#compare policy

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before you make the final buying decision. Learn some factors and considerations of premium calculation.

Read more https://comparepolicy.com/blogs/health-insurance-premium-calculation-in-india-factors-and-considerations/… #healthcare #insurancenews #Premium

Read more https://comparepolicy.com/blogs/health-insurance-premium-calculation-in-india-factors-and-considerations/… #healthcare #insurancenews #Premium

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Get Aware of Health Insurance Claim Process

You might have bought the best 'health insurance plans' after thorough research, but what if you are in a hospital and you don’t know the appropriate process to file a claim? What if you don’t meet the terms of the plan and your claims get rejected? All that time and money is important that you are investing to buy a foolproof health plan that will come down to zilch if your claims are not filed in order, as per the requirements of the insurance company.

Before we understand the claim process, let’s have a look at the types of claims:

 

Health Insurance Claim Process, Cashless Claim:

This can be either a planned hospitalization or an emergency. However, the claim process remains the same; the only difference is in the time frame to file the claims. In case of a hospitalization plan, you have to adhere to the following claim process 7 days before admission and in case of an emergency, you have to follow it within 24 hours of getting admitted:

Inform the insurer of hospitalization.

Get admitted to a network hospital, show the third-party administrator (TPA) present in the hospital your health insurance plan id card with which they will access your insurance details.

Based on it, the hospital authorities along with the TPA will fill up a pre-authorization form with the details, medical scans, other required documents, etc., and send it to the insurer for approval.

 Once the insurer is ok with the documentation and your eligibility for the cashless claim, it will authorize the hospital to proceed with the cashless media claim facility.

 At the time of discharge, the hospital will send the final bills, complete medical records, and other supporting documents to the insurer for final settlement. After considering deductibles, co-payments, and other exclusions from the insured’s policy, the insurer will settle the remaining claim, and any balance amount will have to be paid by the insured himself. Continue...

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A Health Insurance plan covers the costs that may arise due to any unforeseen hospitalization/ medical procedures.

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