Unpredictability is perhaps one of the most unavoidable facts of life. No matter how hard you try to stay away from unfortunate events or bad incidents, it may come your way if it’s bound to happen. This is the reason why people desirous of higher levels of security go for insurance policies; so that they can remain a little bit assured about their future, and provide some decent level of financial protection to their near and dear ones. Health Insurance Claim Process is quite easy and you should know the way to claim that’ll beneficial for you.
The terms and conditions related to any insurance policy, be it life insurance or medical insurance, are quite complicated and difficult to understand for a common person. So, it becomes equally important to know the process of making a claim against an insurance policy. For this reason, we have noted down some of the basic steps that you need to follow in order to make/ file a claim against an insurance policy.
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What do You Need to Do?
- When making an insurance claim, the first thing that you need to ensure is that you must have each and every document related to the policy; such as receipts of the money deposited, insurance papers, and so forth, close at hand.
- Once you have all the documents ready, you have to report the happening to the police. Happenings here refer mostly to incidents like accidents, theft, robbery, death due to illness, etc. For example, if you have accidental insurance in place and you happen to meet with an unfortunate event that causes injury/ death, then you/your nominee has to report the happening to the police at the earliest.
- Don’t forget to get a copy of the report that you have filed at the police station; otherwise, your claim will not be accepted. Now, before you approach the insurance company, go through the entire terms and conditions mentioned in the policy document, in case you haven’t before.
- Once you are prepared from your side, it is time to contact the insurance company. You can either call them up on their toll-free or emergency numbers, or visit their company office in person, and provide a brief description of the event that has happened and the claim that you would want to make against your plan.
- You can also call up the broker who sold you the insurance policy. Brokers are usually more willing to help than the insurance company itself–especially when it comes to offering help with regards to claiming an insurance policy. They can offer good advice or suggestions for such events.
- Take a quick look at the excess amount that you need to dole out from your pocket before making a claim. Know how much money you will get from the insurance policy after deducting the applicable fees.
- During these processes, make it a point to keep a note of every conversation that you have had with the insurance agent or an employee from the insurance company. Along with the date and time, note down the name and respective position of the concerned officer in the company. Maintaining a written record will help you keep track of all proceedings.
Get Aware of Health Insurance Claim Process
We all know about the claim process, but in “Get Aware of Health Insurance Claim Process” the significant line is drawing a sketch of proper utilization of claim options. It is said that there is a right way to do every work and the work done within the line that scope benefits you in many ways. Let, ‘s suppose what if you get hospitalized and you don’t know the appropriate process to file a claim? In such a situation, you will pay attention to the life of the patient and not your money and you will also pay money while admitting the patient to the hospital. While, in this case, there is no need to pay even a single penny, all you have to do is just check that particular hospital is a network hospital by your insurance company or not.
If the hospital is connected with your insurance company, then you have to claim for cashless hospitalization and if the hospital is not connected with your insurance company then you have to claim for a reimbursement option. Utilizing the claim option in a proper way. will make things easy for you and that’s why you should be aware of the Health Insurance claim process.
Claim Process for Health Insurers from Multiple Insurers.
As per IRDA new norms, if any customer wants to buy multiple health insurance then he is open to buying multiple policies for himself, but the question is how will the customer claim for both the insurance policies so that things are in his best interest, i.e. neither of his claims is rejected. Look, getting claim approval is not as easy as buying a health policy, you need to understand how will you claim that both claims will be approved by the insurer company. In this claim process, you have to claim for a cashless hospitalization service from an insurance company so that you can get the claim approved from one side.
On another side, you have to claim for reimbursement and you have to submit the bills of hospital and medical bill, it’ll take at least 10-15 days to clear the claim and in the disbursement of the amount.
The claiming processes for all insurance companies are almost the same. File the claim without wasting any time and always provide the exact and correct details in order to avoid any hiccups. This increases the possibility of your claim getting accepted.