Ways to Prevent Your Health Insurance Claims from Getting Rejected

The importance of having a health insurance is rising by each passing day. With the cost of medical bills rising, and with a pandemic creating a huge impact on the lives of people, having a health insurance policy is becoming more important.

However, on purchasing a health insurance plan, there are certain things you must keep in mind. The failure to adhere to such rules may result in your claim requests getting rejected. We will have a look at the methods you must follow in order to ensure your claim request is not rejected by the insurance company.

  • Waiting period: When you purchase an insurance policy, there is a waiting period during which you cannot file a claim. The waiting period is for generally 15 days. In case of pre-existing diseases, the waiting period may range between two and four years during which you cannot file a claim to cover the cost of the treatment of the pre-existing disease. In case you file for a claim during the waiting period, the claim will be rejected.
  • Not informing the insurance company of any pre-existing diseases: In case you suffer from any pre-existing disease, you will have to inform the insurance company about it during the application process. If you fail to do so and later file a claim request to meet the cost of the treatment of the disease, the insurance company will reject your claim.
  • Exclusions: Before availing a health insurance policy, always check the exclusions under it. For example, on getting a dental treatment, the insurance company will not cover the cost incurred by you. Similarly, always check the conditions or diseases not covered under the policy before deciding whether to avail it or not.
  • Not submitting proper documents: During the claim process, make sure you submit all the necessary documents including the bills and receipts. Failure to submit correct documents will reject in your claim request getting rejected.
  • Delaying the filing of your claim: Do not delay in filing your claim. Health insurers maintain that the claim must be filed between 7 and 14 days since the treatment began. Any delay in filing the claim request beyond the specific time period will result in the insurer rejecting your request.

GST rate of 18% applicable for all financial services effective July 1, 2017.

Disclaimer: Premiums may vary depending upon factors like age, location and prevailing taxes/GST.

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