For Other Claim
For Covid-19 Claim
कोविड दावीको लागी आवश्यक कागजातहरु
कोविड दावी फारम FAQs Right Share Eligibility Check
For Claim Intimation / Claim registration:
Claim Registration:- 9801237717 & 9802336465
(Niraj Shakya, Saroj Kumar Singh & Amir Kumar Bista)

For Commercial Vehicle Claim:
Screening & Processing:- 9801237718 & 9802320819
(Siumal Kumar Shahi, Deepu Khadka & Ajay Banjade)

For Private Vehicle Claim:
Screening & Processing:- 9802320818
(Sunil Luhar & Babi Shree Rayamajhi)

For Motorcycle Claim:
Screening & Processing:- 9802320821
(Pabitra Nepal)

For Viber/Whatsapp & Fast Track Related Claim:
9801235128 (Only For Messages & Documents)
Covid - 19 Claim

Email: covid@shikharinsurance.com

Akash Bhat - 9802320830
Daruin Joshi - 9802336451
१ बीमालेखको प्रति
२ पूर्ण रुपले भरेको दावी फारम
३ होम आइसोलेसनमा बसेको खण्डमा स्थानीय निकायबाट प्रमाणित कागजात
४ अस्पताल र / वा क्वारेन्टिनमा बसेको खण्डमा डिस्चार्ज सिट
५ नेपाल सरकारको आधिकारिक परिचयपत्र जस्तै नागरिकताको प्रतिलिपि
६ पिसीआर रिपोर्टको सक्कल प्रति
७ उपचारको खण्डमा सो को बिल र / वा नगदी रसिदको सक्कल प्रतिहरु
  • Location - Head Office

    Shikhar Biz Centre,Thapathali,
    Kathmandu,Nepal
  • Working Hours

    9:30-5:30pm (Monday-Friday)
  • Phone No.

    01-5346101 (Head Office)
    01-5970010 (call center)
health-insurance
health-insurance

Health Insurance

Health Insurance covers a whole range of expenses and offers Cashless Treatments in 28 listed hospitals in Nepal and over 4,000 hospitals all over India. In case the hospital is a part of the provider network, a cashless facility will be granted otherwise, reimbursement facilities will be applicable. It can be taken by individuals, couples, families, and corporate employees.

The benefits of this insurance are:

  • In-Patient Treatment (Hospitalization)
  • 150 Day Care Procedures/Treatments
  • From 30 Days Pre-Hospitalization Medical Expenses
  • To 60 Days Post–Hospitalization Expenses
  1. In-Patient Treatment (Hospitalization)

Covers hospitalization expenses incurred as an in-patient in a Hospital which will include:

  • Room, Boarding and Operation Theatre charges
  • Fees of Surgeon, Anesthetist, Nurses, Specialists
  • The cost of diagnostic tests, medicines, blood, oxygen, appliances like pacemakers, artificial limbs and organs, etc.

Conditions:

  • In-Patient Treatment requires hospitalization for a minimum period of 24 hours and an IV should be open.
  • And more.

2. Day Care Procedures/Treatments (Hospitalization less than 24 hrs.) 

Due to the advancement of technology, hospitalization expenses for certain treatments/diseases (150 daycare surgeries) are covered even though the hospitalization is for less than 24 hours.

Conditions:

  • Should be OT treatment.
  • And more. 

Some of the treatments covered are:

  1. Cardiac catheterization
  2. Cataract
  3. Oral Chemotherapy
  4. Dialysis
  5. Dilation and Curettage
  6. Eye Surgery
  7. Hernia Repair
  8. Lithotripsy (Kidney Stone)
  9. Radiotherapy
  10. Tonsillectomy, and many more. 

3. Pre-Hospitalization and Post-Hospitalization Expenses

  • Pre-hospitalization Medical Expenses incurred by the Insured for a 30-day period immediately prior to Hospitalization
  • Post-hospitalization Medical Expenses incurred by the Insured for a 60-day period immediately post Hospitalization.

Exclusions

  1. Permanent Exclusions
  2. 4 Years for Pre Existing Diseases
  3. 2 Years Waiting Period for Certain Treatment
  4. Medical Expenses Incurred Within 30 Days of Inception of the Policy
  5. Non-medical expenses (i.e. Sanitary napkins, towels, toothbrush, birth certificate, thermometer, etc.)
  6. Ambulance Charges
  7. Higher Category Room (i.e. suites, however, this does not apply to single standard AC Room/ Cabin)

 

Issued Date: 2013-07-19

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