Best Health Insurance Plans
Extensive Plan Choices
Round-the-Clock Claim Support
Dedicated Expert Guidance
ICICI Lombard Health Insurance Claim Settlement
Claim settlement refers to the efficiency of an insurance provider in paying the claimed amount by the insured. The claim settlement ratio for ICICI Lombard health insurance is 82.59%. It states that the company is quite efficient in paying the claims to the insured. ICICI Lombard makes it simple to get your medical bills paid when you raise a claim. If you are treated in a network hospital, you can use the cashless facility. This means the hospital sends the bills directly to ICICI Lombard, and you do not have to pay from your pocket.
Documents Required for Claim Settlement
Here is the list of documents needed for the ICICI Lombard Health Insurance claim:Filled claim, KYC, and NEFT forms Cancelled chequeHealth card copy and government IDDischarge summary and final hospital billTest reports (blood, X-ray, MRI, CT, etc.)Doctor’s prescriptions with pharmacy billsImplant invoice or sticker Medico-Legal Certificate and FIR for accident casesBills for other charges with a doctor’s note
Here are the steps by which a policyholder can claim a cashless settlement in the ICICI Lombard insurance company: Step 1: Get treated at any ICICI Lombard network hospital. Give your health card and photo ID at the hospital TPA (Third-Party Administrator) desk.Step 2: The hospital sends a cashless approval request with documents like a pre-authorization form, test reports, and ID proof.Step 3: ICICI Lombard checks the request as per policy terms.Step 4: Collect any deposit you paid once treatment ends.Step 5: ICICI Lombard pays the hospital directly for approved expenses.Step 6: Check your claim anytime on the IL Take Care App or WhatsApp (7738282666).Note: Inform the insurer 48 hours before planned admission or within 24 hours for emergencies. Approval usually starts within 1 hour, and final confirmation comes within 3 hours after the discharge request.
Process for ICICI Lombard Health Insurance Claim Process
Health Insurance Plans By ICICI Lombard
FAQs
You can download the ICICI Lombard health insurance reimbursement claim form from their official website or the IL Take Care app.
You need the filled claim form, medical bills, discharge summary, ID proof, and payment receipts.
Yes. You can pay the hospital bills yourself and submit the claim form with all required documents to ICICI Lombard.
Yes, original bills and receipts must be provided for ICICI Lombard to process your claim.
You can still submit a claim later. Keep all bills, reports, and the filled ICICI Lombard claim form.
Yes. Claims should be submitted as soon as possible, usually within a few days after discharge (check your policy for exact rules).