*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C Apply
*Tax benefit is subject to changes in tax laws. Standard T&C Apply
Since the widespread of Coronavirus in India and globally, the demand for health insurance and insurance policy for COVID-19 have also increased. With more and more people buying a COVID-19 health insurance plan, the queries related to Corona insurance policy claims also seem to be a concern for insurance holders. So, here is quick rundown with the step-by-step guide to filing Coronavirus treatment related medical insurance claims:
Cashless treatment can only be availed at the network hospitals that are listed by the insurance company. You need to inform the insurance company with 24 hours of hospitalization, if it is unplanned. For planned hospital admission, inform your health insurance provider in advance. Though the process may vary from one insurance company to another, but this a common procedure that is followed by most Health Insurance Companies in India:
Steps are as followed-
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For treatment in a non-network hospital - then you shall inform your insurer within 48 hours of hospitalization. The process is as follows -
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When filing claim for Corona insurance policy the following documents along with the discharge needs to be furnished to the TPA or the Insurer. The list of documents goes as follows:
If you have two health insurance policies, which you have taken from two insurance companies, and the sum insured is Rs 3 Lakh and Rs 10 Lakh for the other policy. You have one health insurance policy for COVID-19 like Corona Kavach or Corona Rakshak medical insurance policy, and the other policy is a top-up health insurance plan then you can use your top-up plan upon exhaustion of the sum insured over and above the deductibles, provided it covers the cost of Coronavirus treatment. Please check the policy wordings or with the insurer for the same.
Let’s assume the hospitalization bill amounts to Rs 7 Lakh then you can use Rs 3 Lakh from the first policy and the remaining Rs 4 Lakh from the other policy. You would need to handover original copy of your bills, along with your documents to the first insurance service provider. Make sure that you tell the amount clearly to your insurer from which you are taking the claim first.
Once it is cleared, you would need to handover the Xerox of the claim settlement bills which are attested by the hospital, to the second insurance company.
To Conclude
Amid the ongoing SARS CoV-2 pandemic, it’s always a wise decision to buy more than two health insurance policies to cover maximum health risks. And before you make the decision, it’s important to assess what all your policy covers and what all is excluded. If you knowledge beforehand, it makes it easier for you to file a claim and saves you from running pillar to post.
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