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How Do I Write A Medical Reimbursement Application?


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.

How do I write a letter for reimbursement of expenses?

This is to bring in your notice, that I am __________ (Name), working in _________ (Name of the department). My Employee ID Number is __________ (ID Number). This letter is against the claim number _________(claim number) for the expenses of ______________ (Nature of the expenses) of the amount ___________ (Amount).

What is the procedure for medical reimbursement?


  1. Duly filled claim form.
  2. Medical Certificate/ Form which is signed by the treating doctor.
  3. Discharge summary or card (original), availed from the hospital.
  4. All bills and receipts (original)
  5. Prescription and cash memos from pharmacies/ the hospital.
  6. 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 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 you politely ask for reimbursement?

Following your greeting, provide your first and last name, and then mention the specific open position or reason for your travel. State that you have an interview. If your interview has already been scheduled for a specific date, provide that detail as well. Ask about travel reimbursement.

How do I write a letter to Bank for refund?

There is absolutely no doubt that this was an erroneous deduction. Kindly scrutinize the error and refund the amount back into my account. I would be grateful if this could be done without further delay as I am undergoing a financial trouble these days due to recessive business.


How do I apply for reimbursement?

Documents needed for Reimbursement Claim Submission

  1. Health Card Copy.
  2. Hospital Discharge Summary (Original)
  3. Duly filled claim form.
  4. Investigation Reports( like scans, X-rays, blood report, etc)
  5. Case receipts from hospitals or chemists.
  6. If an accident happens, then FIR or medico legal certificate(MLC)

How do I fill out a star health claim form?

Procedure to File a Claim:

  1. Policyholder’s name.
  2. Claimant’s name and customer ID.
  3. Details of the hospital.
  4. Details of diagnosis and treatment.
  5. An approximation of the claim amount.
  6. Date of admission.

How do I fill out a Vidal health claim form?

(1) Claim Intimation/Notification

  1. Vidal Health/TTK HTPA Card Number or Policy Number.
  2. Certificate Number.
  3. Nature of illness and/ or injury.
  4. Name and address of the attending physician.
  5. Name of the hospital or nursing home, attending doctor.
  6. Bed number in the hospital.

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).

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.

What is claim process?

An insurance claim is a formal request to an insurance company asking for a payment based on the terms of the insurance policy. The claims process is the defining moment in a non-life insurance customer relationship.

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