When writing a letter to request health insurance reimbursement, it's crucial to maintain clarity, politeness, and attention to detail. Begin with a clear subject line indicating the purpose of the letter. Provide personal details, policy number, and relevant information about the hospitalization and claim submission. Clearly state the reason for the reimbursement request and specify the amount to be reimbursed. Attach any necessary documents to support your claim. End the letter with a polite request for reimbursement. Avoid unclear language and ensure all relevant details are included for a successful reimbursement request.
Sample Cover Letter to Insurance Company Requesting Reimbursement
To,
The __________ (Concerned Authority),
________________ (Insurance Company Name),
________________ (Address)
Date: __/__/____ (Date)
Subject: Requesting reimbursement of medical
Respected Sir/Madam,
I would like to state that I am __________ (Name) a permanent resident of ______________ (Address) and I do carry a ________________ (Policy Name – If any) policy issued by your company having policy number _________ (Policy Number) in the name of ____________ (policy golder name).
I would state that on __________ (Date), _____________ (Patient’s Name) got admitted in ______________ (Hospital Name) and was admitted in ____________ (Room Type – Executive/ Simple/ Any Other) room. As per requirement I had already ___________ (intimated / submitted Claim approval request/pre approval authorization) on _________ (Date) with reference number ____________ (Reference Number).
I request you to kindly reimburse a sum of Rs. ____________ (Amount) in my bank account as cashless service was not available at the hospital due to which I had to pay for the bill.
The following are the details of the patient:
Name: _______________
Gender: _______________
Address: _______________
I am hereby attaching ____________ (Medical Card/ ID Proof/ Address Proof/ Bill/ Form Attested by Hospital – Any other document if applicable).
Respected, as I had to pay for the bill, therefore, I request you to kindly reimburse the amount in my account for the bill paid. I shall be thankful.
Thanking you,
______________ (Signature)
______________ (Name),
______________ (Contact Number)
Live Editing Assistance
Live Preview
How to Download, Print, or Share Letter
After writing, you can easily print, email, or save your letter — even share it through WhatsApp.
Need help? See our Live Assistant Help Guide.
Incoming Search Terms:
- Sample cover letter to the insurance company for claim amount reimbursement
- letter to insurance company fo reimbursement of claim amount
Kshitij Tarun