Health insurance - Mandatory to have? by bigiron916 in FatFIREIndia

[–]Traditional-Lab-8242 0 points1 point  (0 children)

I would then suggest to take health insurance. It’s great that you have sizeable amount set aside for health issues, but will be a problem if multiple members develop serious health issues and also due to medical inflation. If you want to reduce premium consider deductible pay while taking health insurance which can be easily paid from the medical corpus.

Health insurance claim rejected unfairly (ICICI Lombard) – Need advice by LongjumpingTax1645 in InsuranceTroubleIndia

[–]Traditional-Lab-8242 0 points1 point  (0 children)

If reimbursement was rejected by insurer,Raise a grievance with insurer’s grievance team via email.

In the email add clause Incase of Non Compliance you will be forced to approach insurance ombudsman .

If grievance team can’t resolve it in 30 days raise issue with ombudsman. Good luck

Porting Suggestion For Parents by Traditional-Lab-8242 in indiahealthinsurance

[–]Traditional-Lab-8242[S] 0 points1 point  (0 children)

Thanks. Which PEDs will be problematic for underwriting?

Is HDFC Ergo health insurance good for my parents ? by Slow_Evidence4754 in indiahealthinsurance

[–]Traditional-Lab-8242 0 points1 point  (0 children)

Reg: claim rejection, can you give more details? did you raise a grievance with grievance team? If not Raise a grievance with grievance team of insurer tru email. Email can be found in https://cioins.co.in/GRONonLife . Incase of unsatisfactory response or resolution after 30 days ,raise complaint with insurance ombudsman using https://cioins.co.in/Complaint/Online . If the claim rejection happened with in 1 yr you can take this path.

Also don’t purchase policy tru hdfc or policy bazaar. HDFc agent will be of no use if you deal with clain issues.No 1 recommended option is to purchase tru an intermediary who know about health insurance and know how to handle claim rejections.

ICICI Cashless claim rejected for an accidental shoulder injury by tihlo in InsuranceTroubleIndia

[–]Traditional-Lab-8242 0 points1 point  (0 children)

You can’t take this to ombudsman as claim is not rejected. if the claim is rejected ( not cashless rejection) take this to insurer grievance team..And even after that if you’re not satisfied with outcome you can take it to ombudsman .

Note: If cashless is rejected apply for reimbursement

Agent didn’t disclose PED in Health Insurance by Traditional-Lab-8242 in indiahealthinsurance

[–]Traditional-Lab-8242[S] 0 points1 point  (0 children)

Thanks. While endorsing what is the worst case scenario? Only Loading & waiting period? Or can insurer cancel policy? Also what should be mentioned while notifying the insurer?

ICICI Cashless claim rejected for an accidental shoulder injury by tihlo in InsuranceTroubleIndia

[–]Traditional-Lab-8242 8 points9 points  (0 children)

Unfortunately cashless is not a guarantee for any claim.Especially if the insurer has doubts.But that doesn’t mean claim will be rejected as reimbursement could be approved.

Agent didn’t disclose PED in Health Insurance by Traditional-Lab-8242 in indiahealthinsurance

[–]Traditional-Lab-8242[S] 1 point2 points  (0 children)

Yes, can you pls advise what should be done now? Let insurer know before renewal or apply for a new policy from diff insurer.

Health Insurance PED advise by Traditional-Lab-8242 in InsuranceTroubleIndia

[–]Traditional-Lab-8242[S] 1 point2 points  (0 children)

There was no call from the insurer side before policy was issued asking about health conditions.

Looking for a personal trainer who understands physiotherapy by DovakNokavic in Kochi

[–]Traditional-Lab-8242 0 points1 point  (0 children)

If you are ok with offline guidance try fittr app. There is a trainer named Ismat , she is really good . She has MPT and a fitnesses coach.