ICICI Lombard

Health Care

ICICI LOMBARD GENERAL INSURANCE COMPANY LIMITED

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1. Type of Claim : Hospitalization / Pre Hospitalization-Post Hospitalization/X

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For member reimbursement of retail customers, this address will be used as claim cheque dispatch address. Please
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5. Nature of disease / illness contracted or injury suffered for which insured was hospitalized (Diagonsis)/
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Mailing Address : ICICI Lombard General Insurance Company Limited - ICICI Lombard Health Care, TGV Manisons, 6th Floor, Plot No. 6-2-1012, Khairatabad, Hyderabad - 500 004.
Toll Free Number : 1800 209 8888 • Toll Free Fax Number : 1800-209-8880 • Fax Number : 040 - 66989160 / 61
• Email us : ihealthcare@icicilombard.com • Website : www.icicilombard.com