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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

  • 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.

  • 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.

     

  • 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. 

  • 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. 
  • 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. 

User Reviews

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  • Perfect Policy

    HDFC ERGO Health Insurance Plan is the most suitable health insurance policy. I learned about this health insurance plan during my online search at InsuranceDekho’s website. It comes at an affordable premium. I bought it without any delay. Recommend this health policy to everyone! Thank You

    S
    HDFC ERGO
    By Simrat Kaur
    On: Apr 02, 2024
  • Affordable Policy

    My HDFC ERGO Health Insurance Plan is an affordable policy that covers me for major healthcare expenses. I bought the health policy after discussing my requirements with the experts at InsuranceDekho and I am thankful to the customer support team for suggesting me the best health insurance policy. Thank You!

    M
    HDFC ERGO
    By Manoj Kumar
    On: Mar 21, 2024
  • Compared all the plans easily

    I visited the website of InsuranceDekho, where I compared so many health insurance plans and policies. The comparison is very easy as there is a feature on the website which compares the price itself. I was totally satisfied with it and purchased the HDFC ERGO Health Insurance Plan.

    A
    HDFC ERGO
    By Ashutosh Yadav
    On: Mar 19, 2024
  • Top-Notch Support Team

    I've had the pleasure of interacting with InsuranceDekho's customer care team, and they're top-notch. They guided me through the health insurance selection process to buy the HDFC ERGO Health Insurance Plan for my parents and made it a breeze. Thank you InsuranceDekho team.

    P
    HDFC ERGO
    By Pooja Sharma
    On: Mar 14, 2024
  • Easy Policy Renewal

    Renewing my HDFC ERGO Health Insurance Plan with InsuranceDekho is a straightforward process. They send timely reminders and offer online renewal options on their platform, ensuring I get all the renewal dates. Thank You InsuranceDekho For these amazing features.

    V
    HDFC ERGO
    By Varsha Nagpal
    On: Mar 13, 2024

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