How can I claim OPD in Icici Lombard?

Asked by: Dr. Aisha Bogan  |  Last update: February 18, 2023
Score: 4.7/5 (6 votes)

Step 1: You intimate the claim
You can call our 24x7 toll-free number 1800 2666 or SMS 'HEALTHCLAIM' to 575758 (charge – ₹3 per SMS) or email us at to inform us about your hospitalisation.

How can I claim my Icici Lombard policy?

Use any of the below methods to intimate an own damage claim
  1. Lodge a claim here.
  2. Call 1800 2666 (toll-free)
  3. Download IL Take Care. app & click on "File a Claim"
  4. SMS "CLAIM" to 575758.
  5. Write to us at.

How can I use Icici Lombard Health Insurance?

Here's the procedure for planned hospitalization:
  1. Check Network. Check whether the shortlisted hospital is approved by your insurance provider. ...
  2. Get In Touch. Submit the claim request along with documents (like Cashless identification card) prior to the hospitalization.
  3. Await. ...
  4. Enjoy Cashless Service.

How many days it will take for reimbursement?

Typically, within a maximum of 21 days from the date of submission of relevant documents, the insurance company reimburses the amount. In case the processing unit has a query or rejects the claim, an intimation letter is sent to the policyholder.

Who is TPA for Icici Lombard Health Insurance?

TPA Name: Vidal Health Insurance TPA Pvt Ltd.

ICICI LOMBARD GENERAL INSURANCE BE FIT OPD Health Insurance Rider. Cashless OPD Treatment in policy.

39 related questions found

How can I avail cashless mediclaim Icici Lombard?

Submit pre-authorization form along with relevant documents to your insurance provider, a few days prior to the hospitalization. Your mediclaim service provider reviews the documents submitted by the hospital while you are being treated.

How can I check my Icici Lombard policy status?

Fill the below details to retrieve your policy

You can also call us on 1800-103-2292 or write to us at

How do I claim medical reimbursement?

How to claim Medical reimbursement? One can claim reimbursement of medical expenses by submitting the original bills to the employer. The employer would accordingly reimburse such expenses incurred subject to the overall limit of Rs 15,000 without tax deduction.

Can we claim medical bills in insurance?

Step 1. Inform the company and submit the duly filled reimbursement claim form available with the insurer within 30 days from the date of discharge from the hospital. Step 2. Attach all the original copies of the medical reports, medicine bills and hospital bills duly stamped and signed with the claim form.

How do I process a medical claim?

What happens to a claim after it gets submitted?
  1. Step 1: Submission. ...
  2. Step 2: Initial review. ...
  3. Step 3: Eligibility. ...
  4. Step 4: Network. ...
  5. Step 5: Repricing. ...
  6. Step 6: Benefits adjudication. ...
  7. Step 7: Medical necessity review. ...
  8. Step 8: Risk review.

Does Icici Lombard cover OPD?

ICICI Lombard BeFit Cover provides coverage for OPD requirements on a cashless basis. BeFit covers expenses across physical and virtual consultation by general, specialist and super-specialist doctors as well as physiotherapy sessions.

What are the documents required for Icici Lombard claim?

Duly filled Claim form (signed by the Insured and the Treating Doctor) Discharge summary (with details of complaints and the treatment availed) Final Hospital Bill (detailed break-up) along with interim bills. Payment Receipts.

What is member reimbursement claim?

Reimbursement, as the dictionary mentions, is a compensation paid for money already spent. With respect to a Mediclaim policy, reimbursement claims mean you pay the hospital bills first and get them compensated from the insurance company at a later stage.

Where do I send my Icici Lombard claim form?

The notice of, such termination should be given to ICICI Lombard only at its corporate address and be addressed at ICICI Lombard GIC Ltd., ICICI Lombard House (Old Tata Press Building), 414, Veer Savarkar Marg, Near Siddhi Vinayak Temple, Prabhadevi, Mumbai - 400025.

What are the documents required for mediclaim?

Documents Required While Buying Health Insurance Plan
  • Proof of Identity. The insurer uses identity proof of the policyholder to maintain records. ...
  • Proof of Age. One of the essential documents required for health insurance is the age proof of the insured. ...
  • Proof of Address. ...
  • Proof of Address. ...
  • Other Important Documents.

What is claim intimation?

Claim intimation is the first step of any notification of the claim to the insurer. This is often called as first notification of loss (FNOL). Notification of the claim does not necessarily mean the insurance company is paying for the loss. Claim accepted means the insurer has agreed to consider the claim for payout.

What is claim amount in medical insurance?

It cannot be more than 100%. For example, if an insurer has a claim settlement ratio of 95%, it means that it has paid out 95 out of 100 claims. Incurred Claims Ratio, on the other hand, is the proportion of claims paid out to the amount of premium received during a financial year.

How many times I can claim medical insurance?

No, it is not possible to file health claim with two insurance companies simultaneously. You will have to file a claim with the first insurance company and if that is not enough then you can claim for reimbursement from your other insurance policy.

What is outpatient medical allowance?

Outpatient Benefits Covered Medical Expenses include but are not limited to, Physician's Office Visits, Hospital or Outpatient Department or Emergency Room Visits, Durable Medical Equipment, Clinical Lab or Radiological Facility.

How do I claim medical expenses under 80d?

One can claim a maximum deduction of INR 50,000 in a financial year. To claim the deduction, all the medical expenses need to be paid in any valid payment mode like net banking, digital channels, etc., except cash.

Can we claim health insurance immediately?

Within 30 to 90 days of purchase of health insurance, the customers do not receive any claim benefit from the insurer in case of any form of hospitalisation; planned and emergency. In order to make any claim, the customers need to wait till 30 to 90 days after purchase of the policy.

How do I check my insurance claim?

How to Track the Status of a General Insurance Claim Online?
  1. Visit the website/ mobile application of your general insurer.
  2. Go to the option of tracking the claim status.
  3. Enter the required details in the form, such as your claim receipt/ file number, policy number, date of birth, etc.
  4. Submit all the details.

What is claim number in Icici Lombard?

1800 2666 or WhatsApp on 77382 822666.

How do I check my insurance claim history?

Step 1: Visit the official website of VAHAN e-Services and click on “Know your vehicle details” from the top navigation. Verification Code'. Step 3: Click on 'Search Vehicle'. Step 4: You will be able to view the insurance expiry date of the vehicle along with other details of the vehicle.

How do I claim OPD charges in Icici Lombard Health Insurance?

Step 1: You intimate the claim

You can call our 24x7 toll-free number 1800 2666 or SMS 'HEALTHCLAIM' to 575758 (charge – ₹3 per SMS) or email us at to inform us about your hospitalisation.