4 min read
Updated on Jul 13, 2022
The health insurance policies come with numerous features and advantages that policyholders can receive as part of the health plan. These features can be availed by the insurance policyholder at the time of claim settlement. However, most of the health plans are available with a waiting period within which no claim can be made. A policyholder can make claims in two ways – through cashless claims or through reimbursement claims.
For both the claims, there is a procedure that needs to be followed. For that the insured can get the medi assist claim form first and other documents required with it, which he/she needs to submit to the insurer. Once the verification is done properly, the health insurer approves the claim and the insured gets the amount.
In this blog, we are looking at the various details and steps that need to be followed to fill a health insurance claim form.
To start with, get a hard copy of the mediassist claim form that needs to be filled and submitted for filing your health insurance claim. The form is generally available at the hospital desk of the network hospital. Further, it is also available at the website of the insurer and you can get a print out of the same.
The next step is to fill the form accurately with the required details. Once done, you can submit the form after signing it duly together with the documents mentioned in the form.
Here are some basic details required for the insured to know prior to filing your claim form:
Below are the quick steps that you need to follow to fill the mediassist claim form of your health insurance:
Also Read: Best Health Insurance Companies in India in Claim Settlement
There are two key types of procedure to settle claims of health insurance policies. They are;
Cashless claim process is used to make a claim when the treatment is done at a network hospital via cashless mode. Insurance companies provide cashless treatment facilities in their network hospitals. The insurers tie up with different hospitals to provide this facility to the insurance policy holder. An insured person can avail this facility by getting admitted in a network hospital and by showing the ID proof of the policyholder. This ID proof is provided by the insurer and the insured should show it at the insurance helpdesk of the hospital to initiate the cashless treatment claim.
Under the reimbursement claim settlement policy, the insured can receive treatment at any hospital of their choice. Here, once the treatment is done and the policyholder is discharged from the hospital, he/she is required to pay all the hospital bills for the treatment. Later, the insured can file for the reimbursement claim by submitting the discharge papers to the insurer. The insurer compensates the amount as per the policy terms and conditions and it reaches the bank account of the insured.
It is very important to fill the IRDA claim form for claim settlement with great care. You must provide precise details in the form because if there is any issue in the form or if the data doesn’t match, the insurer might nullify the form and reject the claim. So, be very careful to provide accurate details so that there is no chance of facing rejection on the claim you made. You may check the claim form Part A filled sample to get better guidance.
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