{"id":1571,"date":"2022-08-18T15:31:14","date_gmt":"2022-08-18T10:01:14","guid":{"rendered":"https:\/\/www.insurancesamadhan.com\/blog\/?p=1571"},"modified":"2022-11-17T10:22:54","modified_gmt":"2022-11-17T04:52:54","slug":"5-reasons-why-health-insurance-claims-get-rejected-amid-covid-19","status":"publish","type":"post","link":"http:\/\/www.insurancesamadhan.com\/blog\/5-reasons-why-health-insurance-claims-get-rejected-amid-covid-19\/","title":{"rendered":"5 Reasons Why Health Insurance Claims get Rejected amid Covid-19"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_76 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"http:\/\/www.insurancesamadhan.com\/blog\/5-reasons-why-health-insurance-claims-get-rejected-amid-covid-19\/#Reasons_for_Health_Insurance_Claim_Rejection_during_COVID-19\" >Reasons for Health Insurance Claim Rejection during COVID-19<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"http:\/\/www.insurancesamadhan.com\/blog\/5-reasons-why-health-insurance-claims-get-rejected-amid-covid-19\/#One_of_the_cases_which_we_handled_related_to_the_rejection_of_health_insurance_claims_during_Covid_was\" >One of the cases which we handled related to the rejection of health insurance claims during Covid was<\/a><\/li><\/ul><\/nav><\/div>\n<p>It\u2019s been over two years since we heard the word &#8220;coronavirus&#8221; for the first time. We have seen our family members spending days on the hospital bed. We were distressed about their recovery. On top of the mental stress, the medical expenses of their treatment added the stress of finances. During these unprecedented times, it was health insurance that came to the rescue of many. The insurance sector aided patients as well as their families in reducing the financial burden. Insurance companies received a huge number of health insurance claims.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-1573 size-full\" src=\"https:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2022\/08\/5-Reasons-Why-Health-Insurance-Claims-get-Rejected-amid-Covid-19.jpg\" alt=\"5 Reasons Why Health Insurance Claims get Rejected amid Covid-19\" width=\"1920\" height=\"1080\" srcset=\"http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2022\/08\/5-Reasons-Why-Health-Insurance-Claims-get-Rejected-amid-Covid-19.jpg 1920w, http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2022\/08\/5-Reasons-Why-Health-Insurance-Claims-get-Rejected-amid-Covid-19-300x169.jpg 300w, http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2022\/08\/5-Reasons-Why-Health-Insurance-Claims-get-Rejected-amid-Covid-19-1024x576.jpg 1024w, http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2022\/08\/5-Reasons-Why-Health-Insurance-Claims-get-Rejected-amid-Covid-19-150x84.jpg 150w, http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2022\/08\/5-Reasons-Why-Health-Insurance-Claims-get-Rejected-amid-Covid-19-768x432.jpg 768w, http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2022\/08\/5-Reasons-Why-Health-Insurance-Claims-get-Rejected-amid-Covid-19-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Reasons_for_Health_Insurance_Claim_Rejection_during_COVID-19\"><\/span><strong>Reasons for Health Insurance Claim Rejection during COVID-19<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ol>\n<li><strong>Non-disclosure of pre-existing diseases: <\/strong>Pre-existing diseases like diabetes and hypertension have not been disclosed, therefore insurers may decline claims.<\/li>\n<li><strong>Problems related to the documents: <\/strong>Customers sometimes fail to give proper documents which leads to the rejection of claims.<\/li>\n<li><strong>Needless Hospitalization: <\/strong>Claim was denied when people opted to get admitted to the hospital instead of opting to get treated at home only and there was no need to be hospitalized.<\/li>\n<li><strong>Exaggerated claim: <\/strong>Falsely inflating the value of the claim to receive more from the insurer can be the reason for claim rejection<\/li>\n<li><strong>Not following a standard procedure of treatment <\/strong>can lead to claim rejection.<\/li>\n<\/ol>\n<p><a href=\"https:\/\/www.insurancesamadhan.com\/blog\/how-to-deal-with-health-insurance-claim-rejection\/\">Click here to know how to deal with health insurance claim rejection?<\/a><\/p>\n<p><a href=\"https:\/\/www.insurancesamadhan.com\/register?utm_source=organic&amp;utm_medium=blog&amp;utm_campaign=blog_post&amp;utm_term=blog_term\"><img decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/stage.insurancesamadhan.com\/assets\/img\/contact.png\" alt=\"Insurance Samadhan\" width=\"500\" height=\"70\" border=\"0\" \/><\/a><\/p>\n<h2><span class=\"ez-toc-section\" id=\"One_of_the_cases_which_we_handled_related_to_the_rejection_of_health_insurance_claims_during_Covid_was\"><\/span><strong>One of the cases which we handled related to the rejection of health insurance claims during Covid was<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A customer\u2019s mother and brother were hospitalized as they were suffering from covid-19. Both the patients had a health insurance policy. He intimated his insurance company for the claim, and the company rejected it. The reason stated by the insurance company for claim rejection for his mother was a pre-existing health issue. According to the company, his mother had diabetes and hypertension, before buying the health policy. In the case of his brother, they stated that there was no need for hospitalization.<\/p>\n<p>However, the customer claimed that both mother and brother did a pre-medical check-up before the issuance of the health insurance policy. His brother\u2019s case was serious. Doctors advised to hospitalize him immediately as he was suffering from high fever, breathlessness and uneasiness etc. Since the case was severe, he was admitted to the hospital for a month. He felt that it was an unfair rejection of the claim. For over 6 months, he had an email trail with the insurance company, but nothing happened.<\/p>\n<p>He watched the episode of Shark Tank and learned about Insurance Samadhan. He immediately got in touch with us about his mother\u2019s case. After understanding the case, we helped the customer and guided him on how to approach the case and talk to the insurance company. Within 20 days from the acceptance of the case, he got his money back. Thereafter, he approached us with the second one, which was his brother\u2019s case. Under our guidance, he successfully received 50% of the claim amount in the first attempt. Then, from Bhopal Ombudsman\u2019s office, he got the balance amount. He was highly satisfied with our service. He found the team of Insurance Samadhan supportive and honest.<\/p>\n<p><center><iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/fQjiyVRC2N4\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/center>Insurance Samadhan has resolved 14500+ customer grievances related to insurance. If you want any guidance, then you can contact us. We\u2019ll be happy to help you.<\/p>\n<p><a href=\"https:\/\/www.insurancesamadhan.com\/register?utm_source=organic&amp;utm_medium=blog&amp;utm_campaign=blog_post&amp;utm_term=blog_term\"><strong>Click here<\/strong><\/a>\u00a0to register your complaint with Insurance Samadhan<\/p>\n<p style=\"background: white; margin: 0cm 0cm 7.5pt 0cm;\"><span style=\"font-family: 'Arial',sans-serif; color: #333333;\">You can also<\/span><\/p>\n<p style=\"background: white; margin: 0cm 0cm 7.5pt 0cm;\"><span style=\"font-family: 'Arial',sans-serif; color: #333333;\">Visit our website:\u00a0<a style=\"outline: none; transition: all 0.14s ease 0s;\" href=\"https:\/\/www.insurancesamadhan.com\/\"><span style=\"color: #ff2828;\">insurancesamadhan.com<\/span><\/a><\/span><\/p>\n<p style=\"background: white; font-variant-ligatures: normal; font-variant-caps: normal; orphans: 2; text-align: start; widows: 2; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; word-spacing: 0px; margin: 0cm 0cm 7.5pt 0cm;\"><span style=\"font-family: 'Arial',sans-serif; color: #333333;\">Call us on +91 9513631312<\/span><\/p>\n<p style=\"background: white; font-variant-ligatures: normal; font-variant-caps: normal; orphans: 2; text-align: start; widows: 2; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; word-spacing: 0px; margin: 0cm 0cm 7.5pt 0cm;\"><span style=\"font-family: 'Arial',sans-serif; color: #333333;\">WhatsApp:\u00a0<a style=\"outline: none; transition: all 0.14s ease 0s;\" href=\"https:\/\/api.whatsapp.com\/send?phone=+919910998252&amp;text=Hi\"><span style=\"color: #ff2828;\">\u00a09910998252<\/span><\/a><\/span><\/p>\n<p style=\"background: white; font-variant-ligatures: normal; font-variant-caps: normal; orphans: 2; text-align: start; widows: 2; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; word-spacing: 0px; margin: 0cm 0cm 7.5pt 0cm;\"><span style=\"font-family: 'Arial',sans-serif; color: #333333;\">Mail us at\u00a0<a style=\"outline: none; transition: all 0.14s ease 0s;\" href=\"mailto:corporate@insurancesamadhan.com\"><span style=\"color: #ff2828;\">corporate@insurancesamadhan.com<\/span><\/a><\/span><\/p>\n<p><a href=\"https:\/\/www.insurancesamadhan.com\/register?utm_source=organic&amp;utm_medium=blog&amp;utm_campaign=blog_post&amp;utm_term=blog_term\"><img decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/stage.insurancesamadhan.com\/assets\/img\/contact.png\" alt=\"Insurance Samadhan\" width=\"500\" height=\"70\" border=\"0\" \/><\/a><\/p>\n<p><script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\/\",\n  \"@type\": \"Article\",\n  \"mainEntityOfPage\": {\n    \"@type\": \"WebPage\",\n    \"@id\": \"https:\/\/www.insurancesamadhan.com\/blog\/5-reasons-why-health-insurance-claims-get-rejected-amid-covid-19\/\"\n  },\n  \"headline\": \"5 Reasons Why Health Insurance Claims get Rejected amid Covid-19\",\n  \"description\": \"Non-disclosure of pre-existing diseases, Problems related to the documents, Needless Hospitalization, Exaggerated claim, Not following a standard procedure of treatment. These are some of the main reasons for insurance claim rejection.\",\n  \"image\": {\n    \"@type\": \"ImageObject\",\n    \"url\": \"https:\/\/i0.wp.com\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2022\/08\/5-Reasons-Why-Health-Insurance-Claims-get-Rejected-amid-Covid-19.jpg?resize=768%2C432&ssl=1\",\n    \"width\": \"1920\",\n    \"height\": \"1080\"\n  },\n  \"author\": {\n    \"@type\": \"Person\",\n    \"name\": \"Shailesh Kumar\"\n  },\n  \"publisher\": {\n    \"@type\": \"Organization\",\n    \"name\": \"Insurance Samadhan\",\n    \"logo\": {\n      \"@type\": \"ImageObject\",\n      \"url\": \"https:\/\/insurancesamadhan.com\/images\/logo.svg\",\n      \"width\": \"224\",\n      \"height\": \"47\"\n    }\n  },\n  \"datePublished\": \"2022-08-18\",\n  \"dateModified\": \"2022-08-20\"\n}\n<\/script><\/p>\n","protected":false},"excerpt":{"rendered":"<p>It\u2019s been over two years since we heard the word &#8220;coronavirus&#8221; for the first time. We have seen our family members spending days on the hospital bed. We were distressed about their recovery. On top of the mental stress, the&hellip; <a href=\"http:\/\/www.insurancesamadhan.com\/blog\/5-reasons-why-health-insurance-claims-get-rejected-amid-covid-19\/\" class=\"more-link\">Continue Reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":4,"featured_media":1572,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","footnotes":""},"categories":[3,20],"tags":[48,69,70,47,17,25,45,49,68],"class_list":["post-1571","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-insurance","category-insurance-claim","tag-claim-rejected","tag-covid-19-claim","tag-covid-19-claim-rejected","tag-health-claim","tag-health-claim-rejected","tag-health-insurance-claim","tag-health-insurance-policy","tag-health-policy","tag-medical-insurance-policy"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - 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