You would have to fill up a pre-authorization form and submit it with HDFC Ergo for cashless claims. If name is not printed on cheque please attach first page of bank passbook / Bank statement with stamp. Accidental Hospitalization Benefit /Hospital cash benefit . This policy protects the entire family of the insurance holder against accidental injuries. Claiming process of HDFC is seamlessly easy and quick. The required steps to follow the claim process of HDFC ERGO car insurance plans is given below. N, Whether reported to Police station    Claim settlement would be initiated by HDFC ERGO Health Claim Services Team provided all documents are in order. This health insurance policy offers lump-sum compensation in one single transaction to cover accidental medical expenditures. The Documents required in HDFC Ergo Personal Accident Claim Process are. HDFC ERGO General Insurance Company Limited Ramon House, H T Parekh Marg, 169, Backbay Reclaimation, Mumbai 400 020. Claim Form as per ‘Form E’. ... of accidental loss or … HDFC Ergo General Insurance is an ideal choice for health insurance as it offers the following benefits to its policyholders: High Claim Settlement Ratio - HDFC Ergo General Insurance featured an impressive claim settlement ratio of 83.66% in FY 2018-19. Permanent Total Disability, For child education Benefit: Provide details of dependent child (If applicable). Kindly fill out this form so that our representative can get in touch with you. CIN : U66010MH2007PLC177117. HDFC ERGO General Insurance Company Limited is not liable for any incidents between the tme that the received and policy issuance. ��&� HDFC Ergo will send a surveyor at the place of the accident who will evaluate the damage and provide you with the estimated claim amount. For Bodily injury or Sickness from Civil or Foreign Wars. Contact HDFC ERGO at their toll-free number 022/0120-6234 623; Fill the claim form and lodge the claim Under HDFC ERGO Travel Insurance Insurance, a reimbursement claim can be filed for emergencies including loss of check-in baggage, flight delay, loss passport, personal liability, accidental injury, study interruption and sponsor protection among others. maximum upto 100% of the basic Sum Insured. h�bbd``b`�S&�`��� ��$qD�qÁ��; �+ $8� ��Hp5�� VHL��H�һ@�ځDD3#�v���������@� ��� Fill out the blank areas; concerned parties names, addresses and phone numbers etc. With network across 70 cities, HDFC Ergo offers a wide range of general insurance products to meet the requirements of individuals and companies. Please describe the nature of Insured’s injuries: Name and address of all treating physicians and hospital, (All Fields are Mandatory in case of Fund Transfer). The HDFC Ergo Claim Form is different for all the HDFC Ergo General Insurance Policies which can be downloaded from our website. Doctor’s medical prescriptions, Itemized bills and cash memos* ... HDFC Ergo Reimbursement Claim Form 64 0 obj <>/Filter/FlateDecode/ID[<0FDC24E562877DEC1A8F426BB86F007B>]/Index[40 59]/Info 39 0 R/Length 111/Prev 167252/Root 41 0 R/Size 99/Type/XRef/W[1 2 1]>>stream The HDFC ergo travel insurance can be acquired for the following cases: Accidental death: if a person wants to claim for a HDFC ergo travel insurance for the case of an accidental death, the first thing that is required is to attach the claim signed by the treating doctor, along with a consultation note from the emergency doctors. Personal Accident - Death, Accidental Hospitalization Benefit /Hospital cash benefit, Temporary total disablement /Broken bones /Accidental injury, Individual Personal Accident- Claim Document Checklist, (Additional documents if required will be requested by the insurer), FIR from Police station/ Medico legal certificate from hospital (MLC Copy), Cause of death Certificate from treating doctor, Death Certificate from Municipal Corporation, Histopathology or Chemical viscera or blood analysis report from the hospital (If done), KYC form and KYC documents (ID and address proof e.g Pan card/Aadhaar card/Ration card/Passport etc. Customer Service number:022-6234 6234 / 0120-6234 6234, www.hdfcergo.com Trade Logo displayed above belongs to HDFC LTD and ERGO International AG and used by HDFC ERGO General Insurance Company Limited under license. 1. Y    Client No. Provide KYC ( Know your customer ) form along with photocopy of any one of following KYC documents for all claims amounting to … HDFC (Housing Development Corporation), on the other hand, owns a majority of 51% of holdings. Attach the required documents based on your claim type along with the duly filled Claim form and Submit it to the Policy Issuing Office Directly or through the Agent. Customize the blanks with exclusive fillable fields. 40 0 obj <> endobj endstream endobj startxref The HDFC ERGO Revive Insurance policy is the personal accident insurance policy. Step 4: Repair And Final Claim Settlement The insurance company will pay the claim amount directly to the network garage. The policy issuance/validity of receipt is subject to clearing of the cheque or credit card mandate. The network garage accidental injuries Insurance policy offers lump-sum compensation in one transaction! 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