Easy Health

Claim Procedure www. apollomunichinsurance.com

Please review your Easy Health policy and familiarize yourself with the benefits available and the exclusions.
To help us to provide you with fast and efficient service, we kindly ask you to note the following:
1. We recommend that you keep copies of all documents submitted to Apollo Munich.
2. Please quote your member ID/policy number in all your correspondences.
Claim Procedure for Hospitalisation related benefits
What do I do in case of a claim or any assistance?
Procedure for Reimbursement
Intimation & Assistance Procedure to avail Cashless facility
of Medical Expenses

Please contact Apollo Munich atleast 48 hours prior • Please send the duly signed • For any emergency hospitalisation, Apollo Munich must be
to an event which might give rise to a claim. claim form informed no later than 24 hours after hospitalization.
For any emergency situations, kindly contact Apollo and all the information/ • For any planned hospitalization, kindly seek cashless
Munich within 24 hours of the event. documents authorization from Apollo Munich atleast 48 hours prior to
Apollo Munich can be contacted through: mentioned* therein to us within the start of the Insured Person’s hospitalization.
- Website: 15 days of the occurrence of • We will check your coverage as per the eligibility and send
www.apollomunichinsurance.com incident. an authorization letter to the provider. In case there is
- Toll Free: * Please refer to claim form for any deficiency in the documents sent, the same shall be
1800 102 0333 complete documentation. communicated to the hospital within 6 hours of receipt of
- Fax at: • If there is any deficiency in the documents.
1800 425 4077 documents/information submitted • Please pay the non-medical and expenses not covered to the
- Courier: by you, We will send the hospital prior to the discharge. For details on non-medical
Claims Department, deficiency letter within 7 days of expenses, please refer annexure 1 of policy wording.
Apollo Munich Health Insurance Co. Ltd., receipt of the claim documents. • In case the ailment /treatment is not covered under the
Ground Floor, Srinilaya - Cyber Spazio, • On receipt of the complete set of policy a rejection letter would be sent to the provider within
Road No. 2, Banjara Hills, claim documents, we will make 6 hours.
Hyderabad-500034, Andhra Pradesh. the payment for the admissible Note:
or : Claims Department, amount, along with a settlement • Insured person is entitled for cashless only in our
Apollo Munich Health Insurance Co. Ltd., statement within 30 days. empanelled hospitals.
Central Processing Center, 2nd & 3rd • The payment will be made in the • Please refer to the list of empanelled hospitals on
Floor, iLABS Centre, Plot No. 404-405, name of the proposer. our website or the list provided in the guidebook or
Udyog Vihar, Phase-III, Gurgaon-122016, Note: Payment will only be welcome kit.
Haryana. made for items covered • Please refer to the list of non-medical expenses
under your policy and upto not covered in the policy in annexure I of policy
Please use the Claim Intimation Form for intimation wordings.
of a claim. the limits therein.
• Rejection of cashless in no way indicates rejection
of the claim.

Claim Procedure for E-opinion & Critical Illness

Intimation & Assistance Claims Procedure

Please contact Apollo Munich within 14 days of diagnosis of E-opinion
first occurrence of Critical Illness. • Please submit duly filled claim form along with the copy of all medical reports including
Apollo Munich can be contacted through: investigation reports and discharge summary (if any) at any of Apollo Munich Branch Office.
- 24 x 7 Toll free: • You need to select Our Panel Doctor from whom You would prefer to take the e-opinion.
1800 102 0333 (Please refer Our Website or call at 24X7 Toll Free line to obtain the list of Our Panel
- Email at: Doctors)
customerservice@apollomunichinsurance.com • On receipt of the complete set of documents Apollo Munich will forward the same to the
- Fax at: concerned doctor.
1800 425 4077 • The E-Opinion will be forwarded to the member within 7 working days of the receipt of the
- Post &Courier to the nearest claims hub: complete set of documents.
Claims Department,
Critical Illness
Apollo Munich Health Insurance Co. Ltd.,
UIN : IRDAI/HLT/AMHI/P-H/V.III/1R/2016-17

Ground Floor, Srinilaya - Cyber Spazio,
Road No. 2, Banjara Hills,
Hyderabad-500034, Telangana.
or: Claims Department,
Apollo Munich Health Insurance Co. Ltd.,
Central Processing Center, 2nd & 3rd Floor, iLABS
Centre, Plot No. 404-405, Udyog Vihar, Phase-III,
Gurgaon-122016, Haryana.
Please use the Claim Intimation Form for intimation of a claim.
• You must intimate Apollo Munich within 14 days of diagnosis of first occurrence of Critical
Illness.
• You must submit a duly filled claim form along with specified documents within 45 days of
completion of survival period for the Critical Illness against which the claim is made.
• If there is any deficiency in the documents/information submitted by You, Apollo Munich will
send the deficiency letter within 7 days of receipt of the claim documents.
• Any additional information requested must be submitted within 15 days of Apollo Munich
request.
• On receipt of the complete set of claim documents, Apollo Munich will make the payment
for the admissible amount, along with a settlement statement within 30 days.
AMHI/PR/H/0022/0143/062016

For any doubt or clarifications and/or information, call our Toll Free Line at 1800 102 0333 or log on to our website www.apollomunichinsurance.com or
Email us at customerservice@apollomunichinsurance.com
We would be happy to assist you. For any help contact us at: Email: customerservice@apollomunichinsurance.com Toll Free: 1800 102 0333
Apollo Munich Health Insurance Co. Ltd. • Central Processing Center, 2nd & 3rd Floor, iLABS Centre, Plot No. 404-405, Udyog Vihar, Phase-III, Gurgaon-122016, Haryana
• Corp. Off. 1st Floor, SCF-19, Sector-14, Gurgaon-122001, Haryana • Reg. Off. Apollo Hospitals Complex, 8-2-293/82/J III/DH/900 Jubilee Hills, Hyderabad, Telangana - 500033, India. • For more
details on risk factors, terms and conditions, please read sales brochure carefully before concluding a sale • IRDAI Registration Number - 131 • Corporate Identity Number: U66030TG2006PLC051760