Case Study- Insurance Mis-selling by Banks We at Insurance Samadhan ensure that the readers get a real insight into what happens in the insurance world. Last month, we started a series of blogs, “What are the most common reasons for… Continue Reading
Case 1: Change of Existing Policy Mr. Birju’s was having Insurance with ABC Life Insurance. He bought the policy in 2018 and has been paying regular premiums. One day, he received a telecall. The caller introduced himself as the Relation… Continue Reading
Admission for Diagnostic Purposes Healthcare starts with and depends on diagnostics, whether it is diabetes, cancer, or any other health threats. Diagnostics are at the front and center. The purpose of diagnostics is to gather precise information to aid in… Continue Reading
Required documents not submitted Our previous blog emphasized the crucial role of laying down all the facts when filing a health insurance claim. When it comes to health insurance, transparency and accuracy play a vital role in ensuring a smooth… Continue Reading
GSSBY is Odisha’s state government health insurance scheme exclusively catering to the welfare of journalists and their families. Launched in 2018, the scheme focuses on cashless treatment facilities in government and private hospitals. Although it goes beyond traditional coverage, covering… Continue Reading
Welcome readers! We hope you have some gist of what we are trying to achieve with this series of blogs on health claim rejection reasons. We at Insurance Samadhan get multiple cases regarding claim rejections. Today, we are sharing a… Continue Reading
Insurance plays a crucial role in providing financial security during unforeseen circumstances. However, claim rejection and claim short settlements are not uncommon. In today’s blog, we will talk about a real-life situation where an insurance company rejected a health claim… Continue Reading
Hospitalization not Required Last week, we discussed the problem related to delays in intimation or in the submission of documents that may lead to health claim rejection. Today, we will discuss another major reason for which a claim gets rejected.… Continue Reading
This case revolves around a complaint from a resident of Veppampattu near Tiruvallur. The railway station in the area has no foot over the bridge, which compels people to cross the railway line to carry out their daily activities. Unfortunately,… Continue Reading
Mr. Deepak was a loyal premium payer for a long time before he was diagnosed with respiratory failure at Suvichar Hospital, Nashik. However, after his demise, his family submitted all the required documents, but the insurance company denied the claim… Continue Reading