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Health Insurance Claim Regarding Baby

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12 Aug, 2021 by  mehul

I Have a Query regarding New Born Baby Claim (age 4months).

New Born Baby was added in the Policy on 12/07/2021 and Couple Detected Baby is having ventricular septal defect and procedure was Done VSD Closure on 02/08/2021 and Discharge on 10/08/2021 and surgery cost them around 4lacs Rupees.

They are having the Policy in HDFC Ergo Optima Restore.

Can they Submit the Claim file for Reimbursement. Please give Suggestion regarding the same.

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12 Aug, 2021

Hey Mehul,


This is a congenital problem, or birth defect. Insurance policy does not cover such treatments. This claim is not payable.


Anuj

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12 Aug, 2021
mehul
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13 Aug, 2021
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14 Aug, 2021
mehul
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