Claim Process

Is there a no claim bonus on Kuvera’s group health insurance?
No claim bonus is not available under Kuvera’s group health insurance. This helps us bring the premium cost further down and pass the benefit to users.
Wed, 22 Sep, 2021 at 12:56 PM
What is the deadline to submit a reimbursement claim intimation under group health insurance?
Claim intimation should be submitted within 7 (seven) days from the date of discharge.
Wed, 22 Sep, 2021 at 3:45 PM
What is the 30-day claim settlement guarantee from ICICI Lombard under Group health insurance?
This refers to the assurance given by ICICI Lombard to Kuvera policyholders that once the insurer gets all receipts and claim form they will make an offer t...
Wed, 22 Sep, 2021 at 3:48 PM
What documents must I submit for a reimbursement claim under group health insurance?
Following documents would need to be submitted while claiming a reimbursement: Original hospital final bill Original numbered receipts for payments m...
Wed, 22 Sep, 2021 at 3:50 PM
Is there any time limit to submit the pre-authorization request under group health insurance?
In case of an emergency or unplanned admission, the hospital must send the pre-authorization request to Medi Assist (our Insurer’s TPA) within 24 hours from...
Wed, 22 Sep, 2021 at 3:52 PM
What to do if I get into a non-network hospital with Group Health Insurance?
In such a case, cashless treatment will not be available to the user under group health insurance. The user will have to pay for the treatment from the pock...
Wed, 22 Sep, 2021 at 3:53 PM
What are the timelines of claim settlement under group health insurance?
Cashless claims: Within 2 hours from submission of all required documents on email/fax by the hospital to Medi-Assist TPA Reimbursement claims: Within 15...
Wed, 22 Sep, 2021 at 3:57 PM
Is 24-hour hospitalization mandatory for filing a claim under group health insurance?
Yes. Only expenses on hospitalization for a minimum period of 24 hours are admissible. However, this time limit will not apply to specific treatments taken ...
Wed, 22 Sep, 2021 at 3:59 PM
What is a pre-authorization request under group health insurance?
A pre-authorization request is a process to get confirmation from the insurer about availing the cashless hospitalization facility at the network hospital. ...
Thu, 23 Sep, 2021 at 12:26 PM
What are the different types of claims under group health insurance?
Depending on the situation and your policy coverage, you can make two types of health insurance claims: Cashless: The essence of cashless hospitalizatio...
Thu, 23 Sep, 2021 at 2:08 PM