Page 351 - Ebook health insurance IC27
P. 351
Sashi Publications
Q. What happens is policy is not renewed in time?
The policy must be renewed in time otherwise the cumulative bonus facility will be
lost under the policy and the insurance company will treat it as a fresh policy and
such insurance cover would be treated as per the conditions applicable to a first
time cover. Again the person may have to undergo tests for taking a new policy.
Generally Insurance companies offer 15 days grace period.
Q. Is online policies available?
Yes some companies are offering online policies.
Q. Is routine medical expenses incurred covered under policy?
No it is not covered.
Q. In case of non cashless hospitalisation is it necessary to give intimation to
insurance company?
Though it is not mandatory but still it is better to give intimation in writing under
receipt about hospitalization. Generally intimation must be given with 7 days of
hospitalization.
Q. What is the time limit for submission of claims?
Usually the claim must be submitted in the prescribed format within 30 days from
the date of discharge from the hospital.
Q. Can TPA deny the cashless facility?
Yes if the insured does not give all the document required in time the TPA reserves
Website : www.bimabazaar.com, PH: 033 22184184/40078428 355