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HEALTH INSURANCE CLAIM DISPUTES
IRDAI’s commission crackdown: Why insurers may cope but distributors face a tougher testTransformations are on the horizon for India's insurance industry, with new proposals from the Insurance Regulatory and Development Authori...- IRDAI proposes sweeping changes to insurance distribution: Commissions, costs, mis-selling rulesThe customer-centric proposals aim to increase transparency, cut distribution costs and reduce insurer expenses.
- Cashless health insurance claims: What policyholders can do when hospitals and insurers clash over bills, approvals, and deductionsInflated bills, delayed approvals, arbitrary deductions. As hospitals and insurers trade charges, policyholders are left footing the bill. ...
- India’s healthcare AI opportunity could become the next big investment storyThe digital rails are ready. India now needs patient capital and founders ambitious enough to build on them.
- Irdai commission caps put insurance distributors' renewal income in focusInsurance distributors are expected to write to the regulator on this issue as part of their submissions to IRDAI's consultation paper, sou...
- After GST exemption, retail policy base rises 11% for Star HealthExempting individual health insurance premiums from GST has led to increased policy adoption across various demographics. Star Health repor...
- H-1B visa millionaire: Indian expat shares how he built wealth without a ‘lucky investment’Indian expat and digital content creator Pritesh Jagani has shared the steps he says helped him become a millionaire while working in the U...
- Before Ayushman Bharat, families sold their homes to afford treatment: J P NaddaUnion Health Minister J P Nadda said on Friday that the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana has transformed India's healthcare...
- PB Fintech: A record debut in 2021, a record ₹31,400 crore wipeout & now the biggest storm the Gurugram co can facePB Fintech came under heavy selling pressure after IRDAI proposed changes to insurance commissions and distribution economics. PB Fintech s...
- Missed declaring parents’ pre-existing conditions? Know if you should disclose them now or switch policiesNot disclosing your parents' medical conditions when buying health insurance can have serious repercussions, especially at the time of a cl...
- PB Fintech forced to rethink business plan as India insurance commissions cap comes as a major shockerProposed commission caps from the Insurance Regulatory and Development Authority of India could severely impact PB Fintech's revenue. The c...
- Tighter mis-selling rules, easier insurance buying and more: 4 prominent changes proposed by IRDAI that could affect policyholders the mostThe IRDAI has proposed transformative reforms to enhance insurance distribution in India, focusing on affordability and transparency. Key c...
- Karnataka forms SIT to crack down on insurance claim fraudsThe move follows an apex court order, which instructed state administrations to set up dedicated mechanisms to fast-track investigations in...
- ₹1 crore accidental death claim rejected over alleged income inflation; here’s why wife won against insurerAn insurer's attempt to deny a Rs 1 crore accidental death claim based on alleged income inflation backfired. The consumer commission ruled...
- Oriental Insurance bets on health, MSME products to drive growthThe state-owned general insurer holds 35.2 million shares, representing a 1.42% stake, in the country's largest stock exchange that closed ...
- Buying health insurance? You must check track record of claims and complaintsThe insurance advisory platform, Ditto Insurance, compares insurers on two key metrics: three-year average claim settlement ratio (by polic...
- Vegetarian man's Rs 1 lakh mediclaim rejected due to B12 deficiency; company said his diet led to the illness; court orders insurer to pay him Rs 1.1 lakhAn Ahmedabad district consumer commission has ordered New India Assurance to pay a Rs 1.06 lakh mediclaim it had denied after blaming the p...
- Lower premium with higher health insurance coverage: Co-pay vs. deductible, which can save you moreNavigating health insurance premiums can be tricky. Understand the crucial differences between deductibles and co-pays. While both share co...
- Insurance company rejected Rs 3 lakh mediclaim saying it was an obesity treatment; court found the surgery also treats high BP, weight gain, knee pain; insurer ordered to pay Rs 3.5 lakhAn insurance company rejected a Rs 3.2 lakh mediclaim by calling a weight loss surgery an obesity treatment excluded under the policy. The ...
- Rs 5 lakh health insurance claim denied by insurer over waiting period for pancreatitis; here's why the policyholder's wife wonA health insurer cannot automatically reject claims using waiting-period clauses. The Mumbai Consumer Commission ruled that insurers must p...
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