A Brief Guide on Mediclaim Insurance: Learn How to File Reimbursement

Our friend Rahul’s father was returning home after a week’s stay at Ayush hospital. The entire week had been very hectic and traumatic for the entire family. However, his returning back home was only making Rahul even more worried rather than relieved. On enquiring the steps to file the mediclaim for his father’s healthcare left him in a harassed and exhausted state.

Rahul could only see medical bills, receipts and reports everywhere. He knew that he had to file the reimbursement but wasn’t aware that the original medical documents would be required to file the claim. However, with his neighbor’s assistance Rahul managed to find out the reimbursement procedure that made his task easier.

Things to Keep In Mind While Filing Claim

Most of us know that mediclaim is one of the most important insurance investments that one needs to make in his lifetime. The most important benefit of mediclaim insurance is that you can avail a cashless treatment in the network hospitals or in case of hospitalization, you can get the claim amount reimbursed post discharge. However, this is possible only if the insurance company is informed within the specified time. There are certain things that you need to keep in mind before you get a mediclaim insurance.

1. Pre- existing diseases: Ensure you disclose any pre-existing health conditions to the Insurer
2. Annual Affair: Mediclaim insurance is a yearly affair. Remember, the policy will get renewed and reviewed each year.

3. Reimbursements can be done for hospitalization only: In case of hospitalization, a reimbursement can be possible for a time frame of 24 hours. And that for less than 24 hours will not be covered by mediclaim insurance. To add to it, day care procedures also won’t be reimbursed.

1. Renewal age: It would be a wise decision to opt for a mediclaim insurance policy that has a higher age limit. The reason being once you reach a particular age, the mediclaim policy won’t exist. At this time, you may require a senior citizen plan that would cover your health requirements.
2. Premiums increases with age: A mediclaim policy makes you pay higher premiums as your age increases.
3. Policy wordings: There is a lot of hidden terms and conditions you would find in the policy wordings. Ensure you enquire about the sub-limits and day limits for the plan you opt for.

Understand how to file a mediclaim

Follow the below steps to file a mediclaim:

• Medical bills, reports and receipts have to be in placed in a proper order
• These documents have to be duly signed by the patient. Personal details like the patients name, cost price, document number and serial number should be present on the document.
• The claim form needs to be filled properly. This form can be downloaded from the insurer’s website. Ensure you read the claim form carefully and fill in the appropriate details.
• The policy holder and the treating consultant needs to sign the claim form. The hospital’s seal also has to be on the claim form.
• All the relevant policy and medical documents along with the cancelled cheque needs to be attached to the claim form. There are chances of your claim getting rejected if any of these documents are found missing by the insurance company.
• Inform the insurance company that the claim has been submitted.

Rahul did exactly what his neighbor said, and was able to file his father’s mediclaim insurance policy with ease. He was finally relieved and free to take care of his family and give them all the attention.

I am an expert writer in Insurance Industry and have knowledge about various insurances online like Car Insurance, Two-wheeler Insurance, Health Insurance.