Ayush Claims: Why They're Rejected, How to Boost Approval

• Ayurvedic hospitalization claims often face more scrutiny and rejections than allopathic ones, despite health insurance policies promising coverage.
• Reasons for claim issues include unfamiliar treatment protocols, facilities not meeting hospital criteria, and weak documentation standards in Ayush centers.
• Regulators are pushing for equal treatment of Ayush and modern medicine, requiring insurers to have board-approved policies for Ayush coverage.
• To improve claim success, choose registered Ayush hospitals, understand policy terms, seek pre-authorization, and ensure thorough documentation during treatment.
• If a claim is rejected, request a written repudiation, use the insurer's grievance process, and escalate to the ombudsman or consumer court if needed.

Why It Matters: It guides policyholders to successfully claim AYUSH treatments.