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Thread: Rejection of my health insurance claim

  1. #1
    PolicyWala Newbie
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    Default Rejection of my health insurance claim

    Hi All, I am covered with a leading pvt. insurance company's group health insurance. The policy is being taken by my employer. Recently, my claim has been rejected by the insurance company, mentioning that it's not covered under the policy conditions, so they are rejecting my claim. I am not satisfied by the reasons for rejections mentioned in the rejection letter, could you please tell me is there any time line to apply against such denial?


    Regards,

    Yugen



  2. #2
    PW Stalwart Master's Avatar
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    Default

    Its really sad that your claim has been denied. You can apply to the insurance company with in 15 days of receiving the denial letter from the insurance company.

  3. #3
    Moderator CONFUSED's Avatar
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    You can apply to same insurance company within 15 days, but after that period is over, you can file an appeal in IRDA or Consumer court.
    Rules/Guidelines at PolicyWala | Help Old People |
    I am speaking from experience and my own personal views above - I am not an advisor, nor an expert.

  4. #4
    PolicyWala Newbie
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    Question

    Quote Originally Posted by CONFUSED View Post
    You can apply to same insurance company within 15 days, but after that period is over, you can file an appeal in IRDA or Consumer court.
    hello guys!

    me too having the same problem, but what do you mean "apply to same insurance company" Do you mean i have to again apply for cash claim, if so then do i have to again send all the detail and reports to the insurance company ??

    thanks in advance

    Reply me soon as possible because I received the denial letter just a week before

  5. #5
    Super Moderator PolicyWala's Avatar
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    Quote Originally Posted by santhosh View Post
    hello guys!

    me too having the same problem, but what do you mean "apply to same insurance company" Do you mean i have to again apply for cash claim, if so then do i have to again send all the detail and reports to the insurance company ??

    thanks in advance

    Reply me soon as possible because I received the denial letter just a week before
    You have to send all the documents with the denial letter to the insurance company, with a letter explaining that why insurance company should consider your claim. There is no word as cash claim.

  6. #6
    PolicyWala Newbie
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    Quote Originally Posted by PolicyWala View Post
    You have to send all the documents with the denial letter to the insurance company, with a letter explaining that why insurance company should consider your claim. There is no word as cash claim.


    Thanks for Response

    Actually I'm using "paid and claim" method,that's why i called it cash claim


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