5 Ways to Avoid Medical Insurance Claim Rejection

HEALTH INSURANCE


5 Ways to Avoid Medical Insurance Claim Rejection

Health insurance is an umbrella that protects you and your family in the event of a medical emergency. Where healthcare inflation is continuously increasing, medical treatment costs are becoming unaffordable. This is why you have to be sure that you should make the most out of your mediclaim policy. However, there are situations where your medical insurance claim gets rejected. Therefore, in this blog, you can read how you can avoid claim rejection situations. But, before talking about the claim rejection grounds, let’s first understand the ways how you can get the claim? 

How You Can Get the Claim?

Under your health insurance policy, you can get the claim in two ways-cashless and reimbursement. 

  • In a cashless facility, your bills for pre and post hospitalization, treatment, and medicines directly to the hospital.
  • In case of reimbursement, you get compensation against the expenses you have incurred for your treatment during hospitalization after you submit your medical bills to the claim management team. 

How to Avoid Medical Insurance Claim Rejection?

When you stuck with a medical emergency, the first thing you need is a hassle-free claim settlement. Therefore, read below the ways to avoid the chances of medical insurance claim rejection.

Read Exclusions List

Never ignore the exclusion list. It has all the situations and cases that are not covered under the claim policy according to the guidelines given by IRDAI. Treatment costs for weight reduction, dental treatment, infertility, transmitted diseases, etc. are not admissible for claim. So, make sure you have gone through all exclusions to avoid rejection over your mediclaim.

Furnish Required Bills

This is another common situation where there are chances that your claim gets immediately rejected. You have to furnish all your bills from diagnosis to hospitalization, surgery, medicines, and doctor’s prescriptions to the claim management team for timely claim settlement, failure of which results in claim rejection. Thus, it’s advisable to keep the original and duplicate copies of all the required documents at one place and produce them within the stipulated period for quick claim settlement. 

Intimate within Stipulated Time

Intimation about your hospitalization after stipulated time results in no claim. For smooth claim settlement, it is important to intimate customer support team about your hospitalization along with doctor’s prescription, hospital, and medical bills immediately or within stipulated time. Timely intimation helps you to get the claim easily without any complications.

Never Hide Information about Pre-existing Disease

You should never hide any information about your pre-existing disease. It’s always good to inform about the history of pre-existing disease if any. During scrutiny, your claim can be denied on the grounds no prior intimation about pre-existing disease,

Treatment in Network Hospitals

You are entitled to get the claim only when you hospitalized in the network hospitals. Network hospitals are the pre-approved hospitals. You are not entitled to claim in case if you hospitalized in any non-approved hospital. You can check from the list of network hospitals near to your residence and start your treatment to avail claim.

Bottom line

The skyrocketing medical inflation can burn a hole in your pockets and drain all your savings. A right health insurance policy such as offered by Care Health Insurance protects you and your family during any medical emergency. Check the claim settlement ratio before opting for medical insurance and also read these ways to get the claim timely and stress-free.

>> Also Read Things You Should Remember After Filing Health Insurance Claim

Disclaimer: All plan features, benefits, coverage, and claims underwriting are subject to policy terms and conditions. Kindly refer to the brochure, sales prospectus, and policy documents carefully.

View Our Editorial Policy


GET FREE QUOTE

+91 verified
Please enter a valid mobile number
Please enter a valid Full Name
I have read and agree to the Terms & Conditions
Please select terms and conditions
Get updates on WhatsApp
CALCULATE PREMIUM

Articles By Category

Health Insurance Articles
Family Family
Senior Citizens Senior Citizens
Maternity Maternity
Surgery Surgery
Heart Heart
Tax & Investments Tax & Investments
Lifestyle Lifestyle
Awareness Days Awareness Days
Child Care Child Care
Money Saving Tips Money Saving Tips
Festive Days Festive Days
Covid-19 Covid-19
Travel Insurance Articles
International International
Student Student
Travel Tips Travel Tips
Visa Visa
Passport Passport
Insurance Guide
Health Health
Travel Travel

Secure Your Finances Now!

Get the best financial security with Care Health Insurance!

+91
verified

Reach for us at

Sales:

phone1800-102-4499

Services:

whatApp Icon8860402452


chat_bubble
Live Chat
;