5 reasons your health insurance claims may be denied

financialexpress.com:

Health insurance is meant to provide financial protection against medical expenses. However, insurance companies do deny claims for various reasons. As a policyholder, it is important to be aware of common reasons why health insurance claims may get rejected. This will help you take necessary precautions and avoid claim denials.

Here are the top five reasons why health insurance claims are denied:

Filing a health insurance claim involves paperwork, documentation, and adherence to specific guidelines. Any misstep in this process can result in claim denial. Here are some common claim process errors to watch out for:

Incomplete Forms: Ensure that you fill out all required forms accurately. Missing information or incomplete details can lead to rejection.

Documentation: Submit all necessary documents promptly. Delayed or missing paperwork can jeopardise your claim.

Timelines: Be aware of claim submission deadlines. Late submissions may not be entertained.

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Health insurance policies often exclude coverage for pre-existing diseases during the initial waiting period. If you have a pre-existing condition and require medical attention, your claim may be denied.

Here’s what you need to know:

Disclosure: When purchasing a policy, declare any pre-existing conditions honestly. Concealing them can lead to claim rejection.

Waiting Period: Understand the waiting period for pre-existing conditions. Some policies activate coverage only after a specific duration (usually a couple of years).

Your health insurance policy has a defined validity period, typically one year. If your policy expires, it becomes ineffective. Here’s how to avoid claim denials due to policy expiry:

Renewal