Health Insurance

Can You Claim Health Insurance from Two Insurers?

Many of us today have coverage from two health insurance policies. The primary objective of having multiple health insurance policies is to enjoy a higher insured value and prevent coverage from running out. Alternatively, people also buy multiple health insurance policies to cater to their different needs. You can use one health insurance policy to cover your parent’s medical expenses, while you can use another health insurance policy to cover your spouse or children. However, you may wonder – can we claim health insurance from two companies? Read on to find out!

Can I claim health insurance from 2 different companies?

Yes, you can claim health insurance from two different insurance companies. Here, it is essential to remember that you need to keep the insurance companies informed about any existing health insurance policies that you may have from other companies.

Let’s look at a situation in which your claim amount is higher than the compensation amount offered by your first insurance policy. In that case, you can continue to raise claims with different insurers till you receive the compensation amount you seek. However, you cannot receive the full amount from every insurer. Here’s an example to help you understand better:

Suppose you need to raise a health insurance claim for Rs 15 lakh to pay your hospital bills. However, your first health insurance policy from insurer ‘A’ only offers compensation of up to Rs 10 lakh. Here, you remember you had another health insurance policy from another insurer, ‘B’, which also provides Rs 10 lakh. So, how do you go about making a claim the right way? Well, you would first need to fill up a claim form for Rs 10 lakh with insurer ‘A’ and once you settle the claim with the first company, you can approach the second insurance company ‘B’ for the remaining Rs 5 lakh.

Here you must remember two things: one, you can only raise a subsequent claim after your initial insurance claims have been settled and two, in the example mentioned above, you cannot receive a compensation of Rs 10 lakh from each insurer as it will be considered as fraud.

How to claim health insurance benefits from two policies?

It is quite easy to claim health insurance benefits from two policies. To help you gain a better understanding, here is a step–by–step process to claim health insurance from two insurance companies:

  • Step1

    File cashless claims or reimbursement claims for the insurance policy that has a higher sum insured.

  • Step 2

    After the insurance company approves your request, receive the compensation, and collect a settlement certificate.

  • Step 3

    Raise a health insurance claim with the second insurer to claim the balance amount. Provide the required documents and settlement certificate. The second insurance company will then review their contribution clause and approve your insurance claim if all the information checks out.

As shown above, it is easy to claim health insurance benefits from two companies. However, do not forget to keep the insurance companies informed of the health insurance policies that you might have from other insurers.

Disclaimer: The above information is indicative in nature. For more details on the risk factor, terms and conditions, please refer to the Sales Brochure and Policy Wordings carefully before concluding a sale.

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