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SBI Health Insurance Claim Settlement

The SBI Health Insurance Claim Settlement process is not just simple, but easy to access by a policyholder. The claim settlement ratio of SBI Health Insurance is 87.86% which means that the company is doing really well in settling the claims of its insured. SBI Health Insurance offers trust in its work to the people looking for financial security. It makes the claim settlement experience much simpler and enhances safety against medical risks.

Documents Required for Claim Settlement

Documents Required for Claim Settlement

  • Here is the list of documents that a policyholder needs to file the claim:Signed claim formHospital discharge summaryCopies of diagnostic and medical test reportsOriginal hospital bills and receiptsPharmacy bills with prescriptionsDoctor’s prescriptions and treatment detailsCopy of the insurance policyKYC proof (Aadhaar or PAN)Bank details or a cancelled cheque for reimbursementAny additional documents requested by the SBI General claim team

Steps for SBI Health Insurance Claim Settlement

Here are the steps that you can follow for SBI Health Insurance Claim Settlement:
  • Visit Network Hospital

    Go to the nearest SBI General Insurance network hospital and show your SBI health card at the insurance desk.

  • Pre-Authorization

    The hospital staff will verify details and send a pre-authorization form with documents to SBI General Insurance for approval.

  • Cashless Admission

    Once approved, the insured person can get admitted and receive treatment without paying hospital bills directly.

  • Claim Settlement

    After discharge, the hospital sends all claim papers to SBI General Insurance for final bill settlement.

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FAQs

It is the process where SBI General Insurance pays the hospital bills or reimburses medical expenses as per the policy terms.

The insured person can visit any SBI network hospital, show the health card, and the insurer will directly pay the bills after approval.

If treatment is taken in a non-network hospital, the insured can pay first and then submit bills to SBI General Insurance for reimbursement.

Usually, SBI General Insurance settles claims within a few working days after receiving all required documents.

Documents like the claim form, hospital bills, discharge summary, prescriptions, test reports, and ID proof are required.

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