1. Incorrect Information: Any discrepancy, whether an unintentional error while completing the form, such as a spelling mistake, or a deliberate attempt to withhold information like age, annual income, lifestyle, and family health details, can result not only in claim rejection but also in policy termination. Sometimes, individuals may even omit details to lower premiums (for instance, not disclosing smoking or drinking habits), leading to outright claim denial.

2. Failure to Disclose Pre-existing Conditions: Policyholders occasionally acquire insurance with future medical treatments in mind, overlooking the fact that pre-existing conditions are not covered. Attempting to conceal these medical histories can lead to claim denial. Many insurance providers exclude pre-existing ailments like high blood pressure from coverage, rendering medical expenses related to such conditions ineligible for compensation. This practice aims to discourage individuals from obtaining insurance just before hospitalization for pre-existing conditions. It’s advisable to be prepared for medical tests, shifting responsibility to the insurance company.

3. Lack of Familiarity with Exclusions: Similar to pre-existing conditions, various exclusions exist. Policyholders often neglect reading the terms and conditions that specify scenarios where injuries sustained while under the influence or during adventure sports won’t be covered. Additionally, a minimum waiting period of around 30 days from policy inception usually applies before claims can be made. While this waiting period is waived for accidents, they should not result from intoxication. It’s essential to carefully review exclusions, often detailed in fine print, prior to contacting the insurer.

4. Policy Lapses: Instances have arisen where individuals delay renewing their insurance by a week or a month, only to fall ill during that period and subsequently have their claims denied. This occurs because policies expire on their end dates. Consequently, even if a person is admitted to the hospital a mere day after policy expiration, their insurance coverage will not be effective. Renewing the policy annually before the deadline is crucial.

5. Delayed Notification to Insurer: In the aftermath of a severe accident, individuals or their family members might not immediately remember to inform the insurance provider, compounding their distress. Most health insurance policies explicitly stipulate that notice must be provided to the insurer within 24 hours (or in certain cases, 48 hours) of hospitalization. Failure to comply results in no coverage being extended. Hence, it’s prudent to opt for a provider accessible around the clock, ensuring swift responsiveness.