Reasons Why Health Insurance Claims Are Rejected

Health insurance is essential for everybody. Modern generation prefers online health insurance. Best health insurance plan can help when a serious medical emergency arises. Medical insurance also provides you a financial support when you or your family member falls ill. We compare health insurance policies to avail the best for us.

But do you know what’s worse than not having a health insurance? It’s getting your health insurance claim rejected. Would you be able to estimate the reason for the rejection of your health insurance claim especially when you are in need of money? Most likely not.

If you want to avoid rejection of your health insurance claim, you need a thorough understanding of your health insurance policy’s terms & conditions. So if you are still wondering why your medical insurance claim got rejected, here are some of the possible reasons.

  • Claims Made for Pre-Existing Diseases During the Waiting Period: If you buy a mediclaim policy after the diagnosis of a pre-existing disease, you will have to wait for a certain period before you can officially claim. If you raise a claim to the health insurance company for the treatment of pre-existing disease during the waiting period, your claim could get rejected. Health insurance companies’ waiting period generally ranges from one to four years.
  • Making a Late Claim: All the health insurance companies in India have a specific time frame during which a claim needs to be raised. You have to inform the health insurance provider within 24hours of admission in case of emergency hospitalization to avail the benefit. In case of planned hospitalization, the health insurance provider should be informed weeks in advance. Your health insurance claim could get rejected if you do not follow this prescribed time-frame.
  • Non Disclosure While Buying the Insurance Policy: Your health insurance policy is designed on the basis of a number of critical factors (for e.g. your age, your work, any ailment you might be having etc.). Health insurance companies offer the coverage based on the information you disclose. If there remains a gap between the provided information and the reality, your health insurance claim might get rejected. Therefore, you must submit the authentic documents related to the mediclaim policy.
  • Your Health Insurance Plan Has Lapsed: When you buy a health insurance policy, it’s your responsibility to renew the policy on time. If there’s a gap in the renewals of your mediclaim policy, you will no longer be receiving the benefits of your health insurance plans. Therefore, don’t be surprised if your health insurance claim gets rejected. You will have to face rejection if your health insurance policy has expired!

The rejection of a health insurance claim could be a hard experience given that it could bring uncertain disastrous waves to your financial stability. It could render you financially crippled following the entire money having to put in the medical treatment.

So make sure you don’t repeat any of the above-mentioned mistakes and lead a healthy life with a good health insurance plan. If you still haven’t found your ideal match for a good health insurance plan then simply click here and get the best health plans in the industry.

 

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