You are about to be Hospitalised

Information about You are about to be Hospitalised

Published on August 2, 2014

Author: healthandinsuran



You are about to be Hospitalised: You are about to be Hospitalised What to do now ? First Step : First Step Get admitted in any one of networked hospitals Problem No 1: Problem No 1 When there is emergency, How to see whether hospital is on Network or not ? Solution no 1: Solution no 1 Call Toll free no of the Insurance company Share your Pin code Ask nearest Network hospital in that area Step no 2: Step no 2 Fax the pre- authorisation form along with relevant documents (Investigation reports, Previous consultation papers if any, Cashless ID, Photo ID) It will be done by Network Hospital Team Problem No 2: Problem No 2 I am not carrying all these documents Solution No 2: Solution No 2 Be Proactive Once in life , Claim is bound to happen, so keep scan of your Id proofs on mail . Always keep latest policy copy on mail. Step 3: Step 3 Your Insurance Company will reviews your claim request and accordingly will approve, query or reject the same (as per policy terms & conditions) Problem No 3: Problem No 3 Company is taking lot of time. I am waiting for last 6 hours Will it be approved ? Solution No 3: Solution No 3 Approval Process is a liability for Insurance Company. So they Scrutinize every details Company can send a query to hospital so it gets delayed. It varies from Case to Case. Be Patient Solution No 3: Solution No 3 Make sure to fill up the mobile number in pre- authorisation form Non-payable items have to be borne by the Insured In case of cashless denial, the Insured has to pay the hospitalisation expenses In case of planned surgery, send the pre- authorisation form in advance ( but not before 15 days from the admission date) Problem No 4 : Problem No 4 Claim is not fully paid Solution no 4: Solution no 4 Check Policy sub limits before you buy. In all cases, Non-payable items have to be borne by the Insured For more queries: For more queries

Related presentations