Medical Insurance


In today’s stress inducing environment there is a visible spike in  severe and critical health problems in the country’s population. We can never be sure of our health and safety but we should be sure of the preparation for the worst.  It is necessary that we know in case life gives us lemons and we end up in a hospital, how we can make such a situation better by using health insurance policies. Just knowing that your money is growing in an insurance policy is not nearly enough to ensure our financial and mental stability when our physical health is not doing the best. It is essential that we reap the benefits of the policy we have invested our hard earned money in, in case of an actual emergency, like a possible hospitalisation.

 

There two types of claims according your chosen policy, it either be a cashless claim or a reimbursement claim

  • For reimbursement claims, Initially, the insured person pays the required bills to the hospital, so that they can reimburse  the amount later through a medical insurance claim. There are a few tidbits to know- some hospitals are on the policy network and some aren’t , so make sure to enquire about that beforehand. It is suggested that you enquire about your policy coverage as well so you know the limits the policy insures you health as well as waiting periods for reimbursements, so you can file the claim in the specific time limit.

Accurate documentation is absolutely necessary while trying to file the claim so, make sure to have a record of the following

  • A duly filled claim form provided by your policy provider.
  •  A record of ALL the medical reports, bills, and payment receipt that to be attached with the form. Your diagnostic test reports are extremely essential for the company to ensure that the treatment is covered within the policy bounds.
  • Your discharge summary is also to be provided to your policy prover.
  • Lastly, your policy membership details, document and your id proof is essential to complete the documentation process

 

Proceeding, you should keep a track of your claim review, you would usually get a notification from your policy provider if your claim is eligible for reimbursement ornot, and they may ask you for additional details. If in case the claim is accepted you receive the claimed amount in your registered bank account.

 

  • For cashless claims, make sure the hospital is on the network- or panel- of your policy provider. Inform your insurer company of the hospitalisation in advance so they can initiate your claim process. As you proceed with the hospitalisation process keep submitting the necessary documents to your policy provider or as the policy rules require you to. 

 

Filing for health insurance claims is a tedious and meticulous process but it is important to keep a record of every aspect as you proceed with your claim. Make sure to read your policy details thoroughly to be able to claim your insurance benefits in a smooth and hassle free manner. For better effectiveness, keep in mind to keep the communication clear and timely with your policy provider and don’t be afraid to reach out to your service provider.

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