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Procedur To Be Followed For Buying Health Insurance Policy

Miscellaneous Conditions/Benefits in Insurance Health Policy

  1.  Filling of proposal form: The proposal form will contain the personal information of the person like name, address, age, occupation, sum insured etc. and two photographs of an individual is to be enclosed.
  2. Declaration of good health/medical questionnaire: A person should give a declaration of his good health. In case of adverse health then he should submit the certificate from the doctor.
  3. Medical examination report: It is required from the doctor, who is having the qualification of MD, if the age of person is more than 45 years. It is must even if the person is possessing good health.
  4. Payment: The premium is paid through cheque to get the tax benefit under Income Tax Act, 1961.
  5. Issue of Policy documents : The policy document is issued once above mentioned information/documents submitted.
  6. Issue of Photo Card by Third Party Administrator (TPA): After issuing the policy documents, the TPA will issue the photo identity card for each person which will help to get the treatment in the hospital on cashless basis. TPA are licensed by the IRDA who will settle the health insurance claims on behalf of the insurance companies. TPA have empanelled various hospitals on all India basis who will provide the health treatment on cashless basis meaning thereby, that the policyholder will not pay any amount to the hospital and the hospital will get the payment directly from the TPA up to the sum insured of a person. If some insured is not sufficient to meet the bill of the hospital then the excess amount will be paid by the policyholder.

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