Dear Sir, This letter is to formally request reimbursement for medical expenses for (As company terms and policy). I was suffering from (Disease name and type) from the last few months. I was treated at (Hospital name), and it is a private clinic/hospital, now I needed to pay the bill in full.
What is the procedure for medical reimbursement?
Documentation:
- Duly filled claim form.
- Medical Certificate/ Form which is signed by the treating doctor.
- Discharge summary or card (original), availed from the hospital.
- All bills and receipts (original)
- Prescription and cash memos from pharmacies/ the hospital.
- Investigation report.
Who is eligible for medical reimbursement?
Employee should have spent the amount on medical treatment. The amount should have been spent on his own or his family members’ treatment. Such amount should be reimbursed by the employer. Amount reimbursed by the employer does not exceed INR 15,000 in the financial year.
What are the documents required for medical reimbursement?
Documents needed for Reimbursement Claim Submission
- Health Card Copy.
- Hospital Discharge Summary (Original)
- Duly filled claim form.
- Investigation Reports( like scans, X-rays, blood report, etc)
- Case receipts from hospitals or chemists.
- If an accident happens, then FIR or medico legal certificate(MLC)
What is reimbursement claim?
1 – Understanding Reimbursement Claims Reimbursement, as the dictionary mentions, is a compensation paid for money already spent. With respect to a Mediclaim policy, reimbursement claims mean you pay the hospital bills first and get them compensated from the insurance company at a later stage.
How do I claim mediclaim online?
Ask the insurance company for the claim form. You can download the form from the company’s website. Read the instructions on the form carefully and fill in relevant and accurate details in the claims form. Get the claims form signed by the policy holder and the treating consultant.
How do I claim cashless mediclaim?
Show your health insurance card at the hospital, which will contain your policy number, name of your insurance company and the type of health policy you are holding. Fill in the pre-authorization form after which the person at the insurance desk will expedite your claim process.
What is emergency certificate for medical reimbursement?
Emergency Certificate: It should clearly indicate the diagnosis / cause for Emergency Admission and should have the hospital stamp with the name of the treating specialist / Consultant and his / her designation or the authorised signatory (with his / her name and designation).
How do I claim ESIC medical expenses?
Claims to get the relief can be made online at website www.esic.in along with submission of the physical claim with an affidavit, photocopy of Aadhaar Card and Bank Account details to the designated ESIC Branch Office by post or in person.
What is the time limit for reimbursement of medical claim?
time limit for submission of such medical bills from 3 months to 6 months. The matter was examined in the Ministry and it has been decided that the period of 3 months for submission of medical claims be revised to 6 months.
Which is better cashless or reimbursement?
Is Cashless better than Reimbursement? Overall, yes. A Cashless Claim Process is better than the Reimbursement Claim Process under health insurance because of the convenience attached to it. Health insurance is related to medical emergencies, which take a toll on the patient and the family members.
Do central government employees get medical reimbursement?
In its judgement, a two-judge bench of the apex court clearly says that an employee of the central government cannot be denied reimbursement of medical bells on the grounds that the employee opted for treatment from a private hospital during an emergency.