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HEALTH INSURANCE CLAIM REJECTION
Federal Benefits Open Season 2027: Check key dates, FEHB premium hike, and VA employee guideThe upcoming open season for the Federal Employees Dental and Vision Insurance Program, as well as the Federal Flexible Spending Account Pr...
Health insurance claims: How the moratorium clause protects you after five yearsCutting through money jargon, one topic at a time. This week, Preeti Kulkarni explains how the moratorium clause in health insurance protec...
Group health insurance claims: 5 common claim deductions and disputes employees should know aboutMost group plans cover pre-existing diseases from day one, and individual employees are not medically underwritten. Barring a few exception...
Healthcare needs stronger partnerships between hospitals and insurersAditya Birla Health Insurance CEO and Manipal Hospitals MD-CEO argue that India's healthcare system must move beyond transactional relation...
'Temple is not made for India': Deepinder Goyal responds to criticism in Diwali posts, promises to publish ‘detailed note’Goyal said the company did not want people to support Temple simply because it was an Indian startup, adding “We don’t need/want nationalis...
Go Digit posts 31% dip in net profit to Rs 142 croreThe company’s management had previously noted that in the last five years there has been no increase in third-party motor insurance rates, ...
Travel insurer says no to toenail injury treatment of 62-year-old woman injured during US visit; court orders company to reimburse over Rs 89,000 for treatment in United States and pay Rs 30,000 as compensation for mental harassmentA 62-year-old woman successfully challenged her travel insurer after it denied reimbursement for a toenail injury. She sustained the injury...
Insurance agent deposits Rs 35 lakh cash collected from policyholders in his bank account, gets tax notice; he fights and wins in ITAT JaipurPolicyholders gave Rs 35 lakh cash as insurance premiums which agent deposited in his bank a/c; Income Tax Dept sent agent notice for unexp...
Planning robotic surgery? Your health insurer may pay only 50% of the hospital bill: Know what to checkRobotic surgery is increasingly covered by health insurance in India, but not without complications. Despite having a high sum insured, pol...
How digital distribution shifts the balance of power towards the customerThe insurance sector grapples with pressing issues like mis-selling and customer complaints, which hinder the efficacy of policies. However...
Should my OCI son continue his Indian health insurance policy or take a new one?ET Wealth Reader's Query: My son recently became an Overseas Citizen of India (OCI). Earlier, he had insurance coverage in India. Should he...
The business of running a hospital: Balancing profitability, patient trust and scaleA hospital’s financial health depends on more than occupancy and revenue, requiring a careful balance of cost control, cash flow and patien...
State-run general insurers to submit turnaround plansState-run general insurers must submit board-approved plans to the government for reducing unprofitable business segments. The government a...
New India slips into red with 1,267 cr loss in Q2New India Assurance Company has revealed a concerning net loss of ₹1,267 crore for the September quarter, sharply contrasting with last yea...
PB Fintech's UAE insurance business grows 19-fold as it looks beyond motor coverPB Fintech has achieved impressive growth within the UAE insurance landscape, notably boosting its premium volumes since FY22. With a strat...
Bengaluru man buys health insurance for parents, pays premiums for three years, mother undergoes treatment but insurer rejects claim, gets relief in consumer courtA Bengaluru man who spent Rs 3.13 lakh on health insurance policies for his parents disputed Star Health's rejection of his mother's medica...
Tree fell on their US home, but why did insurance reject their $85,000 claim? A court ruling reveals the costly mistake behind the disputeA tree damaged the Cains family's home, but their fight for nearly $86,000 in repairs ended in disappointment. State Farm disputed the cost...
Health insurance claim settlement: Which insurers are fastest at paying approved claims?According to data from ILM Research (previously known as Beshak Research), 15 of 31 non-life insurers paid out over 95% of their approved h...
Health insurance: 5 gaps in your policy that could leave you with a bigger bill at the time of claimThis is a global problem. A World Health Organization report found that out-of-pocket expenses for medicines and other medical products pus...
₹10 lakh dengue health claim rejected over 2-year waiting period for a spinal disc condition; here’s why the policyholder wonA significant ruling by the Delhi State Consumer Disputes Redressal Commission found in favor of a policyholder whose dengue hospitalisatio...