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HOSPITAL BILL REIMBURSEMENT
Two health insurance policies, one hospital bill: Here’s how to claim the unpaid hospital bill from the second insurerNavigating health insurance claims can be tricky, especially when you have multiple policies. If your hospital bill exceeds your coverage, ...
Wall Street’s $10 billion India hospital bet sparks a fight over billsWall Street has poured about $10 billion into Indian hospital chains over the past five years, with investors including Blackstone, KKR, TP...
Only ₹2 lakh was paid by Star Health against a claim of ₹4.28 lakh, citing a sub-limit clause: Here’s why the policyholder won ₹2.28 lakh moreA recent case involving Star Health and Allied Insurance highlights the complexities of health insurance policies with disease-specific sub...
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. ...
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...
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...
Is ₹5-10 lakh health insurance cover enough? Check these 3 factors to know how much you needHealthcare costs in India are soaring due to escalating medical inflation. Experts warn that securing adequate health insurance is no longe...
Comprehensive health insurance: Navigating childhood illnesses, vaccination support, and kidney function careHealth insurance covers childhood illnesses and their treatments effectively. Vaccination support is a key preventive care strategy for fam...
Why are Health Systems walking away from Medicare Advantage contracts in 2026? Here’s what enrolled Americans really need to knowTwenty-five hospital systems will end Medicare Advantage contracts in 2026. This move risks patient access to doctors and hospitals startin...
Aditya Birla Health approved insurance before treatment, then cancelled it during discharge: Family left to pay Rs 44,000 hospital bill gets relief; court orders Rs 74,000 payoutAditya Birla Health approved insurance, then cancelled it during discharge: A Delhi consumer commission has ordered Aditya Birla Health Ins...
Cashless health insurance claim rejected? You may still get your claim settled; here’s howCashless health insurance claims are often rejected due to documentation or procedural issues, not outright denial. Understanding the reaso...
Assam government on Monday announced that the daily wages of tea garden workers is increased by Rs 18Medical bills under the scheme shall be reimbursed at rates equivalent to that of Central Government Health Schemes (CGHS) and these shall ...
Daily wages of tea garden workers in Assam increased by Rs 18With this increase the daily wages of workers in Brahmaputra Valley will be Rs 250. Daily wages in Barak Valley will be Rs 228. The new wag...
Despite high medical inflation only 15% of Indians made health insurance reimbursement claims above Rs 1 lakhA survey has revealed that only about 0.2% Indians had made and received a health insurance reimbursement claim above Rs 10 lakh during Apr...
Covid treatment cost becomes a contentious issue between private hospitals and Karnataka govtPrivate hospitals said the delay in reimbursing bills is causing a huge burden on them, as they find it difficult to manage day-to-day expe...
IRDAI proposes to restrict proportionate deduction in health insurance claims to help policyholdersIn most health insurance policies, if the rent of the room taken by the insured exceeds the rent covered in the policy, then the hospital b...
How health insurance claims get paidMost people buy indemnity cover, commonly known as mediclaim. There are primarily two ways in which an indemnity type health insurance clai...
CGHS cover applies even to hospitals not on government list: Supreme CourtIt added that it was wrong to reimburse bills on the basis of rates fixed under CGHS in case the employee got treatment from a hospital whi...
Why your cashless health insurance claim could be deniedA cashless claim may be denied if the information sent by the hospital is insufficient or if the ailment is not covered under the policy.
Keep important documents handy while claiming health insurance reimbursementA reimbursement claim form needs to be filled and submitted for processing to the insurance company if claims are processed in-house or are...