In a country like
India, having a health insurance policy for separate individuals and special
family health insurance plans are of a necessity. A health insurance plan is a safety
measure that is undertaken by the buyer of the plan.
This safety measure gives financial aid at the time of a
health crisis through payment of medical bills, buying medicines and
hospitalization fees to all members who are insured under the same policy. Health
insurance plans can also be termed as medical insurance plans.
There are a variety of best health insurance plans that arepresent in India. These plans are divided on the type of health insurance that
a person is looking for, the length of the health insurance as well as the
inclusions and exclusions of each health insurance plan.
The Many Health
Insurance Plans in India
Each and every company in India that provides insurance
plans to individuals have their own versions of health insurances that they
have to offer. The different types of health insurance plans that are offered
popularly to the masses are as follows:
·
An Individual Health Insurance Plan is a
health insurance plan that is meant only for covering the health requirements
and expenses of one individual.
·
Family Health Insurance Plans are plans
that not only cover the individual but also their entire families as well. The
health insurance plan varies depending on the number of individuals who are
covered under the plan itself.
·
Critical Illness Plans are special plans
that are made for individuals who already have a critical illness and who are
seeking to get insured for the same. This plan covers nearly all critical
illnesses, there are also some plans that cover all critical illnesses after a
wait period of some time.
·
Depending on the age group, there are also
health insurance plans that are specially tailored for children, adults and
senior citizens as well from different companies.
Why Must You Buy A
Health Insurance Plan?
In the 21st century, there are a number of new
diseases and health problems that are affecting the common masses. It doesn’t
take long for an individual to realize that the expenses of fixing one’s health
is gradually rising. There is also the risk of sudden health deterioration
occurring for which huge funding is necessary for treatment. At a time when all
these problems are being faced, the wisest decision is to take a health
insurance policy.
Now those who are insured under a health insurance plan do
not have to worry about the expenses of the treatment that they need to go to.
The traditional method of borrowing loans from the bank for fixing one’s health
is over. Health insurance plans cover everything health-related of a person.
This may be the hospitalization fee, the fee for surgery/treatment of even the
fee for buying the different medicines, everything is included in the same
plan.
Health and Medical
Insurance Claim
Once a health or a medical insurance plan has been given to
a person, there are two ways in which the medical insurance claim can be made
by a person. A health insurance plan can either be claimed at the time that
there is a medical emergency and money is needed by the policyholder from the
company, or the claim can be made after the event.
The cashless medical insurance claims policy is when the
insured does not have to pay for any expenses that are incurred at the time of
a medical emergency. All the expenses are taken care of by the insurance
company itself. This is mainly applicable when the insurance holder avails
treatment from the hospital which is affiliated with the insurance company as
well.
The reimbursement process is when the insurance holder or a
member related to the insurance holder pays for the hospitalization fees and
other bills. This is later reimbursed from the company. The process is a short
one and does not require much effort for the same. The method of reimbursement
involves:
·
Informing the company that you want to make a
claim,
·
Submitting all the bills and necessary documents
that are required for the claiming process from the insurance company.
·
Get the reimbursed medical insurance claim
amount.
Steps to Take When
Your Medical Insurance Claim is Denied
There are rare occasions when the reimbursement of claim
from the insurance company may be denied. In this case, there are several
reasons why the insurance claim may be denied and there are several ways of
re-claiming one’s medical insurance claim.
At the time that a claim has been denied from the company,
the insured individual can ask the reasons why the company has denied their
medical insurance claim. Reconsideration of claim can also be suggested to the
insurance company in question. A third party may also review the insurance
claim that has been made and help in finding out the faults in the claims
process and ways to re-claim the money.
All
individuals whose claim has been denied from a health insurance company have
the right to appeal. An internal appeal is when the insurer appeals to someone
from the insurance company itself to go through the claims process and
reconsider the claims amount. Depending on the urgency with which the insured
wants the claims to be settled, the insurance company also has to speed up the
process as well. The third-party review is known as external review.