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TCS Helath Insurance - Domiciliary Claim Reimbursement Guidelines PDF
TCS Helath Insurance - Domiciliary Claim Reimbursement Guidelines PDF
Domiciliary Claims
Duly lled and signed Claim Form as generated through the portal. Staple the claim form along with
There are certain exclusions in the HIS
supporting documents (in case of multiple claims, staple them separately).
policy for which NO benets are
payable. The list of exclusions
Doctors prescription with the nature and duration of illness on doctors letterhead. No payment details
enumerated in the policy document is
should be mentioned in this document.
only indicative and not exhaustive.
All original investigations bills & reports (wherever applicable) pertaining to the ailment/treatment which
includes pre- / post-hospitalization expenses.
Maternity & related expenses
Original pre-numbered bill/receipt from the doctors ofcial receipt book. Receipts must mandatorily
Apart from delivery charges, no other
include pre-printed doctors information and receipt number. Blank document with the doctors signature/-
charges including medicine expenses,
stamp & letterhead bills is not acceptable.
doctors consultation fees, routine Note : The bills or receipts produced should be within the policy period.
check-ups and diagnostic tests during
the maternity period are payable under Original medical bills or receipt along with prescriptions for the medicines purchased from the pharmacy.
HIS. Delivery charges are admissible only Note : Prescriptions without a validity date will be considered valid only for that particular nancial/calendar year.
under Hospitalisation category up to the
policy dened limit which is inclusive of In case of dental procedures, the following are the following additional documents are mandatory:
pre- & post-hospitalisation expenses
i. Bills or receipts for expenses incurred for extraction, llings, medicines, consultants fees, and X-rays.
incurred 30 days pre & post-delivery.
(Apart from the mentioned treatments, no other treatments are payable under Domiciliary dental
coverage).
ii. X-ray lm (if any) and day-to-day case summary in the case of root canal or other dental treatment
where multiple visits or sittings are being carried out.