There are times when the companies have been rejecting the claims placed by the people on a major scale. Many complaints have been filed by the policy holders in this regard and one needs to know as to what the issues can be. In this guide we intend to chalk out the grounds on which the companies reject the claims placed and the possible actions that you can take to mitigate the troubles that you face.
Steps that you can follow to get back the rejected claim Let us have an elaborated look in to the steps that you can take to get back what you have been subjected to lose. Let us begin with review and the subsequent steps that you must take: Review and study your policy well There are the benefits involved when you have been looking towards to have the policy issued and when you want to get back the claim and the company rejects it, just make sure that you know everything that has been a part of the policy. This also has to do with the exclusions and the inclusions in the policy that can prove to be of great help in making you know what actually are the issues on which the claims can be placed. There are many things that you need to know when you have to place you claim and knowing about the terms and the conditions in the policy can actually work in your favor. There is a letter which you are being provided by the insurance company that mentions each and every aspect that can be of great help for you when demanding the claim later on. This letter helps you to know the grounds on which you can lay the claim processes. Related-: Save Money on Health Insurance You must have an idea as to whom to call Knowing the right person to call on the side of the insurance company can give you a very clear picture about what actions you should take. You must have a record that who is the person whom you have talked to and you should also get back the papers from your doctor and also ask them to send these papers back. If you are employed, then your employer needs to send back to the insurance company the letter that the claim placed is valid. Have an idea about appeal process When you have been sulking over the rejection of the individual health insurance claim placed then do watch out for the appeal process that is required to be carried out in a proper way. An independent third party may come in to the picture because its review is being sent back to the insurance company that can actually work up in your favor. The third party involvement actually puts more weight in the claiming process. What you need to know is that you should be able to file the process in a correct way so that your claim process is laid out in a right manner. The procedure to file the appeal may become the major cause of the delay when not corrected. The best way to be able to have the claim process placed in a right way and that surely helps you a lot in getting back the claim in a correct way. By following this procedure, you can catch up with the loopholes that may trouble you in the long run at some later stage. Therefore, a complete knowledge of the instructions and the regulations can prove to be quite fruitful for you.
0 Comments
Let us check that what are the things that a corporate health insurance policy covers and the subjects covered are as follows:
At times there may not be the probability to cover the entire family and in that case just check out the things such as the providing the cover for the aged parents and this may involve taking up a separate plan for them. Family floaters generally help a lot in that case and will make you have the tax rebate to a greater extent and that too on a massive scale. Related-: 5 Tax-saving Tips for Entrepreneurs Tax rebate through these plans have come up as the most striking aspect of the today’s times because there are many of the things that you can get benefitted from. Also, you need to have the financial benefits from the plans too because there are many of the lifestyle related diseases that can prove to be of immense help when there is any sort of financial crunch. Maternity coverage in these plans The best part of acquiring these plans is that you can easily get to have the inclusion that may prove to be very beneficial for the women who are in the maternity phase. The benefits related with these plans are that you get to have many things to get the financial cover that too in a nominal rate. It is this ease that can provide you an extreme form of coverage from the financial troubles and the burdens that may prop up as part of the financial trail that gets followed in the long run. Getting the health benefit of cost is surely a big thing because what you need to have is the fact that there are many of the things that can actually help you out in the long run. Have you been sulking of not getting the benefits when it comes to having the corporate health insurance? Just check out the firms that are available on a large scale that may actually prove to be of immense help when it comes to securing the financial benefits. There surely needs to be the coverage for the employees that are working in the organization because that eventually works up in your favor to secure the tax benefits and also the things such as the financial savings in the long run. You should also check out for the terms related with the NCB of the policies of the firm that are offering the services. Are these plans really fruitful? When it comes to having the best of the things in your corporate coverage plans then check out for the savings that can actually make you works in the best of the ways. A financial security is a must but when it comes to the fact that there are many of the benefits of getting the health insurance plans then having knowledge about the caps as well as the ways of supplementing works up in your favor. Therefore, keep on searching for the supplements that can prove to be of immense benefits for you in the long run. There are a variety of health insurance plans available today, but not all insurance plans come with high enough sum insured to help you meet the additional expenses that may incur during accidents, illness or hospitalization. This is where the Extra Care Health Insurance Plan by Bajaj Allianz comes into limelight. This health insurance policy has been introduced to help the policy holders meet their additional hospitalization expenses during emergencies.
This is one-of-its kind health insurance policy that takes care of all additional medical expenses when your existing health insurance policy falls short for certain needs. Even in the case of long term care, serious illness or complicated treatment, this Bajaj Health Insurance extends the health insurance coverage to ensure that the insured never fall short of money to cover the additional medical expenses during emergencies. The Key Features of Extra Care Health Insurance
Along with the application form the policy buyers are required to provide very minimal documents to enroll with this Bajaj Health Insurance. The applicants are required to provide precise medical history with address and ID proof. Medical tests may be required depending upon the sum assured and the age of the applicant. For a long time, people in India had a rather conservative and negative view about insurance in general. However, with time Indians have realised the importance of proper insurance, but things are far from perfect even now. This is especially true in the case of medical insurance because according to fresh official data only 21.62 crore people or 17% of the population of the country had health insurance by the end of March 2014 and the figure has most probably not improved substantially. This estimate was prepared by the Insurance Regulatory and Development Authority.
Facts regarding health expenditure According to many experts, health expenditure is one of the major causes of poverty in this country. However, there are many people below the poverty line who actually cannot afford health plans. Needless to say, little can be done about this section of the population, but as far as the upwardly mobile and even middle class Indians are concerned it is necessary to understand the importance of health insurance. India is not left behind in the spreading of lifestyle diseases. In fact according to some experts, the number of diabetes and heart patients all over the world is the highest in India. Many chronic diseases later on lead to acute problems which can be very expensive to treat and cure. For instance, diabetics stand the risk of developing serious impairment of the kidneys and eyes which can be very expensive to treat. To get a rough idea, a kidney transplant in case of total renal failure can cost anywhere around INR 40-50 lacs. For any family to shell out that kind of money can be a major burden. On the other hand if health insurance is purchased at the right time, then such financial distress can be avoided. Other Alternatives This is true of most chronic ailments like heart disease, arthritis (which may require knee replacement surgery) and others. Of course there are government hospitals which provide treatment free of cost or at subsidized rates, but the quality of treatment in this institutions is very poor. This may be different in large cities like Delhi and Mumbai, but again, the process of treatment and the waiting lists at the government hospitals can be inhibiting for anyone. Then again, there is the expense of ongoing medical treatment after the hospital stay is over. All said and done, any chronic ailment or even a serious acute one can dig a major hole in your pocket. This is the reason that you need to buy medical insurance when you are still well enough to get it. In fact, this should not be a serious concern, because nowadays many insurance companies provide health plans without medical checkup till the age of 65. Hence even if you think you are rather late in buying health insurance it is better to be late than not get insurance at all. Before Buying a Health Plan However, make sure that you conduct a thorough research before you buy an insurance policy. This is because many companies have hidden charges and limitations to their policies which may not be obvious in the first look. Therefore, you should make sure to study the websites of as many reputable health insurance companies as you can and then short list 3-4 of them. All insurance companies employ insurance advisors who will analyze your requirements and provide the best insurance solution for you. You can ask these advisors to give you no obligation quotes and you can compare the quotes of different insurance companies and choose the one that appeals to you the most. In this manner you will be able to get health insurance that has you protected in case of unforeseen ailments, accidents and other eventualities. |