If admitted to a hospital outside your network, you would typically need to pay the bills upfront and seek reimbursement from your insurance company afterward.

Expenses that are made before the hospitalization and post discharge from the hospital are covered in the medical policy and are known as pre and post hospitalization claim. Generally, it can be 30-60, 60-90 etc. depending upon the policy terms. We help apply your reimbursement taking away the hassles of filling and submitting the claim forms.

If your policy sum insured is exhausted or if that particular treatment is under capping, if there is any proportionate deduction or copayment, then you can claim the rest amount from another insurance policy under which you are covered.

A claim can be delayed due to pre-existing conditions, especially if the insurance company needs to review the policyholder's medical history or obtain additional information from the healthcare provider.

Yes, a short-settled claim may be re-submitted for payment.

There are many reasons why your insurance claim can get rejected, such as a delay in Health Claim Reimbursement, insurance policy exclusions, PED not disclosed, etc. It is important to avoid any such insurance claim rejection scenarios.

Any insurance-related matter problem totally depends on the case. So, it is advisable to be patient.

You may have to go for an Insurance Ombudsman hearing once you get the date and time for your case representation.

We help you represent your case with the Insurance Company, Insurance Ombudsman (Bima Lokpal), and consumer court depending on the case.