MY PLAN IS TO SECURE
MY FAMILY’S FUTURE
WHAT’S YOUR PLAN?

Part A:This is an explanation of the claims submission procedure.
Part B : To be completed by claimant.
Part C : this should be completed by the Plan Administrator. The Plan Administrator should sign the document and affix the Company’s stamp.
Part D:To be completed by the treating Doctor/Physician.
INSIDE THE NETWORK | OUTSIDE THE NETWORK |
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All eligible expenses up to specified limits incurred at IGI LIFE’s Network Hospitals will be settled directly. However in case of limit exhaustion, the amount in excess of the available limit has to be settled directly by the insured with the hospital. |
For prompt settlement, all claims must be submitted to IGI LIFE within 60 days after being incurred. Any requirements requested by IGI LIFE must be submitted within 45 days from the date of the request made by IGI LIFE. At the time of treatment, you should settle the expenses yourself, but keep the original receipts and other documents as proof of payment. When treatment is complete, you should attach all receipts to the Claim Form and return it to the Plan Administrator. |
IN-PATIENTFor inpatient visits, follow this procedure.
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IN-PATIENTFor inpatient visits, follow this procedure.
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Members are responsible for learning how the plan works by carefully studying the benefit and coverage documents.