Claim Documents - Group Critical Illness Sample Clauses

Claim Documents - Group Critical Illness. The Insured person may submit the following documents for reimbursement of the claim to Our branch or head office at his/her own expense ninety (90) days of date of first diagnosis of the Illness/ date of surgical procedure or date of occurrence of the medical event, as the case may be • Duly completed and signed claim form in original as prescribed by Us. • Medical Certificate confirming the diagnosis of critical illness • Certificate from attending Medical Practitioner confirming that the claim does not relate to any Pre-existing Illness or Injury or any Illness or Injury which was diagnosed within the first 90 days of the Inception of the Policy. • Discharge Certificate/ Card from the hospital, if any • Investigation test reports confirming the diagnosis, • First consultation letter and subsequent prescriptions • Indoor case papers if applicable • KYC Documents • Specific documents listed under the respective Critical Illness • Any other documents as may be required by Us The above list is indicative and We may call for any additional documents/information/subject the Insured Person to additional medical examinations as required to ascertain the admissibility of any Benefit including Optional Covers under the relevant Section of the Policy, based on the circumstances of the claim on a case to case basis. Manipalcigna Lifestyle Protection Group Policy | Terms & Conditions | UIN: MCIPAGP21235V032021 | September 2024 Our branch offices shall give due acknowledgement of collected documents. In case there is a delay in the submission of claim documents, then in addition to the documents mentioned above, the claimant is also required to provide Us the reasons for such delay in writing. We shall condone delay on merit for delayed claims where delay is proved to be for reasons beyond the control of the Policyholder or Insured Person or the claimant, as the case may be.
Sample 1
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Claim Documents - Group Critical Illness. The Insured person may submit the following documents for reimbursement of the claim to Our branch or head office at his/her own expense ninety (90) days of date of first diagnosis of the Illness/ date of surgical procedure or date of occurrence of the medical event, as the case may be • Duly completed and signed claim form in original as prescribed by Us. • Medical Certificate confirming the diagnosis of critical illness • Certificate from attending Medical Practitioner confirming that the claim does not relate to any Pre-existing Illness or Injury or any Illness or Injury which was diagnosed within the first 90 days of the Inception of the Policy. • Discharge Certificate/ Card from the hospital, if any • Investigation test reports confirming the diagnosis, • First consultation letter and subsequent prescriptions • Indoor case papers if applicable • KYC Documents • Specific documents listed under the respective Critical Illness • Any other documents as may be required by Us • In the cases where Critical Illness arises due to an accident, FIR copy or medico legal certificate will be required wherever conducted. We may call for any additional documents/information as required based on the circumstances of the claim wherever the case in under further investigation or available documents do not provide clarity. ManipalCigna Lifestyle Protection Group Policy | UIN: CTTHLGP18101V021718 Additional Documents (as applicable under each section): Emergency Road Ambulance Benefit Original invoice of actual expenses incurred towards Ambulance Marriage Benefit for Dependent Children Proof of relationship with the Insured and Age proof of the dependent child Education Fund Benefit Proof of expenses incurred towards tuition fees as a full time student at an accredited educational institution and Age proof of the dependent child Convalescence Original copies of Hospital bills, receipts, prescriptions and invoices Hospital Cash Benefit Rehabilitation Benefit Original invoice of counseling by a professional counselor/ Physiotherapist Loss of Earning Benefit In case of salaried Insured Persons, Last 3 month’s salary slips of the previous employer of the Insured Person. In case of self-employed Insured Persons, Last income tax returns filed by the Insured Person with the income tax department. Family Counseling Benefit Original invoice of counseling by a professional counselor Family Transportation Allowance Benefit Original invoice of travel expense incurred The above list i...
Sample 1

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