List of Documents Required for Health Insurance

Keeping in mind the COVID-19 pandemic and increasing lifestyle diseases, a health insurance policy becomes inevitable. Due to the financial protection, it offers during a medical emergency, it becomes an important part of everyone’s financial portfolio. The availability of plenty of health insurance plans make it essential to know the requirements, policy basics, documents, and compare various factors before purchasing it.

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      In this article, we will tell you what are documents that you would need to furnish while buying health insurance, as well as while filing a health insurance claim.

      Age Proof: One of the most important documents in health insurance is your age proof. You also need to provide the age proof of all the members to be insured under the health insurance policy that you have opted for. Mentioned below are some of the acceptable documents that you can provide:

      • Birth certificate
      • Passport
      • 10th or 12th mark sheet
      • Aadhaar card
      • Driving license
      • Voter’s ID
      • PAN card etc.

      Address Proof: Permanent address proof also needs to be submitted. Following documents can be submitted for the same:

      • Aadhaar card
      • Telephone bill
      • Electricity bill
      • Passport
      • Ration card
      • Driving license
      • Voter’s ID

      Identity Proof: For identity proof, you can provide your Aadhaar card, Voter ID, passport, PAN Card, and driving license.

      Passport Size Photograph: Health insurance companies also ask for passport size photos of all the policy applicants.

      Medical Reports: Some health insurance companies require their applicants to undergo medical tests. Customers also require submitting all the reports of these medical tests.

      In addition to this, some health insurance companies may ask for additional documents based on their business model.

      Documents Required for Claiming Health Insurance

      Here is the list of documents that you require to file for reimbursement health insurance claims. Check out the list as given below:

      • Original claim form duly completed along with your signature
      • Valid identity proof
      • Doctor’s prescription suggesting treatment in hospital
      • Doctor’s prescription advising diagnostic tests, medicines, and consultation
      • Indoor case papers
      • Ambulance receipt
      • Original pharmacy bills
      • First Information Report(FIR), as required
      • Policy details that include the policy number, name of the insured,  address, and disease for which treatment is on
      • Additional documents that may be required to assess the claim, in case there is a fraud 

      Documents required for cashless treatments are as given under:

      • Claim pre-authorization form
      • Valid ID proof and a photograph
      • Documents such as PAN Card, Voter ID, Driving License, and Aadhar card

      The claim form and the documents should be sent to the Insurer or the Third-party Administrator.

      The documents required for cashless claims in a network hospital are different from the ones required for registering a reimbursement claim.

      The good thing about a cashless medical insurance claim is that you don’t need to worry about submitting any medical documents/ bills to the health insurance company. The hospital where you are undergoing treatment sends all the required documents and treatment details to your health insurance provider.

      On the other hand, in case of claim reimbursement, you will need to submit all the essential documents to your health insurer, by collecting the documents from the hospital where you were undergoing treatment. The insurance company will verify all the documents that were submitted and the claim amount will be transferred to your bank account.

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