HDFC ERGO Health Insurance Claim Settlement
If you hold a health insurance plan offered by HDFC Ergo, you can easily register a claim and get it settled at your convenience. With a dedicated claim settlement team in place, HDFC Ergo is committed to hassle-free and quick claim settlement processes. Being an ultimate favorite of hundreds and thousands of policyholders, the health insurance company makes sure you or any insured member can avail easy access during an emergency. What’s more, is the claims procedure that comes across as extremely customer-friendly. HDFC Ergo allows the policyholders to settle their claims by opting for either the cashless facility or reimbursement.
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FAQs
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What are the health insurance claim settlement options offered by HDFC Ergo?
HDFC Ergo offers both, cashless treatment or reimbursement facility options to its customers for claim settlement purpose.
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What is the process of health insurance claim intimation at HDFC Ergo?
In order to initiate a claim, the policyholder is required to initiate contact at HDFC Ergo at 022-6234-6234. You can also initiate contact with the experts at InsuranceDekho at 7551-196-989.
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When should I intimate HDFC Ergo about the hospitalisation?
Irrespective of whether you opt for cashless treatment or reimbursement mode, make sure you inform HDFC Ergo within 24 hours (emergency hospitalisation) and within 48 hours prior to admission (planned hospitalisation), be it at a network hospital or a non-network hospital.
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What are the documents required for claim settlement process at HDFC Ergo?
At HDFC Ergo, the list of documents needed for registering claim includes:
- Duly filled and signed claim form with HDFC Ergo policy number.
- Original discharge summary.
- Original Investigation reports.
- Past treatment documents, if any.
- Medico Legal Certificate (MLC) or FIR in case of an accident.
- Original final bill comprising detailed breakup.
- Original payment receipt.
- Original pharmacy invoices supported by prescriptions, etc.
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How to calculate the Claim Settlement Ratio (CSR) of HDFC Ergo General Insurance?
You can calculate the Claim Settlement Ratio of HDFC Ergo General Insurance by dividing the total number of claims received by the total number of claims settled in that year.