Searched for
HOSPITALISATION CLAIM REJECTION
₹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...- Office critical illness cover: How well does it protect employees and their families?The distinction matters for how HR teams design the benefit. A fixed benefit CI policy addresses income replacement and non medical costs t...
- 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, ...
- 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. ...
- Non-recovery of train ticket from deceased passenger can't defeat compensation claim: SCThe Supreme Court restored an award of compensation for the parents of Maheshbhai, a deceased passenger. He died after falling from a movin...
- 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...
- TMC, BJP workers clash in southeast Kolkata over control of local party office, many injuredClashes occurred between supporters of TMC and BJP in Mukundapur over a party office dispute. TMC alleged violence against their members by...
- 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...
- Health insurance during pregnancy: When unrelated illnesses can lead to claim rejectionWithout maternity cover, pregnancy-related complications aren’t covered, but disputes can arise over whether the exclusion extends to unrel...
- ‘Impotent’ man, ‘barren woman’ remarks sparked marital fight: Why Allahabad HC refused to treat the exchange as cruelty under Section 498AAllahabad HC says lackof children despite 3-year-long marriage sparked heated exchange of words like impotent, barren woman, but this does ...
- 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...
- Insurer rejected Rs 50 lakh claim after man’s death; consumer panel finds insurer at fault, orders full payout with 6% interestInsurer rejected Rs 50 lakh claim after man’s death: A consumer commission has directed Cigna TTK to pay Rs 50 lakh after finding that the ...
- Insurer-hospital panel on the cards to resolve disputes, says General Insurance Council CEODr S. Prakash, CEO, Health Insurance Ecosystem & Strategic Partnerships, General Insurance Council, speaks to Preeti Kulkarni on policyhold...
- National Insurance rejects mediclaim over 'hidden hypertension': Court says insurers can't deny genuine claims without evidence; orders over Rs 2 lakh payoutNational Insurance Company has been ordered to pay over Rs 2 lakh to a Thrissur man after a Kerala consumer commission ruled that the insur...
- LIC rejects life insurance claims saying policyholder hid diabetes: Court finds disease was diagnosed only after buying the policies; orders over Rs 60 lakh payoutLIC rejects life insurance claims saying policyholder hid diabetes: The National Consumer Disputes Redressal Commission has ordered LIC to ...
- Oriental Insurance rejects mediclaim saying policyholder's hospitalisation wasn't necessary: Court says doctors, not insurers, decide medical necessity; orders over Rs 2 lakh payoutOriental Insurance rejects claim saying hospitalisation wasn't necessary: A Delhi consumer commission has ordered Oriental Insurance to pay...
- How to file reimbursement claim for health insurance coverOnce the claim documents are submitted at the TPA /insurance company office in the prescribed format, the insurer will verify the documents...
- When health claims can get rejectedYour health insurance policy will not pay for the treatment of all ailments. Here is a look at what it doesn't cover.
- Verify health cover extent before buying insuranceWhile rejection of health insurance claims is not unheard of, consumer organisations say, sometimes, insurance companies withold a portion ...
Load More
