In addition to a claim form, what must a PMI policyholder submit to their insurer when making a claim?

Preparing for the CII Certificate in Insurance - Healthcare Insurance (IF7)? Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

When making a claim under a Private Medical Insurance (PMI) policy, policyholders are typically required to submit original bills for the treatment. This is essential because these bills are official documents that detail the services received, the costs incurred, and other relevant information that supports the claim. Original bills provide verifiable evidence of the expenses claimed and are critical for the insurer to assess the validity of the claim.

Healthcare insurers often request original bills as part of their standard procedures to ensure that the costs being claimed are legitimate and correspond to services that were actually rendered. This helps prevent fraudulent claims and ensures that policyholders are claiming for covered treatments within the parameters of their insurance policy.

While other documents, like letters from healthcare providers or copies of the insurance policy, may be helpful or required in certain situations, the submission of original bills is a fundamental requirement that directly supports the financial aspect of the claim process.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy