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Death Claim

1 How can I intimate a claim to HDFC Life?

A claim can be submitted by through any of the following ways:

2 What is the benefit payable in the event of the demise of the Life Assured occurring during the term of the policy?

The Sum Assured and/or value of the fund units is normally payable to the Beneficiary in the event of demise of the Life Assured during the term as per the policy conditions. Please refer to your insurance policy document for details on the death benefits.

3 How will I know that a claim is registered?

HDFC Life will send an acknowledgement letter within 10 days of receiving the documents. In case there are any further requirements the same will be informed via letter/e-mail on your address submitted at the time of claim submission and/or SMS will be sent on mobile number registered at time of claim.

4 Would the claim be paid in foreign currency?

The claim would be paid in Indian Currency (INR) only.

Health Claim

1 How do I get to know about my TPA?

Please Note: TPA Services are available only for claims under Health Assure plan and not for claim under any other health plans.

Please reach out to:

Paramount Health Services (TPA) Pvt Ltd
Claims Department
Plot No. A-442, Road No – 28,
Wagle Industrial Estate,
Thane (West) - 400 604, Maharashtra

Toll free help line: 1800227922 (24 X 7 hours)

Email: [email protected]
Customer Portal: www.paramounttpa.com/hdfclife/

2 What are the documents required for processing the claim?

Parameter

Health Assure Plan

Cancer Care , Easy Health , Cardiac Care, Surgical care

 

List of documents needed in Original

  1. Claim Form
  2. Discharge summary / Transfer summary / Death summary
  3. Hospital Final Bill and break up along with payment receipt
  4. Doctor consultation notes and bill with payment receipt
  5. Pharmacy prescriptions and Bill with payment receipt
  6. Diagnostic investigations reports and bill with payment receipt
  7. All bills are needed in original
  1. Claim Form

List of document which can be submitted as a Copy (Self attested by Policy Owner)

  1. KYC of Policy owner (Masking Aadhar initial 8 Digits is mandatory if received as KYC)
  2. PAN of Policy owner (If not available in our records)
  3. NEFT documents of Policy owner
  1. Discharge summary / Transfer summary / Death summary
  2. Hospital Final Bill and break up along with payment receipt
  3. Doctor consultation notes with bill and payment receipt
  4. Diagnostic investigations reports with bill with payment receipt
  5. Pharmacy prescriptions with Bill and payment receipts
  6. KYC of Policy owner
  7. PAN of Policy owner if not available on our records
  8. NEFT documents of Policy owner

 

Document which can be submitted as a Copy (attested by hospital authority)

  1. Indoor hospitalization case paper copy attested by hospital authorities
  1. Indoor hospitalization case paper copy attested by hospital authorities

Document specific to plan type

NA

Easy Health :

  1. Easy health plan type(C,E,F,G)- Self declaration of 30 day survival (for CI benefit)
  2. Easy health plan type(B,D,E,G) - Operating Theatre Notes (for Surgical Cash benefit)

Cancer care:

  1. Self declaration on chronology of health events and medical evaluations leading to diagnosis of Cancer care
  2. Copies of all medical records towards diagnosis & treatment attested by treating doctor including indoor hospitalisation papers, discharge summary, histopathology report, MRI, CT scan, doctor consultation notes and other investigation reports
  3. Attending treating doctor statement stating the TNM classification / cancer staging

Cardiac care:

  1. Attending physician statement stating the history of heart conditions in parents and siblings along with the age at which they suffered from heart conditions
  2. Diagnostic confirming reports - ECG, 2D Echo, Coronary Angiography report, PTCA report, Blood investigation reports including Cardiac Marker etc
  3. Attending treating doctor certificate stating the Life Assured survives for a period of 30 days from the date of Occurrence/recurrence of the Covered Condition

3 Where do I submit the claim related documents?

  • Claims under Health Assure plan: Send the documents directly to the TPA for processing. The guidelines for which are mentioned above.

  • For claims under other Health Plans: Walk into the nearest HDFC Life Branch and submit the documents

  • Timelines for Claim Intimation

Please Note: The claim is required to be informed to HDFC Life along with all necessary claim documents within 15 days of hospitalisation.

  • For Health Assure claims and for claims under other Health Plans: Within 60 days of claim event. However, the delay in claim intimation may be condoned, if any, where the delay is proved to be for reasons beyond the control of the claimant and the details of same submitted in writing to us.

4 For seeking cashless claims service under Health Assure plan, where do I get to see the Network Service Provider’s list?

  • Go to the TPA website to check for the Network Service Provider’s List

  • For Paramount Health Services (TPA) Pvt Ltd, click on the link below: www.paramounttpa.com/hdfclife/ or

  • You can contact the TPA to know about the network status of the hospital 

6 From where can I download the claim form?

You can download the claim form by clicking on Forms & Download under Quick Links

7 Whom should I contact in case of any claim related query?

For any Health Assure claim related info, Policy Holder/Insured can contact:

10 What are the non-payable items in health assure claim as per the IRDAI?

11 Where do I submit the claim related documents while making claim under Cancer Care, Cardiac Care, Easy Health plans?

You can submit the claims documents for processing through the following modes:

  • Walk into the nearest HDFC Life branch and submit the documents OR Email from your registered email address to [email protected]

  • "Please limit your email size including attachment to less than 10 MB to enable smooth and quick email response."

12 From where can I download the claim form?

14 What are the exclusions applicable while making the claim?

Please refer to your policy document for policy level coverages and exclusions.

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