Download
1 / 3
30 likes | 43 Views
As the ancient adage goes, health equals riches. When the treatment for a sickness makes you feel the pinch, these golden words start to make more sense. Stressful schedules, sedentary lives, pollution, food adulteration, and contamination have made staying healthy a huge struggle, and as a result, everyone now understands the need for health insurance coverage.<br><br>However, your claim request may be refused, much to your surprise. While failing to disclose a pre-existing condition is one of the most common reasons for rejection or repudiated claims, there are other reasons as well.<br>
E N D
Why Health Insurance Claims Get Rejected? As the ancient adage goes, health equals riches. When the treatment for a sickness makes you feel the pinch, these golden words start to make more sense. Stressful schedules, sedentary lives, pollution, food adulteration, and contamination have made staying healthy a huge struggle, and as a result, everyone now understands the need for health insurance coverage. However, your claim request may be refused, much to your surprise. While failing to disclose a pre-existing condition is one of the most common reasons for rejection or repudiated claims, there are other reasons as well. 4 Reasons Insurance Claims Get Rejected 1.Claim Process You must adhere to the claim process meticulously because your health insurance policy is an agreement for both you and your insurance provider. Incomplete or poorly filled application forms, a lack of paperwork, and other issues may arise. It is recommended that you contact the insurance company to learn more about their health insurance claim process. This will lower the likelihood of a claim being denied. 2.Pre Existing Illness Some health insurance policies exclude coverage for any diseases you may have at the time of purchase. Your health insurance provider will not be able to cover the expense of therapy if you become unwell. As a result of certain conditions and requiring hospitalisation, this claim repudiated. As a result, there is a good risk that your health insurance claim may be denied. 3.Unaware about exclusion There are other exclusions, just as there are for pre-existing conditions. Many policyholders fail to read the terms and conditions, which plainly specify that an injury sustained while inebriated or participating in dangerous sports is not covered. Similarly, there is a 30-day waiting period from the date of the policy before any claim can be filed. The waiting period does not apply in the case of an accident, although the accident should not have occurred owing to alcohol. Before phoning the insurance, make a list of the exclusions (which are frequently in fine print). 4.Not Informing Insurer
A fatal accident can be a distressing situation, and a person or their family members may forget to notify the insurance company right after. This blunder could exacerbate their concerns. Most health insurance policies provide that the insurer must be notified of hospitalisation within 24 (or in some circumstances 48) hours, or no coverage will be paid. As a result, choosing a policy from a provider who is available 24 hours a day, seven days a week and responds quickly is critical. Also, appoint a nominee to notify the insurer and handle the rest of the paperwork if the policyholder is unable to. Conclusion Other than the above reasons, there are many more reasons that lead to health insurance claims being rejected. However, it is essential to follow all the guidelines properly while you select any health insurance plan.
