{"id":3056,"date":"2023-07-08T17:21:18","date_gmt":"2023-07-08T11:51:18","guid":{"rendered":"https:\/\/www.insurancesamadhan.com\/blog\/?p=3056"},"modified":"2023-07-08T17:30:59","modified_gmt":"2023-07-08T12:00:59","slug":"overcoming-health-claim-rejections-impact-of-pre-existing-diseases","status":"publish","type":"post","link":"http:\/\/www.insurancesamadhan.com\/blog\/overcoming-health-claim-rejections-impact-of-pre-existing-diseases\/","title":{"rendered":"How Pre Existent Diseases Can Affect Your Health Insurance Claims"},"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\/overcoming-health-claim-rejections-impact-of-pre-existing-diseases\/#How_Insurance_Companies_Reject_Claims_%E2%80%93_Key_Issue\" >How Insurance Companies Reject Claims &#8211; Key Issue<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"http:\/\/www.insurancesamadhan.com\/blog\/overcoming-health-claim-rejections-impact-of-pre-existing-diseases\/#Proper_disclosure_of_all_the_PEDs\" >Proper disclosure of all the PEDs<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"http:\/\/www.insurancesamadhan.com\/blog\/overcoming-health-claim-rejections-impact-of-pre-existing-diseases\/#What_Can_You_Do_If_You_Face_Health_Claim_Rejections\" >What Can You Do If You Face Health Claim Rejections<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<p><span style=\"font-weight: 400;\">Health is wealth, and health insurance is your shield. In today&#8217;s uncertain times, health insurance serves as a vital shield against the financial burden of medical emergencies. However, when it comes to health insurance claims, it can be a daunting experience for a policyholder, as even the tiniest thing can make the journey of claim processing challenging.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Today, we will discuss a scenario where health insurance companies sometimes reject a claim on the basis of pre-existing disease which can be challenged.<\/span><\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"size-full wp-image-3057 aligncenter\" src=\"https:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2023\/07\/Pre-existing-Disease-in-Health-Insurance_-Insights-from-Insurance-Samadhan-larger.png\" alt=\"Pre-existing Disease in Health Insurance_ Insights from Insurance Samadhan\" width=\"1920\" height=\"1080\" srcset=\"http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2023\/07\/Pre-existing-Disease-in-Health-Insurance_-Insights-from-Insurance-Samadhan-larger.png 1920w, http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2023\/07\/Pre-existing-Disease-in-Health-Insurance_-Insights-from-Insurance-Samadhan-larger-300x169.png 300w, http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2023\/07\/Pre-existing-Disease-in-Health-Insurance_-Insights-from-Insurance-Samadhan-larger-1024x576.png 1024w, http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2023\/07\/Pre-existing-Disease-in-Health-Insurance_-Insights-from-Insurance-Samadhan-larger-150x84.png 150w, http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2023\/07\/Pre-existing-Disease-in-Health-Insurance_-Insights-from-Insurance-Samadhan-larger-768x432.png 768w, http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2023\/07\/Pre-existing-Disease-in-Health-Insurance_-Insights-from-Insurance-Samadhan-larger-1536x864.png 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/><\/p>\n<p><strong>Scenario<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Pooja was covered under the group insurance. Her journey took an unexpected turn when she noticed a lump in her right breast. Following mammography, she was advised to undergo chemotherapy at Rajiv Gandhi Cancer Institute. Unfortunately, the insurance company rejected her genuine claim, citing a previous non-cancerous breast tumor operation she had undergone in 2003. Despite Pooja\u2019s explanation that the previous operation was unrelated to her current diagnosis, she faced challenges due to the unavailability of medical records from 18 years ago.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">After watching on shark tank, she reached out to the Insurance Samadhan\u2019s team and with our experts\u2019 technical expertise, the case was represented properly and Pooja got her complete claim amount.<\/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<h2><span class=\"ez-toc-section\" id=\"How_Insurance_Companies_Reject_Claims_%E2%80%93_Key_Issue\"><\/span><b>How Insurance Companies Reject Claims &#8211; Key Issue<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">One key issue faced when insurance companies reject claims is the lack of medical records for past treatments or procedures. In Pooja&#8217;s case, her genuine claim for breast cancer treatment was denied due to a previous non-cancerous breast tumor operation she had undergone 18 years ago.\u00a0<\/span><\/p>\n<h3><span class=\"ez-toc-section\" id=\"Proper_disclosure_of_all_the_PEDs\"><\/span><b>Proper disclosure of all the PEDs<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">We at Insurance Samadhan always promote the fact that insurance is based on the principle of Utmost good faith and a proposer must always disclose all the pre existing diseases and information related to past hospitalizations and diseases.<\/span><\/p>\n<h4><span class=\"ez-toc-section\" id=\"What_Can_You_Do_If_You_Face_Health_Claim_Rejections\"><\/span><b>What Can You Do If You Face Health Claim Rejections<\/b><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p><span style=\"font-weight: 400;\">In some situations, you can face similar issues and feel helpless. If your genuine claim gets rejected or there were some unnecessary deductions in the claim amount, then you can reapply for the claim. If you need guidance in your case, you can contact Insurance Samadhan. We have resolved 15000+ insurance-related complaints.<\/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><b>Bottom Line\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Facing claim rejections can be disheartening, especially when the previous condition is unrelated to the current diagnosis. However, with the right guidance and support, policyholders can challenge these rejections and seek the rightful benefits of their health insurance policies. Remember, your health and financial well-being deserve proper protection, and Insurance Samadhan is here to help you achieve it.<\/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\"><strong>Click here<\/strong><\/a>\u00a0to register your complaint with Insurance Samadhan<\/p>\n<p>You can also<\/p>\n<p>Visit our website:\u00a0<a href=\"https:\/\/www.insurancesamadhan.com\/\">insurancesamadhan.com<\/a><\/p>\n<p>Call us on +91 9513631312<\/p>\n<p>WhatsApp:\u00a0<a href=\"https:\/\/api.whatsapp.com\/send?phone=+919910998252&amp;text=Hi\">\u00a09910998252<\/a><\/p>\n<p>Mail us at\u00a0<a href=\"mailto:corporate@insurancesamadhan.com\">corporate@insurancesamadhan.com<\/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\/overcoming-health-claim-rejections-impact-of-pre-existing-diseases\/\"\n  },\n  \"headline\": \"Overcoming Health Claim Rejections: Impact of Pre-Existing Diseases\",\n  \"description\": \"Discover how pre-existing diseases can impact health insurance claims. 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In today&#8217;s uncertain times, health insurance serves as a vital shield against the financial burden of medical emergencies. However, when it comes to health insurance claims, it can be a daunting&hellip; <a href=\"http:\/\/www.insurancesamadhan.com\/blog\/overcoming-health-claim-rejections-impact-of-pre-existing-diseases\/\" class=\"more-link\">Continue Reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":4,"featured_media":3058,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","footnotes":""},"categories":[3],"tags":[],"class_list":["post-3056","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-insurance"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Overcoming Health Claim Rejections: Impact of Pre-Existing Diseases<\/title>\n<meta name=\"description\" content=\"Discover how pre-existing diseases can impact health insurance claims. 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