answersLogoWhite

0

How the claim is calculated in case of health insurance?

Updated: 8/16/2019
User Avatar

Wiki User

15y ago

Best Answer

How much is the bill? Does the policy cover Reasonable & Customary or negotiated rates?

User Avatar

Wiki User

15y ago
This answer is:
User Avatar

Add your answer:

Earn +20 pts
Q: How the claim is calculated in case of health insurance?
Write your answer...
Submit
Still have questions?
magnify glass
imp
Related questions

How do you file a claim with accident medical insurance?

You are to file F.I.R. with local P.S. as the nursing home/hospital where you will be admitted will earmark your admission case as Police case. An intimation notice by any of your relatives or acquintances has to be served with the Insurance Co. citing the health insurance policy number. If it's a network hospital, you are to simply present the health card and avail treatment. In case of non-network hospital, you are to pay to the hospital first and claim reimbursement from the T.P.A./Insurance Co. along with requisite papers/documents.


Can I be sued for a bad faith insurance claim?

Usually in a bad faith insurance claim the insurance company is in the wrong. A bad faith claim is when an insurance company fails to pay out what was promised on the claim. More than likely you could sue the insurance company and have a chance at winning your case.


What is primary insurance certificate number?

When making an insurance claim a certificate is given for the claim. The primary certificate number will be the number that is listed at the top of this certificate. It is basically a case number to identify the claim.


How you calculate for marine insurance?

For calculation of premia, you are to follow the marine insurance brochure,. In case of assessment of claim,the Surveyor's Report plays an important role in determining quantum of claim amount to be admitted by the Insurance Company.


Where do you make a claim on life insurance?

Generally the claim has to be lodged on the branch of the life insurer which issued the policy bond, be it maturity or death claim as the case may be.


What documents do you need for health insurance?

The question is not clear whether you meant documents required for taking health insurance policy or for filing claims. For taking health insurance policy, you need fill in the proposal form with correct information of all the columns (concealment of vital information might lead to repudiation of claim), colored photos of each family member. For filing claims, if you are admitted in a net work hospital, you are simply to get admitted by producing the Health card provided by the insurance company. If your hospital bill exceeds the sum insured limited, you are to pay the balance amount. In case of reimbursement claim, you are to pay the hospital bill first and claim reimbursement with all relevant papers/documents.


What is Life and health insurance suspension?

There's quite a difference between Life Insurance and Health Insurance, and it's important to know what you pay for and what you get. Sometimes you see life insurance and health insurance lumped together because of the fact that they both insure the person (rather than the car, the house, etc). The difference is that if you insure your health, with health insurance, then if you become ill then the insurance company pays for your medical treatment, whereas with life insurance, if you die then the insurance company pays your nearest and dearest and those who depend on you. They can't replace you, but they can provide financial help to cover the losses incurred because of your absence. If you have a job that pays a salary then in the case of a life insurance claim the insurance company pays so your family aren't left in stuck.


How does one file an auto insurance claim?

If you need to file an auto insurance claim, you need to start by contacting your insurance company. It is important that you have all necessary information when filing a claim. If the claim is due to an accident, be sure to exchange license plate numbers, contact and insurance information with the other party. If a police report is filed, make sure you have the case number. Your insurance agent will then take you through the rest of the process.


Can you switch health insurance?

Yes, unless you are being provided health insurance by your employer in which case they determine what you are allowed to have because it is based on a company package that they purchased in whole. You are now the master of your own health insurance thanks to Obama Care


How much does Sear auto insurance cost?

The price of Sears auto insurance will depend on the number of vehicles being insured, the age of the person applying for the insurance, and their driving record. Therefore, Sears auto insurance is calculated on a case-by-case basis.


Life insurance claim?

What is an Insurance Claim?An Insurance Claim is an act wherein, a person who is insured or a person who is the next of kin to the insured contacts the insurance company to get some money due them.For ex:1. In case you had a serious health condition due to which, you were hospitalized and had to spend 1.5 lakhs of rupees from your pocket. But, the good news is, you have a health insurance policy, so you can claim the expenses from the insurance company. So, you will fill up a form and submit all documents for the medical expenses to the insurance company. The company will process your claim and settle you the money you spent in the hospital.2. In case a colleague of yours died in an accident and left his wife and child behind, you will feel sorry for the family. The good news here again is, your company has a group life insurance policy and he is insured for Rs. 50 lakhs, just like you and your other colleagues. So, you call up the wife and explain her the same. She contacts the insurance company, fills up forms and submits proof of death of her husband. The insurance company validates the documents and releases the payment of 50 lakhs to her, which she can use to educate her child and take care of herself until her child grows up.


How does homeowners insurance protect the mortgagee in case of a loss?

puts their name as a payee on the claim settlement check