Health insurance coverage is a particular medical expense for person(s) who is/are covered under the issued policy. Knowing your insurance helps you claim what is rightfully yours. Make sure you are well aware of your health insurance plan and understand all the rightful benefits.
Health insurance claims are denied if hospitalization is due to undisclosed medical history. Learn about it from an expert!
A pre-existing illness can be covered if an individual was unaware while buying the policy. Know more from our experts!
Food habits and lifestyle have less to do with claim process and more with your monthly insurance premiums when a serious illness is diagnosed. Understand the process with an expert!
Certain health insurance plans offer OPD cover and assist the insured to claim expenses other than those incurred during hospitalization. Tell us about your insurance to know whether it offers the same.
Many insurers offer health insurance policies with coverage for OPD expenses such as medical bills, diagnostic tests, ambulance charges, health checkups, dental treatments, etc. Ask an expert to learn what your insurance covers.
Simple! Log in and talk to a ClaimTherapist expert, share your insurance details and we will guide you. Chat with an expert now!
From claim intimation to claim submission, filing your medical claim includes multiple steps. You do not want to miss a single step as it may raise a query on your claim. It’s important to learn and understand all the steps and their significance. Consult with an expert to learn more.
Stuck with a section in your medical claim form? Keep a ClaimTherapist sample form handy. Read the form properly. Take help from someone who is experienced in filing a claim. You can also ask ClaimTherapist experts, as always.
We offer free self-claim submission online. Go to Prepare Claim Yourself section and login to ClaimTherapist platform and follow the step-by-step paperwork guidelines.
Start with a proper study of your insurance policy, what it covers and what it doesn't. Check the documents and bills needed. Then go to Prepare Claim Yourself section and login to ClaimTherapist platform and follow the step-by-step paperwork guidelines.
Don’t worry if you delayed submitting your claim. If you can provide a valid justification for the delay in claim submission, your insurer/TPA accepts your claim. Consult with a claim expert if you still have doubts.
There are several reasons insurance companies deny claims for. While some reasons might be valid and can’t be avoided, few reasons can be disputed. Make sure you don’t get overwhelmed or emotionally driven by a claim rejection and take the right step by consulting with an expert like ClaimTherapist.
There can be various reasons behind claim denial (e.g. the treatment is not covered under your policy, your sum insured got exhausted etc.). Claim can also get rejected because of your pre-existing medical history. Learn more with ClaimTheapist now.
Claim rejection by insurance is not the end of the road. Even insurer/TPA can make a mistake while processing the claim. If you feel claim rejection is not valid, you can dispute and request them to reconsider the claim with your justification and medical facts. Ask us to learn more.
If a claim is denied, the first thing you need to do is to request your insurer/TPA to reconsider the claim. If you are not satisfied with the outcome, you need to lodge a complaint with Grievance of the insurance company. If the dispute is not working out, you can further complaint to Ombudsman. Talk to an expert if you need more suggestions.