Health Insurance Company In India

Wednesday, January 27, 2010

What should be done when one wishes to claim?

In times of emergency, the prime advantage of a mediclaim policy is that you can simply show the Apollo Munich Health Card in the network hospital at the time of hospitalization and avail the treatment required (as per the terms and conditions of the policy). It reduces the need to think twice about making use of any medical procedures.

When you wish to claim reimbursement using a policy, you need not drive yourself up the wall looking for somebody to help you! Just follow the steps below to claim reimbursement from Apollo Munich. Preferably contact the company or the TPA as soon as a need for the claim arises.

Contact Apollo Munich Health Insurance Company or the TPA (the toll-free number would be mentioned on the back of the health card issued with the policy).

Tell them all the details about the incident, including the doctor’s prescription (if any) and every other small detail related to the emergency (ambulance transportation, hospital name, expected duration of recovery, etc.)

You will need to present several documents in order to claim the reimbursement. These include the discharge summary, claim forms, original bills, a photocopy of the Apollo Munich Health Card and other documents as per the requirements of the selected policy. Apollo Munich's telephonic assistance or online assistance would be able to guide you through all the forms and 'proof of claim' required in order for the claim to be passed quickly and smoothly.

Once all the forms are duly filled and submitted at the Third-Party-Administrator (TPA), Apollo Munich will reimburse your money in specified number of working days in accordance to the terms and conditions of the policy opted for.

6 comments:

  1. When a person wishes to claim is guess the most difficult part is making sure that they fulfill a whole long list of 'criteria'!!

    I have an Apollo Munich plan and it is easy to use it. I got my treatment done at a network hospital and then the hospital and the company contacted each other and i didnt have to bother about any silly paperwork etc. so it was a good experience.

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  2. I raised a claim last year for treatment in non-network hospital from Apollo Munich and was able to receive the money soon

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  3. Go through your insurer's claim procedure. Each of them has different procedure to be followed.

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  4. Follow steps as stated in policy manuals. every insurer have different set of rules and regulations for its customers.

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  5. i have also used the claims procedure and so i know that it is simple and fast.

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  6. i always prefer to use cashles hospitalization... its fast and simple...

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