Hospitalization Claim
Following are the list of documents you will require to raise a Health Claim: Download Health Card
- Claimant's statement / Claim intimation form(Download Form)
- Cancelled Cheque
- Copy of Medical Records (Admission Notes, Discharge Summary and Test Reports)
- Attending Doctor's Certificate
- Pre-authorization form (for cashless facility)(Download Form)
- Health check-up Form (for ICICI Pru Hospital Care II(Download Form)
- Claimant's statement / Claim intimation form
(Download Form)
- Original Hospital/ Pharmacy Bills & Payment
Receipts and Records
- Original Discharge Card
- Cancelled Cheque
- Original Investigation Reports
- Pre-authorization form (for cashless facility)(Download Form)
- Health check-up Form (for ICICI Pru Health Saver(Download Form)
- Health Saving Benefit Form (for ICICI Pru Health Saver)(Download Form)
- Claimant's statement / Claim intimation form
(Download Form)
- Copy of Medical Records (Admission Notes, Discharge Summary and Test Reports)
- Cancelled Cheque
- Original Policy Certificate
- Attending Doctor's Certificate