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IRDAI HEALTH CLAIM
The old health insurance model sees hospitalisation as an inconvenience, says Narayana Health's Viren Prasad Shetty; bets on managed care modelIt has been close to two years since Narayana Health’s wholly owned subsidiary, Narayana Health Insurance—which has adopted a ‘managed heal...
The hidden cost of looking better: What health insurance covers, and what it leaves you to payRising demand for weight-loss drugs, cosmetic procedures and wellness treatments is creating a growing out-of-pocket healthcare expense cat...
Insurance CEOs’ pay now linked to claims and customer grievances: What it means for policyholdersInsurance CEOs’ remuneration will now partly depend on how well they treat policyholders, from settling claims to resolving complaints. A t...
Why Rs 1 crore term insurance cover in 2026 may not be enough for many familiesFamilies need more than ₹1 crore in term insurance. Rising expenses and loans mean a higher cover is essential. Experts suggest ₹1.5 crore ...
Health insurance company denies claim over father’s alleged alcohol history; son fights back and wins Rs 6 lakhA software engineer's father's health insurance claim was denied by HDFC ERGO due to an alleged alcohol history. The insurer repudiated the...
PMLA court takes cognisance of ED case against Religare chair Rashmi Saluja, advocate Pratap VenugopalA Mumbai court has taken cognisance of a money laundering case filed by the Enforcement Directorate. The complaint names former Religare ex...
Should you buy OPD cover in health insurance? Over 40% of healthcare costs are paid out-of-pocket in IndiaOPD cover in health insurance addresses out-of-pocket expenses for doctor visits, diagnostics, and medicines without hospitalization. While...
Claim settlement and grievance redressal related performance will determine the incentives of top executives of insurance companies: IRDAIn a significant policyholder-centric move, IRDAI has linked insurance executive pay to customer-centric metrics like claim settlement and ...
Health insurance works only when everyone contributesA small group of health insurance customers accounts for most hospitalisation costs. The remaining 95% must pay premiums to keep the system...
Insurer denies Rs 20 lakh life insurance claim over diabetes non-disclosure; woman fights back and wins; here’s whyA Delhi woman's Rs 20 lakh life insurance claim, denied due to alleged non-disclosure of diabetes and kidney diseases, was upheld by the St...
Less than 24 hours in Hospital? Know about health insurance coverage for day care treatments, surgeries, and emergency proceduresMany policyholders believe health insurance claims require a 24-hour hospital stay. However, modern policies cover numerous treatments comp...
Insurers resist as customer comfort weighs on exec payIndian insurers are opposing new rules for executive pay. The regulator wants to link compensation to customer service, not just profits. I...
IRDAI may tighten CEO KPIs on claims, expenses and customer serviceThe IRDAI is developing a more detailed framework for performance-linked key performance indicators (KPIs) for insurance company executives...
Best ways to find the right health insurance policy: A comparison of ICICI Lombard, HDFC Ergo, Care, Niva Bupa, Tata AIG policiesChoosing a health insurance policy involves more than just premium cost. This comparison of leading Indian insurers highlights key features...
Missed insurance claim submission deadline? Don't worry, you are still eligible for reimbursement. Here's whyA Bombay High Court ruling favored policyholders, stating insurers cannot reject claims solely for delayed document submission beyond the 9...
NPS Swasthya: A cushion, not fill-in, for health coverCan the NPS Swasthya scheme be an effective substitute for a comprehensive health insurance plan that covers hospitalisation and related ex...
Star Health to launch affordable health insurance plans targeting tier 2, 3 marketsAs healthcare expenses soar, Star Health is bracing for premium increases in the next fiscal year. In a proactive move, the insurer is roll...
IRDAI misses to measure average sum assured per policyholder in its annual reportWhen IRDAI defines success as premium collected, and the industry maximises commissions by selling products that collect maximum premium pe...
Healthcare isn't a luxury: Balancing private equity growth with patient affordability in IndiaPrivate equity has boosted India’s healthcare capacity and efficiency, but rising costs and premiums risk limiting access. Strong regulatio...
Want higher health insurance coverage through super top-up policy? HDFC Ergo, Aditya Birla, ICICI Lombard, Niva Bupa, Care plans comparedRising healthcare costs necessitate enhanced coverage beyond base policies. Super top-up plans offer this crucial protection, acting as an ...