Sukoon (formerly Oman) features and benefits with respect to its health insurance and understand why it is one of the top choices for individuals and families in the country.
HAYAH is one of the leading insurance firms in the UAE, offering top-notch life and health insurance solutions. In addition, the firm also provides smart savings and pension plans to boost your finances for the future. HAYAH Insurance Company P.J.S.C., listed on the Abu Dhabi Stock Exchange, is also ...read more
In this article, we will narrow down to HAYAH medical insurance and closely look at the process involved in making a claim.
Unlike direct billing, reimbursement claims are made if you avail of medical treatment at a facility outside the network of your health insurance provider. To submit your HAYAH claim/reimbursement form, keep the following steps in mind -
With HAYAH Insurance, medical reimbursement claims are processed within 10 working days.
Let's understand how you can fill out the HAYAH Claim Reimbursement form and initiate the reimbursement process in a few easy steps -
Step 1 - Get in Touch with the Insurance Company
When you decide to file a reimbursement medical insurance claim, make sure to connect with the concerned insurance provider and get details about the deadlines (if any). As per the general rule, reimbursement claims are needed to be filed within 30-120 days of the service used.
Step 2 - Gather the Required Documents
Reimbursement claims for health insurance usually need more paperwork than cashless claims. You will need a properly filled reimbursement application form which you can get from the website of your insurance provider. Here are the documents generally required to file reimbursement claims -
Step 3 - Complete the Documentation Process
Once you have all the information and required documents, submit them to the insurance company through their online portal or a branch. You may also have to submit the discharge documents from the hospital.
Step 4 - Investigation Process
After you submit the form and all the required documents, the insurance company will start the examination of them and review your application form. In case your claim is rejected or further documents/details are needed for the claim, your insurance provider will communicate the same to you.
Step 5 - Settlement
This is the last step of the claim process and usually takes up to 2 weeks, although this period may stretch a bit more in some cases. During this period, make sure that you have copies of all the documents that you have submitted.
If your claim is approved, you will receive the reimbursement amount in your registered account.
When you fill out a HAYAH claim reimbursement form, it’s important to do so correctly. In case the details that you provided are incorrect or your documents are invalid, your medical claim can be rejected.
Make sure to keep the following points in mind while filling out your HAYAH claim form -
If the steps are followed properly and you have collected all the required documents and details, you can easily file a HAYAH claim reimbursement without any difficulty. However, to eliminate errors and missed deadlines, make sure to read the policy documents thoroughly and connect with the provider for the finer details.