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FORM C [Vide Rule.15(3)] Application Form for Claiming Refund of Medical Expenses. 1. Name and designation of the Government servant (in block letters)..
You would need to fill out the name of the insured, their relationship with the primary insured person under the policy, their contact details, and their occupation. Now, youd need to fill out details regarding the hospitalization of the insured patient.
FORM C [Vide Rule.15(3)] Application Form for Claiming Refund of Medical Expenses. 1. Name and designation of the Government servant (in block letters)..
How to Fill Care Health Insurance Claim Reimbursement Form Step 1: Fill Out the Details of the Primary Insured. Step 2: Disclose the Insurance History of the Person Filing Claim. Step 3: List Down the Details of the Insured Person Hospitalized. Step 4: Enter the Hospitalization Information.
Reimbursement Claim refers to the type of claim wherein an insured must pay for the medical costs and treatment out of their pocket and later claim the bill from the insurance provider. For this kind of claim, the insured can visit any hospital for treatment and not necessarily the empanelled cashless hospital.
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Medical Reimbursement is tax-free perquisites under Section 17(2) till INR 15000. However, the employee can incur an amount higher than INR 15,000 on medical bills. In this case, the excess amount is added to the head salary of the employee at the time of filing ITR on the Income Tax Portal.
After providing treatment/diagnosis, the HCOs submit the medical claims to the Bill Clearing Agency (BCA), which scrutinizes the bills and forwards to the CGHS for final approval. Thereafter, CGHS scrutinizes 10 per cent of bills upto ₹ 10,000, 25 per cent of bills upto ₹ 25,000 and 100 per cent bills above ₹ 25,000.
Generally, this needs to be done within 90 days, as counted from the date of discharge from the hospital. However, in some cases, some claims can be counted from the date mentioned on the bill.

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