You can be sold an insurance policy
wrongfully in many ways. Let us take a
look at some of them:
Promising interest-free loan on a mortgage or insurance
plan.
The promise of free health insurance.
Insurance sold as a Fixed deposit in a bank.
There are many reasons why your
insurance claim can get rejected, such as a
delay in Health Claim Reimbursement, insurance policy
exclusions, PED not disclosed, etc. It is
important to avoid any such insurance claim rejection
scenarios.
A claim can be delayed due to
pre-existing conditions, especially if the
insurance company needs to review the policyholder's medical
history or obtain additional information
from the healthcare provider.
Yes, a short-settled claim may be
re-submitted for payment.
Access the 'Know Your Policy'
feature on our mobile application "Polifyx" to
upload your complete policy document and identify any errors
or inconsistencies that could result in
claim rejections or delays in the future.
We help you represent your case with
the Insurance Company, Insurance
Ombudsman (Bima Lokpal), and consumer court depending on the
case.
Once your case is accepted and
registered, you can get real-time case updates
on Polifyx App.
A one-time registration fee of INR
500, including GST, is applicable for all
life, health, and general policies for you and your family
members after case acceptance.
Once we successfully resolve your
insurance complaint, we charge a success fee
of 12% of the amount received (plus GST).
Any insurance-related matter problem
totally depends on the case. So, it is
advisable to be patient.
You may have to go for an Insurance
Ombudsman hearing once you get the date
and time for your case representation.
Generally expenses 30 days before
the hospitalization and 60-90 days post
discharge from the hospital are covered in the medical policy.
We help apply your reimbursement at a
nominal cost of INR 1000 taking away the hassles of filling
and submitting the claim forms.
It is essential to disclose your
smoking or alcohol consumption habits while
purchasing insurance as it would be unethical to withhold this
information and may result in claim
rejection.
Typically, there's a waiting period
of 30 days from the insurance policy's
start date.
If admitted to a hospital outside
your network, you would typically need to
pay the bills upfront and seek reimbursement from your
insurance company afterward.