Health insurance is your financial safety net when unexpected medical expenses hit. But having a policy isn’t enough—you should also know how to file a claim correctly, so you don’t face delays or rejections. In this blog, we’ll break down the step-by-step process to claim your health insurance, and also guide you on how to manage your monthly budget so that you’re financially prepared for health emergencies.
1: How to Claim Health Insurance – Step-by-Step Process
There are two types of health insurance claims:
Cashless Claim
Reimbursement Claim
🔹 A. Cashless Claim Process
This is the easiest way to get treated without paying from your pocket (if done at a network hospital). Here’s how it works:
- Check the Network Hospital List
Before hospitalization (if it’s planned), check your insurance provider’s website or app to find nearby network hospitals.
- Show Your Health Card
At the hospital’s insurance desk, show your Health Insurance ID Card or e-card.
- Submit Pre-Authorization Form
The hospital will fill out and send a pre-authorization request to the insurance company.
- Wait for Approval
Once the insurer approves, the treatment cost is directly settled between the hospital and insurer.
- Pay Only Non-Covered Expenses
You may still have to pay for certain exclusions (like registration charges, food for attendant, etc.)
🔹 B. Reimbursement Claim Process
If you take treatment at a non-network hospital, you’ll have to pay the bill first and claim it later. Follow these steps:
- Inform the Insurance Provider
Inform your insurer (via call or app) within 24-48 hours of admission in case of emergency.
- Collect All Documents
After discharge, collect all original documents:
Hospital bills and receipts
Discharge summary
Medicine bills with prescriptions
Diagnostic reports
Claim form (filled & signed)
- Submit Claim to Insurance Company
Send the documents to the insurer’s address or upload them via the mobile app or portal.
- Track Claim Status
Most insurers give you a claim reference number. Use it to track your claim online.
- Get Reimbursed
Once verified, the approved amount is credited to your bank account.
2: How to Create a Monthly Budget That Actually Works
Managing money smartly ensures you’re prepared for premiums, out-of-pocket medical expenses, and emergencies. Here’s a simple way to build a practical budget:
1: Track Your Income
Know exactly how much money you’re getting monthly (salary, side hustles, etc.)
2: List Your Monthly Expenses
Break them into:
Fixed Costs (Rent, EMIs, Insurance Premiums)
Variable Costs (Groceries, utilities, transport)
Lifestyle Costs (Dining out, subscriptions)
Medical/Health Costs (Medicines, tests, premiums)
3: Use the 50/30/20 Rule
A popular budgeting method:
50% Needs (Bills, food, health)
30% Wants (Entertainment, shopping)
20% Savings & Debt Repayment
4: Set a Health Emergency Fund
Aim to save at least 3-6 months of expenses in case of job loss or health emergencies.
5: Review and Adjust Monthly
Each month is different. So review your expenses and tweak your budget as needed.
📝 Final Thoughts
Filing a health insurance claim can be stress-free if you follow the right steps. Whether it’s a cashless or reimbursement claim, keeping records and being prompt is key.
Also, budgeting wisely ensures you never fall short during medical emergencies. Start small, stay consistent, and keep your health and finances protected.
Stay healthy. Stay insured. Stay financially smart! 💪💸
