Question

3. Discuss the factors that combine to contribute to final claim reimbursement amount in health insurance

Answer 1

The final claim reimbursement in health insurance can be made if the policyholder decides to go to a hospital of his choice, which is a non-enlisted hospital. The insured has to pay all his bills and other side costs involved in treatment and hospitalization and then claiming the reimbursement. In order to avail reimbursement claim, you have to provide all the required documents and reports including the original bills to the insurance provider. The company will then start the procedure of evaluating the claim to check its scope under the policy cover and then forward a payment to the insured one. If the treatment is not covered under the policy, the claim will get rejected. The insurance provider generally provides all the reasons for the rejection of the claim.