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Two of the primary factors are gender and race. An increasing number of states also prohibit rejection based upon credit score.

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14y ago

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In Texas can insurance companies reject patients with preexisting conditions?

Any Health Insurance company can reject anyone with a pre existing condition. Look for another Health Insurance company if you are rejected by one.


You were recently in a car accident their insurance company went with a 5050 split you got your insurance company involved and they found the other party 100 at fault what is the next step?

Let your insurance company know everything that you know about the accident and about what the other person's insurance company has proposed, and then let your insurance company handle the rest. If the other person was 100% at fault for the accident, your insurance company has a very powerful incentive to reject the counter-party settlement offer of a 50/50 split. Let your insurance company know everything that you know about the accident and about what the other person's insurance company has proposed, and then let your insurance company handle the rest. If the other person was 100% at fault for the accident, your insurance company has a very powerful incentive to reject the counter-party settlement offer of a 50/50 split.


How do you work out insurance premiums?

Well, Actually you don't. The insurance company assesses the risk you present when you apply for insurance. The company then determines the Premium and may or may not make you a offer of coverage. You can then either accept the coverage offering or reject it.


If a prescription was charged to your insurance when it should not have been will this show up on the insurance bill?

The insurance company will not send you a bill. More likely they will reject the claim from the pharmacy and the drug store will bill you.


Who decides if you can file an insurance claim?

You do. You can always file a claim. The insurance company may not honor the claim and may reject it, but they can't stop you from filing one.


Can insurance companys determine dictate the company to do repairs to your property?

They can't tell you who to hire, but they can decline or reject a contractors bid.


Can a health care insurance company reject your claim if your doctor specified the treatment?

Absolutely. Health plans only pay for what the policy states. Even if your doctor says something is medically necessary, if the policy does not cover it then they do not pay. The easiest example is drugs. if your plan only pays for generic drugs and your doctor says you must take a non-generic then the insurance will pay zero.


If a car was stolen and found in bad condition do you have to accept the vehicle back or can you reject it and have the insurance company pay it off?

I am sure that theft insurance functions just like collision. The insurance company has the option of repairing the car or declaring it "totalled" in which case they give you fair market value for the car (they do not have to pay it off)


Can you reject just uninsured motorist bodily injury and keep uninsured motorist physical damage?

It doesn't matter what we say here. Ask your insurance company!


What are the reasons for claim rejection?

A claim can be rejected in any of the following situations- 1.Insurer can reject the claim if the policyholder has some pre-existing disease which was not disclosed during the policy term. If the claim is made on that ailment, it can be rejected. 2. Insurance company may also deny claims if documents submitted by the insured are incomplete. 3. As per health policy terms & conditions, an insured should inform the insurance company within 48 hours of hospitalization. Any failure to abide by deadline would result into claim rejection. 4. Insurance company has a right to reject the claim if the pre-authorization form is not carefully filled or if there is a discrepancy in the information, like incorrect postal address, policy number, etc. 5. Claims may be denied if it is for those ailments which are not covered in the policy.


If you didn't report your car being vandalized to either the police or the insurance company for a few months can you report it now?

You can certainly report it. The police won't waste time investigating. Your insurance company will probably not process the claim since you didn't report it when it happened, but they might pay. So they can reject the claim because it is late? Is this likely?


How do you have a Smooth Insurance Claims Process?

Insurance companies reject claims all the time. Some more than others. So, to have a smooth claims process, you need to ensure the following when you purchase the insurance policy:1. Filling up the formMany people like you and me, may allow the insurance agent to fill up the forms and then complain about not known all the details of the policy. To avoid after-sale shocks, it is recommended that you fill up the form yourself. Also ensure that you get a copy of all the documents you submit. Make sure that you cross-check the details submitted and if you find any discrepancy, you can cancel your policy within 15 days of receiving the documents.2. Quality of DocumentsAlways make sure that you submit original/genuine documents to the insurance company. All your details will be validated based on the documents submitted by your survivors. And if you submitted any incorrect documents while buying the policy, the insurance company may reject the claim.Stating the correct age, date of birth, educational qualifications is very important.3. Health Related DisclosuresAlways make sure that you disclose all your health details correctly. Never hide anything. Insurance companies don't mind selling policies to people who may have certain health conditions, but they would gladly reject the claim if they find out that the insured person had some disease and hid the fact when the policy was sold.4. Nominee InformationMake sure you nominate your spouse or parents as your nominee in the insurance policy. They are the only people who are authorized to get the payments on our insurance policy after our time. If there is no nominee, the insurance company might delay or reject claims, so we must ensure that we nominate someone as the nominee for our policy.Last but not the least, make sure, you pay your insurance premiums on time and everytime. People who pay their premiums on time, have a better chance of getting their claims settled than the ones who default on their premiums