Health Insurance (1)

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How to efficiently claim your Health
Insurance? 
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(No Transcript)
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Now that you have purchased a health insurance
policy its time to rejoice and take sigh of
relief. Buying a suitable insurance policy helps
insured need not worry about how he or she can
manage adequate funds for treatments. This type
of policy ensures that the outflow of such funds
does not create a big hole in your wallet. When
you or one of your family members fall ill, the
very last thing you will concern about is how to
pay for the medical treatment. And, health policy
India fulfills the same purpose at really
affordable rates.But many a time due to the
hassle and in the concerned frame of mind you
tend to miss out the major aspect of policy
claim. Policyholders can take advantage of
insurance benefits only when they know how and
when to claim their insurance. Although buying a
health policy is as simple as a click on your
mouse, the claiming process is really
complicated. Relax! The article will guide you on
how policyholders can avail the most of their
health insurance policies
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When to Claim Generally, according to
the standard parameters set, insurance can be
claimed when the policyholder has been taken into
a hospital for a period of at least 24
consecutive hours. There are exceptions in few
cases such as Day Care treatment for which a
policy can be claimed even if the patient is
admitted into a hospital for less than 24 hours.
It includes chemotherapy, eye surgery,
tonsillectomy, prostate surgery and ligament
repair procedure among other processes and will
be mentioned in a policy document, if applicable.
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What to Claim

This is the trickiest part of the policy. A
regular Health insurance will cover the costs
incurred during hospitalization like surgery and
procedures, room charges and medical tests and so
on. Also, it pays for some pre- and
post-hospitalization expenses which are connected
to the condition for which insured person is
hospitalized.
register a claim only for those conditions which
are in a policy document. The companies strictly
abide by the rules and regulation and will not
entertain anything out of the agreement level and
mentioned conditions. Therefore, it is advisable
to read your health insurance policy carefully to
know both the exclusions and coverage. All
insurance companies in India provide plans along
with a list of related expenses like ambulance,
wheel chairs, or delivery charges etc. from the
residential location to the hospital if not
covered under your policy. Some plans even pay
for treatment at home or domiciliary treatment
under certain situations. However, you need to go
through the policy where it clearly mentions if
such expenses can be claimed or not.
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Claim Procedures
There are two ways to claim health insurance.
Either you pay the amount at the counter and then
apply for reimbursement of expenses or you avail
cashless facility at the time of admission into
the hospital. For cashless claims, policyholder
must avail treatment at a network hospital.
Request the hospital administration to fill in
the claims cashless request form at the time of
admission and then submit it to insurer. In case
of reimbursement of expenses, insured must
contact insurer regarding hospitalization
charges. Policyholder will need to settle the
medical bills at the time of discharge and later
submit it to insurer along with diagnostic
reports, prescriptions, discharge summary, other
specified papers etc.
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Claim Rejection Many times the major reason for
claim rejection would be non-payments of your
premiums on time, policy lapse or expiration and
you being unaware of it. Sometimes, it does
happen because of reasons like non-disclosure of
health issues, lack of clarity with regard to the
policy terms conditions and misunderstandings
of the procedure to be followed.
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Read more at http//www.bajajallia
nz.com/Corp/health-insurance/health-insurance.jsp
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Thank You.!!