{"id":24961,"date":"2023-02-10T10:08:32","date_gmt":"2023-02-10T06:08:32","guid":{"rendered":"https:\/\/buyanyinsurance.ae\/blog\/?p=24961"},"modified":"2024-12-30T15:51:14","modified_gmt":"2024-12-30T11:51:14","slug":"medical-reimbursement-checklist-essential-steps-to-follow","status":"publish","type":"post","link":"https:\/\/www.buyanyinsurance.ae\/blog\/en\/medical-reimbursement-checklist-essential-steps-to-follow\/","title":{"rendered":"Checklist for Medical Reimbursement"},"content":{"rendered":"\n<p>By now a lot of people would know that medical insurance is mandatory in the UAE. There are many medical insurance service providers to choose from. But the one thing that\u2019s common between all these is the process of reimbursement.<\/p>\n\n\n\n<p>Each medical insurance service provider has their own reimbursement form that you need to fill and attach all the required documents to ensure you get the claim reimbursed.<\/p>\n\n\n\n<p>Usually there are two parts of the claims reimbursement form \u2013<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Part A<\/li>\n<\/ul>\n\n\n\n<p>This part is meant for you as the insured person, to fill in your contact details, and other information about your insurance, hospitalization, and other particulars.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Part B<\/li>\n<\/ul>\n\n\n\n<p>This part is meant for the hospital in which you or any of your family members was admitted. The hospital will fill in all the details about the person\u2019s hospitalization like \u2013 date, treatment details, cost etc.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-16018d1d wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button\" href=\"https:\/\/www.buyanyinsurance.ae\/en\/health-insurance\" style=\"background-color:#42b72a\" target=\"_blank\" rel=\"noreferrer noopener\">Protect your health, enroll now!<\/a><\/div>\n<\/div>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-documents-required-for-health-insurance-reimbursement\"><strong>Documents Required for Health insurance Reimbursement<\/strong><\/h2>\n\n\n\n<p>This is the list of documents that you should keep handy to fill in the claim of your health insurance policy \u2013<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Original claim form duly completed with your signature<\/li>\n\n\n\n<li>Valid identity proof<\/li>\n\n\n\n<li>FIR (if required)<\/li>\n\n\n\n<li>Doctor\u2019s prescription advising tests, medications etc.<\/li>\n\n\n\n<li>Doctor\u2019s prescription suggesting admission to hospital<\/li>\n\n\n\n<li>Original pharmacy bills<\/li>\n\n\n\n<li>Ambulance bills<\/li>\n\n\n\n<li>Policy details including \u2013 policy number, name of insured, address, and disease for which treatment is going on<\/li>\n<\/ul>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Checklist for health insurance reimbursement<\/strong><\/h2>\n\n\n\n<p>Filling in the reimbursement form can be quite a cumbersome task especially if you are doing it for the first time. Here\u2019s a step-by-step guide for you to fill in the form \u2013<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Step 1 \u2013 fill out details of the primary insured<\/strong><\/h3>\n\n\n\n<p>Fill out all the details about the primary insured like \u2013 name, complete address with pin code, policy number, and other personal details. Keep in mind that if the policy is under your name, your spouse or parents might be listed as beneficiaries.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Step 2 \u2013 Disclose the insurance history of the person filing the claim<\/strong><\/h3>\n\n\n\n<p>In this section you are required to disclose whether the patient is covered under any medical insurance or not. You would have to mention the following details \u2013<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Insurer\u2019s name<\/li>\n\n\n\n<li>Policy number<\/li>\n\n\n\n<li>Sum insured<\/li>\n\n\n\n<li>Number of times hospitalized<\/li>\n\n\n\n<li>Previous record of insurance (if any)<\/li>\n<\/ul>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Step 3 \u2013 Details of the insured person hospitalized<\/strong><\/h3>\n\n\n\n<p>In this section, you need to fill in all the personal details of the person insured who is\/was hospitalized and for whom you are raising a claim. The details include \u2013<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Name<\/li>\n\n\n\n<li>Occupation<\/li>\n\n\n\n<li>Relationship to the primary insured<\/li>\n\n\n\n<li>Address<\/li>\n\n\n\n<li>Contact number<\/li>\n\n\n\n<li>Email<\/li>\n<\/ul>\n\n\n\n<p>If there are more than one insured member who were hospitalized, you need to fill separate forms for each of them.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Step 4 \u2013 Hospitalization Information<\/strong><\/h3>\n\n\n\n<p>Fill in all the details related to hospitalization like \u2013 hospital name, date of admission and discharge, type of room, reason for hospitalization, and in case it is a legal case, then you would need to attach a copy of the FIR.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Step 5 \u2013 Calculate and file the claim amount<\/strong><\/h3>\n\n\n\n<p>This is the most crucial section of the form wherein you have to calculate the claim amount. It is best to arrange all the hospital bills date-wise before filing out this section. These are the documents that you would need \u2013<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>All the original reports given by the hospital, from admission till the date of filing the claim<\/li>\n\n\n\n<li>Original hospital bills, including pharmacy bills, blood tests, X-rays or any other tests<\/li>\n\n\n\n<li>All receipts of lump cash benefit (if any) received from the insurer<\/li>\n<\/ul>\n\n\n\n<p>To calculate the treatment expenses, follow this category wise segregation \u2013<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Pre-hospitalization expenses<\/strong> \u2013 collect all the bills related to tests, medications, and doctor\u2019s visits that you have made before getting admitted to the hospital. Sum the bill and enter the total amount in this section.<\/li>\n\n\n\n<li><strong>Hospitalization expenses<\/strong> \u2013 enter the total amount paid till the patient was discharged. Make sure there is a break-up of all the charges like \u2013 room rent, cost for tests, doctor\u2019s visit etc.<\/li>\n\n\n\n<li><strong>Post-hospitalization expenses<\/strong> \u2013 if you have undergone any routine check-ups after hospitalization, then add in the details.<\/li>\n\n\n\n<li><strong>Health check-up and ambulance costs<\/strong> \u2013 fill this if applicable to the person.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-16018d1d wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button\" href=\"https:\/\/www.buyanyinsurance.ae\/en\/health-insurance\" style=\"background-color:#42b72a\" target=\"_blank\" rel=\"noreferrer noopener\">Choose your coverage now!<\/a><\/div>\n<\/div>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Step 6 \u2013 Segregate and explain the bills enclosed<\/strong><\/h3>\n\n\n\n<p>It is best to arrange all the bills and receipts chronologically. You will have to fill in the details of the main hospital bill, total number of pre-hospitalization bills and their total, total number of post-hospitalization bills and their total, and total amount paid to pharmacy bills.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Step 7 \u2013 Share the primary insured\u2019s bank information<\/strong><\/h3>\n\n\n\n<p>Your policy will be linked to your bank account and in this section you need to provide the primary\u2019s insured bank information including \u2013<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bank account number<\/li>\n\n\n\n<li>Name<\/li>\n\n\n\n<li>Cheque details<\/li>\n\n\n\n<li>Bank name and branch<\/li>\n\n\n\n<li>Bank code (if applicable)<\/li>\n<\/ul>\n\n\n\n<p>&nbsp;You can also get in touch with the medical insurance service provider customer care team and they can guide you through the process.&nbsp;<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-related-articles\">Related Articles<\/h2>\n\n\n\n<p><a href=\"https:\/\/www.buyanyinsurance.ae\/blog\/importance-of-health-insurance-in-the-uae\/\" target=\"_blank\" rel=\"noreferrer noopener\">Understanding the Importance of Health Insurance in the UAE<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.buyanyinsurance.ae\/blog\/all-about-maternity-insurance-in-the-uae\/\" target=\"_blank\" rel=\"noreferrer noopener\">Understanding Maternity Insurance in the UAE: A Complete Overview<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.buyanyinsurance.ae\/blog\/medical-health-insurance-renewal-in-uae\/\" target=\"_blank\" rel=\"noreferrer noopener\">Complete Guide to Medical Insurance Renewal in UAE<\/a><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By now a lot of people would know that medical insurance is mandatory in the UAE. There are many medical insurance service providers to choose from. But the one thing that\u2019s common between all these is the process of reimbursement. Each medical insurance service provider has their own reimbursement form that you need to fill [&hellip;]<\/p>\n","protected":false},"author":26,"featured_media":24971,"comment_status":"open","ping_status":"open","sticky":true,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[297],"tags":[],"class_list":["post-24961","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.5 (Yoast SEO v26.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Medical Reimbursement Checklist: Essential Steps to Follow<\/title>\n<meta name=\"description\" content=\"Want to live in Dubai but have no idea how to get residency? 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