If you have two health insurance policies, you can get cashless settlement in one policy and avail reimbursement in the other. In the second case, when filing a reimbursement claim with the insurance company, a claim settlement letter will be required from the first company.
The importance of health insurance has increased since Corona. This not only saves you from huge expenses on diseases but is also helpful in dealing with health emergencies. However, this is possible only if you have better knowledge of the intricacies related to health insurance policy claims.
If you are employed then you usually have two health insurance policies. A policy is given by the company, which is called Group Medical Cover (GMC). Second, if you have purchased a separate health insurance policy. The biggest question that arises regarding health insurance claims is what to do regarding the claim if you have more than one policy. Which policy should be used first, so that the benefit of the claim can be easily availed.
You will get the benefit of cashless and reimbursement. If
you have two health insurance policies, then you can get cashless settlement in one policy and avail the benefit of reimbursement in the other. In the second case, when filing a reimbursement claim with the insurance company, a claim settlement letter will be required from the first company. This process will be effective only if the treatment bill exceeds the sum insured of the first policy. In such a situation, the first insurance company will settle the claim up to the policy limit, the second company will pay the rest.
Use GMC first
In case you have two health insurance policies, use GMC first as it usually has more covers. It covers maternity and pre-existing diseases from day one. By using GMC policy first, the sum assured of your retail policy will remain intact.
Review the documents.
Lack of correct documentation delays the reimbursement settlement process. Therefore, review the claim documents carefully. Documents required include original payment receipts, medical report, first consultation letter from the doctor, discharge summary, bank details, canceled cheque, a photocopy of photo ID.
Bhaskar Nerurkar, Head (Health Administration), Bajaj Allianz General Insurance says that insurance companies are making the claims process cashless. If the patient informs the insurance company 48 hours before hospitalization and 24 hours after admission in case of emergency, he can avail cashless treatment even in a non-network hospital.
