Health insurance is very helpful in challenging situations like medical emergencies. It not only saves you from the huge expenditure on the treatment of major diseases but also gives mental security. This is possible only when you (the insured) get the full claim from the health insurance company.
However, many times insurance companies reject the claim. Due to this, you have to pay for the entire cost of the treatment. In such a situation, if you want the insurance company not to reject your claim, then definitely avoid these mistakes.
Get information about waiting period
While buying the policy, definitely take this information that what is the waiting period for any disease. Waiting period means that the insurance company bears the cost of treatment of a particular disease only after a certain period from the date of purchase of the policy. If you get treatment for that disease during the waiting period, then the claim will not be received.
Renew policy on time
To avoid claim rejection, it is necessary to renew the health insurance policy on time every year. Failure to do so will not result in the claim benefit.
- If you have missed the policy renewal then there is no need to panic. Most insurance companies offer a grace period of 15 days. During this time you can renew the policy without losing the benefit of the term.
- However, if you get treated during these 15 days (break-in period) then the insurance company does not consider the claim i.e. does not pay the cost of the treatment.
Must disclose chronic diseases
Be sure to disclose pre-existing diseases or conditions while buying the policy. Inform the insurance company if you have high blood pressure or heart disease. It is also necessary to disclose the new disease while renewing the policy. If you do not give the information of chronic diseases to the insurance company, then you will not get the benefit of claim on their treatment.
Take care of cover
The policy has clear information about which diseases will be covered and which diseases will not be claimed. If you make a claim for any disease which is specifically part of the excluded list then the claim will get rejected.
Make a claim within the stipulated time
The policyholder should file the claim within 60-90 days from the date of discharge from the hospital. Failure to do so may result in the claim being rejected. However, if the reason for the delay in filing the claim is justified, the company can accept the same.