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

1800 103 8889
1800 209 1016

EMAIL US AT

GCIH@generalicentral.com

GCI.Health@generalicentral.com

VISIT OUR BRANCH

You can check for your nearest branch here

Initiate Quick Claim

Open a Claim

Claim Process Simplified

Simple steps to help you file a claim under your insurance policy.

1 Upon discharge, pay all hospital bills and collect all original documents of treatment undergone and expenses incurred
2 Download the GCI health claim form, fill it and along with it
3 Submit original documents to the nearest Generali Central branch
4 We 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

1 Approach an insurance desk of your nearest GCI Network Hospitals and show your health card for Cashless Treatment
2 The Network Hospital will verify your identity and submit duly filled pre-authorization form with Generali Central Insurance. We will review the pre-authorization request and respond to the hospital, within promised Turn Around Time of 1 hour
3 You get admitted and get cashless treatment
4 Once you are discharged, the hospital will send your claim documents to us. We will review and reply to the hospital, within promised Turn Around Time of 3 hours

Document Checklist

To apply for cashless treatment, please visit any of our network hospitals. At the time of admission, ensure the following documents are available:

Duly filled Pre-authorization form
Insurance Card
Employer Card (Corporate employees)
Doctors’ consultation paper for hospitalization and medical documents
Investigation Test Reports (if applicable)
KYC document (if applicable)
Photo ID proof

Cashless Hospitalization -
On The Spot

Your health, your choice! Enjoy 100% cashless treatment at your preferred hospital.

We would love
to hear from you!

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Feedback

Health Claim Process

How to Report a Claim?

CLAIM FORM

CALL ON

EMAIL US AT

VISIT OUR BRANCH

Initiate Quick Claim

Claim Process Simplified

Document Checklist

Hospitalization Claim

Pre-post Hospitalization Claim

Temporary Total Disability (TTD)

Permanent Partial Disability (PPD)

Permanent Total Disability (PTD)

Accidental Death

Accidental Hospitalization

Document Checklist

Cashless Hospitalization - On The Spot

We would love to hear from you!

Cashless Hospitalization -
On The Spot

We would love
to hear from you!