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Insurance v2 Faq

The document outlines the benefits and procedures associated with an accidental insurance plan, including coverage for inpatient and outpatient expenses, income protection, and accidental death. It provides guidance on accessing teleconsultation, checking claim status, finding network hospitals, and availing cashless treatment. Additionally, it details steps to take in case of an accident and how to address issues with cashless facilities at hospitals.

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nageshbhoje025
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5 views6 pages

Insurance v2 Faq

The document outlines the benefits and procedures associated with an accidental insurance plan, including coverage for inpatient and outpatient expenses, income protection, and accidental death. It provides guidance on accessing teleconsultation, checking claim status, finding network hospitals, and availing cashless treatment. Additionally, it details steps to take in case of an accident and how to address issues with cashless facilities at hospitals.

Uploaded by

nageshbhoje025
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Frequently Asked Questions

Q. What benefits are covered under the


accidental insurance plan?​
A. Here’s a breakdown of the benefits
covered under this accidental insurance plan:

●​ IPD cover: Up to ₹1 lakh


●​ OPD cover: Up to ₹5,000
●​ Income Protection Cover: ₹500/day (up to
30 days)
●​ Temporary Total Disability: ₹525/day
(maximum ₹50,000, applicable after 3 days)
●​ Helmet damage: Up to ₹500 (if
hospitalized overnight)
●​ Mobile damage: Up to ₹2,500 (if
hospitalized overnight)
●​ Ambulance cover: Up to ₹2,500
●​ Accidental Death & Permanent Disability
Cover: Up to ₹10 lakh
Q. What OPD medical expenses are
covered under the insurance plan?​
A. You can get reimbursed for OPD medical
expenses up to ₹5,000 for yourself, your
spouse, and up to two children.

●​ Consultation: ₹1,000 per consultation


●​ Tests: ₹1,500 per prescription
●​ Pharmacy expenses are also covered.

​
Q. How can my family and I access free
teleconsultation?​
A. You and your family can access free
teleconsultation services.

1.​ Go to Profile >> Medical Insurance


2.​ Click on “Book Free Doctor
Consultation.”
3.​ This will redirect you to the M-fine page,
where you can choose a specialist.
4.​ Click “Consult Now” and follow the
simple steps to book an appointment for an
available time slot
​
Q. How can I check the status of my
insurance claim?​
A. You can check your claim status in the
app by going to the specific claim and
clicking on “Track Claims.”​
Alternatively, you can:​
📞 Call 1800-266-2256​
📧 Write to [email protected]

Q. How can I find nearby network


hospitals for cashless treatment?​
A. To find nearby network hospitals:

1.​ Go to Profile >> Medical Insurance in the


app
2.​ Select “Find Network Hospitals.”
3.​ You will see a list of hospitals near you.

​
Q. Where can I find my E-health card?
A. Click on Profile >> Medical Insurance.​
You will find your E-health card on the first
page.

Q. What to do in case of an accident?

A. We are here for you 24x7 in case of any


unfortunate event. If you meet with an
accident, please follow these steps:

1.​ Contact Us Immediately: Use the


Zomato Emergency Hotline to reach out for
immediate support.
2.​ Avail Free Medical Treatment: Use your
cashless insurance card to receive medical
treatment at network hospitals.
3.​ Compensation for Loss of Pay: If the
accident is serious, you may be eligible for
compensation for lost wages.

For any further assistance, please raise a


ticket from the Help Centre, and we will get
back to you promptly.
Q. How to avail cashless treatment?

A. Follow these steps to avail cashless


treatment at a network hospital:

1.​ Visit an Acko network hospital listed in


your app.
2.​ Provide your UHID number or E-health
card at the hospital’s insurance help desk.
3.​ Mention that ACKO General Insurance is
the insurer and FHPL is the TPA.
4.​ Fill out the claim form provided by the
hospital (if required).

For any queries regarding cashless


approvals or escalations, you can:

📞 Call 1800-266-2257
📧 Email [email protected]
Q. What to do if a network hospital denies
cashless facilities?
📧
A. You can contact 1800-266-2257 or
write to [email protected] for any
escalations related to cashless claims.

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