Get Cigna Ttk Health Maintenance Benefit Claim Form

Filing a claim using the Cigna Ttk Health Maintenance Benefit Claim Form is an important step in accessing crucial health benefits. This guide provides clear and simple instructions for successfully completing the form online and ensuring that all necessary information is accurately provided.

Follow the steps to effectively complete the form

1. Click the ‘Get Form’ button to obtain the health maintenance benefit claim form and open it in your preferred editor.
2. Begin filling out the form by entering your proposer name in the designated fields: surname, first name, and middle name.
3. Input your policy number clearly in the provided section to identify your specific insurance coverage.
4. In the outpatient consultation details, write the name of the member for whom the claim is being made, along with the date of the consultation in the specified format.
5. Describe the illness or diagnosis for which the consultation took place and detail the treatment given, ensuring all information is accurate.
6. Verify that you have completed the checklist of enclosures, including the duly filled and signed claim form, outpatient invoices, treating doctor prescriptions, and any investigation reports.
7. Provide your bank account details for the policy holder for electronic claim settlement transfer. Include the bank name, branch, account number, IFSC code, and MICR code. Attach a copy of a cancelled cheque to ensure accuracy.
8. Read and sign the declaration by the insured, confirming that all information provided is true to the best of your knowledge.
9. Finally, save your changes and download the completed form. You can print it out or share it as necessary.

Complete your Cigna Ttk Health Maintenance Benefit Claim Form online today to access your health benefits.