Insurance policyholder? Don’t make these mistakes or you can lose massive amounts of money

Health emergencies come without warning. This statement is apt for the times we are living in. It underlines the importance of subscribing to an insurance plan. Health insurance protects the policyholder as well as family members against crushing medical costs in case of an accident, illness or on the diagnosis of a serious illness. 

In India, you have the option to choose between different types of insurance plans that include Individual Health Insurance, Family Floater Health Insurance, Critical Illness Insurance, Critical Illness Insurance, Senior Citizen Health Insurance Plans, and Group Health Insurance.  

To claim the amount, you can decide between reimbursement or cashless mode. However, you need to be extra careful, otherwise your claims can be rejected. Here are a few things you should keep in mind: 

What All is Excluded 

All health insurance products come with certain exclusions. For example, most insurance policies bought before COVID-19 cover the illness but may exclude the cost of consumables such as masks, gloves, gowns, face shields, shoe covers, sanitizers, and disinfectants that are required for COVID-19.  

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Documentation is Important 

The next thing you should keep in mind is to provide correct information to the insurer. Suppressing or misrepresenting information can lead to your claim getting rejected. Care should also be taken to avoid wrong documentation with partial or wrong disclosure of important details such as age, medical history, occupation, income, etc. Failure to furnish proper details can lead to rejection of claim. 

Pre-existing disease  

In case the policy buyer is suffering from any respiratory disease for the past month or more, then chances are coronavirus specific policy or health insurance may not get approved. 

Also, you need to claim the amount as early as possible. Most health insurance plans provide for claiming expenses in case of a minimum of 24 hours of hospitalisation.