INSURANCE USERS' COMMUNITY FORUM
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My parents are above 70 years. Both were tested positive for COVID in Feb '21, however, my dad was hospitalized for 2 weeks. He's currently recovering and to note that this is the first time in many years that he has been hospitalized and has no PED. However, my mom is a diabetic patient for more than 20+ years. The reason for me to look into a plan now is because of their age, there might be a requirement of future hospitalization. While reading through your article, few of the policies were discontinued by the Insurers Could you advise how to go forward with selecting policy and with whom?
Hi... currently I have an individual health insurance policy for my family of 5 members, myself (49yrs), wife (42yrs), son (15yrs), daughter (19yrs) & mother (80yrs), with Royal Sundaram, I am holding this policy with Royal Sundaram for the past 17 years or so. My policy has been upgraded few times based on notice of withdrawal of my old policy. Even last year I got an intimation from Royal Sundaram that my old policy is withdrawn and provided me couple of new policy options. I selected "Lifeline - Classic Health Policy" (2lacs sum assured + 50k no claim bonus for each individual) and my premium was fixed accordingly. I paid a total premium cost was around Rs.58729/- last year for this policy last year.
This year again I received an advance intimation for Lifeline policy revision stating that due to IRDAI guidelines to standardize exclusions under health insurance products, they have revised my total premium to around Rs.97300/- for the same sum insured for each individual. I feel that increase in premium is very high. Also, there is no claim last year from any of my family member. Is the hike in accoradance with IRDAI guidelines? Should I go for renewal or consider portability option? Please let me know your thoughts on this.
Sir i had claim but they did wrong deduction saying o2,consultation are included in room rent whereas its clearly mentioned in hospital final bill that it was charged separately. Kindly help how can i proceed further.and it is corona kavach policy where no roon rent limit
Claim amount - 187734
Payable amount – 104000/-
· Deduction – 83742 /- spirometer 703, easy fix 49, MRD 500, oxygen , consultation, consumable charges are part of room rent 41000/- , covifor 2450, 1000 lab test part of room rent , imicrit injection no indication 29032
And even after calculating deduction there was total mistake of around 10000
If I have both super top-up 20lac with 10 lac deductible and base policy with 10 lac with national insurance if a claim arises beyond 10 lac will it be cashless for super top-up as well as we know most of the super top-up works on a remurisbment basis?
( I have three individual policy one for my mother, my maternal aunt, and for myself, as my age is low now both my mother and my maternal aunt policy with max Bupa with to-up from the same company max Bupa and I have a policy from National both for super top-up and base policy so will it all cashless in case of super top-up if get treated under network hospital if the company accepts claim under the base policy as cashless in case of emergency
Actually we don’t have any health insurance and need some guidance as there are so many things to look for before buying health insurance
my age 23
mom 52 (scoliosis, BP, polio )
need some help
Sir my corona kavach policy from max bupa and claim amount was 187873 but they approved 104000 only. I here want to know whom to approach for reconsideration of deductions and can you share any letter format for the same
One of our colleagues lost his life due to Covid recently. He has a 3 year old daughter. In addition to what the company is providing for the family, some of us have pooled together some money for the child's higher education, which we want to invest for 15 years to provide for her higher education.
I have looked at a number of endowment plans, child plans, market plans etc, but thoroughly confused.
Any suggestions would be helpful.
My age is 63 and I am having Manipal Cigna Health insurance policy since December 2019. In May 2021 I was diagnosed with Spinal Disorder (PIVD) and the Doctors advised for laminectomy Surgery. So, I applied for cash less claim but the claim was rejected since there is a 2 year waiting period for listed specific diseases. So, I underwent surgery with my own money.
Later on I disclosed the treatment to the insurance company .They asked me to pay a loading
amount hence I paid and they issued a endorsement letter.
Again the insurance company is saying that the Spinal disorders which were treated is included as PED and 36 months waiting period will be applicable.
My concern is can the company include that health issues which occurs after the policy period as PED?
"As far as I know according to the latest IRDA standardized guide lines any health issues which were diagnosed or treated before taking the policy are called PED".
Kindly guide on this issue!
Can You Suggest Top-Up Policy for Age Above 65 Years.?
Existing Policy is of 3lacs , which company would be better and provides without Medical Test.