support@headlinenews360.com
Insurance Ombudsman: Tall promises were made to you while getting health insurance. You also got health insurance. But, when you or any of your relatives fell ill, while giving the claim, the insurance company would have read you so many rules and regulations that you would have been stunned. Ultimately the company either rejected your claims or paid a small amount at all. In such a situation, you sat down tired and accepted that you have no other option but to listen to the insurance company. But you still have one more option, that is to complain to the Ombudsman i.e. Lokpal. From there you can get justice.
50 percent of insurance claims are rejected in whole or in large part
According to a recent report by a website called Local Circle, more than 50 percent of health insurance claims are completely or mostly rejected. Of the complaints that come to the Insurance Ombudsman, 95 percent are related to complete rejection or underpayment of insurance claims. This came to light from the annual report of the Insurance Ombudsman for 2023-24. If you also feel that your health insurance claim has been wrongly rejected, then definitely approach the Insurance Ombudsman for resolution. This is also important because the high level of rejection of health insurance claims has been making headlines since November. Insurance Brokers Association of India had also recently released data related to claim settlement track of general, health and life insurance.
Unreasonable charges are the biggest excuse for claim rejection.
The biggest excuse of health insurance companies is unreasonable hospital charges. It has been said in the annual report of the Insurance Ombudsman that insurance companies should write everything clearly in their terms and conditions, so that the customer does not get cheated.
Also read:
