Insurance Tips: Nithin Kamath told why insurance claims are rejected, everyone should know these 6 reasons..
HEALTH INSURANCE
NEWSPOINT
12/29/20241 min read
1- Waiting period
Insurance companies set a waiting period for some diseases and pre-existing diseases. While buying a policy, get complete information about this from your advisor.
2- Noncoverage
Some treatments are out of coverage forever (such as drug addiction). To understand them completely, read the policy carefully or consult your advisor.
3- Fraudulent claims
If you have hidden the news related to your health or any disease while taking the policy, then also your claim can be rejected. In such a situation, whenever you take a policy, tell the insurance company the whole thing, and do not hide anything.
4- Blacklisted hospital
If the treatment is done in a hospital which is out of the coverage of the insurance company or which has been blacklisted by the company, then the claim may get rejected. It is important to know the list of blacklisted hospitals of the insurance company.
5- Unnecessary hospitalization
If hospitalization is not necessary and still you get admitted, then the claim may get rejected. It is not necessary to get admitted in case of fever etc., but doing so can get your claim rejected.
6- Delay by the insurance company
Sometimes the insurance company may delay the cashless approval, due to which the claim also gets rejected. However, in such a situation you can complain and you will get the claim later.