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Your health insurance policy is your security blanket in case you or a family member fall ill and need hospitalization and treatment. It takes care of your expenses, so that you don’t need to worry about money when you’re unwell.
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Your health insurance policy is your security blanket in case you or a family member fall ill and need hospitalization and treatment. • It takes care of your expenses, so that you don’t need to worry about money when you’re unwell. • Health insurance policies come with a lot of terms and clauses. • You need to take time, read and understand all of them in order to not be caught off guard in your time of need.
Imagine being in the hospital, with bills milling up and then finding out your insurance provider has rejected your claim. • There can be nothing worse. • To keep that from happening you need to know your health insurance policy in and out. • But if you don’t, here are some common reasons why your health insurance policy provider can reject your insurance claim.
There may be certain treatments and procedures that are not covered in your health insurance policy. • Infertility treatments or dental surgeries are some of them. • The procedure you had, may be one of those that are not covered. • You need to study your policy thoroughly to make sure it meets all your medical needs. • If it doesn’t, you need to shop for a new one.
Some procedures like CT scans and MRIs requires pre-authorisation to be filled out by your doctor. • If you fail to get this authorisation before incurring the expense it gives your policy provider the right to reject your claim.
You can only make a claim on your health insurance plan after the waiting period is over. • The waiting period can range from one to four years. • If your make a claim for treatment for an illness during the period, your illness is termed as pre-existing illness and your claim stands a chance of being rejected.
Every Health Insurance Policyprovider needs to be informed about a hospitalisation, within a stipulated time period. • In case of emergency hospitalisation, the insurer needs to be informed within 24 hours and in case of planned hospitalisation and treatment the insurer should receive intimation weeks in advance. • If you fail to do so, your claim can be rejected.
Every insurer has network of hospitals that they operate in. • While buying a Health Insurance Policyyou need to find out whether the hospitals that you prefer are in that network. • If you are admitted to a hospital that isn’t in that network, your claim can get rejected.
