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MEDICLAIM REJECTION
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...
Tata AIG rejects mediclaim saying policyholder hid a disease: Court says 'insurance companies are only interested in premiums'; orders insurer to pay over Rs 60KTata AIG rejects mediclaim of a policyholder: A consumer court in Haryana has directed Tata AIG to pay a policyholder after finding the ins...
No Covid, yet Rs 3.71 lakh hospital bill: Gujarat man's insurance paid only Rs 1.78 lakh, deducting Rs 1.64 lakh; Then court delivered justiceA Gujarat consumer commission ordered a hospital and doctor to refund Rs 1.64 lakh to a patient. The patient was wrongly billed under a Cov...
New India Assurance rejects mediclaim for an eye surgery: Court orders insurer to pay Rs 4 lakhA consumer commission ruled squint eye surgery is a vision treatment, not cosmetic, ordering an insurer to pay Rs 4.12 lakh. The insurer ha...
'Only doctor can decide about hospitalisation': Court orders Star Health to pay compensation for rejecting claimThe commission overturned the insurer's rejection of a claim by Amitkumar Goyal, who was denied his mediclaim of Rs 86,250 for a hospital b...
Some insurers can dismiss claims if the policyholder is 'fat'Insurance companies at times refuse to pay claims if the policyholder was fat or in their view “fat" -- putting family members in a fix try...
Good health a fundamental right, says courtThe court observed that a person suffering from a genetic disease, is as much in need of a medical insurance cover as others and the liabil...
Multiple policies no ground to reject mediclaim renewal: HC"The renewal of a mediclaim policy cannot lie at the whim and caprice of the insurer," said a bench of Justices D Y Chandrachud and S C Gup...
- Query Corner- Insurance
If your claim has been repudiated without a sufficient cause, you can lodge your complaint against the insurance company.
- Consumer forum orders United India Insurance to compensate woman
United India Insurance Co has been ordered by consumer forum to compensate a woman for rejecting her claim against a valid mediclaim policy.
- Query Corner: Insurance
Our expert Amit Suri, CFP, AUM Financial Planners offers tips on the best insurance products available in the market.
- Query Corner: Insurance
Our expert offers Tips On The Best Insurance Products Available In The Market. Email to etqueryins@indiatimes.com
- ET in the classroom: Cashless mediclaim
Cashless mediclaim is not a new concept anymore. As the name suggests, you can get hospitalised, undergo surgery or both without having to ...
- New mediclaim norms to shield senior citizens
IRDA is trying to ensure that senior citizens are not denied renewal of mediclaim policies merely due to an unfavourable claims experience
- IRDA asks PSUs not to force elders to switch to new health plans
Insurance regulator has asked state-owned insurance cos not to force senior citizens to switch to new health insurance plan with lower bene...
- Rules planned to ease renewal of mediclaim
Abhay Sharma had bought a mediclaim policy at 40. After continuing with the policy for 25 years, he suffered a rude shock when his insurer ...
- Rules planned to ease renewal of mediclaim
Mr Sharma had got a mediclaim to shield himself from the anxieties of huge medical expenses later in his life. But the truth is that there ...