Why your Health Insurance can be denied
Health insurance policies come with their own benefits and claims which help insured but if the claims denied by the company then several steps can be taken.
Health Insurance plans are the backup or may call protector of people in some serious problems or illness which are life snatching and also have expensive treatments. Besides this, a right health insurance plan is like an assurance for the insured while he/she faces some kind of difficulties; there are lots of people in every country who dies or suffers with lifelong pains due of lack of support.
It is a guide, a friend, a helper, an assurer, a good protector which means an overall coverage for insured person but still it is not enough to get fully covered and having all kind of money while in danger. Health is wealth and no doubt freaking for being healthy and fit is become a mania now-a-days; after advanced technologies and lifestyle people get affected easily. There are various kinds of health insurance policies such as Individual Health Insurance Plans, Family Floater Plan, Children Insurance Plan, Car Insurance Plan, Mediclaim etc. But it is advisable to buy a policy for the parents or old persons of the house as it gill protect them in the time of critical illness or provide the expenditure while hospitalization. Though there are various terms and policies in every health insurance policy and various companies provide various additional benefits to their customer.
Health insurance is beneficial in above cases and it gives financial security also but besides all of this process to file a claim in health insurance policy is simple and quick. Besides all these benefits sometimes the claims got cancelled, in this article we are going to discuss three reasons of the claim denied:
Waiting Period: Most of the health insurance plans come with a fixed waiting period during which certain pre-specified illnesses are not covered. If anyone file a claim for one of these illnesses prior to the end of the waiting period, then the policy will be denied which is a common factor.
Providing incorrect information: If insured provide incorrect information or fail to disclose all the facts related to the health condition, nature of employment or pre-existing conditions, the claim may be denied. All these facts are important to help insurance companies determine the health insurance eligibility and premium.
Steps to take if a claim is rejected: If a claim is rejected, there are several options to overcome this claim rejection; but before this, it is very important for the insured to understand all the terms and conditions as per the policy document. Insured may call their insurance company to find more details, but here is the process of the way of appealing health insurance claim denial:
A claim often got rejected for incomplete information; here insured must provide the details to the company as it is important to keep a record of all the communication with insurer for further help. If a PA is involved, it should be informed.
- If the insurance company denies any claim because of unfiled documents then insured can submit these within a specified period of time.
- If the claim is rejected by insurance company as per of unnecessary treatment, then the insured can provide accurate medical details.
Source
www.hdfcergo.com/blogs/health-insurance