Important Documents to Keep Handy While Claiming Health Insurance

Know what are the Documents Required to have a smooth Claim Process

Most of us feel secure when we buy a health insurance policy as it protects us against an unforeseen event. But, we only value a health insurance policy at the time of making a claim. There can be situations when the claim can be rejected maybe when the health insurance policy has lapsed, in case of non-payment of the insurance premium, and so on. 

A health insurance claim is a process in which the policyholder requests the insurer to get the benefits of a health insurance plan in case of medical exigency. This process can be done in either by cashless treatment or reimbursement. There is a procedure to file a claim. If you are well-informed about the health insurance claim process, then it is not at all a hassle. All you need to do is to inform  your hospitalization to customer support team within a specified timeframe along with the required documents. 

Care Health Insurance has a convenient claim settlement process. The process can be even done online by visiting the official website of our company. We have vast cashless healthcare providers of more than 21,100+ where we have successfully settled 95.2% of insurance claims. We offer a simple and quick claim procedure. 

In this article, we will tell you what are the documents required for insurance claim if you have a health insurance policy from Care Health Insurance. 

Documents Required for Making Health Insurance Claim

Mentioned below is the list of documents that are required to make the health insurance claim process for reimbursement claim:

• Duly completed original claim form along with your signature
• Valid identity proof
• Doctor’s prescription recommending hospitalization
• Doctor’s prescription advising medicines, diagnostic tests, and consultation
• Original pharmacy bills
• First Information Report(FIR), if applicable
• Policy details that includes the name of the insured, policy number, illness and address
• Indoor case papers
• Ambulance receipt
• Any other document required to assess the claim, in case of any fraud 

Other documents required for cashless facility

• Submit the pre-authorization form
• Valid identity proof along with your photograph
• Documents such as voter identity card, PAN card, Aadhar card and driving license

The claim form and the documents should be sent to our claim management team.

Claim Process for Cashless Treatment

You can get a cashless facility at more than 21,100+ cashless healthcare providers across the country. Find a network hospital where you can avail cashless treatment.You need to abide by the following steps:

• Get the pre-authorization form available at the hospital's insurance / TPA Desk
• Send it to the customer support team
• You will get an approval letter after verification
• For further any query from the claim management team, you or the hospital staff must respond to it.
• You can carry on your treatment as per the doctor's advice and file for a reimbursement claim a cashless request gets rejected.

Claim Process for Reimbursement 

In case of an emergency, the policyholders  have to bear the medical expenses from own pockets. But, they can file for the reimbursement right after the discharge. This facility is helpful when an individual gets treatment at a non-network hospital. 

You need to abide by the following steps:

• Submit a claim form along with required documents, as per the policy terms & conditions
• You will receive an approval letter sent by the claim management team
• Insured to respond to the query raised by the claim management team
• The team will communicate the reason in case of rejection

Conclusion

The insured should not delay in making the claim as any delay in the intimation may reject the claim.

 Make sure that all the facts are handy in the chronological order and the information provided is correct. Also, keep your policy details and personal details handy with you. All the documents should be handy, as the absence of any document may cause a delay in the claim process. 

It is crucial to follow the guidelines mentioned in your health insurance policy to be sure that your money does not go waste.

Disclaimer: Plan features, benefits, coverage, and underwriting of claims are subject to policy terms and conditions. Please refer to the brochure, sales prospectus, and policy documents carefully.