Do's and Don'ts for Easy Claim Settlement !

Awareness about Health Insurance is increasing in India. However, claim settlement is always considered as tedious task to achieve.

In some cases, hospitalization claims are valid, but policyholders had not submitted the necessary documents to the authority concerned, the reimbursement procedure got delayed further. Therefore, basic understanding of the healthcare plan is always essential for an easy claim settlement.

Below is a check-list on the do’s and don’ts that will make health insurance claim settlement procedure hassle-free.

Do’s

• If policyholder opts for cashless hospitalization, then intimate the insurance company prior to getting admitted in case planned hospitalization. Contact your insurer within 24 hours of the hospitalization if there is an emergency.

• Submit all the necessary documents if person is not admitted to a network hospital and still want a reimbursement.

• Give right details while submitting claim settlement application. Share all important details pertinent to the subject matter of the health insurance policy to the insurer in case of pre-existing diseases at the time of proposal. It may increase the premium amount slightly, but make sure that your claim is not repudiated.

Don’ts 

• Fraud claims may lead to advantages being forfeited or cancellation of the insurance plan. In future, no insurer would interest to offer coverage to someone who perceived as dishonest.

• Repeated and small-budget claims will increase premium and eventually, claims start to get disapproved.

• Delay in intimating is the loss to the insurance service provider and it may works against policyholder. Hence, furnish the required documents to file a claim which should be approved easily.

And remember, for each of your hospitalization, I will always be there for you.
Source/Reference: Internet