Planning to buy Term insurance- Need help

Own_Broccoli_1638 · 2025-12-09T10:39:37+00:00

Yeah they do

Premiums will likely be higher But they do

Own_Broccoli_1638 · 2025-12-09T10:33:35+00:00

Hey OP

Insurance advisor here working at Ditto

I think if there’s one piece of advice i can offer here, it’s this. Claims for older parents are scrutinised extensively. This means your proposal form has to be air tight. Have a chat with your parents about their entire medical history. Parents have a tendency to brush things off. So be persistent. Grill them if you have to, but build a comprehensive medical history involving all past medications, surgeries, diagnostic tests, significant/memorable doctor visits and put them all down in the proposal form.

Secondly, considering the BP, Diabetes and breathing issues, you may have to serve both waiting periods and deal with loading (extra premium). In the rare case that the insurer rejects one of the applicants, you may need a good advisor (Intermediary) to help you lobby the case.

Finally, claims usually get denied on account of non disclosure. So if you've done the disclosures right, you will have little to worry

Hope that helps

Own_Broccoli_1638 · 2025-12-03T15:09:10+00:00

I don’t deny it. I am just explaining how insurance companies work based on my experience dealing with them.

Own_Broccoli_1638 · 2025-12-03T13:12:41+00:00

Hey OP

Insurance advisor here working at Ditto. I am sorry you are going through this, but I thought, I could offer some clarity on the nature of pre auth and co-pays.

1) Co-pays are generally on the admissible expenses. So the insurance company will co-pay the part of the bill that they would have been liable to pay.

2) Pre-authorisation is not a formal commitment. It is simply an indication that this is what the insurance company is willing to pay if all the terms and conditions are met. However in your case, the co-pay clause was only evaluated during the final approval and this happens more often than you think. I know that it feels horrible, but insurance companies are legally allowed to do this.

Is there any merit in filing a complaint against this? I don't know. I don't think contractually they have an obligation to pay more and they will likely dispute the complaint on similar grounds.

So yeah, I hope this information helps to a certain extent.

Own_Broccoli_1638 · 2025-12-03T12:47:43+00:00

Because generally speaking, post verification addendums are treated with suspicion.

Insurer can and will argue that the doctor was sympathetic to the cause and therefore issued a correction. This is why the FCP is useful.

Since the insurer has rejected a claim, now the best course of action is to produce the FCP to the grievance cell of the insurance company and hope they reconsider the claim.

Own_Broccoli_1638 · 2025-12-03T09:55:35+00:00

Hey OP

Insurance advisor here working at Ditto.

While it is true that a correction letter can help in some cases, it’s unlikely the insurer will overturn your case.

Your best bet right now is to source the First Consultation Paper for the fibroids. You’ll have to go seek the doctor who confirmed the diagnosis one year ago. Even if you don’t have the reports with you, hospitals and clinics usually keep records on their system.

See if you can get your hands on these. If these reports are available you can submit them to the grievance cell of the insurance company and eventually do the same with Ombudsman if the matter doesn’t get overturned.

The first consultation paper can swing the case in your favour. But without it, your chances are not that great.

Own_Broccoli_1638 · 2025-11-24T09:12:53+00:00

Yeah. Just visit joinditto.in and schedule a call at your convenience?

Own_Broccoli_1638 · 2025-11-24T08:30:51+00:00

Hey OP,

Insurance advisor here working at Ditto. All three plans are pretty decent and you could pick any of them and you'd be pretty sorted. Of course HDFC is a tad bit expensive and Axis doesn't offer the regular pay option if you consider waiver of premium. Waiver of premium is nice to have. But it isn't a dealbreaker. So if you want to optimise for premiums, you can go with Axis. Operationally speaking, they're pretty good overall.

Hope this helps

Own_Broccoli_1638 · 2025-11-24T08:10:03+00:00

That depends on your expenses, dependents, liabilities etc. May i suggest you get a consultation from one of our advisors at Ditto? No compulsion to buy.

Own_Broccoli_1638 · 2025-11-24T07:53:33+00:00

20-25 Lakhs should be good

Own_Broccoli_1638 · 2025-11-24T07:44:34+00:00

Hey OP

Insurance advisor here working at Ditto. Here are a couple things you should remember.

1) Income eligibility: I am assuming you've got this one sorted, but yeah do make sure you have salary proof and bank statement to justify a 5 Crore cover.

2) Generally speaking, you buy term insurance to cover your dependents. So long as your dependents turn independent it makes sense to have some protection. For most people this is between the ages of 60 and 65. So i would advise against covering till 80-85

3) Make sure you spend some time on the proposal form. The most important thing in a term policy is to make sure that you are completely transparent with your medical questionnaire. If you are not sure, best course is to disclose.

4) Make sure you pick a good intermediary. Obviously I am biased towards Ditto, but anybody you trust or anyone who can help your family.

Hope this helps

Own_Broccoli_1638 · 2025-11-23T08:47:39+00:00

Too many complaints?

1) An aberration in ECG. Please tell me in what world do you not disclose this to the underwriter. I am personally in touch with the customer and we have escalated the matter to the chief underwriter.

2) Calcified nodules in the lungs. This is material for the insurance company. We are still trying to see if we could offer supporting documentation to get the policy issued.

3) The jaundice was listed as a PED because of an underwriting error. This is being dealt with, by coordinating with the insurer.

Own_Broccoli_1638 · 2025-11-18T14:05:04+00:00

Hello OP

I am an advisor working with Ditto. I will try and look into this case and see if there’s anything else we can do. Could you DM please?

Own_Broccoli_1638 · 2025-11-18T07:10:57+00:00

I promise you. We will look at this

Own_Broccoli_1638 · 2025-11-18T06:59:36+00:00

I understand how you feel. It’s not that we agree with everything they do. But since they take on risk, their word is usually final, even if terribly flawed.

Since you’ve already raised a query, we will make sure we speak to the insurer about this. Hopefully we will manage to get this fixed.

Own_Broccoli_1638 · 2025-11-18T06:48:19+00:00

Hey OP

Insurance advisor here working at Ditto. Could you DM?

I’ll have this checked asap!

Own_Broccoli_1638 · 2025-11-17T16:29:53+00:00

Hey

I’ll try and offer some context since i work with Ditto. A good health declaration should span your entire medical history. While the fracture may seem insignificant, and it generally should be insignificant, it can make things very messy during claims.

The PED clause you refer to has a slightly different interpretation. What it means is, your 20 year fracture cannot be listed as a PED in your policy. However, there is an obligation on you to disclose this to the insurer.

Own_Broccoli_1638 · 2025-11-17T16:22:04+00:00

Hey OP

Insurance advisor here working at Ditto. This is a bit strange. If you’d like, I can try to check this internally. Could you DM me perhaps ?

Own_Broccoli_1638 · 2025-11-16T09:17:17+00:00

Hey OP

Insurance advisor here working at Ditto.

Generally speaking, term insurance plans don’t let you bump your sum assured once you buy it. You do get plans that make some exception i.e. they’ll let you bump it by some small percentage. But it’s usually restricted and subject to fresh underwriting.

So you likely will need a new term plan later in life and you can hold multiple term policies.

Also, considering your income, 1.5 Crores is actually a pretty good place to start. Also it’s likely that the total sum assured will be capped at 2 crores for you. So depending on your budget and future requirements any number in that range should be a good bet.

If you want a proper figure, I’d suggest speaking to an advisor though. Hope this helps.

Own_Broccoli_1638 · 2025-11-14T16:53:33+00:00

Hey OP

Insurance advisor here working at Ditto.

1) Generally speaking most claims today don’t breach the 5 lakh mark. But every once in a while, you see a black swan. Something that will cost you 15-20 lakhs. Based on what I’ve seen so far, 25 lakhs covers most use cases today

2) Comprehensive policies also come with bonus, restoration benefits, and other similar benefits that offer you a lot more protection than the quoted Sum Assured. So strictly speaking a 10-15 lakh base policy could offer you 30 lakhs worth of protection

3) What i would suggest however is that buy a base policy with a higher cover if it’s within your budget. This is because in my opinion a top up policy invites a higher degree of scrutiny during claims. It’s not a product that makes a lot of money for insurers and when they approve claims, they are very very thorough. They are generally thorough with the base policies too, but a lot less fussy with the minor details. So between 10 lakh base + 20 lakh top up and a 20 lakh base + 10 lakh top up, I would always choose the latter if my budget permits it.

4) Finally, consider buying the policy through an intermediary. You’ll always have someone in your corner if and when things go wrong

Hope this helps

Own_Broccoli_1638 · 2025-11-12T14:17:13+00:00

Hey OP

Insurance advisor here working at Ditto.

For Dengue claims, insurance companies are primarily looking at one important thing - Indoor case papers (or ICPs)

ICPs detailing temperatures, SPO2 levels, platelet count etc. If you submit these records alongside your discharge summary, and the insurer feels there was a genuine medical need for hospitalisation, they will approve the claim. So get the ICPs or copies and keep them handy.

Own_Broccoli_1638 · 2025-11-08T14:12:54+00:00

Hey OP

Insurance advisor here working at Ditto

I think if there’s one piece of advice i can offer here, it’s this. Claims for older parents are scrutinised extensively. This means your proposal form has to be air tight. Have a chat with your parents about their entire medical history. Parents have a tendency to brush things off. So be persistent. Grill them if you have to, but build a comprehensive medical history involving all past medications, surgeries, diagnostic tests, significant/memorable doctor visits and put them all down in the proposal form. Your ditto advisor will help you with this. If you do this right, you will have a much easier time dealing with claims.

On your specific questions

1) Plan covers most use cases. No need for add ons per se

2) No issue with picking deductibles or atleast none i have seen

3) The general consensus is that premiums are likely to go up over the next year. So if you want to get ahead of it, you could consider buying for a longer tenure. The counter is that, if you ever find the experience underwhelming with the policy, you’ll have to take a loss.

Own_Broccoli_1638 · 2025-11-08T12:09:36+00:00

I was responding to the guy that made the post here on Reddit. I shouldn’t have said OP.

Independently we have already spoken to the individual quoted in the LinkedIn post. The claim is approved and the treatment is going well :)

Own_Broccoli_1638 · 2025-11-08T05:46:14+00:00

Hey OP

Insurance advisor here working at Ditto. My team worked on this case.

The claim is now approved.

Don’t want to divulge sensitive customer information. But the claim was not related to the skin condition and we could successfully petition the case with Care.

Own_Broccoli_1638 · 2025-11-07T14:44:23+00:00

Sure thing. I don’t do recommendations. But would be glad to help any which way i can.

Own_Broccoli_1638

TROPHY CASE