5 Reasons Why Your Health Insurance Claim Could Get Rejected - Vinkly

5 Reasons Why Your Health Insurance Claim Could Get Rejected

Purchasing a health insurance plan is an excellent way to protect your finances if you require medical treatment. This process is now simplified thanks to online health insurance. A policy is inexpensive to purchase, but are claims permanently settled? There can be several reasons why a claim is rejected. These possible explanations will be discussed in this article.

By reading ahead, you can avoid claim rejection by becoming aware of the reasons.

Understanding the various causes of claim rejections
It is pointless to have a health insurance policy and not understand how to file a claim or why a health insurance claim may be denied. Understand the situations in which your health insurance claims may be rejected. By keeping track of a few simple things, you can avoid problems during the claim settlement of your media claims.

Here are a few of the situations why your health insurance claims might be denied:

Claim procedure:
Because your health insurance policy is a contract between you and your insurance company, you must strictly adhere to the claim process. There may be incomplete or incorrectly filled out application forms, a lack of documentation, and so on. It is ideal to contact the insurance company to learn more about their health insurance claim process. This reduces the likelihood of claim rejection.
Pre-existing conditions:
Some health insurance policies do not cover any diseases you may already have when you purchase the policy. If you become ill due to these diseases and require hospitalisation, your health insurance company will not cover the cost of treatment. As a result, there is a fair chance that your health insurance claim will be denied.
Policy duration:
A health insurance policy is typically valid for one year. The policy will expire in one year. As a result, you must renew the policy. Renewal will also provide additional health insurance benefits. For example, you may be required to pay a lower premium. However, it will expire if you fail to renew your health insurance policy. It will only be allowed if you realise your policy has expired and file a claim. As a result, double-check the expiration date of your health insurance policy.
Waiting time:
A waiting period for a health insurance plan means you must wait for a certain amount before receiving insurance coverage. Some insurers, for example, cover pre-existing diseases or maternity benefits after a couple of years of waiting. The duration is determined by the insurance company’s terms and conditions. If you file a claim for a state that requires a waiting period, your claim will be denied.
Health insurance provides financial protection if you become ill and require medical attention. However, there are some circumstances in which you cannot file a claim. These are referred to as exclusions. It will be denied if you file a claim against a policy exclusion.

To avoid this situation, always thoroughly read the policy document. If you have questions or do not understand any part of your policy document, you should contact your health insurance provider to clarify it.

Conclusion –
The sole purpose of purchasing a health insurance plan is to provide financial support for your and your family’s uncertain medical expenses. To avoid having your mediclaim denied, it is advisable to keep a close eye on the points listed above.

* Standard T&C Apply

Insurance is the subject matter of solicitation. For more details on benefits, exclusions, limitations, terms, and conditions, please read the sales brochure/policy wording carefully before concluding a sale.

Leave a Comment