Reliance General Insurance : Download Health Card Online

Organization :Reliance General Insurance Company Ltd
Facility : Health Insurance Claim Procedure & Download R Card Online

Home Page :https://www.reliancegeneral.co.in/Insurance/Claims/Health-Claims-Process.aspx
Download here :https://www.reliancegeneral.co.in/Insurance/Self-Help/Online-R-Card.aspx

File Your Claim

We aim to make the claim process as smooth as possible for your convenience. Here’s how to go about it

Related : Reliance General Insurance Check Claim Status Online : www.statusin.in/7935.html

Step 1 :
Doctor advises hospitalisation (or treatment).
Step 2 :
Intimate your claim (as soon as it occurs).

Step 3 :
** CASHLESS CLAIM – Visit Network Hospital for the treatment.
** REIMBURSEMENT CLAIM – Undergo your treatment at the Non-network Hospital and make the payment.

Step 4 :
** CASHLESS CLAIM – Hospital’s TPA Desk contacts us for arranging cashless treatment. ** REIMBURSEMENT CLAIM – Submit your documents within 15 days of discharge for reimbursement.

Claim Intimation :
** To make your claim process fast and smooth, we serve our health insurance customers through RCare Health (our in-house health claims unit). We also have appointed a Third Party Administrator (TPA) desk duly licensed by IRDA for the same.
** To file health insurance claim request, Insured/Claimant can contact on numbers mentioned on the Health Card / Policy Schedule.

Information to be kept ready while intimating the claim :
** Policy Number
** Insured/Claimant contact details (phone no. , email id, address, landmark etc.)
** Name of Insured/ claimant person, who is hospitalised
** Relationship of insured with the person who is hospitalised.
** Name of the hospital
** Nature of ailment-(For health claims)
** Nature of accident- (For accident cases)
** Date & time of accident (For accident cases)
** Location of accident (For accident cases)
** Commencement date of the symptom of ailment

A walk through the claim process :
Claim process for Cashless facility :
** Get admitted in any one of Reliance General Insurance Network Hospitals
** Flash the Reliance Health Card at TPA helpdesk of hospital
** Fill “Cashless Request Form” (available in all the network hospitals at TPA desk)
** Submit the authorisation form, along with a copy of the health card to the hospital at the time of admission (ensure to have a photo ID at this time)
** Await authorisation from the hospital (the hospital co-ordinates with the RCare Health /TPA for this)
** Hospital Fax/Email the pre-authorisation form to the RCare Health /TPA along with necessary medical details
** Insured/ Claimant verify and sign all the bills
** Leave the original discharge summary and other investigation reports with the hospital
** Retain a photocopy for your records

Claim process if ‘cashless hospitalisation’ is denied by RCare Health/TPA :
** Settle the hospital bills in full as required
** Collect all the original bill documents and reports at the time of discharge
** Lodge your claim with RCare Health /TPA for processing and reimbursement

Claim process for emergency hospitalisation with ‘cashless facility’ :
** Get admitted into the hospital
** Obtain the pre-authorisation form from hospital
** Get the form filled in and signed by the attending doctor

** Hospital Fax/Email the pre-authorisation form to the RCare Health /TPA along with necessary medical details
** Insured/ Claimant verify and sign all the bills

** Leave the original discharge summary and other investigation reports with the hospital
** Retain a photocopy for your records