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How it calculated in the claims?

QuestionsCategory: Group Health InsuranceHow it calculated in the claims?
default avatarPlan Cover Staff asked 5 months ago

1 Answers

Best Answer

default avatarSrinivasan Mahadevan Staff answered 5 months ago
Example: If a insured person has a helath insurance claim where 10% co payment will be applicable on each claim and he/She has registered a claim of Rupees 100000/and after all deduction including non payable,non medical payable amount is 90000/-now co payment will be applicable on 90K( 90000*10/100=9000) Now amount which will be paid to insured will be 90000-9000=81000/- so insured person has to bear the cost of non payable amount.

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