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Health Insurance

Health
Insurance

The Healthcare and Medical Services sector of any country is critical for its welfare. Government, employers and the society at large need to understand health insurance clearly. Only then can they implement productive strategies for managing health and medical insurance.

Presently, the majority of disputes usually occur due to misunderstandings, exclusions and non-standardization of laws related to medical insurance. Corporate Hospitals have TPA (Third Party Administration) desks but similar facilities are unfortunately not available everywhere. Additionally, incorrect declaration at the time of policy initiation and poor documentation create even more issues.

Once again, we firmly believe in the transparency and integrity of the system and understand the limitations faced by the common man who has trouble understanding the “Heavy Words” of the industry, like understanding exclusions and permissible limits linked to room rent. Which is exactly why at Insurance Samadhan we work relentlessly on case representation at all forums with the intention of resolving various health insurance complaints of the very aggrieved customers we often assist.

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Health Insurance

Jyoti

My father in law had a Health Insurance policy for the past 20 years and had never applied for any claim.


He was approached by a Health Insurance Company for porting his 20-year-old Insurance to a new company under big promises of additional benefits.


Last year, he was admitted to a Hospital for an infection. We took pre-approval and admitted him in a reputed hospital. However, after 7 days the Insurance Company rejected the claim on the basis of past medical history and non-disclosure.


We were shocked and approached Insurance Samadhan, who successfully resolved the case on the basis of my father’s 20-year record and reverse the mis-selling done by their sales team.


We are grateful to Insurance Samadhan for their hard work.



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