You just bought a health insurance policy, knowing that it will help to safeguard yourself and your family's healthcare needs from the uncertainty of life and cost inflation in healthcare. When it is time to settle your claim, it can be agonizing if you find a difference in the amount that you claimed and the amount that was approved by your insurer. With this difference, there can be a considerable impact on the out-of-pocket expenses borne by a family.
Many people are dissatisfied with the services of health insurance providers on account of their claim not being settled as per their understanding of the policy. Many a time, people are not inclined to find out the reason for the difference in the claim value, However, the difference in the claimed and approved amount can be due to various factors, two of the most important ones being:
As a policyholder, you must provide your health insurance company with appropriate facts and information when you buy a health insurance plan. Incorrect information often leads to rejection or a difference in the claimed and approved amount depending on your policy terms and conditions.
Listed here are some common reasons for this difference, which are as per the terms and conditions stated in the health insurance policy:
So choose our health insurance plan wisely and pay close attention to the policy terms and conditions to avoid any confusion later on!