Documents Required for Health Insurance

4. Other Important Documents 

Apart from the ones mentioned above, here are some other important documents required for health insurance:

• Passport-size photographs (if demanded by the insurer)
• Medical reports (if demanded by the insurer)
  
• Proposal form duly filled in and signed
  

Along with this health insurance documents checklist, the insurer may ask for other specific documents required for health insurance, if necessary.

Also Read: Documents Required for Term Plan

Here’s a list of health insurance claim documents for your reference (documents required might differ from one insurer to another):

• Duly filled and signed claim form of the insurance company
  
• Discharge summary or card of the patient
  
• A written consultation from the doctor with receipts
  
• Hospital bills, which have to be stamped and signed by the hospital authorities
  
• Any test results such as blood test, urine test, X-ray films, and others
  
• Prescription bills from pharmacies/hospitals
• In case of an accidental injury, FIR or Medico Legal Certificate (MLC)
• Any other relevant documents relating to the cause of treatment
  

Also, remember to keep a copy of the documents required for health insurance while submitting them. 

Things to Consider at the Time of Buying Health Insurance 

A health insurance plan is responsible for taking care of your future medical bills. On average, up to 10% of annual household consumption^[1] is utilized for health care needs. As the healthcare costs are surging every day, it is best to invest in a suitable plan for you and your family.

Checking the documents required for health insurance comes after you have selected the right policy. You should consider a few key things to choose a policy with the best benefits. Let’s take a closer look at them.

1. Adequate Sum Insured 

Make sure that the sum insured of your health insurance plan is enough to cover your particular requirements. If you have any pre-existing diseases, going for a higher sum insured is the wise thing to do. If you end up dissatisfied with the received amount in a time of need, health insurance will fail to serve its purpose.

2. Coverage Limit 

There are different types of health insurance policies that offer varying coverage. For instance, a particular type of medical condition may not be covered by the plan. Therefore, make sure you read the inclusions and exclusions of your health plan before purchase. 

Also Read: Difference Between Health Insurance and Cancer Insurance Plan

Steps to File a Health Insurance Claim 

The claim settlement process can be confusing for many policyholders. Mainly, there are some documents required for health insurance claim to go smoothly. Follow these steps to go through the health insurance documents checklist quickly:

Step 1:

The documents required for health insurance claim include medical receipts, bills, and reports. Keep them safe with you and arrange them in chronological order for more efficiency. Also, check if these documents required for health insurance contain necessary information such as patient name, costs, document number, signatures, etc. 

Step 2:

You need to fill a claim form provided by the insurance company. The form is generally available for download from the insurer’s website. Read the instructions carefully and fill the claim form with accurate information.

Attach it to other medical bills and reports to make a set of the documents required for health insurance claim.

Step 3:

You may need to submit the original and copies of the documents required for health insurance. In addition, keep a copy of all the documents required for health insurance policy for yourself.

Step 4:

You must review the documents required for health insurance carefully before submitting them. In case there is a missing document or false representation of details, the claim may not be processed on time or at all. 

Frequently Asked Questions (FAQs)

Q. What Is Waiting Period In Health Insurance? 

A. When you buy a new health insurance policy, there is generally a waiting period of 30 days, during which the insurer does not take any settlement claims. The waiting period starts from the inception date of the policy.

Q. Do I Need to Go Through Medical Tests to Buy Health Insurance? 

A. Yes, the insurer may require a medical examination of the insured individual, depending on the age of entry.

Q. How Many Times Can I Claim My Health Insurance Policy? 

A. You can claim your health insurance policy any number of times unless there is a specific predefined cap. The claims are only restricted by the sum insured amount.

Q. What Is a Health Check Facility? 

A. Some insurers offer general health check-ups once in a few years as part of the health insurance coverage. Check with your insurer to know the details.

Q. What Is A Family Floater Policy? 

A. A family floater policy is a single health insurance plan covering medical expenses for all family members. The policy has one sum insured, which can be used by any member of the family in any proportion, subject to the maximum overall limit of the sum insured. 

Please read terms and conditions of the policy before concluding a sale. Information mentioned may vary. Max life can not be held responsible if any policy purchases made basis aboave information cited.

Sources

https://niti.gov.in/planningcommission.gov.in/docs/reports/genrep/bkpap2020/26_bg2020.pdf (2020)

https://www.policyholder.gov.in/how_to_make_a_claim__health.aspx

https://www.policyholder.gov.in/you_and_your_health_insurance_policy_faqs.aspx

https://www.policyholder.gov.in/Dos_and_Donts_for_Health_Insurance.aspx