Articles

Latest articles on Life Insurance, Non-life Insurance, Mutual Funds, Bonds, Small Saving Schemes and Personal Finance to help you make well-informed money decisions.

Non Life Insurance - Keep important documents handy while claiming health insurance reimbursement

20 Sep 2012

fjrigjwwe9r3SDArtiMast:ArtiCont

pregabalin 150

pregabaline blog.keylink.rs
class=>"A reimbursement claim form needs to be filled and submitted for processing to the insurance company if claims are processed in-house or are sent to the TPA". A health insurance policy, which does not provide the facility of cashless claim, will require the insured to settle the hospital bills directly on undergoing medical treatment. The same will apply if the individual is covered under a cashless facility but has been treated in a hospital not covered under the facility, or if the cashless request is turned down by the third-party administrator (TPA).

In all such cases, the individual has to settle hospital dues upfront and then claim the reimbursement from the insurer.

Reimbursement form

A reimbursement claim form needs to be filled and submitted for processing to the insurance company if claims are processed in-house or are sent to the TPA. The form is usually is available with the TPA and insurer or can be downloaded from their websites.

Documents

The duly filled form should be accompanied by documents supporting the claim. These include original hospital bills and receipts, prescriptions, doctor’s note for tests and investigations, details of operation performed and surgeon’s bill, receipt, etc.

Processing time

The claim is processed only after the form and all documents are received. It usually takes about 15-21 days for verification of the claim, ascertaining the eligibility and processing. The reimbursement cheque is then sent to the customer.

Points to note

1) Insurance companies may require intimation of hospital admission within the period specified.

2) The insurer will specify the period after discharge within which the reimbursement claim has to be submitted.

3) The company can deny the claim, fully or partially. In such a case, a letter giving the reason for the same is sent to the policyholder.

Content Courtesy: Centre for Investment Education and Learning

Source: ET BACK

To be added soon

Priyanshu B. Tanna

SEBI registered IFA

ARN119467 & EUIN E-183966

To be added soon

Bharat Tanna

SEBI registered IFA

ARN26176 & EUIN E-044509

To be added soon

Kundan B. Tanna

SEBI registered IFA

ARN294073 & EUIN E-553599

Risk factor

Risk Factors – Investments in Mutual Funds are subject to Market Risks. Read all scheme related documents carefully before investing. Mutual Fund Schemes do not assure or guarantee any returns. Past performances of any Mutual Fund Scheme may or may not be sustained in future. There is no guarantee that the investment objective of any suggested scheme shall be achieved. All existing and prospective investors are advised to check and evaluate the Exit loads and other cost structure (TER) applicable at the time of making the investment before finalizing on any investment decision for Mutual Funds schemes. We deal in Regular Plans only for Mutual Fund Schemes and earn a Trailing Commission on client investments. Disclosure For Commission earnings is made to clients at the time of investments. Option of Direct Plan for every Mutual Fund Scheme is available to investors offering advantage of lower expense ratio. We are not entitled to earn any commission on Direct plans. Hence we do not deal in Direct Plans.

Copyright © 2025 Design and developed by Fintso. All Rights Reserved