Health
What Isn’t Covered in Your Health Insurance Policy?
Lata, a 35-year-old MNC professional working in Pune, was surprised to discover that her health insurance claim was only partially settled. Her son had to undergo dental surgery post-accident with other treatments. However, the insurance company rejected her claim partially as dental surgery is excluded from the policy. Despite having continuous coverage for the last eight years, Lata had to pay INR 55,000 out of her pocket for the non-covered expenses. Like Lata, many get this shock at the time of need by not being aware of the exclusions.
Indian health insurance companies have rejected claims worth staggering INR 26,000 Cr. Nearly one in ten claims are denied, and 6% claims were left unresolved. As per the insurance regulator, IRDAI (Insurance Regulatory and Development Authority of India) report, most of these claim rejections stem from a lack of understanding of the policy exclusions, sub-limits and waiting period. Hence, let us discover what your health insurance does not cover to avoid painful discoveries at the time of claim.