Common Reasons Health Insurance Claims Are Rejected!

0

Health insurance benefits

HIGHLIGHTS

  • Often, insurance buyers are seen to fill out application forms incompletely or incorrectly. There may be a lack of documentation, etc.
  • It is advisable to dispel any doubts by asking the agent or representative of the insurance company the questions you have in mind regarding the policy you are supposed to purchase.
  • If you fall ill due to a pre-existing illness and have to be hospitalized, your health insurance fund cannot cover the costs of treatment.
New Delhi: Most people have a habit of ignoring the fine print of health insurance policies when buying them. This mainly happens due to a lack of attention. Laxity towards health insurance can lead to the rejection of the application. Whenever you purchase a health insurance policy, you must ensure that all terms and conditions are understood. All insurance policies come with certain terms and conditions when it comes to handling claims, and health insurance is no exception.

Purchasing a health insurance policy is an amazing way to protect your hard-earned money in case you need medical treatment. These days, this process has become easy with the various options available to buyers. A policy can be purchased easily, even online, but when claims are raised, are they always settled? There may be various reasons why an application may be rejected.

Main reasons for the rejection of a health insurance application:

Lack of knowledge about complaints handling

Related News

How travel insurance can protect you in an emergency

How can travel insurance protect you in an emergency?

RTI deposit A ​​higher TDS will be levied on those who missed the RTI deposit for the 2020-21 financial year

RTI deposit: higher TDS will be levied on those who missed RTI deposit for FY 2020-21

Since a health insurance policy is a contract between two parties – you and the insurance company, you should follow the claims process diligently. Many times, it is seen that insurance buyers fill out application forms incompletely or incorrectly. There may be a lack of documentation, etc. It is advisable to dispel any doubts by asking the agent or representative of the insurance company the questions you have in mind regarding the policy you are supposed to purchase. This will reduce the chances of the application being rejected.

Hide pre-existing illnesses

Some health insurance plans do not cover illnesses that you may already have when purchasing the policy. If you fall ill with these illnesses and have to be hospitalized, your health insurance fund cannot cover you for treatment costs. So, if you submit a claim to health insurance, there is a good chance that it will be rejected.

Policy non-renewal

A health insurance policy is generally valid for a period of one year. After a year, the policy expires. So you must get the policy renewed. Renewing a policy also has other benefits. For example, you may have to pay a lower premium. But if you do not renew your health insurance policy, it will lapse. If you don’t know your policy has expired and you make a claim, it will be rejected. Thus, you must make sure to check the expiration date of your health insurance policy.

Make a claim before the end of the waiting period

A waiting period on a health insurance plan means that you have to wait a certain amount of time to receive insurance coverage. For example, some insurers cover pre-existing conditions or maternity benefits after a waiting period of a few years. This duration depends on the terms and conditions of the insurance company.

Exclusions

Health insurance comes with financial coverage against illness. However, there are certain conditions under which you cannot make a claim. These conditions are called disclaimers. If you raise a claim against an exclusion in your policy, it will be rejected. To avoid this situation, you should always read the policy document carefully.

Share.

Comments are closed.