Essential questions answered about medical insurance plans in India.
When you are in the market for a product as vital and valuable as health insurance, it is natural to want to get the best deal out of the money you’re spending. Thankfully, you can accomplish this by conducting thorough research and learning about every feature of the policy before dropping the hammer. At the end of the day, your policy should work for you in the hour of need and fulfil your requirements.
Regardless of whether you are buying your medical insurance policy online or offline, you should be fully aware of its ins and outs. Below, we answer the 10 most common questions people ask about health insurance:
Most widely-believed car insurance my
1. Is my policy valid across India?
This question arises frequently in the minds of potential policyholders, and the answer is yes. If you purchase a health insurance policy in India, it will cover treatment costs anywhere in the country. However, you should read the policy documents carefully to make sure this clause is included.
2. Will I be covered for pre-existing diseases?
Most insurers exclude pre-existing diseases from their coverage for a fixed period of the policy. This is known as the waiting period. If the policyholder must be hospitalised during this time as a result of this condition, it will not be covered. Additionally, keep in mind that there are some conditions that are excluded from the policy coverage altogether, usually critical illnesses.
3. Will I be covered for accidents, surgeries, and normal hospitalisation?
Yes. The purpose of health insurance is to cover you in case of an accident, illness, or other health-related problems. Your policy will cover room charges, diagnosis costs, surgeon/nurse/specialist fees, etc.
4. Will the insurance be valid only in network hospitals?
No, the insurance will be valid even in non-network hospitals. The only difference is that in network hospitals, you can avail of cashless claim settlement, whereas in a non-network hospital, you will have to pay the medical bills on the spot and then get them reimbursed from your insurer.
5. What are the documents required for filing a cashless claim?
The most important documents are ID proof of the insured, health card, policy copy, pre-hospitalisation medical papers, and hospital bills. You will be required to submit a pre-authorisation form in case of cashless claims. The insurer will let you know if any other documents are needed.
6. When should I file a claim?
Your claim must be intimated at least 48 hours prior to hospitalisation if it is planned, and within 24 hours of hospitalisation in case of an emergency.
7. How long will it take to process my claim?
A reimbursement claim will be processed within 15 working days, subject to the receipt and approval of all the documents. A decision on cashless claim will be taken within 6 hours of the receipt of the required documents.
8. I want to increase the sum assured in my policy. Is this possible?
Yes, you can easily do this at the time of renewing your policy.
9. Under which circumstances can my reimbursement claim be rejected?
Your reimbursement claim can be rejected if:
It falls in the category of policy exclusions
It occurs as a result of a pre-existing condition during the waiting period
There is a violation of the policy’s terms and conditions
The policy is invalid or has not been renewed
There is a discrepancy in the submitted documents
The sum assured is exhausted due to previous claims
The insurer suspects any foul play in the claim
10. Under which circumstances can my cashless claim be rejected?
Aside from the aforementioned reasons, a cashless claim can be rejected if:
The information provided is insufficient to judge the claim’s admissibility
The hospital is a non-network hospital
The claim is not filed in time. In this case, you will be reimbursed after treatment
I/we give my/our consent to receive information in respect of policy servicing, claim servicing, updates on my policy, updates on new and existing product, marketing or servicing my relationship with Kotak Mahindra General Insurance Company Limited, its group companies/associates or agents through Telephone/Mobile/SMS/e-Mail, etc. Further, i/we understand that my/our consent to receive calls/communications shall be valid and shall prevail over my/our current or any subsequent registration of my/our number for the NDNC and shall continue to be treated as my/our consent/acceptance. (If you do not wish to accord your consent, please submit a Do Not Call (DNC) form alongwith this form.
I/we have understood the form, including the clause on consent to call, and i/we have agreed the same after understanding and accepting the terms contained therein.
Tips to follow for healthy lifestyle
With ever changing lifestyle and busy schedules, we must adopt certain lifestyle habits to lead a healthy and balanced life.
Must have add on covers for health insurance
Increasing need for financial planning and uncertainty of medical emergency, a health insurance plan becomes a must have for individuals.
How to avoid sickness during season change
Ways To Avoid Getting Sick When Season Changes
Healthy Resolutions For New Year
Various resolutions you can adopt for a healthy lifestyle.
Healthy diet for winters
Know why a nourishing diet and medical insurance are essential for healthy living.
Exercising tips for a healthy heart
Exercising is the key to healthy heart. Here are some exercising tips you can follow.
Tips on How to Stop Smoking
Know why smoking is injurious to health and tips on how to stop smoking.
Benefits of yoga
Did you know why International Yoga Day is celebrated on 21st June?
Monsoon Tips For Health
Simple tips that one can follow to ensure their well-being when the sky Gods rain havoc.
Diabetes and its management
Importance of maintaining a healthy lifestyle and controlling the disease
To optimise our site experience on your handheld device, please hold your phone vertically.