Overview
Health Insurance Plans
Claim Process
Renewal
Customer Care

Health Insurance

Acko

Name: Acko
Brand: Acko

Acko is a tech-first insurance company that recently entered the health industry and was founded in 2016 and backed by Amazon. Acko is one of the newest insurers in the market with a short history of selling retail health policies. There are only two health insurance policies, but with a decent number of features.

Claim Settlement Ratio - 96%

(average of last 3 years)

Network Hospitals - 10,000+

Acko's Platinum Health Plan comes promises no waiting periods, unlimited cover, protection from maternity expenses and consumables (syringes, gloves etc), all at throwaway premiums. On paper, this is one of the most comprehensive, affordable plans available on the market. However, some of their promises come with caveats. While the plan does away with specific illness waiting periods (for select diseases), you may have to serve a pre-existing disease waiting period depending on your medical test. Also, Acko only recently started selling health insurance plans en masse. So its limited track record is a bit of a concern.

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Acko Standard Health Plan is perhaps one of the most affordable plans on the market. It has very few restrictions and covers most bases. However, if you’re willing to spare a little bit of extra money you can buy the Platinum Health Plan which is a much better pick overall.

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Acko claims can be of different types based on the hospital in which you are getting the treatment. If it’s part of Acko's network hospitals, you can get a “Cashless claim” in which insurance company directly pays the bills to the hospital. But if your choice of hospital is not part of their network, then you have to pay the bills and apply for reimbursement claim. Here’s a brief process for both types of claims:

Inform the Hospital Desk

All network hospitals have an insurance desk. You can submit your policy copy (even soft copy works), ID proof, initial diagnosis report and the insurance desk will request the insurance company for “pre-authorization”. In case of planned treatments, you need to do this process 2 days before hospitalization

Insurer’s decision

Based on the provided documents, insurance company approve the claim and the hospital will start the treatment and they will co-ordinate with insurer for the treatment costs. In case of Cashless claim rejection, you can still go ahead with the treatment. In this case, you will need to pay the bills initially and can file for a reimbursement claim later

Discharge

If your cashless claim is approved, at the time of discharge, the insurance company will do the final settlement with the hospital and once that is sorted, you are good to go.

Inform the insurance company

For any planned treatments, you need to inform the insurance company 2 days before hospitalisation. In case of emergency, you can inform within 24 hours of admission. Insurance company will acknowledge the intimation.

Hospitalization

You need to submit a insurance claim form along with original copies of hospital bills, doctor consultation reports, and diagonstic reports.

File the claim

Within 30 days post discharge, you can initiate the claim online or at any of the registered offices of the insurance company. You need to fill a claim form and attach all the reports and bills.

Insurer’s decision

Based on the claim form and submitted documents, insurance company will settle the claims as per policy terms and conditions.

Firstly, if you’ve purchased the policy online, you’ll always receive an intimation e-mail from the insurer around 30 days before the renewal date. The e-mail will have a renewal link that will directly take you to the page where you can make the payment and check policy details. And it’s done. You’ll receive the policy document via e-mail.

However, in case you choose to do it on your own, here’s what you need to do:

Visit the website

Visit the Acko website and then go to the Renewal section here.

Enter details

You’d be asked to provide your current policy number which you can find in the policy soft copy. You may as well be asked to enter your mobile number, email ID, Date of Birth or policy expiry date.

Review and edit the policy details

Next, you’ll be able to see details of your new policy and the renewal premium you need to pay. Also, you’ll be given the option to make some changes related to sum insured, existing covered members, etc.

Complete the payment and it’s done

Once you confirm the details, you’ll be directed to the payment gateway. Once the payment is complete, you’ll receive your new policy soft copy via e-mail.

If you want to increase your Sum Insured, now is the time. You can’t do it anytime during the year.
If you didn’t make a claim in the past year, make sure you have been given a no-claim bonus if your policy offers it.
If you want to add members like your spouse or kids, you have the option to do so only at the time of renewal. So do give this a thought.

1800 266 2256

[email protected]

https://www.acko.com