Health Claim Process
How to Report a Claim?
Making a claim was never this easy! Whatever trouble you’re facing, we have a solution for it.
Read on to know about our super fast claim processes.
CLAIM FORM
You can click here and check our claim form
CALL ON
VISIT OUR BRANCH
You can check for your nearest branch here
Initiate Quick Claim
Claim Process Simplified
Simple steps to help you file a claim under your insurance policy.
1Upon discharge, pay all hospital bills and collect all original documents of treatment undergone and expenses incurred
2Download the GCI health claim form, fill it and along with it
3Submit original documents to the nearest Generali Central branch
4We will settle the claim in subject to policy terms and conditions, with a promised Turn Around Time of 10 days, from the last document received date
Document Checklist
To process your reimbursement claim, please ensure the following documents are submitted within 30 days of hospital discharge, and the claim is intimated to GCI Call Centre within 48 hours of admission:
Hospitalization Claim
- Duly signed GCI Claim Form (by claimant or family member)
- NEFT details (Cancel cheque/passbook copy/bank statement) of employee or Proposer.
- Photocopy of GCI Health ID Card
- Original Hospital Discharge Card
- Original itemized hospital bill (with seal & signature)
- Original paid receipt (with revenue stamp, seal & signature)
- First Prescription / Consultation Letter (Photocopy)
- Lab & Diagnostic Reports (X-Ray, ECG, MRI, Blood test etc.)
- Medicine bills (if bought separately) + Doctor’s prescription
- Diagnostic/Radiology bills (if paid separately) + Doctor’s advice
- IOL Sticker (for Cataract cases only)
- Accident Declaration + FIR & MLC (if applicable)
- Hospital Registration Certificate (for non-network hospitals)
- PAN & photo ID proof of Proposer (Retail policies only)
Pre-post Hospitalization Claim
- Signed GCI Claim Form (by claimant or family member)
- NEFT details (Cancel cheque/passbook copy/bank statement) of employee or Proposer.
- Xerox of Health ID Card
- Medicines: Doctor’s prescription and corresponding chemist bill
- Doctor’s Consultation Charges: Prescription, doctor’s bill, and payment receipt
- Diagnostic Tests: Prescription for tests, test reports, and diagnostic centre bill with receipt.
Temporary Total Disability (TTD)
- Claim form with attending physician’s statement
- Initial treatment prescriptions and medical records
- Fitness certificate/ leave records with disability duration
- Self-declaration of injury details
- Diagnostic reports (X-rays, etc.)
- FIR/MLC (if applicable)
- ID/address proof
- NEFT form with bank details and cancelled cheque
Permanent Partial Disability (PPD)
- Claim form with attending physician’s statement
- Disability certificate (type & percentage)
- Diagnostic reports
- FIR/MLC (if available)
- ID/address proof
- NEFT form with bank details and cancelled cheque
Permanent Total Disability (PTD)
- Claim form with attending physician’s statement
- Disability certificate from Civil Surgeon
- Diagnostic reports
- FIR/MLC (if available)
- ID/address proof
- NEFT form with bank details and cancelled cheque
Accidental Death
- Claim form signed by nominee
- Death certificate
- FIR/Panchnama, Post-Mortem & Viscera reports
- Witness statement (if any)
- Burial certificate (if applicable)
- Nominee’s ID/address proof
- Legal heir certificate with affidavit & indemnity bond
- NEFT form with nominee’s bank details and cancelled cheque
Accidental Hospitalization
- Claim form with physician’s statement
- Original discharge summary and hospital bills
- Pharmacy bills with prescriptions
- Diagnostic reports and investigation bills
- FIR/MLC (if available)
- ID/address proof
- NEFT form with insured’s bank details and cancelled cheque
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