and click on the ’Renewal’ from the top bar menu.
• Select the ’Health Policy’ tab and on the next page fill in all the required details such as policy number and date of birth.
• Click on ’Proceed’. Next, if you want to make any modifications such as changing the sum insured amount, opting for an add-on, etc., you can do that while reviewing your policy details.
• Make the payment online for the renewal fee from the available modes of payment.
• Once the payment has been made, the policyholder will receive the policy details on their registered email address.