SUM INSURED
Why can your insurance claim get rejected & how to avoid it?
All health insurance policies have a life-long renewal clause which the regulator has mandated. They cannot be rejected and your pricing cannot go up purely because you have a condition right now. So, certain benefits are inbuilt and benefits that the customer can take, says Deepak Yohannan, CEO, MIC Insurance Web Aggregator
What is the difference between deductible, co-payment in a health insurance policy
If you are confused by personal finance terms, jargon and calculations, here’s a new series to simplify and deconstruct these for you. In the fifth part of this series, ET Wealth explains the difference between deductible and co-payment.
Get Rs 10 lakh insurance policy at Rs 555 premium: New accidental insurance cover launched; know features, where to buy
India Post Payments Bank (IPPB) has recently launched personal accident covers at an affordable premium. There are various variants of Health Plus and Xpress Health Plus. From coverage to premium to benefits — read all about the new accident covers before you invest.
Is your medical claim stuck? Find out why you face problems in health insurance claim settlement and how to avoid them
While health insurers can sometimes be blamed putting customers through unending hardship in clearing claims, many a times it’s the policyholder who is at fault. A significant portion of these health insurance claim rejections can be prevented by asking the right questions during policy selection, carefully reviewing policy documents, and conducting thorough research. This article explores common health insurance claim rejection scenarios and explains how to avoid them.
Insurance basics: Know the difference between sum insured and sum assured
If you are confused by personal finance terms, jargon and calculations, here’s a new series to simplify and deconstruct these for you. In the fourth part of this series, Riju Mehta explains the difference between sum insured and sum assured.
6 questions to ask while buying a health insurance policy to avoid claim rejections later
How to buy the right health insurance policy that will pay for your claims on time? You can avert claim rejections by asking the important questions at the time of buying health insurance and reading the policy details and fine print carefully. Ask these questions while purchasing a health plan or at the time of filling a proposal form.
- Go To Page 1
Higher refund on premature exit from life insurance policy as IRDAI introduces new surrender value rule; check how much you will get
Life Insurance Policy Surrender Value Rule Changes: To curb mis-selling of life insurance plans, IRDAI has introduced a higher special surrender value for traditional endowment policies. Even if a policyholder exits a life insurance policy after the first year, he would get a part of his premium back if he has paid it. Till now, there has been no refund on exiting the policy in the first year. How much money will you get back if you prematurely exit your life insurance policy? Check calculation here.
The Life Insurance Rule: How much money will your family need if your income stops?
Life insurance rule: A common rule of thumb for life insurance coverage is to have a life insurance policy that is at least 10 times your current income. This coverage should take into account any outstanding debts and loans you have. By following this rule, you can estimate the income your family would need to maintain their standard of living if you were to pass away.
I am a retired person; I have a health insurance cover of Rs 5 lakh. Should I get a super top-up health insurance plan?
Our panel of experts will answer questions related to any aspect of personal finance. If you have a query, mail it to us right away.
Motor insurance rule change: No arbitrary claim rejection, quicker claim settlement, pay as you drive option must, says IRDAI
Motor Insurance New Rules by IRDAI: The Insurance Regulatory and Development Authority of India (IRDAI) has updated the master circular clarifying important rules for motor insurance policyholders. The regulator has proposed the implementation of strict timelines for claim settlements of auto insurance policyholders. It is a crucial step towards improving efficiency and customer satisfaction. Another key change is the introduction of a customer information sheet (CIS) for auto insurance policies to enhance customer awareness.
What is personal accident insurance
Personal accident insurance policy covers you against accidental death, injury and disability.
Health insurance premiums can be reduced if you don’t make a claim, policy cancellations to be less costly and more: 5 rule changes
Health insurance rule changes: To make health insurance policy more inclusive, flexible and customer-friendly, IRDAI has recently released a master circular on health insurance business. The regulator introduces new measures regarding cancellation charges, standardising no-claim bonus, and increasing claim settlement transparency. ET Wealth Online explores how these regulations empower policyholders and improve their health insurance experience.
Health insurance claim rule change: Cashless claims must be cleared in 3 hours; insurer to pay hospital charges for delay in discharge, says IRDAI
Health insurance: The Insurance Regulatory and Development Authority of India (IRDAI) has released a master circular to streamline health insurance claim process. Previously, delays in claim approvals forced patients to stay in hospitals longer. Now, insurers have three hours to approve cashless discharge requests. Additionally, insurers will be liable for extra hospital charges due to delays.
Health insurance new rule: You will get full coverage during grace period even if premium is unpaid, mandates IRDAI
New health insurance rule: To bring some much-needed relief to health insurance policyholders, Insurance Regulatory and Development Authority of India (IRDAI) has released a master circular on Health Insurance Business. Typically, most health insurance plans offer a grace period, a buffer to pay premium of your insurance policy. Earlier, health insurance grace period offered a buffer to pay premiums but no coverage for claims during that time. IRDAI's new rule mandates coverage during the grace period. What changes for the health insurance policyholders. How is this new move going to impact them? Read here to find out.
This LIC life insurance policy launched in February 2024 was withdrawn on April 1: Check surrender rules
LIC Dhan Vriddhi plan provides financial support for the family in case of unfortunate death of the life assured during the policy term. It also provides a guaranteed lump sum amount on the date of maturity to the life assured.
Health insurance claim rejection: Widow fights, wins Rs 28 lakh damage; pre-existing disease can't be free pass for claim denial
The Delhi State Consumer Commission ruled that an insurer cannot reject a health insurance claim solely based on pre-existing diseases if they weren't the cause of death. The commission directed HDFC Life (previously known as HDFC Standard LIC Co. Ltd.) to pay Rs 19.4 lakh along with the interest to a woman whose husband's claim was rejected for not disclosing diabetes. The insurer also has to pay Rs 1,00,000 for mental harassment of the complainant along with the litigation cost. This is a relief for those with common lifestyle diseases like diabetes. Read the full case and verdict in details. What do you need to keep in mind while buying health insurance policy to avoid claim rejection later. Find out here.
HDFC Ergo withdraws 3 health insurance policies: How will it impact policyholders? Will premiums increase?
In a move impacting existing policyholders, HDFC Ergo discontinues its my:health Suraksha health insurance plans. The insurer will migrate customers to alternative policy. Key concerns for existing customers include changes in premiums, coverage details, and potential loss of renewal benefits. ET Wealth Online delves into how this will affect renewals, benefits, and the migration process. Customers of HDFC Ergo my:health Suraksha health plans must know these details
How to select the right motor insurance cover: 8 points to consider
Evaluate your coverage needs based on the type of vehicle and its usage. Determine whether you require basic third-party liability coverage or comprehensive coverage that includes protection against own damage, theft and natural calamities.
3 changes in health insurance claim rules to help consumers: Reduced waiting period for pre-existing diseases, moratorium
Whenever you buy a health policy, the insurer informs you about the waiting period for pre-existing diseases and specified diseases which are not covered during the waiting period. The regulator has revised the rules and brought down this waiting period. Similarly the moratorium period has also been brought down by 3 years after which no claim can be denied under policy except in case of fraud.
HDFC Ergo Paws n Claws pet insurance cover: Who can purchase, what is covered, what is not, premium, duration
HDFC ERGO's Paws n Claws offers end-to-end pet care, encompassing everything from diagnostics to procedures and medications, guaranteeing thorough coverage. The cover extends the flexibility to insure up to 5 pets under a single policy, with a provision for commercial breeders who can insure up to 10 pets aged between six months to five years, and renew the policy for up to 8 years.
Total Protection: LIC’s Jeevan Utsav, the ultimate all-round life insurance solution in 1 product
LIC’s Jeevan Utsav offers stability and flexibility with whole life coverage, flexible premiums, and guaranteed additions. It ensures financial security, growth, and customisation for modern investors seeking comprehensive insurance solutions.
Cancel for any reason travel insurance cover: 6 important things you should know
Here are the things to keep in mind if you want to insure your trip for last-minute cancellations.
Post Office Life Insurance policy bonus declared for Financial Year 2024-25
The government offered a bonus for Post Office Life (PLI) insurance subscribers. Bonus rates for the fiscal year 2024-25 will be effective April 1, 2024.
How often should you review health insurance cover?
Healthcare inflation is on the rise and the cover needs to be upgraded. The sum insured may prove to be too low to cover even a single hospital bill in the next few years, let alone hospitalisation expenses during retirement. To avoid high expenses later, an upgrade can be planned every 7-10 years.
How Married Women’s Property (MWP) Act protects financial future of woman using life insurance policies even when nominations fail
What is the Married Women's Property (MWP) Act, of 1874? How can it empower women when it comes to purchasing insurance policies? It is a prudent choice for all those who want to secure their family's financial future and safeguard their assets from probable legal complications. How can you buy it? Who should opt for it? Here's all you need to know.
Cashless health insurance at all hospitals now but network hospitals are still better option for ‘assured’ cashless treatments
On paper, cashless everywhere is a great initiative as it aims to reduce out-of-pocket expenses of policyholders for medical treatments. However, health insurance policyholders need to keep a couple of things in mind before opting for a cashless everywhere facility at any hospital. You need to understand if you go to a non-empanelled hospital, how it will charge you for the treatment. Read here to know more
LIC customers: How to file maturity claim for LIC policy to get your money
LIC customers have the option to electronically submit their documentation via the LIC site instead of physically submitting it. LIC is urging policyholders to update bank details and submit KYC to receive policy money.
LIC Amritbaal children plan 874 launched; know details about this new insurance policy for kids
LIC Amritbaal children's policy launched: A new insurance policy specifically for kids aged 30 days to maximum 13 years has been launched by Life Insurance Corporation of India (LIC). This is an individual, savings, life insurance plan which offers a rebate if bought online. Read here to know the key details of LIC Amritbaal.
1% of sum insured as weekly income for 2 years, coverage for coma, 6 key features you must have in accidental policy
Many times trauma caused by an accident may require very costly treatment for a prolonged period where a comprehensive health policy with limited sum insured may fall well short in meeting the entire expenses. Taking care of household becomes difficult and many people often end up spending their savings built over many years or have to sell their assets or at worst have to resort to big debt. This is where an accidental policy helps you afford a costly treatment and taking care of household expenses as well.
Load More
