Page 349 - Ebook health insurance IC27
P. 349
Sashi Publications
Q. Who will receive the claim amount under health insurance if the policyholder
dies during the time of treatment?
In cashless settlement, claim will be directly paid to the network hospital. In other
cases the claim amount will be paid to the nominee of the policyholder.
Q. Can I buy more that one Health Insurance policy?
Yes you can buy more than one policy but the insurance company will pay the claim
proportionately depending upon the sum insured under the policy.
Q. Is there any waiting periods in the new policy?
Yes generally it is 30 days from the date of taking the new policy. No claim will be
paid if claim occurs within this period.
Q. What happens to the policy coverage amount if claim is preferred under a
policy?
After a claim is filed the amount of sum insured will be reduced by the amount of
claim paid. For the balance policy period the policyholder can avail insurance only
upto the balance amount.
Q. Does health insurance cover diagnostic charges like X- ray, MRI or
ultrasound ?
Yes it is covered I the hospitalization is for more than 24 hours. However the tests
must relate to the disease for which the patient is admitted.
Q. Who is a Third Party Administrator ?
Third Party Administrator known as TPA is an Insurance Regulatory and
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