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  • Overview
  • Coverages
  • Conditions
  • Key Features
  • Role
  • Types
  • Ambulance Personnal
  • Equipment
  • Claim Process

Ambulance Service for Hospital Assistance Insurance Policy (ASHA) in India

Unfortunately, medical emergencies can happen anytime. Just picture this: you're in the midst of a crisis, and someone steps in to cover your ambulance services. They take you to the nearest hospital, ensure you receive the care you need. If you've already paid for ambulance services, they've got your back for reimbursement. That's what the Ambulance Service for Hospital Assistance Insurance Policy (ASHA) does!

What is Shri Ambulance Service

What is Shri Ambulance Service for Hospital Assistance Insurance?

Shri Ambulance Service for Hospital Assistance (ASHA) insurance is a product by Shriram General Insurance that provides coverage for ambulance services in the event of a medical emergency. The policy includes provisions for availing ambulance services from the place of occurrence of a medical emergency to the nearest hospital, and from one hospital to another for better medical aid. Furthermore, there is an option of reimbursing the actual fare expenses for ambulance services offered by an ambulance service provider or hospital

Features of Shri Ambulance Service for Hospital Assistance Insurance

Here are the features of the Shriram General’s ASHA Insurance.

Covers expenses related to ambulance services

Covers expenses related to ambulance services for medical emergencies within the specified distances and reimburses actual fare expenses for ambulance services

Includes transportation from the place of a medical emergency

Includes transportation from the place of a medical emergency to the nearest hospital and from one hospital to another for better medical aid

Maximum utilisation of benefits

Maximum utilisation of benefits up to two times during the policy period

Fast and hassle-free claim

Fast and hassle-free claim settlement process

Get your Shri Ambulance Service for Hospital Assistance Insurance in three steps

To obtain the Shri Ambulance Service for Hospital Assistance (ASHA) insurance, you can follow these steps.

1

Contact us to inquire about the ASHA insurance policy, discuss the coverage options and select a plan that best suits your requirements.

2

Provide the necessary personal information, complete the application form and submit any required documents to apply for the policy.

3

Step 3: Once the application is approved, make the required premium payment to activate the insurance coverage.

Benefits of Shri Ambulance Service for Hospital Assistance Insurance

Our ASHA Insurance offers several benefits, including the following.

Coverage for ambulance services during medical emergencies up to the covered distance and reimbursement of actual fare expenses for ambulance services.

Transportation from the place of occurrence of a medical emergency to the nearest hospital and from one hospital to another for better medical aid.

Reimbursement of actual fare expenses for ambulance services offered by an ambulance service provider or hospital, subject to the limit and distance mentioned in the opted plan.

Coverage of ambulance services for covered family members.

Fast settlement of claims after submission of all the relevant documents.

Frequently Asked Questions

What does the Shri Ambulance Service for Hospital Assistance (ASHA) insurance policy cover?

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The policy covers expenses related to ambulance services for medical emergencies within specified distances and reimburses actual fare expenses for ambulance services. It includes transportation from the place of a medical emergency to the nearest hospital and from one hospital to another for better medical aid. Additionally, coverage is also provided for ambulance services for covered family members.

What is the process to obtain the Shri Ambulance Service for Hospital Assistance (ASHA) insurance?

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To obtain ASHA insurance, you can contact Shriram General Insurance, inquire about the policy, discuss coverage options, and select a plan that best suits your requirements. Upon approval of the application, the required premium payment activates the insurance coverage.

Are there any specific conditions or exclusions under the ASHA policy?

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Yes, the policy specifies conditions such as a waiting period for coverage of ambulance expenses related to illness, and it excludes certain events such as unforeseen calamities.

Shri Ambulance Service for Hospital Assistance Coverages

  • What is Covered
  • What is Not Covered

Under the Shri Ambulance Service for Hospital Assistance (ASHA) Insurance, the following are covered.

1

Transportation from the place of occurrence of a medical emergency to the nearest hospital.

2

Transportation from one hospital to another for better medical aid.

3

Reimbursement for self-booked ambulance expenses up to specified plan limits and distances, based on reasonable and customary charges.

4

The policy covers family members, including the proposer, spouse, children (including unmarried, step, or legally adopted children up to 25 years old), and parents.

The following are not covered under the Shri Ambulance Service for Hospital Assistance Insurance.

1

Loss of life or other personal effects of the users during the performance of the services.

2

Services or costs for users other than those defined in the policy.

3

Delay or failure to provide services due to specific events like war, riots, civil disorder, earthquakes, and other adverse weather conditions.

Frequently Asked Questions

What transportation services are covered under the Shri Ambulance Service for Hospital Assistance (ASHA) Insurance?

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ASHA covers transportation from the place of occurrence of a medical emergency to the nearest hospital and transportation from one hospital to another for better medical aid.

Does the ASHA Insurance provide reimbursement for self-booked ambulance expenses?

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Yes, the policy provides reimbursement for self-booked ambulance expenses up to specified plan limits and distances, based on reasonable and customary charges.

Who is covered under the ASHA Insurance policy?

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The policy covers family members, including the proposer, spouse, children (including unmarried, step, or legally adopted children up to 25 years old), and parents.

What instances are not covered under the Shri Ambulance Service for Hospital Assistance Insurance?

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Loss of life or other personal effects of the users during the performance of the services, services or costs for users other than those defined in the policy, delay or failure to provide services due to specific events like war, riots, civil disorder, earthquakes, and other adverse weather conditions, and any expenses for air ambulance are not covered under this policy.

Conditions for Shri Ambulance Service for Hospital Assistance

List of Conditions for Shri Ambulance Service for Hospital Assistance

Under "Shri Ambulance Service for Hospital Assistance (ASHA)," the conditions are as follows.

Conditions for Shri Ambulance Service for Hospital Assistance
  • Shriram General Insurance (SGI) is not responsible for any loss of life or personal effects during the service.
  • The services will be provided according to the terms of the policy and applicable Indian laws.
  • All members who have opted for ASHA will be included under this cover.
  • Delays or failures to provide services due to unpredictable calamities are specifically excluded, such as war, riots, civil disorder, etc.
  • The facilities shall be available only during the issued policy period.
  • The benefits under this cover can be utilised only up to a maximum of two times during the policy period.
  • Any costs and expenses pertaining to ambulance service beyond the scope of cover will be directly borne by the insured.
  • Expenses related to ambulance services for any illness within 30 days from the first policy commencement date are excluded, except claims arising due to an accident. However, the waiting period is not applicable in subsequent renewals.
  • The company can cancel the policy on grounds of misrepresentation, fraud, non-disclosure, or non-cooperation. They will send a seven days’ notice and return the premium paid if no claims have been made.
  • The insured can cancel at any time with seven days’ notice and will receive a return of premium, minus the company's Short Period rates, if no claims have been made.

Frequently Asked Questions

What happens in case of loss of life or personal effects during the ambulance service?

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SGI is not responsible for any loss of life or personal effects during the service.

What are the conditions for utilising the ambulance services?

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The services will be provided according to the terms of the policy and applicable Indian laws.

How many times can the benefits under this cover be utilised?

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The benefits under this cover can be utilised up to a maximum of two times during the policy period.

What happens if there are delays or failures to provide services?

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Delays or failures to provide services due to force majeure events are specifically excluded.

Who is responsible for additional costs beyond the scope of cover?

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Any costs and expenses pertaining to ambulance service beyond the scope of cover will be directly borne by the insured.

How does the cancellation of the policy work?

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The company can cancel the policy based on specific grounds, and the insured can also cancel the policy under certain conditions.

Key Features of Shri Ambulance Service for hospital assistance insurance

The key features of ASHA can be summarised as follows.

Definition and Coverage

Definition and Coverage

  • ASHA covers the insured person or member, and it is provided by Shriram General Insurance Company Limited.
  • It includes a defined scope covering medical emergencies and the provision of ambulance services for covered family members.
Medical Emergency Coverage

Medical Emergency Coverage

  • ASHA provides coverage for medical emergencies, offering ambulance transportation to the nearest hospital, and from one hospital to another for better medical aid following a medical emergency.
Services and Limitations

Services and Limitations

  • Shriram General Insurance (SGI) is not responsible for any loss of life or personal effects during the service, and they are not liable for any costs beyond those defined in the policy
  • The services are provided subject to the terms of the policy and applicable Indian laws.
Geographic Coverage and Utilisation Limitations

Geographic Coverage and Utilisation Limitations

  • The benefits under ASHA can be utilised up to a maximum of two times during the policy period within India.
  • The cover ceases once the covered family members have claimed for ambulance services two times.
Waiting Period and Cancellation Clause

Waiting Period and Cancellation Clause

  • Expenses related to ambulance for any illness within 30 days from the first policy commencement date are excluded, except for claims arising due to an accident. The waiting period does not apply in subsequent renewals.
  • There are provisions for cancellation by both the company and the insured, with specific conditions and return of premiums.

Frequently Asked Questions

What is the extent of coverage provided by ASHA?

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ASHA covers the insured person or member, offering a defined scope covering medical emergencies and the provision of ambulance services for covered family members.

What types of medical emergencies are covered under ASHA?

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ASHA provides coverage for medical emergencies, including ambulance transportation to the nearest hospital and from one hospital to another for better medical aid following a medical emergency.

What are the limitations of the services provided by ASHA?

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SGI is not responsible for any loss of life or personal effects during the service, and we are not liable for any costs beyond those defined in the policy. The services are provided subject to the terms of the policy and applicable Indian laws.

What are the geographic coverage and utilisation limitations of ASHA?

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The benefits under ASHA can be utilised up to a maximum of two times during the policy period within India. The cover ceases once the covered family members have claimed for ambulance services two times.

Are there any waiting periods or clauses related to policy cancellation?

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Expenses related to ambulances for any illness within 30 days from the first policy commencement date are excluded, except for claims arising due to an accident. The waiting period does not apply in subsequent renewals. Both the company and the insured have provisions for cancellation with specific conditions and return of premiums.

Role of Ambulance Services

Emergency Response

Emergency Response

  • Ambulance services play a critical role as the first responders in medical emergencies by providing timely and specialised medical care to individuals in need. These services are equipped with skilled paramedics and necessary medical equipment to assess, stabilise, and transport patients to healthcare facilities.
  • Ambulance crews are trained to deliver initial emergency medical interventions, such as CPR, wound care, and administering vital medications, in order to improve the chances of survival and optimise patient outcomes. The swift response and immediate medical attention provided by ambulance services are essential in addressing a wide range of medical emergencies, including traumatic injuries, cardiac events, and other life-threatening conditions.

Patient Transportation

  • Ambulances play a vital role in safely and swiftly transporting patients to hospitals by providing a mobile medical environment with skilled healthcare professionals. The vehicles are equipped with medical equipment and technology to monitor and stabilise patients during transit. This ensures that patients receive critical care en route to the hospital, maximising their chances for a positive outcome upon arrival.
  • Ambulance crews are trained to assess patients' conditions and provide necessary medical interventions, such as administering medications and providing life support, all while en route to the hospital. This timely and specialised transport is essential, particularly for patients with critical injuries or medical conditions, where every minute can significantly impact their prognosis.
Patient Transportation
Life-saving Interventions

Life-saving Interventions

  • Ambulance personnel are trained to provide basic medical care on-site, often serving as the first point of contact in medical emergencies. Equipped with essential medical tools and supplies, they can quickly assess a patient's condition, administer first aid, stabilise injuries, and provide life-saving interventions such as CPR.
  • Their ability to rapidly intervene and deliver initial medical care can greatly impact patient outcomes and improve the chances of survival before the patient is transported to a medical facility for further treatment. This capability to provide immediate medical attention on-site is crucial in addressing a wide range of medical emergencies, ensuring that patients receive the essential care they need from the moment help arrives.

Frequently Asked Questions

How do ambulance services act as the first responders in medical emergencies?

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Ambulance services serve as the initial point of medical care in emergencies by providing timely and specialised medical attention to individuals in need.

What is the role of ambulances in safely and swiftly transporting patients to hospitals?

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Ambulances play a crucial role in securely and expeditiously transporting patients to hospitals, offering a mobile medical environment staffed by skilled healthcare professionals.

How do ambulance personnel provide basic medical care on-site?

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Ambulance personnel are trained to administer first aid, stabilise injuries, and provide life-saving interventions such as CPR, delivering immediate medical attention at the site of an emergency.

Types of Ambulance Services

Emergency Medical Technicians

Basic Life Support (BLS) Ambulances

  • Basic Life Support (BLS) ambulances are specially equipped vehicles designed to provide rapid emergency medical care and transportation to individuals who are injured, ill, or in need of medical attention. The purpose of BLS ambulances is to offer basic, immediate medical care to stabilise patients and transport them to a medical facility.
  • BLS ambulances are typically staffed by emergency medical technicians (EMTs) or paramedics who are trained to administer basic medical interventions such as CPR, wound care, immobilisation of fractures, and basic airway management. These ambulances are equipped with essential medical equipment such as oxygen supplies, AED (automated external defibrillator), and basic medical supplies to manage various medical emergencies.
  • The primary capabilities of BLS ambulances include responding to medical emergencies, assessing and stabilising patients, providing basic life-saving interventions, and safely transporting patients to hospitals or other healthcare facilities for further treatment.

Advanced Life Support Ambulances

  • Advanced Life Support (ALS) ambulances are equipped to provide a higher level of medical care compared to Basic Life Support (BLS) ambulances. These ambulances are staffed with paramedics who have advanced training in a wide range of medical interventions, including the administration of medications, advanced airway management, cardiac monitoring, and other advanced medical procedures.
  • ALS ambulances are equipped with sophisticated medical equipment such as cardiac monitors, defibrillators, advanced airway management tools, and a wider array of medications to manage complex medical emergencies. Paramedics in ALS ambulances are trained to assess and manage critical patients, provide advanced cardiac life support, administer medications, and perform interventions to stabilise patients with severe medical conditions or trauma.
  • The primary purpose of ALS ambulances is to provide advanced medical care and interventions at the scene of medical emergencies and during transportation to medical facilities. These ambulances play a crucial role in the provision of comprehensive pre-hospital medical care for critically ill or injured patients.
Advanced Life Support Ambulances

Frequently Asked Questions

What is the primary purpose of Basic Life Support (BLS) ambulances?

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The primary purpose of BLS ambulances is to provide rapid emergency medical care and transportation to individuals who are injured, ill, or in need of medical attention. These ambulances are equipped to offer basic, immediate medical care to stabilise patients and transport them to a medical facility.

What are the primary capabilities of Advanced Life Support (ALS) ambulances?

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ALS ambulances provide a higher level of medical care than BLS ambulances. They are staffed with paramedics trained in advanced medical interventions and equipped to assess and manage critical patients, provide advanced cardiac life support, administer medications, and perform interventions to stabilise patients with severe medical conditions or trauma.

Who staffs Basic Life Support (BLS) ambulances, and what kind of care do they provide?

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BLS ambulances are typically staffed by emergency medical technicians (EMTs) or paramedics who are trained to administer basic medical interventions such as CPR, wound care, immobilisation of fractures, and basic airway management. They provide immediate medical care and transportation to stabilise patients and transport them to a medical facility.

What type of medical personnel staff Advanced Life Support (ALS) ambulances, and what level of care do they provide?

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ALS ambulances are staffed with paramedics who have advanced training in a wide range of medical interventions. They are trained to assess and manage critical patients, provide advanced cardiac life support, administer medications, and perform interventions to stabilise patients with severe medical conditions or trauma. These paramedics are equipped to deliver a higher level of medical care compared to BLS ambulances.

Ambulance Personnel

Emergency Medical Technicians

Emergency Medical Technicians (EMTs)

  • Emergency Medical Technicians (EMTs) undergo training that focuses on developing fast decision-making, problem-solving, empathy, effective communication, and good listening skills. Eligibility for undergraduate EMT courses typically requires a high school diploma or equivalent, with some programs having additional requirements. The training equips EMTs with the necessary skills and knowledge to handle medical equipment for patient care.
  • Responsibilities of EMTs include providing emergency medical care, transportation of patients to healthcare facilities, and completing various training programs such as CPR and First Aid. The course prepares personnel with a minimum B.Sc. qualification background, and successful completion leads to accreditation as a medical technician.

Paramedics

  • Indian paramedics undergo various diploma courses that cover a range of topics, such as rural health care, anaesthesia, X-ray technology, medical laboratory technology, and emergency medical services. These courses typically have durations ranging from 2 to 3 years with associated fees. Additionally, there are internationally affiliated paramedic programs and certificate courses in emergency medical care available in India. The training equips paramedics with the necessary skills and knowledge to handle medical equipment and provide emergency medical care, making them vital healthcare professionals in the Indian medical system.
Emergency Medical Technicians

Frequently Asked Questions

What training do Indian Emergency Medical Technicians (EMTs) undergo?

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Indian EMTs undergo training that focuses on fast decision-making, problem-solving, empathy, effective communication, and good listening skills. The training equips them with the necessary skills and knowledge to handle medical equipment for patient care.

What are the responsibilities of Indian Emergency Medical Technicians (EMTs)?

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Indian EMTs are responsible for providing emergency medical care, transporting patients to healthcare facilities, and completing various training programs such as CPR and First Aid.

What qualifications do Indian Emergency Medical Technicians (EMTs) need?

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Indian EMTs typically need a minimum B.Sc. qualification background, and successful completion of their training leads to accreditation as a medical technician.

What medical training do Indian paramedics receive?

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Indian paramedics undergo diploma courses covering topics such as rural health care, anaesthesia, X-ray technology, and emergency medical services, equipping them with the necessary skills and knowledge to handle medical equipment and provide emergency medical care.

What are the responsibilities of paramedics?

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Paramedics play crucial roles in providing emergency medical care and are vital healthcare professionals in the Indian medical system.

Medical Equipment

Medical equipment found in an ambulance typically includes the following.

Basic Life Support (BLS) equipment

  • Oxygen delivery system with masks and tubing
  • Automated External Defibrillator (AED)
  • Basic airway management equipment like bag-valve-mask (BVM) resuscitators and airway adjuncts

Advanced Life Support (ALS) equipment

  • Cardiac monitor/defibrillator
  • Intravenous (IV) supplies and medications
  • Advanced airway management equipment such as endotracheal tubes or supraglottic airways

Trauma equipment

  • Splints for immobilisation
  • Bleeding control supplies such as tourniquets and hemostatic dressings

Other essential equipment

  • Stretcher or gurney for patient transport
  • Portable suction unit
  • Diagnostic equipment like a glucometer and blood pressure cuff

Communication Systems

Communication systems play a crucial role in facilitating coordination between ambulances and hospitals/emergency services. These systems enable real-time information exchange, enhancing the efficiency and effectiveness of emergency medical response. Here's how they facilitate coordination.

Dispatch Integration

Communication systems allow ambulance crews to receive dispatch information, including patient details, location, and nature of the emergency. This integration ensures that the nearest and most suitable ambulance is dispatched promptly.

Medical Consultation

Advanced communication systems enable paramedics to consult with physicians or medical control facilities. This consultation can help in making critical decisions regarding patient care, especially in complex medical cases or when dealing with multiple casualties.

Transmitting Patient Data

Communication systems allow for the transmission of vital patient data, such as vital signs, ECG readings, and injury information, to the receiving hospital. This pre-arrival notification helps the hospital prepare the necessary resources and personnel for the incoming patient.

Traffic and Routing Information

Real-time communication systems provide traffic and routing information to ambulance crews, helping them navigate congested areas and choose the fastest routes to hospitals. This leads to reduced transport times, especially in urban areas.

Status Updates

Communication systems enable ambulance crews to provide status updates to hospitals regarding their en-route progress, allowing hospitals to better manage their resources and prepare for incoming patients.

Inter-agency Coordination

Communication systems facilitate seamless coordination between different emergency services, such as fire departments, law enforcement, and EMS agencies. This collaboration is essential during major incidents or mass casualty events.

Vehicle Features

Vehicle safety features and modifications for patient comfort in Indian ambulances are crucial for providing effective medical care during transportation. These features and modifications may include the following.

Safety Features

Incorporation of essential safety features such as airbags, speed limiters, ABS, and Electronic Stability Program (ESP) to ensure the safety of patients and medical staff during transit. Design modifications to improve occupant restraints and ensure secure seating arrangements for both patients and medical personnel, reducing the risk of injury during transport.

Patient Comfort

Ergonomic interventions in the ambulance van space to enhance patient comfort during transportation, ensuring a more comfortable experience for the patient. Modifications are designed to ease the physical workload of responders, contributing to a more favourable environment for both patients and medical staff.

Equipment and Telemedicine

Integration of telemedicine capabilities and medical equipment geared toward providing essential care and monitoring during transit, enhancing the level of care provided to patients while en route to medical facilities.

Frequently Asked Questions

What are the essential medical equipment found in an ambulance?

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Essential medical equipment in an ambulance includes oxygen delivery systems, defibrillators, airway management equipment, cardiac monitors, intravenous supplies, trauma equipment, and diagnostic tools.

How do communication systems facilitate coordination with hospitals and emergency services in ambulances?

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Communication systems enable real-time information exchange, allowing ambulance crews to receive dispatch information, consult with physicians, transmit patient data to hospitals, receive traffic and routing information, and coordinate with other emergency services.

What are the vehicle safety features and modifications for patient comfort in Indian ambulances?

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Vehicle safety features and modifications in Indian ambulances may include the incorporation of safety features such as airbags, speed limiters, ABS, and ergonomic interventions to enhance patient comfort during transportation.

How to Claim Shri Ambulance Service for Hospital Assistance Insurance

Here’s how to get in touch with our Claim Help Desk and initiate your claim.

Step 01
tele_support

Contact our customer care by calling the toll-free numbers 1800-103-3009 or 1800-300-30000. You can also send an email to chd@shriramgi.com with the loss details.

Step 02
Obtain a Claim Intimation Number

Obtain a Claim Intimation Number for your loss from the help desk.

Step 03
Submit all the relevant documents

Submit all the relevant documents as instructed by the help desk to ensure fast settlement of your claim.

Frequently Asked Questions

How can I inform the Claim Help Desk about a loss?

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You can inform the Claim Help Desk about a loss by calling the toll-free numbers 1800-103-3009 or 1800-300-30000, or by emailing the details to chd@shriramgi.com.

What should I do after contacting the Claims Help Desk?

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After contacting our customer care, you should obtain a Claim Intimation Number for your loss and submit all the relevant documents as instructed to facilitate fast settlement of your claim.

How can I ensure fast settlement of my claim?

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You can ensure fast settlement of your claim by promptly submitting all the necessary documents as per the instructions provided by the Claims Help Desk.

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