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HDFC ERGO General Insurance Company Limited MICRO INSURANCE HOSPITAL CASH INSURANCE PROPOSAL FORM BB (Please flour this form in CAPITAL LETTERS)Application Number ___PROPOSER DETAILS Proposer Mr./Ms./Mrs.
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01
Step 1: Fill out the personal details section including name, contact information, and policy number.
02
Step 2: Provide details of hospitalization including name of hospital, admission date, and reason for admission.
03
Step 3: Specify the daily cash benefit amount required and the total amount claimed.
04
Step 4: Sign and date the form to complete the proposal.

Who needs hospital-daily-cash-proposal-formspdf - hdfc ergo?

01
Individuals who have HDFC Ergo health insurance and are looking to claim daily cash benefits for hospitalization expenses.
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hospital-daily-cash-proposal-formspdf - hdfc ergo is a form provided by HDFC Ergo for individuals to propose daily cash benefits in case of hospitalization.
Individuals who wish to avail daily cash benefits in case of hospitalization from HDFC Ergo are required to file this form.
To fill out hospital-daily-cash-proposal-formspdf - hdfc ergo, individuals need to provide personal details, policy details, medical history, and choose the desired daily cash benefit amount.
The purpose of hospital-daily-cash-proposal-formspdf - hdfc ergo is to allow individuals to propose daily cash benefits to assist with the financial burden of hospitalization.
Information such as personal details, policy details, medical history, and desired daily cash benefit amount must be reported on hospital-daily-cash-proposal-formspdf - hdfc ergo.
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