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E and leave a gap between words. Please do not staple. 2. Please complete all details that are relevant to you on all pages of this form. 3. ead the declaration and sign all the relevant signature panels. R 4. You can mail your application to us or drop by a Bupa centre. Section A: Your details Membership number Home Phone (including area code) Surname Work Phone (including area code) First name Mobile Initial Title Email Date of birth D D M M Y Y X Male X Female Residential ad.

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Download the Bupa Touch app today. Take care of your healthcare anywhere with Bupa Touch. Get the treatment you need, stay on top of your claims and see your documents whenever you need them. Download the Bupa Touch app for convenient healthcare on the go or manage your cover online.

You can use the Niva Bupa Health Card to avail of a lump-sum payment for the treatment of an illness, including hospitalisation expenses, doctor's consultations, tests, and more. The card can also be used for cashless claims in the case of a medical emergency.

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.

Typically, your doctor's office will submit a claim and you will not need to be involved in the process. Your doctor will send a bill to your insurance company for any charges you did not pay during a visit or submit a claim for the services they provided to you during your visit.

Reimbursement Claim Procedure Whether you take the treatment in a non-network hospital inform the insurer within 48 hours of the treatment. Now fill the claim form and sign it before sending it to the insurer. Submit all the documents with your age proof and valid ID proof.

You can call at the toll free number 1800-3010-3333 or you can send an email at customercare@maxbupa.com.

For Cashless Claims Step 1: Get admitted to any one of Niva Bupa network hospitals. Step 2: Use your Niva Bupa Health Card or share your policy number with the concerned team at a hospital along with your Passport/PAN card/ Voter's ID as identification proof.

You can call at the toll free number 1800-3010-3333 or you can send an email at customercare@maxbupa.com. If you are getting an emergency treatment, you must call at +45 7923 2403 or send an email at emergency@ihi.com.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232