Four In Ten Health Insurance Policyholders Struggle During Claim Processing: Survey

The survey highlights challenges faced by health insurance holders, with 43% experiencing difficulties in claiming insurance.

Representative image for health insurance (Source: Freepik)

Around 1.6 lakh cases, out of 5.5 lakh pending consumer complaints, received by the Department of Consumer Affairs is related to the insurance sector.

Out of the total people holding general insurance policies, health and motor insurance top the chart. 82% people hold motor insurance and 76% hold health insurance. The rest 22% possess home insurance.

The survey reported that consumers continue to face problems in getting their health claims from the insurance companies, despite interventions by the Insurance Regulatory and Development Authority of India. This includes rejection of health insurance claims and cancellation of policies by insurance companies.

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43% of health insurance holders found it difficult to get their insurance claims, followed by 24% of motor insurance holders, and 10% of home insurance holders.

The majority of the people who commented on this subject mentioned that claiming a health insurance is very time-consuming as many policyholders and their family members waste their time running around, trying to get their claims processed. By the time, their insurance is approved, the patient has no energy to fight for expenses that are not approved by the insurance company.

The survey further highlighted that 93% of respondents want the IRDAI to make it compulsory for insurance companies to reveal details of claims received, rejected, policies approved and policies cancelled on their websites each month.

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Also Read: Benefits Of High Entry Age Limit For Health Insurance

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WRITTEN BY
Sreshti Srinivasan
Sreshti Srinivasan covers markets and business news at NDTV Profit. She hol... more
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