Health Insurance Process
Health Insurance Process
Insurance is designed to offer you peace of mind in the event of the something horrific and unforeseen happening. Whether it be a car crash, being a victim of burglary or contracting a terrible illness. However, as many as one in five insurance claims are rejected by insurance companies, most commonly when they feel that the terms of the policy they agreed have somehow been broken
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When you apply for health insurance you fill out a questionnaire about your medical history. Once all of that’s completed and you begin making payments, people generally (and understandably) assume that everything is fine and they’re fully covered. Insurance companies, however, rarely check the medical notes of applicants until it comes to making a claim. This is because of the staggering administrative cost of checking every single note.
If the insurance company finds some sort of disparity between the answers that you gave on your medical questionnaire and the details provided by the doctor’s notes, then the company have grounds to reject your insurance claim.
This is not altogether unsurprising, insurance companies have a difficult time dealing with the fraudulent claims of customers, though they put up their premiums for everyone to protect themselves against the costs they are still at risk from fraud. To that end insurance companies are particularly careful with the veracity of all the information that they receive from customers, and they are, after all, in the business of making money.
Generally there isn’t much that can be done, people applying for policies know that they have to give as detailed information as they possibly can, even if something seems innocuous it’s careless to withhold anything. There are, however, certain conditions that can be overlooked by the policyholder that the insurance company may not overlook. Take gestational diabetes – or in fact, any other number of conditions experienced during pregnancy that disappear shortly after – it may be forgotten when it comes to filling out the application forms, but when it comes down to it, the mention of diabetes in the doctor’s notes is going to make an insurance company pay attention.
The simplest way of avoiding any such problem is to be completely honest with your insurance company; that is not to say that people are intentionally dishonest – though often they are – but sometimes things are missed. You cannot give them too much information, even if the application form takes a long time to fill out. Secondly, you can always make a doctor’s appointment and be present when he or she fills out the application form, and therefore you can make sure that you don’t miss something off your application that they may be including from their notes.
Filling out insurance applications can be a long and arduous process, but ultimately the cover offered by a policy is simply too important to ignore, and the extra time taken in the short term may save a lot of problems in the long run.
For life insurance, try Legal & General.
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