*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C Apply
*Tax benefit is subject to changes in tax laws. Standard T&C Apply
Whenever you claim your insurance policy, you most likely have suffered some loss or your insured property has sustained some damage that can be caused by a peril that is insured by your insurance plan. So, to understand insurance claims better you must know about an insurance claim, how is it filed, and what are the types of claims.
The insurance policy that you have taken provides you financial compensation and coverage against damages and losses you came across. Some of the common insurance claims that you may file are motor insurance claims, health insurance claims, life insurance claims, home insurance claims, etc.
HDFC ERGO General Insurance plans offer two types of claims - you can either opt for a cashless claim or go with reimbursement of claim facility.
In a cashless claim, your insurance provider settles the claim on your behalf. You do not have to pay anything to the service provider. The facility of cashless claims is generally provided in motor insurance policies and health insurance policies. Under this, if you take the service from the service provider of your insurer’s network, then it will settle the claim directly with the service provider and you will not have to pay anything except for the things that are not covered in your insurance policy.
For example, suppose your car gets damaged in an accident and you want to file a claim for its repair. So, if you get your car repaired from a network garage of HDFC ERGO General Insurance Company (your insurance provider), then the company will settle the claim amount directly with the network garage and you do not have to pay from your pocket.
The same thing happens when you use your health insurance policy for taking treatment from a network hospital of your insurance provider. However, if you take treatment from a non-network hospital or get your vehicle repaired from a non-network garage of your insurer, then you have to pay from your pocket and later claim for reimbursement.
In reimbursement claim, you have to pay from your pocket first and then claim for reimbursement from your insurance provider, who later settles it. As mentioned above, if the hospital in which you are taking your treatment is not covered in the network list of hospitals of your insurer, then you will not be able to avail of the cashless facility of your insurer. In such a case, you have to pay for your treatment from your pocket and your insurer will later settle it by reimbursing you the amount.
Whenever you are going to file a claim, think twice especially when you are filing a claim for your vehicle. This is because claim filing impacts your No-Claim Bonus as well as your insurance premium. So, if your car is slightly damaged and its repairing cost is bearable then try to repair it by yourself instead of filing a claim.
While filing a claim for your insurance policy, you should avoid the following mistakes:
Follow the below steps to file the insurance claim:
You can register your health insurance claim in two ways - cashless claim and reimbursement claim.
Claim Filing Process for Cashless Claim
As mentioned above, you can avail of the facility of cashless claims if you are taking treatment in one of the network hospitals of your insurer. Follow the below-mentioned steps to settle the claim in case of cashless claim settlement:
Claim Filing Process for Reimbursement Claim
Some insurance providers do not offer the facility of cashless claims. Sometimes when you do not take the service from the network garage or hospital of the insurer, then you have to opt for a reimbursement facility. Steps to file a reimbursement claim are:
A travel insurance claim is filed when you have lost your belongings while traveling. The first step in filing the claim for your lost baggage is to lodge an FIR by visiting the nearest police station and then inform your insurance provider. If you have lost your checked-in baggage, then you should inform the air-lines and your insurance company. Steps to file a claim in such cases are:
You can claim your motor insurance policy under the below-mentioned instances:
Steps to File Third-Party Insurance Claim
Follow the below steps to file a third-party insurance claim:
Steps to File Own Damage Insurance Claim:
Follow the below steps for the same:
Steps to File Theft Claim:
In case you think that your motor vehicle is stolen, then follow the below steps:
Summing It Up!
In this article, we have mentioned almost everything that you may need at the time of filing your insurance claim. However, for more clarity, you should check your policy wording and the terms and conditions of your general insurance plan.