COMMUNITY FORUM: CREDIBLE INDUSTRY EXPERTS ANSWER YOUR INSURANCE QUERIES

In the annual report of IRDAI, Under the STATUS OF INDIVIDUAL DEATH CLAIMS OF LIFE INSURERS, there are two columns - Claims Repudiated & Claim Rejected. What is the meaning of claim repudiated and what is the difference between these two?

Let's say that I have a policy that has NO room-rent limit. However, there is a limitation of Single Private A/C room in hospital charges. I wanted to know, potentially, what can go wrong in such cases? Also, what are the odds of that happening practically?

I am asking this because Star Comprehensive has this clause.

I'm confused between HDFC Ergo Optima Restore vs Max Bupa Reassure policy. The policy is for my mom (49 years) and myself (25 years). The premium of MaxBupa Reassure is cheaper as compared to the HDFC Ergo Restore policy. But I'm concerned with the brand value of Max Bupa vs HDFC Ergo. How good is it during the claim settlement process? Please help.

I am holding a LIC Jeevan Anand (Plan-149). The Commencement Date of this plan was 09/12/2011 and the premium paying term is 20 years (ending on 9/12/2031). It would be great if anyone can answer the following questions regarding this plan:

1)If I exit the LIC plan 149 this year, will I receive the Bonus, Guaranteed Addition that has been accrued? If I will not be entitled to the Bonus, will I at least receive in full, the amount that I have paid as a premium?

2) The 'sum assured' is Rs. 5 Lakhs. Is this the only amount that my family will receive if at all I die during the premium paying term? or are there any additional amounts?

3) The policy term is 76 years. So if I continue to pay the premium till my premium payment end date (that is till 09/12/2031) will I get a life insurance coverage after this date? The policy term is 76 years and the date of maturity is 9/12/2087. If yes, will the amount of life cover be the same 5 lakhs?

Even is an innovative health cover that promises to cover every kind of health expense and cashless by design.

On paper it looks better than a traditional health insurance cover. Has anyone reviewed it already?

I am planning to cover my parents (56 & 49) with a health insurance plan (I know am bit late). I had few queries.

1. Should I go for HDFC Ergo Optima Restore vs HDFC Ergo Optima Secure?
2. Should I include myself in the Family Floater plan - am 24? Or should I get one individually for myself.
3. What is the recommended amount of family floater coverage I should take - 5L or 10L? (I know it is different for different family - but generally asking)

Will appreciate any responses regarding my situation for taking medical/health insurance. Or more advice regarding it.

Have anyone heard about this company? I was attracted by their insurance model that's quite different from others. They make the joining appear premium and exclusive by propping up something called "Kenko Score". Once we pass their score test, we are being given the option to select the plans. They claim that they will reimburse 50% of the OP and medicine expenses, doctor fees etc. The catch (which they don't clearly say) is these claims are applicable only from "Kenko certified" hospitals & clinics. After I learnt about this, I tried to cancel the plan. You will be surprised to know that we cannot contact them ! Only they will be able to contact us if we clicked a button on their website and the support executive only talks about sales and once we tell them that the requirement is to cancel, they will say that my query will be "passed" on the relevant team and they will call back. This never happened and in parallel their sales team goes on spamming your number.

I escalated this even to their "Founder & CEO", but no response. There is no much info about this company in IRDA website too. Terrifying indeed.

Request Beshak team to carry out a discrete investigation. At least the outcome will save hundreds of people from this scam.

Hello,

First of all, thanks for running this community. I am planning to take a family floater health insurance policy for myself, my wife and my daughter. Few things that I am looking for is no capping on the room rent and the restoration benefit.

The two policy that stood out were Niva Bupa Reassure and HDFC Ergo Optima Restore. Now I am bit confused towards Niva Bupa due to their negative reviews online though it sounds better on paper than HDFC Ergo.

Does anyone have any views or suggestions for me. There are few more questions that I’ll ask later.

Thanks in advance

I've been advising my brother for his term life purchase. We're confused as to how we choose the "Smoking" scenario. He's smoked for the last 9 yrs (32year old). He's quit since the last 1.5 yrs, almost fully. Might be smoking a stick here or there in a month or two. How should we DECLARE THIS AND how should we CHOOSE BETWEEN SMOKER/NON SMOKER?

Is there a way that the Insurer too can ascertain his smoking status, so as to help end this conundrum (Looking at ICICI, Max)

So in India, insurance doesn't cover emergency/casualty charges? My claim just got rejected.