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Making Claims On Multiple Health Insurance Policies Made Easy Research Team | Posted On Thursday, June 14,2018, 06:19 PM

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Making Claims On Multiple Health Insurance Policies Made Easy




How should you make a claim if you have more than one Health Insurance policy? It might feel like a puzzle or a difficult task, owing to which, you might find yourself in a dilemma. But deciding the order of making a claim on multiple Health Insurance policies is, in reality, not difficult.

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Making Claims On Multiple Health Insurance Policies Made Easy


Following are some questions you may ask yourself when you have multiple Health Insurance policies, whether from the same insurer or different insurers, or when you have different types of Health Insurance policies.


1) In what order should you claim if you have two Health Insurance policies?


It is your right to decide the order in which you choose to make a claim on policies. If the claim amount exceeds the sum insured of one Health Insurance policy, then you can claim the excess amount on the other Health Insurance plan.

What to consider:

  1. The plans should provide cover for the ailment on which you are making a claim.
  2. If you are making a claim on Individual or Family Floater, no claim bonus benefit will become void during renewal.


2) What happens if you have multiple Health Insurance policies from different insurers?


If you have multiple Health Insurance plans from different insurers, you have the right to make a claim on just one policy or both and to choose the policy under which you want to make the first claim. Keep in mind the following:

  1. The Health Insurance plan should provide cover for the ailment.
  2. If you claim under individual or family floater, you lose the benefit of no-claim bonus during its renewal. Hence, it is wise to first utilize your group insurance plan. Also, a group insurance mostly covers pre-existing illness, unlike others. Therefore, check if your illness is due to a pre-existing condition.
  3. The total amount to be claimed can’t be more than the actual cost of hospitalization.
  4. If the claim amount exceeds the sum insured of the first plan, then you can make a claim on the other Health Insurance plan.
  5. Insurers demand original hospitalization bills which they will retain.


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3) How do you make a claim on two Health Insurance policies?


In case of a reimbursement policy:

  1. The insurer asks you to submit all original hospitalization bills.
  2. These bills will stay with the insurer.


In case it’s cashless:

The claim from the first insurer is settled through the cashless mode and all the subsequent claims will be reimbursed.  

Following is the process to make a claim:

  1. Inform all your insurers about hospitalization.
  2. Decide from which insurer you will make the first claim.
  3. Fill up the claim authorization form at the time of discharge.
  4. Make sure you are in possession of all the original documents, as required by the insurer.
  5. Get them photocopied and attested.
  6. Submit the original documents to the insurer from whom the first claim is made.
  7. Wait till the claim from the first insurer is settled.
  8. Collect the claim settlement statement.
  9. Submit the claim settlement statement to the second insurer.


4) How do you claim if you have an individual Health Insurance plan and a group Health Insurance plan?


If you have two types of Health Insurance plans like individual Health Insurance plans and a group insurance plan, always make the first claim from your group insurance plan.

  1. The claim settlement would be faster.
  2. You will save on your no-claim bonus during your next renewal of personal individual Health Insurance policy.
  3. Generally, it covers pre-existing illnesses.
  4. It does not have a waiting period.
  5. Be mindful of the exclusions that the policy may have.


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