Element_3_3x.png

Purchased Policy @Oneassure?

Get Assistance

On The Claim

Settlement Process!

Get assistance on
Existing Claim

Claims__3x.png
Partner Brands_3x.png

10+

Partners Brands

Happy Customers_3x.png

2000+

Happy Customers

Trained Partners_3x.png

150+

Trained Partners

Book an appointment _3x.png

Talk to your oneAassure partner about filing the claim

You consult them on which one you should pick up_3x.png

Receive regular updates from your oneAssure partner

How it works

Express your insurance needs_3x.png

Discuss the insurance details with your oneAssure partner & share the required documents

Payment and registration_3x.png

Get the claim settlement amount in your bank account

Our partners select a few curated plans for you_3x.png

Let your partner backed by  backend team take care of the rest for you

Are You A oneAssure Customer Looking For A Claim Settlement?

Types of Claim settlements in Health Insurance

Cashless_Icon_3x.png

Cashless:

It’s possible to get a cashless claim if you’re admitted to a networked hospital, an insurance company-affiliated hospital. All medical bills are handled directly by the insurance company for this type of claim. It only takes the payment of the disallowed expenses or non-covered expenses to settle the claim.

REIMBURSEMENT_Icon_3x.png

Reimbursement

If you file a reimbursement claim, you pay your own medical bills. Once you have recovered, submit all your bills to your insurance company. The insurance company verifies the bills and then reimburses you for the covered medical costs.

This can happen in the following situations :

If you receive treatment at a non-networked hospital

For any reason, you cannot submit a cashless claim

During pre and post-hospitalization expenses, and claims are settled on a reimbursement basis only. However, the insurance marketplaces don’t assist the customers with this.
At OneAssure, we assist you until you receive the claim amount into your bank account.

The Claim settlements Process

Claims_Icon_3x.png

Cashless Claims:

Locate a networked hospital near you from the website of your insurance company. 

You should notify the insurance company or the third-party administrator (TPA) of your claim.

You need to fill out a pre-authorization form for cashless claims, which you can find either at the insurance/TPA desk in the hospital or on the insurance company’s website. 

Cashless claims require the following documents:

1)

The pre-authorization claim form.

2)

The policy health card.

3)

KYC documents such as Aadhar and PAN cards of the insured

4)

A doctor's prescription for hospitalization

Pre-authorization forms must be submitted by:

1)

You should submit your hospitalization plan three to four days before your scheduled hospitalization

2)

You must submit it within 24 hours of being hospitalized for emergency treatment. 

Locate a networked hospital near you from the website of your insurance company. 

A hospital's TPA/insurance department handles the rest of the work. 

With a cashless treatment, the initial approval is provided based on the pre-authorization form, after which treatment can begin.

Make sure the hospital sends your bills well in advance so you aren't delayed during discharge. The final approval would be processed by the insurer or TPA based on the documentation the hospital submits at discharge, along with all reports and bills.

As soon as the final claim approval is received, the pending non-payable amount needs to be paid directly to the hospital so that the patient can be discharged.

However, the insurer would provide a reason for rejecting the claim if it is denied. In such a case, you can file a reimbursement claim. 

Claims_Icon_3x.png

Reimbursement Claims:

If there is a possibility of a claim, inform the TPA or the insurer beforehand.

An insurance company or TPA will require you to complete a claim form and submit the needed documents.
Documents to submit include:

1)

A doctor's prescription for hospitalization

2)

All diagnostic/investigative testing reports

3)

A complete set of records and doctor's reports detailing all the treatments you have received

4)

Original hospital and medical bills

5)

Doctor's prescription stating that you have recovered, and your treatment has been completed

6)

In cases of accidental injury, an FIR or medical certificate is required

7)

Documents such as Aadhar and PAN cards must be submitted by the insured

8)

A canceled check from the bank account, to receive reimbursement of the claim.

9)

Copies of the policy and insurance card.

To play, press and hold the enter key. To stop, release the enter key.

To play, press and hold the enter key. To stop, release the enter key.

Ready to get
your claim processed?

Cashless claims & reimbursement claims settled quickly with OneAssure. Get hassle-free claim processing and full claim settlement assistance with your OneAssure partner.

Footer One Assure logo_3x.png

OneAssure is a full-stack digital
health insurance platform.

Privacy Policy

Terms and conditions

Twitter_3x.png
Facebook_3x.png
Linkdin_3x.png
Youtube_3x.png
Instagram_3x.png

Health Insurance

Family Health Insurance

Health Insurance For Senior Citizens

Super Top-up

Code Of  Conduct

License Information

Grievance Redressal

Careers

Contact Us

About Us

Blogs

Policy Wallet

Secured with

IRDAI Logo_3x.png
PCI-DSS Logo_3x.png
Location.png

​Prost Insurance Brokers Pvt. Ltd.(OneAssure), 3rd floor, 91springboard, MG Road, Gopala Krishna Complex 45/3, Residency Road, Mahatma Gandhi Rd, Bengaluru, Karnataka 560025.

Mail ID.png
Contact.png

+91 63643 34343

​Prost Insurance Brokers Pvt. Ltd.(OneAssure), 3rd floor, 91springboard, MG Road, Gopala Krishna Complex 45/3, Residency Road, Mahatma Gandhi Rd, Bengaluru, Karnataka 560025.
License No. 756, Direct Broker (Life & General),  Valid from: 22/07/2021 to 21/07/2024