Letter to Insurance Company for Planned Hospitalization Medical Claim

To,
Manager,
____________ (Name of the Insurance Company)
____________ (Address)

Date: __/__/____ (Date)

From,
____________ (Name of the Applicant)
____________ (Address)

Subject: Medical Claim Policy No. _________ (Policy Number)

Sir/Madam,

My name is ___________ (Name of the Applicant) residing at  ______________ (Address Line). I am a beneficiary of one of your medical insurance policies offered by your company worth _____________ (Mention the Amount/Package).

I am hereby writing to inform you that I was recently diagnosed with ________________ (Mention the diagnoses), and I want to claim my medical for planned hospitalization.

Following are the details pertaining to the medical claim:

Name of the Insured:
Policy Number:
Name of Hospital:
Initiation Date:
End Date (If Any):
Premium Paid:

I request you to have a look at the application and give me a response at the earliest at the below-given contact details. I hereby enclose the Planned Hospitalization form, Prescription, Procedure Documents, Bill Estimate, ID/Address Proof, and _________ (any other supporting documents)

Thanking you for your time.
Faithfully/Sincerely,
_____________ (Name of Applicant)
_____________ (Contact Number of the Applicant)
_____________ (Email)

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