{"id":935,"date":"2021-10-26T07:45:30","date_gmt":"2021-10-26T07:45:30","guid":{"rendered":"https:\/\/www.insurancesamadhan.com\/blog\/?p=935"},"modified":"2021-11-23T06:18:39","modified_gmt":"2021-11-23T06:18:39","slug":"how-to-avoid-claims-rejection-in-health-insurance","status":"publish","type":"post","link":"http:\/\/www.insurancesamadhan.com\/blog\/how-to-avoid-claims-rejection-in-health-insurance\/","title":{"rendered":"How to avoid claims rejection in health insurance?\u00a0"},"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\/how-to-avoid-claims-rejection-in-health-insurance\/#What_to_do_if_your_health_insurance_claim_gets_rejected_by_an_Insurance_Company\" >What to do if your health insurance claim gets rejected by an Insurance Company?<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"has-drop-cap\">Nothing is more disheartening than being rejected by your health insurer. so we decided to write on how you can avoid claim rejection in health insurance?&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-image is-style-default\"><figure class=\"aligncenter size-large is-resized\"><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2021\/10\/How-you-can-avoid-claim-rejection-in-health-insurance-683x1024.png\" alt=\"How to avoid claims rejection in health insurance?\u00a0\" class=\"wp-image-938\" width=\"683\" height=\"1024\" srcset=\"http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2021\/10\/How-you-can-avoid-claim-rejection-in-health-insurance-683x1024.png 683w, http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2021\/10\/How-you-can-avoid-claim-rejection-in-health-insurance-200x300.png 200w, http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2021\/10\/How-you-can-avoid-claim-rejection-in-health-insurance-768x1152.png 768w, http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2021\/10\/How-you-can-avoid-claim-rejection-in-health-insurance.png 800w\" sizes=\"(max-width: 683px) 100vw, 683px\" \/><figcaption><sub>How to avoid claims rejection in health insurance?&nbsp;<\/sub><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-text-align-justify\">The Covid-19 pandemic was a big lesson in health insurance for many. While it did create awareness around the need for having a health insurance policy, it also served as a crude reminder as to what may go wrong when buying a health cover that may lead to claims rejection. Even as you are covered under a health plan, you can\u2019t be sure if it will protect your pocket in case of hospitalization. Why? Because understanding policy features are complex. More often than not even an insurance agent may not be knowledgeable enough to explain all details.&nbsp;<em>Caveat<\/em>&nbsp;emptor (let the buyer beware) is the basis of insurance.&nbsp;We tell you key points to keep in mind when buying a health insurance plan:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong> Pre-existing diseases<\/strong><\/li><\/ul>\n\n\n\n<p class=\"has-text-align-justify\">If you are already suffering from a disease, you have to disclose it to the insurer. This may lead to a hike in insurance premiums or rejection of the proposal altogether. This is the reason why some agents may convince customers to lie about pre-existing diseases. They want to close the deal to earn a commission. Just buying an insurance policy is not enough. You have to be transparent. If the insurer figures out at the time of the claim that you had not disclosed a pre-existing disease, your claim will get rejected surely.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Know all exclusions<\/strong><\/li><\/ul>\n\n\n\n<p class=\"has-text-align-justify\">You must have a deep understanding of what all is excluded in your policy. You should go through the exclusion section in your policy brochure thoroughly. Clear all your doubts, if any.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Know policy limitations<\/strong><\/li><\/ul>\n\n\n\n<p class=\"has-text-align-justify\">If you have a policy coverage of, say Rs 5 lakh, it does not mean that hospital expenses up to Rs 5 lakh will be covered entirely. There could be a disease-specific&nbsp;limit that the treatment cost of a particular disease will only be covered up to Rs 1 lakh even as it may cost you more. Similarly, there are room specific limits also. For example, if your policy has a daily room rent limit of Rs 8,000, but the room where you got admitted costs you Rs 10,000, the balance Rs 2000 will not be covered under insurance.<\/p>\n\n\n\n<p class=\"has-text-align-justify\">Besides, you should check the credentials of your insurance agent. Keep his contact details safe. Ultimately, despite all your caution if your claim gets rejected, you should write to the insurance regulator. You may reach out to Insurance Samadhan to contest the rejection of a claim. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_to_do_if_your_health_insurance_claim_gets_rejected_by_an_Insurance_Company\"><\/span>What to do if your health insurance claim gets rejected by an Insurance Company?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"has-drop-cap\"><br>Ultimately, despite all your caution, if your claim gets rejected, the best way to resolve this is to reach out to the <a href=\"https:\/\/www.insurancesamadhan.com\/?utm_source=blog&amp;utm_medium=howtoavoidrejectioninhealthclaim&amp;utm_campaign=Health+Insurance\">Insurance Samadhan<\/a> via their website or call on 844-844-0626 or Whats app on 7799058555. Alternatively, you can also visit the <a href=\"https:\/\/www.irdai.gov.in\/Defaulthome.aspx?page=H1\">IRDA website.<\/a> <\/p>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-text-align-justify\"><br><br><br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nothing is more disheartening than being rejected by your health insurer. so we decided to write on how you can avoid claim rejection in health insurance?&nbsp; The Covid-19 pandemic was a big lesson in health insurance for many. While it&hellip; <a href=\"http:\/\/www.insurancesamadhan.com\/blog\/how-to-avoid-claims-rejection-in-health-insurance\/\" class=\"more-link\">Continue Reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":4,"featured_media":942,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","footnotes":""},"categories":[3],"tags":[15,16],"class_list":["post-935","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-insurance","tag-avoid-claim-rejection","tag-health-insurance"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>How to avoid claims rejection in health insurance?\u00a0Insurance Samadhan<\/title>\n<meta name=\"description\" content=\"Even as you are covered under health insurance, you can\u2019t be sure if it will protect your pocket in case of hospitalization. Why? 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