Reliance General Insurance : Download Health Card Online

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

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