Health Insurance Claim: Why does a health insurance claim get rejected? Know the real reason for this..


In today's time, health insurance is necessary in view of increasing medical expenses. Comprehensive health insurance covers you against unexpected medical/hospitality expenses. Some things should be kept in mind while taking health insurance. This is because a small mistake can lead to your claim being rejected if necessary. Therefore, if you are also planning to take health insurance, then you will have to keep many important things in mind so that you do not face problems in the future. Let us know 5 such reasons, knowing about which you will not face any kind of problem at the time of claim.


1. Waiting period
After purchasing the policy, one will have to wait for a certain period to avail of the insurance coverage. This is called the waiting period. The customer cannot make any claim during the waiting period. If you make a claim in case of any medical emergency before the deadline, your claim will be rejected.

2. Pre-existing diseases
Many health insurance companies do not cover any pre-existing diseases while selling the policy. If you fall ill due to these diseases and need to be hospitalized, your health insurance company will not be able to bear the cost of your treatment. In such a situation, if you make a claim, there is a high possibility that it may get rejected. In most of the cases, the reason for claim rejection is non-disclosure of pre-existing disease.

3. Claim Process
Your claim may be rejected due to an incorrectly filled application form or lack of documents. To understand the health insurance process, first, contact the insurance company and understand all the terms and conditions carefully. This reduces the chances of the claim being rejected.

4. Policy Period
A health insurance policy is usually valid for a period of one year. At the end of one year, the policy will expire. As a policyholder, an expired health insurance policy is of no use. In such a situation, you need to renew the policy. If you do not renew your policy on time, your claim will be rejected in case of a medical emergency.


5. These diseases are not covered
Most companies do not include some health problems in their insurance coverage. They include dental problems, cosmetic surgery, eye surgery, infertility abortion, and HIV/AIDS.

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