Search

eSewa Care | Claim Process

  • 134 Likes
eSewa Care | Claim Process

Introduction

eSewa Care is a healthcare package tailored to offer financial security and easy access to essential health services. Developed in collaboration with Himalayan Everest Insurance (HEI) and various healthcare service providers, eSewa Care provides the coverage of 230,000 Rs at just Rs 360 a year.

Insurance Coverage

Following are the risk coverage under eSewa Care:

  1. Hospital bed charge coverage up to Rs. 10,000, at a rate of Rs. 1,000 per day.
  2. Death & Disability up to Rs. 120,000/-
  3. Accidental Medical Rs. 100,000/-

Other benefits

In addition to insurance coverage, eSewa Care purchasers can enjoy discounts of up to 30% at various healthcare service providers across the country. With collaborations with over 40 service providers, eSewa Care ensures that its customers receive added value and savings on healthcare services.

Our Clients:     

And many more….

Claim process:

  • Claim segregation:
  1. Accidental Treatment: Up to Rs. 100,000/-
  2. Hospital Bed Charge: Up to Rs. 10,000/- (per day Rs. 1,000/- for 10 days)
  3. Accidental Death: Rs. 100,000/-
  4. Funeral Expenses: Rs. 10,000/-
  5. Funeral Transportation: Rs. 10,000/-

Note: Claims for bill amounts of accidental insurance less than Rs. 2,500/- will be reimbursed up to Rs. 1,000/-. This is applicable to school students and teacher only.

Required Documents:
a. Claim Form:will be provide after contacting eSewa/Himalayan Everest Insurance

b. Accidental Treatment:

  1. Doctor’s prescription
  2. Hospital Card
  3. Payment bills
  4. Police report (in case of Road Accident)

c. Hospital Bed Charge:

  1. Hospital admission document
  2. Discharge summary
  3. Payment bills

d. Accidental Death, Funeral Expenses & Funeral Transportation:

  1. Death certificate
  2. Police report (in case of Road Accident)
  3. Payment bills

        Note: Original documents are required for the claim process.

  • Terms & Conditions:
  1. Only treatment carried out in hospitals will be eligible for claims.
  2. Claim can be requested only after 24 hours of the purchase.
  3. Must notify within 35 days of the accident.
  4. Can be purchased from Age 2 years to 60 years only.

Note: Every hospital, that are legally registered under Nepal Government will be counted for the claim.

  • What is not covered in Accidental & Hospitalization Insurance?
  1. Pre-existing disease treatments are not covered.
  2. Complications of pregnancy, miscarriage, abortion birth control sterilization, or infertility treatment.
  3. Mental or nervous breakdown, congenital or heredity defects or conditions such as HIV/AIDS or any sexually transmitted disease, alcoholism or substance abuse self-inflicted injury suicide or any attempt, and organ transplants elective surgery.
  4. Prostheses cosmetic plastic or reconstructive surgery unless it results from an insured accidental injury.
  5. Hospital expenses incurred outside of Nepal.
  6. Routine eye tests dental treatment or other examinations and/or tests not incidental to treatment or diagnosis of an insured injury sickness or disease.
  7. Hospitalization expenses incurred outside of Nepal.
  8. Hospitalization expenses incurred for any person over the age of sixty (60).
  • Claim Process:
  1. Customer needs to contact eSewa/HEI
  2. Fill up the claim form
  3. Provide requested documents
  4. eSewa/HEI will verify the documents
  5. HEI will provide the claim amount within 10-15 working days after receiving all the requested documents.

    Enjoy Up to 35% discount

         

Merchant Name

Offers

Location

Cistron Diagnostic Reliable Lab Pvt. Ltd.

10% discount on all Services

Biratnagar

Neuro Cardio & Multispecialty Hospital Pvt. Ltd.

10% discount on all services

Biratnagar

Madhyapaschim Dental Lab and Clinic

Up to 20% discounts on dental care and lab

Birendranagar

National Path Lab

10% off in Lab test

Butwal

Tilottama Physiotherapy Clinic

25% discount

Butwal and Tilottama

Bharatpur Samudayik Hospital

10% Discount on all facilities

Chitwan

Cassi Sports and Recreational Center Pvt. Ltd

10 % discount on all sports

Chitwan

Chitwan Himal Dental Pvt. Ltd.

20% discount on all service

Chitwan

Power House Gym

20% discount on all services

Chitwan

Raj Barber and training center

20% discount on services

Chitwan

B.R Dental Hospital

Up to 15% discount

Dang

Chinari Hospital Pvt. Ltd. 

Up to 10%* Discount in CT SCAN, Pharmacy and OPD

Dang

Swostik Multispecialty Hospital Pvt. Ltd

15% discount on Operation Services, Diagnosis Services, LAB, X-Ray, USG, ECG, ABP, Holter, Physiotherapy & Bed Charge Services.

Dhangadhi

5% Discount on Pharmacy.

Farwest Fitness and Training Center

20% discount on all package

Dhangadi

Dirgayu Physiotherapy Center

Free Consultant

Ghorahi

Up to 15% Discount on all physiotherapy services.

Janakpur Health Care and Teaching Hospital 

10% discount on Bed Charges

Janakpur

10% discount on all procedures

10% discount in Lab

Janakpur Netralaya Pvt. Ltd.

10% on OPD, Optical & Medicine

Janakpur

15% on OT

Mangalam Diagnostic Center Janakpur

 20% on all Laboratory Test

Janakpur

Rishika Health Care Pvt. Ltd.

·        

Janakpur

Malwara Polyclinic

5% to 15% Discounts on Fees

Kailali

Civil Human Hospital 

10% Discount in OPD Charge

Kathmandu

10%-15% Discount in Lab charge

20% Discount in Service Charge

10% Discount in Consultant charge

5% Discount in Medicine

Aakar Dental Clinic

20% discount on all services

Kathmandu

Vatsalya Health Care

Rs. 15,000 Discount on IVF

Kathmandu

Sowa Health Care

30% Discount

Ekantakuna, Lalitpur

Mahakali Dental Hospital 

25% discount on all dental services

Mahendranagar

Pant Chasma Pasal

20% on eye checkup

Nepalgunj

Physio Care, Pain Relief and Rehabilitation

25% off on Physiotherapy

Nepalgunj

Pharmacy Sewa

Up to 10% Discount on Pharmacy Items

Pokhara

West Valley Medical Clinic

Up to 20% discount on Hair transplants

Pokhara

Up to 30% Discount on Hair treatment, Skin procedures & Dental services

Birendranagar Denteal Care Home 

Up to 20% discounts on dental care

Surkhet

Karnali care international hospital and research

5% to 35% Discount on all their services

Surkhet

Upakar Dental Clinic

20% discount on all services

Syangja

Waling Oral and Dental Care Clinic

10% on Dental Scaling and Dental Normal Filling

Syangja

Sudurpaschim Dental Care Home   

15% discount on all dental services

Tikapur, Kailali

Everest Dental Clinic

5% discount on all dental services and consulting

Tikapur,Kailali

Fit Life –The Ultimate Fitness Club

5% to 15% Discounts on Fees

Tikapur,Kailali

Swargadwari Dental Hospital Pvt. Ltd.

Up to 10% Discount on all Dental Services.

Tulsipur

Godawari Hospital Pvt. Ltd.

10% discount on all Services

Urlabari

Itahari Medical & Swasthya Upachar Clinic Pvt. Ltd

10% Discount on all services

Itahari, Sunsari

Pashupati Model Hospital Pvt. Ltd.

15% Discount on all services

Itahari, Sunsari

Abhaya Dental Clinic

Free OPD Services

Itahari,Sunsari

50% Discount on X-ray

15% Discount on Dental Procedures

Sayapatri Dental Clinic

20% Discount on all Services

Urlabari, Morang

Galaxy Hospital Pvt. Ltd.

15% Discount on Bed Charge

Buddha Chowk, Pokhara

15% Discount on all services 

15% Discount on Lab Tests

URL Healthcare 

20% OFF on Lab Tests

Gandaki Hospital Chowk, Pokhara 

5 - 7% OFF on Pharmacy

10% OFF on Dental 

 

Kaski Sewa Hospital & Research Center Pvt. Ltd.

5% OFF on Bedcharge and Investigation

Pokhara 12, Hospital Chowk, Kaski

10% OFF on ICU

Better Health Clinic

50% OFF on OPD

Bharatput 10, Clinic Chowk, Chitwan

5% OFF on Pharmacy

10% OFF on Lab Tests

5% OFF on Outsourced Tests

Janakpur Trauma Hospital

20% OFF on OPD

Brahmarpura Chowk, Parikrama Sadak, Janakpur

5% OFF on Pharmacy

50% OFF on Implants

10% OFF on all other services

FREE Bone Mineral Density for patients above 50 years