@@SaraH-cg4cdboth are diferent Aproved means your Rehmbershment are Aproved by Insurance company and Settlement means when money payment in your acount.......
Got to know so many things from this video:- 1. Difference between cashless and reimbursement claim 2. How each claim process works 3. Which one should be preferred Thank you for making this video.
_1. The merit of any Mediclaim claim (specially Reimbursement claims) mainly depends on the 1st Prescription of the attending doctor._ _2. Before buying any Mediclaim policy from any company, Know the 'Sub-Limits', Excluded Perils (if any), 'Waiting Periods', whether or not there is 'CO-payment' clause._ _Any ailment / Line of treatment, other than explicitly mentioned in the "Policy Clause" (pre-printed part of the policy document) as "Exclusions" ( excluded perils ) or Conditional Exclusions_ _( Like, "Waiting Period") Is Covered._ _So, whilst receiving the hard copy of your Mediclaim pol. documents, make sure that the pre-printed policy clause is also appended with the Policy Schedule/+ Certificate and Premium payment Receipt. In the pol. clause part, the Contract of agreement is supposed to be clearly inscribed for patron's perusal and clear understanding._ _3. Try to go for Cashless Claim and if it's a "Planned Hospitalization", acquire "P. A. (pre Authorization) To The Cashless Claim."_ _4. For Sr. Citizens, be advised to go for Cashless option, unless it's a contingency.). TPAs tend to deduct the claim amount to the extent they can, citing various reasons/ deductibles, etc.)_ _5. If a policy from any co. offers" OPD treatment" the amt. being apropos the amt. of Sum Insured, my advise is skip the ₹ 1,000..... ₹ 4,000 OPD - Claim, in order to get Much Higher quantum of Coverage in terms of "N. C. B." (No Claim Bonus). This opinion is personal and drawn from my personal experiences over the years._ *~ Indranil Banerjee ( FIII )*
Can we use 2 policies ( Main policy + super top up ) in a single bill of hospitalization. How can we use? Can hospital refuse to use papers? My mother was admit and Apollo hospital , Delhi refused to use 2 policies. Please make a video and guide
Hi ma'am I hope you are fine..My Question is jaise Maine hospital me admit hua tha,, cashless prosess tha..but Maine admit se pahle kuch cheakup karwaye the and after discharge medicine bhi li and discharge ke baad ambulance se apne ghar tak ka amt pay Kiya....too ye Amt company mujhe refund kregi...iska prosess kya hai
adytiya bilra health plan कभी भी मत लेना पहले मैंने cashless claim किया वो denay किया फिर बोला की reburshmnt मे ले लेना.. दो महीने से wait kar रहा हूँ अब तक नहीं कोई भी जवाब मिला कंपनी की तरफ से बोलते है की process मे है. ज़ब policy लेने की बारी आती है तो मीठी मीठी बाते करके फंसा लेते है ज़ब claim देने की बारी आती है तो चककर पे चककर कटवाती है मे जीता जागता गवाह हूँ दो महीने हो गए है पुरे मुझे पर कुछ भी नहीं मिला
Ma'am please clarify below claim reject massege. On scrutiny of documents member is claiming for expenses for normal delivery. However it has been observed that the surgeon is BAMS. This is out of discipline and is not covered as per policy T&C .
Hi Ma'am, I wanted to know about the process for determining the inclusion and exclusion of health insurance coverage during both planned and emergency admissions. I would like to know if the Third-Party Administrator (TPA) is aware of all the coverage included in my policy or if I need to inform the hospital about the specific coverage I am entitled to as per the policy.
Hi Gurleen , What to asked that there is any norms in timing for the reply from insurer and hospital so that at night insurer can’t that that it’s not there working hour ? What maximum timeline in a day or a night to reply for queries from both side .
very iinformative mam.. bt one question Agar Day of admit in hospital sunday ya other holiday ho plus uska next day b holiday ho to approval mil jata hai holiday wale din ya patient ko admit hone k bad 1-2 din approval ka wait krna pdega?
Hello Ma'am for the important information..I have one query regarding non hospitalization medical expenses..suppose if doctor asks patient to do CT scan or MRI of a particular body part and doctor think there is no requirement for hospitalization and advices his patient to do treatment from the home itself for 1 month so in that case all the tests and medicines expenses can be claimed or not..please reply
I have ICICI Lombard Health Insurance with no room rent capping, however when the hospital sent a pre authorisation with room category as Suite (as per my choice) insurance guys gave the approval only for Standard room when I asked customer care about it says for cashless it is only standard room I will be eligible in case of Reimbursement any room is fine. This is absolutely not fair cheated me. Please let me know what they are doing is right ?? If that is the guidelines from IRDAI then they should have mentioned it clearly in the insurance policy copy which they have not. It's a scam not expected this from ICICI.
Does the procedure for reimbursement claim stay the same for day care procedures? Which documents do we attach for 'Discharge Certificate' tab? And if we have a bill which has been paid, how do we get its payment receipt, since day care surgeries can be from local hospitals who do not provide separate bill and payment receipt?
Sir, we spoke on call. Discharge summary will be required if it was a day care procedure otherwise it will be counted as OPD procedure. Since it is a group policy, you can connect with HR of your company
Hello mam, My father visited Canada and he had insurance from care health and but I we tried reimbursement but couldn’t choose other country all it was mentioned all the states of India. Please help
Mine is a medi assist insurance company. If I go cashless network hospital... which option is best cashless or reimbursement... I want to claim full money, which is total expenditures for the spinal cord surgery... Please reply
I have applied for marriage certificate and it will take time after which I have to update my wife's adhar card with the name after marriage. I have added my wife's name as per after marriage but on Adhar card its pre-marriage. While applying for claim, will this be admissable? If not, or the documents are not available within 30 days after discharge, can we still claim after 30 days?
We have 2 family floater policies (10+90) from Niva Bupa- Reassure and Recharge Benefit (Super Top Up) plan. In Reassure plan, my husband is the proposer while I am proposer in the Super top up plan. For claims higher than the base plan cover, where we will need the super top up cover, will there be any issue with claim settlement considering there are 2 proposers for 2 plans?
Ek customer ke view se sab baate hn RUclips pr asi info bhari pati hn Pr ek Hospital Manager jo iss policy pr claim krte hn unka process kya hn. keise jaise meine hospital ki taraf se mein insurance company mein claim kr rha hoon toh kya kya process hn iss topic pr video chyeh.
Hello mam, my mother was admitted to PGIMER CHD due to blocked arteries and one stent was installed. She stayed in hospital fr 3-4 days and total bill was around 75k. With the help of Care Health Insurance we submitted all original bills , receipts etc but we are reimbursed only 50k. Could you please advise what should done now?
Mam Mera baby ka chest mein infection Ho gai main admit kar diya mukundapur amri hospital mein swiggy se insurance claim chahie mera baby ka naam se please help me mam
Cashless me aisa kuch nhi h mam, wo hospital pe depend krta h... As we know that our police only approved 40-50% of claim amount, rest amount you have to pay at a time..yes they will refunds after final Settlement.... I already faced.
"non-availability receipt from in-house pharmacy" मुझे इस रिसिप्ट के बारे में जानकारी दे सकती हो आप ये क्या होता है कैसा होता है और कौन देता है ये रिसिप्ट डॉक्टर या फार्मासिस्ट कृपया मार्गदर्शन दे ।🙏🙏🙏🙏🙏🙏🙏
I have a question. Lets say I have a rash and I am taking fungal medicine for it and I described it to the insurance company as pre existing illness but latter it was diagnosed as a complete different disease. will that falls under the insurance?
Hello jee, you can connect with us on WhatsApp/Call at 9650706699. Our team can assist you with a few suitable options depending on your requirements & medical history.
"It is observed from the documents submitted that the hospitalization for treatment of fibroid uterushas arisen within two years from thedate of commencement of the first policy. As per the waiting period exclusion no. Excl 02 of the policy, the claim is not admissible for a period of 2 years from the date of inception of the first policy." We are therefore unable to consider the approval for cashless treatment of the above diagnosed disease. "They are saying this what can i do about this " Help
Hi Mam, I need your help. My Cashless got rejected for unrealistic reason and now I want to apply reimbursement. But I'm afraid to file because if some error happens, they will reject again. Please let me know how I can get in touch. My Insurer is Care Health.
Ma'am your video is very informative and well organized. I have a query. I have two claim and I misplaced original money deposit receipt so submitted duplicate receipts...they make a query to submit original, what to do now ? How do I solve there query?
Ma'am, I got admitted to the hospital due to severe fever on October 27, 2023, at 3:30 p.m., and the insurance company (Aditya Birla) gave the intrim approval for Rs. 20,000 on October 29 after two times of denial of pre-authorization, and I was diagnosed with typhoid on October 28. On October 30th (today), I am feeling good and think I will take medicine and take rest at home. So please suggest what I should say to the doctor for discharge and if the doctor will say that you will be responsible for the health of the patient. Also, is there any problem that occurs while getting the final approval from the insurance company before discharge from the hospital? Please suggest, madam, what I should do in this particular case.
My Father (52 years old) had a blood sugar level of 260 but after a month of medication it has come down to normal levels and now I am looking to buy a new health insurance policy for him and have few questions: 1)Will I have to enter his condition as Diabetic although his level is normal( for 2 months without medication) 2)If I buy "Aditya Birla Activ Health Platinum Enhanced", will it pay for medication and doctor visit fees (if his sugar lvl rises again) 3)If answer of 2 is NO then is there any insurance which pays for regular medication of future high sugar lvl? It would be really helpful if you reply😄😄
Answering your questions below: 1)Will I have to enter his condition as Diabetic although his level is normal( for 2 months without medication) Yes, you will have to mention as diabetic 2)If I buy "Aditya Birla Activ Health Platinum Enhanced", will it pay for medication and doctor visit fees (if his sugar lvl rises again) Aditya Birla platinum enhanced platinum plan has Chronic management program wherein they give charges for consultation and diagnostic tests for diabetes. 3)If answer of 2 is NO then is there any insurance which pays for regular medication of future high sugar lvl? Only Aditya birla is giving the above. You can refer detailed video on Aditya Birla plan on our channel - ruclips.net/video/jjD3V6CVSek/видео.html
Mujhe operation kiye hue 12 din ho gya hai hospital cashless network pe tha. mera 240000 ka mediclaim policy hai but pura bill nhi vara national insurance company ne 28050/- hamne diye aur pehle doctor fees aur test ka bill leke 5000 spend hua hai ab claim kaise karu 33050/- rupay..jo krwaya tha woh mr gya hai 😢
Thank you so much ma'am. Nice video My question is, can we take 2 health insurance policies so that if the claim of one policy is denied then we can apply claim from second policy? Is that legal?
Yes, you can do that but you can't make benefit from health insurance policies, means you can't claim for same amount from both the companies. If it doesn't get cleared from one company, can be applied to another.
@gurleen kaur: could you please advice on below query :- I have submitted all my original bills, receipts of hospital but my medical policy will expire on 30th of March and i don't wanna renew this and will shift to new company due to high premium cost, so does it create any hindrance in finalization of claim or will I get the reimbursement amount without facing any issue. Plz help on priority
Hi mam, I got health insurance from my company but recently i lost my eardrum and docter said that we need to do operation so how I can know like is eardrum operation is covering under my insurance. I want to cashless insurance. Please help about understand this thing .
Hi, please connect with your insurance company through customer care or mail. You can also connect with your insurance agent, if any. If you still have any queries, connect with us on WhatsApp at 9650706699. Our team may assist you.
Hello, madam recently i have admitted in hospital with fever with a network hospital. My policy is with Niva Bupa. Preliminary hospital approve my cashless by during my release I am informed by the company that my cashless claim was rejected as in my file doctor written that I have an anxiety disorder from last 10 years. After that asked to m doctor from where he knows my this kind of disease but he have no answer. Lastly paid hospital bill from my own pocket. My doctor also lastly written to me that i have not this kind of any disease and they not treat against any that kind of disease. Now what I have to do? I think I have to go to consumer court. Please suggest me.
To buy insurance policies, click here - hareepatti.com/contact-us/
@GurleenkaurTikku.... Please tell me... Approved amount and settlement amount will be same or different? For Reimbursement.
@@SaraH-cg4cdboth are diferent Aproved means your Rehmbershment are Aproved by Insurance company and Settlement means when money payment in your acount.......
@@Ak.Bharatwanshi thank you.... I got the settlement amount 🙂
Got to know so many things from this video:-
1. Difference between cashless and reimbursement claim
2. How each claim process works
3. Which one should be preferred
Thank you for making this video.
Aapka samjhane ka tarika mst tha....I like that
I have corporate insurance and i did not this process and because of it I am struggling alot... I thank you so much
Thank you jee, keep watching !
अच्छी जानकारी दिया है मैम आपने और हैशटैग पर भी ध्यान दिया बहुत खुशी हुई
Dhanyawaad jee 🙏
Thank you ma'am Khan sir jeysa asani sey samjaya...
Thank you !
Best policy is care health insurance...it's help me for my mother and father both healths
Bhut acha samjhaya ji aapne... Good... Thanxss... ❤️❤️❤️🙏🙏
Thank you so much jee !
Thanks ma'am, बडी मदत हो गयी....
Glad, Thank you jee.
Keep watching & DO SUBSCRIBE for more such informative content.
_1. The merit of any Mediclaim claim (specially Reimbursement claims) mainly depends on the 1st Prescription of the attending doctor._
_2. Before buying any Mediclaim policy from any company, Know the 'Sub-Limits', Excluded Perils (if any), 'Waiting Periods', whether or not there is 'CO-payment' clause._
_Any ailment / Line of treatment, other than explicitly mentioned in the "Policy Clause" (pre-printed part of the policy document) as "Exclusions" ( excluded perils ) or Conditional Exclusions_ _( Like, "Waiting Period") Is Covered._
_So, whilst receiving the hard copy of your Mediclaim pol. documents, make sure that the pre-printed policy clause is also appended with the Policy Schedule/+ Certificate and Premium payment Receipt. In the pol. clause part, the Contract of agreement is supposed to be clearly inscribed for patron's perusal and clear understanding._
_3. Try to go for Cashless Claim and if it's a "Planned Hospitalization", acquire "P. A. (pre Authorization) To The Cashless Claim."_
_4. For Sr. Citizens, be advised to go for Cashless option, unless it's a contingency.). TPAs tend to deduct the claim amount to the extent they can, citing various reasons/ deductibles, etc.)_
_5. If a policy from any co. offers" OPD treatment" the amt. being apropos the amt. of Sum Insured, my advise is skip the ₹ 1,000..... ₹ 4,000 OPD - Claim, in order to get Much Higher quantum of Coverage in terms of "N. C. B." (No Claim Bonus). This opinion is personal and drawn from my personal experiences over the years._
*~ Indranil Banerjee ( FIII )*
Can we use 2 policies ( Main policy + super top up ) in a single bill of hospitalization. How can we use? Can hospital refuse to use papers? My mother was admit and Apollo hospital , Delhi refused to use 2 policies. Please make a video and guide
Beautifully explained
Thank you :)
Hi ma'am I hope you are fine..My Question is jaise Maine hospital me admit hua tha,, cashless prosess tha..but Maine admit se pahle kuch cheakup karwaye the and after discharge medicine bhi li and discharge ke baad ambulance se apne ghar tak ka amt pay Kiya....too ye Amt company mujhe refund kregi...iska prosess kya hai
mam aapki awaz bahut sweet hai ji
adytiya bilra health plan कभी भी मत लेना पहले मैंने cashless claim किया वो denay किया फिर बोला की reburshmnt मे ले लेना.. दो महीने से wait kar रहा हूँ अब तक नहीं कोई भी जवाब मिला कंपनी की तरफ से बोलते है की process मे है. ज़ब policy लेने की बारी आती है तो मीठी मीठी बाते करके फंसा लेते है ज़ब claim देने की बारी आती है तो चककर पे चककर कटवाती है मे जीता जागता गवाह हूँ दो महीने हो गए है पुरे मुझे पर कुछ भी नहीं मिला
Noted thank for I formation
What about now ?
Denny karne ka reason bhi toh bataya hoga
Denny karne ka reason bhi toh bataya hoga
Correct
Very well explained thanks mam
Most welcome 😊 Keep Watching !
I saw the whole video. It’s very informative.Thank you
Most welcome jee, I am glad you liked it :)
Ma'am please clarify below claim reject massege.
On scrutiny of documents member is claiming for expenses for normal delivery. However it has been observed that the surgeon is BAMS. This is out of discipline and is not covered as per policy T&C .
U are great ma'am, thanks for giving nice health vedio...I prayer god for ur healthy and successful life....
Thank you so much, keep watching !
Hi Ma'am,
I wanted to know about the process for determining the inclusion and exclusion of health insurance coverage during both planned and emergency admissions. I would like to know if the Third-Party Administrator (TPA) is aware of all the coverage included in my policy or if I need to inform the hospital about the specific coverage I am entitled to as per the policy.
The hospital TPA desk verifies from the insurance company
Thanks a lot!! I was looking for exactly this information
Thank you jee, keep watching for more such informative content 😊
Thank you so much for making informative video.
Glad it was helpful, KEEP WATCHING !
Can we get access to UNDERWRITING POLICIES of health insurance companies?
Non medical expenses can also be covered by adding a shield.
Hi Gurleen ,
What to asked that there is any norms in timing for the reply from insurer and hospital so that at night insurer can’t that that it’s not there working hour ?
What maximum timeline in a day or a night to reply for queries from both side .
Thanks you jee
Rajesh Sharma
(Tax Consultants)
:)
very iinformative mam.. bt one question
Agar Day of admit in hospital sunday ya other holiday ho plus uska next day b holiday ho to approval mil jata hai holiday wale din ya patient ko admit hone k bad 1-2 din approval ka wait krna pdega?
Ma'am, medicine bill mein GST hona mandatory hai kya ? Pls reply Urgent. Thank you 🙏
Nicely explained..n simplified
Thank you so much 🙂
Documents lene kya company khud ghar pe ayegi ya kahi jana hoga dene?
Hello Ma'am for the important information..I have one query regarding non hospitalization medical expenses..suppose if doctor asks patient to do CT scan or MRI of a particular body part and doctor think there is no requirement for hospitalization and advices his patient to do treatment from the home itself for 1 month so in that case all the tests and medicines expenses can be claimed or not..please reply
Hi Ankur
For any queries regarding health insurance, het in touch with our team on WhatsApp at 9650706699 or 9810458605
Thank you
Thanks Mam 🙏
I have ICICI Lombard Health Insurance with no room rent capping, however when the hospital sent a pre authorisation with room category as Suite (as per my choice) insurance guys gave the approval only for Standard room when I asked customer care about it says for cashless it is only standard room I will be eligible in case of Reimbursement any room is fine. This is absolutely not fair cheated me. Please let me know what they are doing is right ?? If that is the guidelines from IRDAI then they should have mentioned it clearly in the insurance policy copy which they have not. It's a scam not expected this from ICICI.
Thank you 3k
Does the procedure for reimbursement claim stay the same for day care procedures? Which documents do we attach for 'Discharge Certificate' tab? And if we have a bill which has been paid, how do we get its payment receipt, since day care surgeries can be from local hospitals who do not provide separate bill and payment receipt?
Sir, we spoke on call.
Discharge summary will be required if it was a day care procedure otherwise it will be counted as OPD procedure.
Since it is a group policy, you can connect with HR of your company
Very nice video thanks medam ji.
Thanks a lot ! Keep Watching
Thnku so much mam for giving me your pricious time ❤️
Thank you so much !
If anybody need any Insurance Policy for TATA AIG, then I will provide to all the BEST Prices with BEST Services.
Detailed information thank you
I am glad it helped.
Hello mam,
My father visited Canada and he had insurance from care health and but I we tried reimbursement but couldn’t choose other country all it was mentioned all the states of India.
Please help
Hospital me admit hone se
Phale photocopy deni hoti hai kya..
Like photocopy
Adhar card
Pancard etc..
Ya orginal hi chaiye
Hospital walo ko?
Patient adhar card
Policy holder pan card
Policy
Soft copy bhi chalega
Mine is a medi assist insurance company. If I go cashless network hospital... which option is best cashless or reimbursement... I want to claim full money, which is total expenditures for the spinal cord surgery... Please reply
I have applied for marriage certificate and it will take time after which I have to update my wife's adhar card with the name after marriage.
I have added my wife's name as per after marriage but on Adhar card its pre-marriage.
While applying for claim, will this be admissable? If not, or the documents are not available within 30 days after discharge, can we still claim after 30 days?
We have 2 family floater policies (10+90) from Niva Bupa- Reassure and Recharge Benefit (Super Top Up) plan. In Reassure plan, my husband is the proposer while I am proposer in the Super top up plan. For claims higher than the base plan cover, where we will need the super top up cover, will there be any issue with claim settlement considering there are 2 proposers for 2 plans?
Sweta jee, There will not be an issue since insured person is present in both the policies.
Thank you for the clarification.
Thanks for your valuable information🙏🙏🙏
Madam medical insurance agent se lena behtar hai ya online is per Bhi Ek video Banakar Hamen samjhaen
Ek customer ke view se sab baate hn RUclips pr asi info bhari pati hn
Pr ek Hospital Manager jo iss policy pr claim krte hn unka process kya hn. keise jaise meine hospital ki taraf se mein insurance company mein claim kr rha hoon toh kya kya process hn iss topic pr video chyeh.
Ji, Thank you for the video suggestion.
We may bring a video soon 😊
Medam best health insurance company
excellent information madam
Thanks a lot !!
Incase of reimbursement what is the time gap to inform the insurance co. Admission of patient in hospital...
can you pls tell me one application for calculating premiums
मेडिकेयर पॉलिसी में केस को प्रोसेस करते समय किन बातों का ध्यान रखा जाता है और कैसे अप्रूव किया जाए
Cashless me Maine treatment karwaya bill total aaya 3.50 L.
Initial App -1.5L
And Final - .25
Humko 1.75L Dena para ...
Plz sujjest....
Hello mam, my mother was admitted to PGIMER CHD due to blocked arteries and one stent was installed. She stayed in hospital fr 3-4 days and total bill was around 75k. With the help of Care Health Insurance we submitted all original bills , receipts etc but we are reimbursed only 50k. Could you please advise what should done now?
Ashish jee, we had a word yesterday and shared the way forward with you over email.
Hope you get resolution soon.
@@GurleenKaurTikku Thanks for the prompt response. Really appreciate your advise!!
@@ashishaggarwal1519 :)
If anybody need any Insurance Policy for TATA AIG, then I will provide to all the BEST Prices with BEST Services.
Thank you so much Mam for valuable information. Nicely explained!
Keep watching !!
Mam Mera baby ka chest mein infection Ho gai main admit kar diya mukundapur amri hospital mein swiggy se insurance claim chahie mera baby ka naam se please help me mam
Cashless me aisa kuch nhi h mam, wo hospital pe depend krta h... As we know that our police only approved 40-50% of claim amount, rest amount you have to pay at a time..yes they will refunds after final Settlement.... I already faced.
Gadi ka claim kaise karna hoga. Maine 4 wheeler se gya tha admit ke liye. Isme bill kon sa dena hoga travels bill Or ambulance bill
"non-availability receipt from in-house pharmacy"
मुझे इस रिसिप्ट के बारे में जानकारी दे सकती हो आप ये क्या होता है कैसा होता है और कौन देता है ये रिसिप्ट डॉक्टर या फार्मासिस्ट कृपया मार्गदर्शन दे ।🙏🙏🙏🙏🙏🙏🙏
Paramount health corporate policy ka bataeye....
1.5 lac ka hai or 200% top-up hai..... reimburse kaise le sakte hain pura amount
Thanks for yours video ☺️
I have a question.
Lets say I have a rash and I am taking fungal medicine for it and I described it to the insurance company as pre existing illness but latter it was diagnosed as a complete different disease. will that falls under the insurance?
Which health insurance is best please tell me
Hello jee, you can connect with us on WhatsApp/Call at 9650706699. Our team can assist you with a few suitable options depending on your requirements & medical history.
"It is observed from the documents submitted that the hospitalization for treatment of fibroid uterushas arisen within two years from thedate of commencement of the first policy.
As per the waiting period exclusion no. Excl 02 of the policy, the claim is not admissible for a period of 2 years from the date of inception of the first policy."
We are therefore unable to consider the approval for cashless treatment of the above diagnosed disease.
"They are saying this what can i do about this "
Help
There are some slow growing illnesses which are not covered for 2 years, this is part of that list, hence will not be paid
If anybody need any Insurance Policy for TATA AIG, then I will provide to all the BEST Prices with BEST Services.
For pre and post hospitalization claims k liye bhi prescription, hospital discharge docs kyu dena hota hai?
Kyunki usse apke pre / poist hospitalisation days calculate hote hain
I will. See my claims processing status
Thanku nice information
Thank you, keep watching !
Accident insurance clim kayse kare is per ek video koro
jee, we will try to bring up a video soon.
Keep Watching !
Please make a video on hidden terms and conditions of care supreme
Ji, Thank you for the video suggestion !
Keep Watching !
Ma’am I have one question is physiotherapy is also included in health insurance??
Hi Mam, I need your help. My Cashless got rejected for unrealistic reason and now I want to apply reimbursement. But I'm afraid to file because if some error happens, they will reject again. Please let me know how I can get in touch. My Insurer is Care Health.
Hello jii Claim status Dekhne ka Ek video banavo na
Sure, Thanks for the video suggestion !
Can we claim insurance for just a check up and scanning ?
Can we use Medical claim in notice period time ?
Rejected claim process ish par vlog kiji ye सभी कंपनी valied claim reject कर देती है सभी ग्राहक परेशान होतें है इस के लिये मार्गदर्शन किजिये
Nice ji ❤
Thank you jee, keep watching !
TX Tikku ji
Ma'am your video is very informative and well organized. I have a query. I have two claim and I misplaced original money deposit receipt so submitted duplicate receipts...they make a query to submit original, what to do now ? How do I solve there query?
Original receipt will be required for claim
If anybody need any Insurance Policy for TATA AIG, then I will provide to all the BEST Prices with BEST Services.
Mam do you have any informative video of star young star policy
Not yet, would make a video soon.
64vb ke bare mai ek video banayiye please
Agar government hospital me admit huye to rebersment ki kya process hai..??
Ma'am, I got admitted to the hospital due to severe fever on October 27, 2023, at 3:30 p.m., and the insurance company (Aditya Birla) gave the intrim approval for Rs. 20,000 on October 29 after two times of denial of pre-authorization, and I was diagnosed with typhoid on October 28.
On October 30th (today), I am feeling good and think I will take medicine and take rest at home. So please suggest what I should say to the doctor for discharge and if the doctor will say that you will be responsible for the health of the patient. Also, is there any problem that occurs while getting the final approval from the insurance company before discharge from the hospital?
Please suggest, madam, what I should do in this particular case.
The discharge from the hospital happens on the recommendation of the doctor only
mam tell about chola mandalam health insurance ke barein bataye
jee, will make a video shortly on the same.
My Father (52 years old) had a blood sugar level of 260 but after a month of medication it has come down to normal levels and now I am looking to buy a new health insurance policy for him and have few questions:
1)Will I have to enter his condition as Diabetic although his level is normal( for 2 months without medication)
2)If I buy "Aditya Birla Activ Health Platinum Enhanced", will it pay for medication and doctor visit fees (if his sugar lvl rises again)
3)If answer of 2 is NO then is there any insurance which pays for regular medication of future high sugar lvl?
It would be really helpful if you reply😄😄
Answering your questions below:
1)Will I have to enter his condition as Diabetic although his level is normal( for 2 months without medication)
Yes, you will have to mention as diabetic
2)If I buy "Aditya Birla Activ Health Platinum Enhanced", will it pay for medication and doctor visit fees (if his sugar lvl rises again)
Aditya Birla platinum enhanced platinum plan has Chronic management program wherein they give charges for consultation and diagnostic tests for diabetes.
3)If answer of 2 is NO then is there any insurance which pays for regular medication of future high sugar lvl?
Only Aditya birla is giving the above.
You can refer detailed video on Aditya Birla plan on our channel - ruclips.net/video/jjD3V6CVSek/видео.html
Mujhe operation kiye hue 12 din ho gya hai hospital cashless network pe tha. mera 240000 ka mediclaim policy hai but pura bill nhi vara national insurance company ne 28050/- hamne diye aur pehle doctor fees aur test ka bill leke 5000 spend hua hai ab claim kaise karu 33050/- rupay..jo krwaya tha woh mr gya hai 😢
Ma'am please do make a video on post hospitalised claims for medicine and reports
Jee, will do
If reports surname is different and adhar name is different how to apply for claim
Thanks for information
Madam
Claim me kuch paisa nahi milta hai wo koun se charges hai Jo hame Insurance company nahi pay karti hai
jee, we will make a video on this as well. It will help our viewers as well.
Thank you & keep watching !
Thank you so much ma'am. Nice video
My question is, can we take 2 health insurance policies so that if the claim of one policy is denied then we can apply claim from second policy?
Is that legal?
Yes, you can do that but you can't make benefit from health insurance policies, means you can't claim for same amount from both the companies.
If it doesn't get cleared from one company, can be applied to another.
Alag alag lab ke bill ho to Kya curys AA sakti hai mam our alag medical ke bill ho vo mil sakte hai kya
Mam sirf 1 day ka test hoga. Hospitalized na ho to isurance milega kya
Day care is covered, however some line of treatment and procedure is required to claim.
Otherwise, 24 hours hospitalisation is mandatory
@gurleen kaur: could you please advice on below query :-
I have submitted all my original bills, receipts of hospital but my medical policy will expire on 30th of March and i don't wanna renew this and will shift to new company due to high premium cost, so does it create any hindrance in finalization of claim or will I get the reimbursement amount without facing any issue.
Plz help on priority
Hi, madam....hum reimbursement discharge k baad kitna din k andar submit karna hota hei...15 or 30 days k andar ?
Hi mam, I got health insurance from my company but recently i lost my eardrum and docter said that we need to do operation so how I can know like is eardrum operation is covering under my insurance. I want to cashless insurance. Please help about understand this thing .
Hi, please connect with your insurance company through customer care or mail. You can also connect with your insurance agent, if any.
If you still have any queries, connect with us on WhatsApp at 9650706699.
Our team may assist you.
Hello, madam recently i have admitted in hospital with fever with a network hospital. My policy is with Niva Bupa. Preliminary hospital approve my cashless by during my release I am informed by the company that my cashless claim was rejected as in my file doctor written that I have an anxiety disorder from last 10 years. After that asked to m doctor from where he knows my this kind of disease but he have no answer. Lastly paid hospital bill from my own pocket. My doctor also lastly written to me that i have not this kind of any disease and they not treat against any that kind of disease. Now what I have to do? I think I have to go to consumer court. Please suggest me.
You can apply for the claim in reimbursement first with the Doctor's letter
Hi Gurlenji, konsi health insurance policy budget or service or maturity achhi hai
thanks mam
Thanks a lot, keep watching !
How to claim Day care treatment I.e. Dialysis bills please guide us
Mam employee mediclaim online kese check kare with policy no
Very imformative.
Thank you so much !
Man âgar hum insurance kar le aur hospital se bill banwaye toh company ko kaise Pata chalega ki bill nakli hai asli please reply
Mam TPA requirement ho to btana plz.