IMPORTANT STEPS IN HANDLING OF CLAIMS

  • Intimation of claim.

  • Processing of claims.

  • For settling a hospitalization claims, policyholders should furnish.

  • Duty completed claim form.

  • Bills, receipts and discharge certificate / card from the hospital.

  • Cash memos from the hospital / chemist(s), supported by proper prescription.

  • Receipt and Pathological test reports from a Pathologist supported by the note from the attending medical practitioner / surgeon demanding such pathological tests.

  • Surgeons certificate stating nature of operation performed and surgeon's bill and receipt.

  • Attending doctors / consultants / specialists / anesthetists etc. Bill and receipt.
    Note: GIC has informed that some offices do not accept stamped receipt on Doctor's letter head as supporting document under a mediclaim cover but insist on a printed serial numbered bill / receipt. GIC has advised that stamped receipts issued by doctors on their letterheads may be treated as valid document. For settling domiciliary hospitalization claims, policyholders should furnish.

  • Duly completed claim form.

  • Receipt and Pathological test reports from a Pathologist supported by the note from the attending medical practitioner / surgeon demanding such pathological tests.

  • Attending doctors / consultants / specialists / anesthetists etc. Bill and receipt.

  • Certificate from attending medical practitioner, giving reasons like severity of disease, for allowing treatment at home to confirm the requirement of domiciliary hospitalization.