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    At SBI General, we have a dedicated and experienced claims team aim to deliver you a differentiated customer service of a fast, fair, convenient and transparent claims process for the management and settlement of your claim. Our expert assessors are there to support you every step of the way, ensuring that you receive the assistance you need.

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Heath Insurance

Toll Free Number

1800 210 3366 / 1800 210 6366


Mail ID

sbig.health@sbigeneral.in

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Checklist of Documents

Here is the list of documents we will need to process your reimbursement claim request.

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Reimbursement of Hospitalization Expenses

  • Original Claim Form Part A & Part B
  • Original Discharge Summary
  • Original Final Bill
  • Original Final Bill Paid receipt
  • Original Pharmacy Bill
  • Original Pathology/Radiology Bills
  • Original Consultation/doctor visit bills
  • All original bills along with paid receipt
  • Copy of Pan card / masked Aadhar card of proposer in policy
  • Copy of Photo ID proof of proposer in policy
  • Copy of Cancel Cheque/Bank Passbook/Online banking Summary/Bank Statement
  • Copy of Prescriptions/Consultation Papers
  • Copy of pathology/Radiology reports
  • Copy of Death Summary (if applicable)
  • Copy of X-ray Reports

Hospital Cash Benefit

  • Original Claim Form Part A & Part B
  • Original Discharge Summary
  • Original Final Bill
  • Copy of Pan card / masked Aadhar card of proposer in policy
  • Copy of Photo ID proof of proposer in policy
  • Copy of Cancel Cheque/Bank Passbook/Online banking Summary/Bank Statement

Cashless

  • For Initial Request: Pre-authorisation request along with supportive investigation reports, prior consultation papers & previous treatment records if any
  • On the Day of Discharge: Final bill & discharge summary along with break-up of medicine & investigations at the time of discharge.
  • Copy of photo ID card of patient verified by the hospital
  • Indoor case notes (wherever required)

Death

  • Duly filled and signed claim form
  • Duly filled and signed Central KYC Registry form
  • Certified copy of Death Certificate
  • Certified copy of FIR, MLC, Spot Panchnama &Inquest Panchnama
  • Certified copy of Final Police Report / Police Diary closure report
  • Certified copy of Post Mortem Report viscera analysis report (if applicable)
  • If Post Mortem examination not done, Cause of death certificate issued by doctor who declared death of insured
  • For NEFT payment, please provide us with copy of cancelled cheque of nominee or copy of front page of bank passbook or letter from bank confirming Account details of nominee with IFSC/ MICR details
  • Self-attested Copy of PAN card & masked Aadhar card, photo id & address Proof of the nominee / beneficiary (Pan card / Driving licence / Passport / masked Aadhar Card / Election Card, etc) for address mentioned in claim form

Permanent Total Disability

  • Duly completed claim form with duly certified bank annexure
  • Certificate issued by Competent medical authority confirming nature & event of disability with period and prognosis for Permanent Total Disability, Permanent Partial Disability
  • Photograph of the injured with reflecting disablement
  • Certified copy of hospital admission/discharge card with complete medical records including relevant Investigation/Lab reports (X-Ray, MRI etc.)
  • Certified copies of MLC Report, FIR report, Spot Panchnama, Inquest Panchnama, Final Police Report
  • NEFT details of insured/nominee (required in case of payout applicable to be made in favour of)
  • Duly filled KYC form & KYC Documents (if payment to be made to insure/nominee)
  • Loan account statement, & Certificate from bank confirming loan account details including loan outstanding as on date of loss (Principal amount & Interest) excluding overdues/penalties
  • Certified copy of Disability certificate issued by competent government/medical authority (Additional Requirement)
  • Any other documents as may be required by us

Permanent partial Disability

  • Duly filled Claim Form
  • Attending Doctors Report
  • Disability Certificate from the Doctor/competent government/medical authority, if any
  • Investigation / Lab Reports (X-Rays reports and any other reports etc)
  • Admission / Discharge Card, if hospitalised
  • Police Inquest report, where applicable
  • In case of PTD claims – Disability Certificate from Govt. Registered Medical Practitioners
  • Recent photograph (Applicable in PPD and PTD claims)
  • Duly filled and signed Central KYC Registry form (applicable for benefit of Rs 1,00,000 & above) (where applicable)

Temporary Total Disability

  • Duly filled Claim Form
  • Attending Doctors Report
  • Disability Certificate from the Doctor if any
  • Final Fitness Certificate from the Doctor
  • Investigation / Lab Reports (X-Rays reports and any other reports)
  • Admission / Discharge Card, if hospitalised
  • Employers Leave Certificate with grade / designation.
  • Duly filled and signed Central KYC Registry form (applicable for benefit of Rs 1,00,000 & above) (where applicable)

Critical Illness

  • Duly filled and signed claim form
  • Certified copy of Hospital discharge / Death summary
  • Certified copies of all relevant laboratory and clinical investigations report supporting the diagnosis
  • Certified copy of first consultation paper from doctor when ailment has been first diagnosed
  • Certified copy of cause of death certificate from doctor who declared death
  • For NEFT payment, please provide us with copy of cancelled cheque of nominee or copy of front page of bank passbook or letter from bank confirming Account details of nominee with IFSC/ MICR details
  • Self-attested Copy of PAN card, masked Aadhar card, photo id & address Proof of the nominee / beneficiary (Pan card / Driving licence / Passport / masked Aadhar Card / Election Card, etc) for address mentioned in claim form.

Claim Processing Steps

Follow below steps to process and receive your claim.

Cashless Facility Procedure

Visit the nearest SBIG network hospital to avail cashless facility. Present your SBIG health card at the insurance desk in the network hospital.

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Pre- Authorization Process

The network hospital will verify your identity and submit a duly filled pre-authorization form, along with relevant documents, to SBI General Insurance.

Cashless Treatment Admission

Upon approval, you can get admitted and avail cashless treatment as per your policy coverage.

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Claim Settlement

After discharge, the hospital will send your claim documents to SBI General’s office for settlement of hospitalization expenses.

Hospital Discharge Guidelines

Upon discharge from the hospital, it is essential to settle your account and collect all original records of the procedures undergone, along with cost incurred.

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Health Claim Submission

Download the SBIG health claim form, fill the form, and submit it with the required documents from the checklist.

Document Submission

Send original claim documents to the Health Vertical Office at the provided address. SBI General Insurance Company Limited, 9th Floor, Westport, Pan Card Club Road, Baner, Pune, Maharashtra – 411 045. Office Timings: 9:30 AM - 5:30 PM (Mon - Fri)

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Claim Settlement

SBIG will review submitted documents, and claim processing will occur subject to policy terms and conditions.

FAQ

Here are the commonly asked questions about SBI General
Health Insurance Claim

For planned hospitalizations at network hospitals, opt for hassle-free cashless claim settlement. In emergencies or when treatment isn't available in a network hospital, choose reimbursement claims.

Yes, you can submit a health insurance claim through our website or by emailing us at .

There is no limit to the number of health claims you can make in a year, as long as the total costs are within your Sum Insured.

Yes, you are eligible for cashless claims if you decide on hospitalization in a network hospital.

There is a high chance of claim rejection if you fail to inform your insurer about the claim within the specified time.

Claim Settlement Made Easy For You

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