Steps to File Health Insurance Claim

If you’re lucky then filing claim for your medical insurance plan will be a smooth process. Otherwise, filing claim can be an annoying process for some people. If there isn’t any support from your insurance provider then, it could be problematic for you. There can be situations where cashless facility won’t be provided by the nursing home/ hospital. The incurred hospitalization expenses can be claimed after the patient is either discharged from the hospital or his/her treatment is completed. People buy Mediclaim policies so that they don’t have to face any financial at the time of hospitalization.

If you have to register a medical insurance claim, you should keep all the receipts and set them in a chronological order. You need to get a claim form from your medical insurance provider. After that, you have to prepare Xerox copies of the original form for claim submission, review it and then dispatch all the documents. Before you do that, you are advised to read the fine print of the policy document very carefully. You must keep all the bills, receipts along with the medical reports that you have got at the time of the hospitalization and 30 days before and 60 days after hospitalization. The health facilities availed during this time period which is a part of the treatment, are applicable for the reimbursement.

Here are the details that will help you to understand the claim filing process in a better way.

You can file a claim under a medical insurance plan in the following two ways.

  1. Cashless basis
  2. Reimbursement basis

Cashless Basis- For a cashless basis claim, your need to undergo the treatment specifically at a network hospital that is providing its services to your insurance provider. You’ve to seek authorization for undergoing the medical treatment on a cashless basis according to the laid down procedures in the form. Read the policy documents the moment you get it so that you get familiarized with the process so that filing for a claim becomes a smooth process for you.

Reimbursement Basis- Carefully read the clauses regarding the claims in your insurance document after you get it to make sure that you get the understanding of the procedure as well as the required documents for filing a claim for reimbursement. When you need to file a claim, inform your insurance provider. After hospitalization, make sure that you get all the documents. Once you get all the documents, keep the documents like claim form, prescriptions, discharge summary, bills etc. with care as you need to submit them for filing a claim.

Generally, all the medical insurance claims need to be registered within seven days of discharge or completion of the treatment from any of the network hospital. Keep in mind that health insurance providers won’t pass the claims if any of the documents aren’t in coordination with their terms and conditions.

We hope that now you know what is the process of filing an insurance claim and what are the steps involved in this step.

10 Amazing Benefits of Health Insurance

Indian insurance market offers number of amazing benefits to the policyholders. If you are not covered under a health insurance plan, you will have to pay a penalty in terms of high medical cost at the time of medical emergency.

Let’s see the 10 benefits offered under health insurance plan in India

Benefits under Health Insurance Plan

  1. Outpatient care, which need not the policyholder to be hospitalised
  2. Pre and Post-Hospitalization coverage
  3. Treatment in the hospital for inpatient care
  4. Cashless Hospitalisation Feature
  5. Coverage for new born baby
  6. It offers behavioural health treatment, counselling, and psychotherapy
  7. The medication expenses are also covered
  8. In case the patient needs services or devices that help in recovery during medical emergency, or disability. It provides physical and occupational therapy, speech-language pathology, psychiatric rehabilitation, and more.
  9. It offers preventive health check-up for free, preventive features that include services like counselling, screenings, and vaccines to keep you healthy and care for managing a chronic disease.

Buying health insurance plan from a wider range of insurer and health insurance products is a task. It is always advised to know the given factors before choosing any plan in the market.

Buying Tips for Health Insurance Plans

1.) It should fulfill all your requirements

Read all the details of the health insurance policy it should meet all your requirements. It should fulfill all your needs. There are some specific needs of customers and there are a lot of insurers who provides different benefits and coverage under different policy so make sure you read carefully about the term and condition of the policy provided by different insurers. This will help you to find the right health insurance policy in the market.

3.) Take help from good advisor

This is one of the best things recommended while buying health insurance policy. Make sure you Take help from the trustworthy agent or broker he will help you to buy the right insurance policy. Mention all your need related to the insurance policy because he will help you to find the best policy in the market. Broker and agents help a lot in case any quarrel arises at the time of claim settlement. Agent or broker helps a lot to get the coverage from your insurance company as soon as possible.

4.) Compare the policies

This is one of the best points you should consider while buying health insurance policy online. Compare features that are offered under different health insurance policy and the price offered for facilities such as ambulance expenses, daily hospital cash, and domiciliary treatment. Make sure all the benefits and coverage are provided at affordable premium rates. Lots of benefits and coverage burden the pocket of the policyholder as it increases the premium rates.

Hope this write-up has shared some important information related to health insurance. For further queries related to any health insurance plan you can contact the customer care of the insurance company or you can take help from an insurance agent or broker. Above all follow the tips to buy the best health insurance plan in the market.