A Basic Guide To Health Insurance - PowerPoint PPT Presentation

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A Basic Guide To Health Insurance

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You have heard about the importance of getting your health insured given the rise in accidents, diseases and various critical conditions. But you don’t know the basics of health insurance and dread the complexities associated with the claims processes, documentation and reimbursement. – PowerPoint PPT presentation

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Title: A Basic Guide To Health Insurance


1
A Basic Guide To Health Insurance
2
  • You have heard about the importance of getting
    your health insured given the rise in accidents,
    diseases and various critical conditions. But you
    dont know the basics of health insurance and
    dread the complexities associated with the claims
    processes, documentation and reimbursement.Here
    are 10 pointers on the basic terms and processes
    associated with health insurance

3
  • Health insurance
  • As the term suggests, health insurance or
    non-life insuranceis about taking a medical cover
    against illnesses, diseases, medical conditions,
    accidents and unforeseen health disasters in
    general.
  • Hospitalization discharge card/summary
  • You need to approach an insurance company to buy
    the health insurance policy, pay a certain sum of
    money every year as premium to keep your policy
    active. God forbid, should you meet with a health
    disaster, the policy will cover the treatment and
    hospitalization subject to the terms and
    conditions of the policy.

4
  • Who should be taking health insurance
  • Just about everybody should take health insurance
    regardless of age, gender and physical condition.
    For the simple reason that medical disasters do
    not make exceptions and can afflict anyone at any
    time.Without health insurance, treating an
    illness or accident from your own pocket can
    prove very expensive.
  • Hospitalization is necessary
  • Health insurance covers the expenses so long as
    there is hospitalization. In other words, the
    patient must undergo treatment in the hospital
    for at least for 24 hours. A sickness / injury
    that does not result in hospitalization is not
    covered by the health plan.

5
  • Charges covered by the policy
  • All expenses related to the sickness / injury
    ward room charges, surgeons fees, consultant
    doctors fees, operation theatre charges are
    covered. Usually there is a time frame, with all
    pre and post-hospitalization expenses over the
    time frame covered by the policy.
  • Disease coverage
  • As far as disease coverage is concerned,
    excepting certain diseases or pre-existing
    conditions specified under the policys terms and
    conditions,In case of critical illness
    insurance all diseases and illnesses,including
    critical illnesses, are covered.

6
  • Critical illness
  • Critical illness is a health condition of a
    grievous nature. It can have a devastating effect
    on the individuals lifestyle and can incur
    considerable medical cost, in addition to loss of
    income from inability to work.
  • What are pre-existing diseases?
  • Pre-existing diseases as you may have guessed are
    diseases that a person may have suffered from, or
    sought treatment for, or even a disease which he
    may have contracted regardless of whether he was
    aware of it, before taking the policy. There is
    usually a waiting period of two to four years
    before the individual can file for health cover
    on pre-existing diseases.

7
  • Documentation required to file a claim
  • First, a reimbursement form, readily available on
    the companys website, must be filled. The form
    should be supported by documents like original
    hospital receipts and bills, prescriptions,
    doctor's note for tests and investigations,
    details of operation performed and surgeon's
    bill, receipt, to list the most important.
  • Claim processing
  • While the turnaround for claim reimbursement
    various across insurers, it usually takes 15-21
    days once the forms and documents have been
    submitted. The insurance company takes this
    period to verify the claim, ascertain eligibility
    and tie up related processes. The claim is
    accordingly approved and the reimbursement cheque
    is sent to the customer.

8
Health Insurance Dubai
  • Al Buhaira Tower, Khalid Lagoon,
  • Buhaira Corniche.
  • P.O. Box 6000
  • Tel 06 517 4444
  • Fax 06 574 8855
  • E-mailabnicho_at_albuhaira.com
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