HDFC Ergo Health Insurance has tie-ups with more than 13000 hospitals across India, which are known as network hospitals where policyholders can avail of cashless medical treatment. The exact list of network hospitals can vary depending on the specific policy and location. However, you can easily find the network hospitals for your HDFC health policy by visiting the HDFC Ergo Health Insurance website or simply entering some details below.
To find the list of network hospitals, follow these steps:
- Visit the official website of “RenewBuy.com”.
- Click on the 'Network Hospital' tab from the “Health Insurance” category at the top of the page.
- Enter your state and city or pin code.
- You will get the list of all the network hospitals in your area.
You can also contact HDFC Ergo Health Insurance customer care to learn more about their network of hospitals or to locate a specific hospital.
Benefits of HDFC Ergo Health Insurance Network Hospitals
- Quality Treatment
- 24x7 Assistance
- Wide Range of Network Hospitals
- Cashless Treatment
- Quick Claim Settlement
Search Nearest Network Hospital
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HDFC Ergo Health Insurance Network Hospitals Cashless Claim Process
The cashless claim process at HDFC Ergo Health Insurance network hospitals involves the following steps:
- Choose a network hospital: You must choose an HDFC Ergo Health Insurance network hospital for their treatment to get cashless medical treatment. You can find a list of HDFC Ergo network hospitals on the insurer's official website or RenewBuy’s “HDFC Ergo Health Insurance Network Hospitals” page.
- Show your health insurance card: Policyholders must show their HDFC Ergo Health Insurance health card at the hospital. The card contains important details such as the policyholder's name, policy number, and coverage details.
- Submit pre-authorization form: After the policyholder is admitted to the hospital, they need to fill out a pre-authorization form and submit it to the insurance desk of the hospital. The form contains details like the nature of the illness or injury, estimated treatment cost and other relevant details. The hospital then sends the form to HDFC ERGO Health Insurance for approval.
- Approval or rejection of claim: HDFC Ergo Health Insurance reviews the pre-authorization form and approves or rejects the claim. If the claim is approved, the insurer sends the hospital an approval letter indicating the coverage amount provided.
- Treatment and settlement of bills: Policyholders can receive the required treatment at the hospital without any upfront payment after approval. The hospital directly bills HDFC Ergo Health Insurance for the treatment costs, and the insurer settles the bill with the hospital.
Planned Hospitalization
The planned cashless claim process at HDFC Ergo Health Insurance network hospitals involves the following steps:
- Inform the Insurer: Policyholders must inform HDFC Ergo Health Insurance about the planned hospitalization at least 72 hours in advance. The insurer may ask for details such as the reason for hospitalization, the date of admission, and the estimated cost of treatment.
- Choose a Network Hospital: Policyholders must choose an HDFC Ergo Health Insurance network hospital for their planned hospitalization. They can find a list of network hospitals on the insurer's official website or by contacting customer care.
- Submit Pre-Authorization Form: Policyholders must fill out a pre-authorization form and submit it to the hospital's insurance desk before the planned hospitalization. The form contains details such as the nature of the illness or injury, estimated treatment cost, and other relevant details. The hospital then sends the form to HDFC Ergo Health Insurance for approval.
- Approval or Rejection of Claim: HDFC Ergo Health Insurance reviews the pre-authorization form and approves or rejects the claim. If the claim is approved, the insurer sends the hospital an approval letter indicating the coverage amount provided.
- Treatment and Settlement of Bills: Policyholders can receive the required treatment at the hospital without any upfront payment after approval. The hospital directly bills HDFC Ergo Health Insurance for the treatment costs, and the insurer settles the bill with the hospital.
Unplanned Hospitalization
The unplanned cashless claim process at HDFC Ergo Health Insurance network hospitals involves the following steps:
- Choose a Network Hospital: In case of an unplanned hospitalization, policyholders need to choose an HDFC Ergo Health Insurance network hospital for their treatment. They can find a list of network hospitals on RenewBuy’s HDFC Ergo Network Hospital Page.
- Show your Health Insurance Card: Policyholders must show their HDFC Ergo Health Insurance health card at the hospital at admission. The card contains important details such as the policyholder's name, policy number, and coverage details.
- Submit Pre-Authorization Form: Once the policyholder is admitted to the hospital, their family member needs to fill out a pre-authorization form and submit it to the hospital's insurance desk. The form contains details such as the nature of the illness or injury, estimated treatment cost, and other relevant details. The hospital then sends the form to HDFC Ergo Health Insurance for approval.
- Approval or Rejection of Claim: HDFC Ergo Health Insurance verifies the pre-authorization form and approves or rejects the claim. If the claim is approved, the insurer sends the hospital an approval letter indicating the coverage amount provided.
- Treatment and Settlement of Bills: After approval, the policyholder can avail of the necessary treatment at the hospital without paying any bill amount. HDFC ERGO Health Insurance directly settles the cost of the treatment with the hospital.
