For Mediclaim Policy Holder

Services For Mediclaim Policy Holder

Reply of Queries || Delay in Payments || Hospitalization Expenses || Health Claim Rejected by Insurance Company

For Mediclaim Policy Holder

  • Get reimbursement done in case of
    (A) Not availing cashless facility
    (B) Pre/Post/Hospitalization Expenses
  • Health Claim rejected by insurance company
  • Heavy deductions at the time of final settlement
  • Delay in payments by health insurance company
  • Non reply of queries leads to delay or denial of payments by Health Insurance Company.

Registration fees

We charge Rs. 500/- for the registration of each claim, which covers the scrutiny of your policy and claim documents to study the eligibility of the claim so that we can help you get it. After confirming the eligibility of your claim, we will charge 10% of the eligible claim amount. However , the charges are subject to change as per the complexity of the case. This fee will be charged after we have confirmed the eligibility of your claim. This fee enables us to put up your case with the insurance company with our expertise and legal support.

Term & condition / Process, Fees & Services granted by us for mediclaim policy holder

After paying registration fees client has to provide all required documents and disclaimer to consultant for checking and after going through all documents (Provided by client) consultancy will inform you regarding claim admissibility.

  • Client agrees to pay the registration and processing fee as mentioned in the excel sheet which will be non-refundable.
  • Once Client agrees to pay above amount the Consultant shall provide advice whether the claim is payable or not ,
  • Consultancy will identify the shortfalls of documents and will inform client regarding shortfall of documents (if any) , consultancy will suggest its suggestions or ways to rectify identified shortfalls and all possible ethical ways for getting claims , same shall be informed within 7-10 working days.
  • Consultancy will provide draft of correspondence ( in soft or hard copies) to be sent to insurance companies/ TPA.
  • We charge Fee as mentioned in excel sheet given below which is to be paid in advance to our account via online payment or cheque, which will be nonrefundable.

In case the claim doesn’t get settled in spite of our appeal to company, we will not be responsible for the same as it’s beyond our control.

If it is found that the client has suppressed (knowingly/ unknowingly) any crucial information from us (such as Pre-Existing Diseases /conditions, material information regarding his /her claim etc.), then consultancy shall retain entire fee received in advance and shall return the documents and will not continue consultancy and this agreement shall stand terminated.

Submit Your Enquiry

Undertaking & Indemnity

h&t-for-mediclaim-policy-holder

For any kind of query regarding our services please Whataspp and Call US