List of Documents Required for Health Insurance

Keeping in mind the COVID-19 pandemic and increasing lifestyle diseases, a health insurance policy becomes inevitable. Due to the financial protection, it offers during a medical emergency, it becomes an important part of everyone’s financial portfolio. The availability of plenty of health insurance plans make it essential to know the requirements, policy basics, documents, and compare various factors before purchasing it.

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      In this article, we will tell you what are documents that you would need to furnish while buying health insurance, as well as while filing a health insurance claim.

      Age Proof: One of the most important documents in health insurance is your age proof. You also need to provide the age proof of all the members to be insured under the health insurance policy that you have opted for. Mentioned below are some of the acceptable documents that you can provide:

      • Birth certificate
      • Passport
      • 10th or 12th mark sheet
      • Aadhaar card
      • Driving license
      • Voter’s ID
      • PAN card etc.

      Address Proof: Permanent address proof also needs to be submitted. Following documents can be submitted for the same:

      • Aadhaar card
      • Telephone bill
      • Electricity bill
      • Passport
      • Ration card
      • Driving license
      • Voter’s ID

      Identity Proof: For identity proof, you can provide your Aadhaar card, Voter ID, passport, PAN Card, and driving license.

      Passport Size Photograph: Health insurance companies also ask for passport size photos of all the policy applicants.

      Medical Reports: Some health insurance companies require their applicants to undergo medical tests. Customers also require submitting all the reports of these medical tests.

      In addition to this, some health insurance companies may ask for additional documents based on their business model.

      Documents Required for Claiming Health Insurance

      Here is the list of documents that you require to file for reimbursement health insurance claims. Check out the list as given below:

      • Original claim form duly completed along with your signature
      • Valid identity proof
      • Doctor’s prescription suggesting treatment in hospital
      • Doctor’s prescription advising diagnostic tests, medicines, and consultation
      • Indoor case papers
      • Ambulance receipt
      • Original pharmacy bills
      • First Information Report(FIR), as required
      • Policy details that include the policy number, name of the insured,  address, and disease for which treatment is on
      • Additional documents that may be required to assess the claim, in case there is a fraud 

      Documents required for cashless treatments are as given under:

      • Claim pre-authorization form
      • Valid ID proof and a photograph
      • Documents such as PAN Card, Voter ID, Driving License, and Aadhar card

      The claim form and the documents should be sent to the Insurer or the Third-party Administrator.

      The documents required for cashless claims in a network hospital are different from the ones required for registering a reimbursement claim.

      The good thing about a cashless medical insurance claim is that you don’t need to worry about submitting any medical documents/ bills to the health insurance company. The hospital where you are undergoing treatment sends all the required documents and treatment details to your health insurance provider.

      On the other hand, in case of claim reimbursement, you will need to submit all the essential documents to your health insurer, by collecting the documents from the hospital where you were undergoing treatment. The insurance company will verify all the documents that were submitted and the claim amount will be transferred to your bank account.

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      Disclaimer: The list mentioned is according to the alphabetical order of the insurance companies. Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by any insurer. For complete list of insurers in India refer to the Insurance Regulatory and Development Authority of India website www.irdai.gov.in

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      *We will respond in the first instance within 30 minutes of the customers contacting us. 30-minute claim support service is for the purpose of giving reasonable assistance to the policyholder in pursuance of the claim. Settlement of claim (including cashless claim) is the responsibility of the insurer as per policy terms and conditions. The 30- minute claim support is subject to our operations not being impacted by a system failure or force majeure event or for reasons beyond our control. For further details, 24x7 Claims Support Helpline can be reached out at 1800-258-5881.

      *Product information is authentic and solely based on the information received from the Insurer. Policybazaar is acting only as a facilitator and claims settlement shall be at the sole discretion of the Insurer. Policybazaar does not provide any medical or surgical advice or diagnosis and is not responsible for your interactions / treatment by a medical practitioner/hospital. Please consult a registered medical practitioner for any medical or surgical advice. The Information that you obtain or receive from Policybazaar, and its employees, or otherwise on the Website is for informational purposes only. As per the Insurance guidelines, you are allowed to cancel the policy with-in 30 days from the date of Issuance of policy.This option is available incase of policies with a term of one year or more.

      *All the health insurance plans cover hospitalization expenses including COVID-19 treatment cover up to the specified limits. You can also buy specific COVID-19 health insurance policies such as Corona Kavach Policy and Corona Rakshak policy.

      **All savings and online discounts are provided by insurers as per IRDAI approved insurance plans. #Tax Benefits are subject to changes in tax laws. GST Exemptions depend on fulfilment of qualification criteria and submission of relevant documents.

      *₹1748/month is the starting price for a 1 crore health insurance for an 18-year-old male, with no pre-existing diseases. Discount on renewal premium is subject to the number of wellness points earned in the health insurance policy. For more details about the plans, please read the sale brochure carefully to get upto 100% discount on renewal premium.

      *₹400/month is the starting price for ₹ 5 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹541/month is the starting price for ₹ 10 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹762/month is the starting price for ₹ 1 Crore Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹243/month(₹ 8/day) is the starting price for a 5 lakh health insurance for a 20-year-old male, non-smoker, living in Bengaluru with no pre-existing diseases

      *₹2020/month is the starting price for ₹ 1 Cr Health insurance for a 50 year old male & 50 years old female, living in Bangalore with no pre-existing diseases rounded off to nearest 10.

      *₹390/month (₹13 per day) is starting price for 1 cr. Health insurance for 25 years old male, with pre-existing diseases, residing from tier 1 city rounded off to the nearest 10.

      *No medical tests are required unless requested by the insurer’s underwriter. In-case of pre-existing diseases relevant medical proof would be required as per the terms and condition of the policy opted.

      *The values taken for effective cost calculation are indicative values and may change as per the selected plan.

      *Coverage upto double the amount of Sum Insured is available on certain covers for a minimum plan of Rs. 5 Lakh on the first claim only to an individual of upto 45 years of age with no pre-existing diseases. The benefit is available with or without extra cost depending on the plan chosen.

      *Coverage of pre-existing diseases is provided by insurer as per their underwriting policy.

      *The scope of coverage may vary from plan to plan.

      ~Source: Google Review Rating available on:- http://bit.ly/3J20bXZ

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      Tax Benefits are subject to changes in tax laws. GST Exemption depends on fulfilment of qualification criteria and submission of relevant documents as required by the insurers. For more details on risk factors, terms and conditions, please read the sales brochure and applicable rules and regulation carefully before concluding a sale.

      STANDARD TERMS AND CONDITIONS APPLY. For more details on risk factors, terms and conditions, please read the sales brochure carefully before concluding a sale.

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