The most important condition is that they do not cover the diseases existing as on date of policy buy. They expect us to get newer diseases and keep ailing all the time with different varieties of diseases. In case you are hospitalized, you get less than what you spend and if you don't get hospitalized you stand to lose the premium paid. Either way you are the loser.
If you are not getting the full amount coverage what is the use of Insurance.Why cant the Insurance regulatory authority do something to correct these disparity and also make medical insurance transparent and understandable to common man.
For Rs.3 lakhs expenses, we can get around Rs.1.8 lakhs as reimbursement only. Sir, do not expect Rs.2.5 lakhs as reimbursement. This is my experience and so it is fact. Mine is cashless policy (even then)
The patient is told by the hospital that since he has not to pay the bill he should not worry about higher charges but in real terms it is the patient who will end up paying higher premiums as the cost increases.
after paying premium you are at the mercy of insurance company to accept claim or reject.Medical bills are inflated if the hospital comes to know that patient is insured.
Re: medical policy
by Shyam Sunder on Apr 06, 2015 09:33 AM
Instead, the Insurance companies should sponsor / recognize some hospitals whom they have faith in and where insured person need not pay anything for treatment.
