Health Insurance
General Insurance: • Health Insurance • Travel Insurance • Student Medical Insurance • Motor Insurance • Home Insurance
Health Claims
Health Claims
ICICI Lombard's Health Claims provides cashless claims facility at our network hospitals. This list of network hospitals is enclosed with your policy. Simply sign the bills at the time of your discharge and we shall settle the amount directly with the hospital.
Emergency Claim - Where the insured or covered family member(s) meets with a sudden accident or suffers from a bout of illness that requires immediate admission to the hospital.
Related Links
Reimbursement Claim Settlement Process
Reimbursement claims facility is available at both the network and non-network hospitals. The reimbursement claims process is as follows:
Documents required
Under cashless facility, claims can be of two types:
Planned Claim - Where the insured or covered family member(s) is aware of the hospitalisation 2-3 days in advance.
- Contact our Third Party Administrator (TPA) TTK Health Services help-line at 1800 42 58885 / 1800 42 57878. Or, fax them at the toll free number 1800 233 4535. Or, call at their landline number 080 23099900. The same is mentioned on the Health Identity Card
- Fax / submit the pre-authorisation form to TPA with doctor's comments. This form is available online and also at all our network hospitals
- The TPA faxes pre-authorisation form with approval within 2-3 hours.
- Avail the health treatment
- On your discharge, the TPA settles bills with the hospital
Emergency Claim - Where the insured or covered family member(s) meets with a sudden accident or suffers from a bout of illness that requires immediate admission to the hospital.
- Rush the patient to the hospital
- Patient avails the treatment
- Family contacts our Third Party Administrator (TPA) TTK Health Services help-line at 1800 42 58885 / 1800 42 57878. Or, fax them at the toll free number 1800 233 4535. Or, call at their landline number 080 23099900. The same is mentioned on the Health Identity Card
- Family submits the pre-authorisation form to TPA with doctor's comments. This form is available online and with all network hospitals
- The TPA faxes pre-authorisation form with approval within 2-3 hours.
- On discharge, the TPA settles bills with the hospital
Related Links
- Reimbursement claim settlement process
- All India Cashless Hospital Network
- Documents Required
- Download Pre Authorisation Form
- Download Claim Form
Reimbursement Claim Settlement Process
Reimbursement claims facility is available at both the network and non-network hospitals. The reimbursement claims process is as follows:
- Patient avails the treatment
- Settle the hospital bills directly by paying the relevant charges
- Call our TPA at toll free number 1800 42 58885 / 1800 42 57878 and inform about the hospitalisation. You can also fax them at the toll free number 1800 233 4535 and call at their landline number 080 23099900
- Submit the relevant bills / documents for the claimed amount to the TPA.
- The claims will be settled in 7 working days, from the time of submission of bills
- For any assistance before, during or after the claim, call our TPA at the toll free numbers 1800 42 58885 / 1800 42 57878. You can also fax them at 1800 425 2626 and call at their landline number 080 2520 3771
Documents required
- Duly completed claim form (available with all network hospitals)
- Original bills, receipts and discharge certificate / card from the hospital
- Bills from chemists supported by proper prescription
- Investigation test reports and payment receipts, supported by the note from attending medical practitioner / surgeon prescribing the test
- Doctor’s referral letter advising hospitalisation in non-accidental cases.
- Nature of operation performed and surgeon’s bill and receipt
- Any other documentation / information as required by the TPA
Insurance is the subject matter of solicitation.
"ICICI Bank Limited ("ICICI Bank") is licensed by the IRDA to act as a Corporate Agent of ICICI Lombard General Insurance Company Limited. The contract of insurance will be between ICICI Lombard General Insurance Company Limited and the Insured, and not between ICICI Bank and the Insured. ICICI Bank is acting merely as the Corporate Agent of ICICI Lombard General Insurance Company Limited and there is no direct or indirect linkage between the provisions of the banking services offered by ICICI Bank and your usage of the product or participation in the scheme offered by ICICI Lombard General Insurance Company Limited. Your participation in this product is purely on a voluntary basis. ICICI Bank is not liable or responsible for any claim, dispute, liability, loss or shortfall resulting from the scheme. This policy is brought to you from ICICI Lombard General Insurance Company Limited. No person shall allow or offer to allow, either directly or indirectly, as an inducement to any person to take out or renew or continue an insurance in respect of any kind of risk relating to lives or property in India, any rebate of the whole or part of the commission payable or any rebate of the premium shown on the policy, nor shall any person taking out or renewing or continuing a policy accept any rebate, except such rebate as may be allowed in accordance with the published prospectus or tables of the insurer."
"ICICI Bank Limited ("ICICI Bank") is licensed by the IRDA to act as a Corporate Agent of ICICI Lombard General Insurance Company Limited. The contract of insurance will be between ICICI Lombard General Insurance Company Limited and the Insured, and not between ICICI Bank and the Insured. ICICI Bank is acting merely as the Corporate Agent of ICICI Lombard General Insurance Company Limited and there is no direct or indirect linkage between the provisions of the banking services offered by ICICI Bank and your usage of the product or participation in the scheme offered by ICICI Lombard General Insurance Company Limited. Your participation in this product is purely on a voluntary basis. ICICI Bank is not liable or responsible for any claim, dispute, liability, loss or shortfall resulting from the scheme. This policy is brought to you from ICICI Lombard General Insurance Company Limited. No person shall allow or offer to allow, either directly or indirectly, as an inducement to any person to take out or renew or continue an insurance in respect of any kind of risk relating to lives or property in India, any rebate of the whole or part of the commission payable or any rebate of the premium shown on the policy, nor shall any person taking out or renewing or continuing a policy accept any rebate, except such rebate as may be allowed in accordance with the published prospectus or tables of the insurer."
