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HDFC ERGO General Insurance Company LimitedHEALTH SURAKSHA CLAIM FORM(Issuance of this form does not amount to admission of any liability or a waiver of any of the terms and conditions of the insurance
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How to fill out health suraksha claim form

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How to fill out health suraksha claim form

01
Start by filling out the personal information section, which includes your name, address, and contact details.
02
Provide details about the insured person, such as policy number, date of birth, and relationship to the policyholder.
03
Describe the nature of the illness or injury that necessitated medical treatment.
04
Attach all relevant medical documents, including doctor's reports, test results, and hospital bills.
05
Sign and date the form before submitting it to the insurance company for processing.

Who needs health suraksha claim form?

01
Anyone who has availed of a health suraksha insurance policy and needs to make a claim for medical expenses incurred.
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The health suraksha claim form is a document used to request reimbursement for medical expenses incurred by an individual.
Anyone who has incurred medical expenses and is seeking reimbursement is required to file a health suraksha claim form.
To fill out a health suraksha claim form, one must provide details of the medical expenses incurred, attach relevant documents such as bills and receipts, and submit the form to the insurance company.
The purpose of the health suraksha claim form is to request reimbursement for medical expenses covered under a health insurance policy.
Information such as the details of the medical treatment, the date of service, the amount charged, and the patient's personal details must be reported on the health suraksha claim form.
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