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MEDICAL INSURANCE CLAIM PROBLEMS
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.
- Insurance mis-selling is arising because upfront commissions are too high: IRDAI chairman Ajay SethIRDAI chairman Ajay Seth said insurers should pass savings from lower commissions and operating costs to policyholders through lower premiu...
- Insurance mis-selling is arising because upfront commissions are too high: Ajay Seth, Chairman, IRDAIThe benefit of cost efficiency should be passed on to customers. This entire exercise is intended to ensure that the public and policyholde...
- Raoni Barcelos death rumors debunked: Is the UFC fighter alive after scary UFC Vegas 121 collapseIn a shocking turn of events, Brazilian mixed martial artist Raoni Barcelos fainted during the fifth round of his bout against Raul Rosas J...
- Jay Singh Rathore who allegedly raise Rs 1.5 lakh using fake medical documents for sister's eye treatment arrestedIn a shocking turn of events, Ajayveer Singh, aka Jai Singh Rathore, conducted a misleading fundraising campaign under the pretense that hi...
- 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...
- IRDAI proposal hits insurance stocks; FSSAI vs ecomm giantsThe insurance regulator has proposed new limits on commissions as part of a wider overhaul. This and more in today’s ETtech Top 5.
- AI tools generated nearly $1 billion in extra costs, Blue Cross insurers sayA recent study by Blue Cross Blue Shield Association indicates that AI tools are increasing health spending significantly. Between 2024 and...
- 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 ...
- EPFO fund withdrawal rules for illness: How much EPF can you withdraw for medical treatment?Eligible Employees' Provident Fund Organisation (EPFO) members can withdraw up to 75% of their EPF balance for illness-related expenses aft...
- 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...
- One man's EV coverage rose from $1,180 to $1,690 in four years — a roughly 43% increase. The hidden reasons premiums could be getting more expensive may have nothing to do with the batteryElectric vehicle insurance rates are increasing for many owners. This rise is often linked to general market trends, not just battery age. ...
- 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 ...
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