Latest Articles

    Claim Settlement Ratio

    You must have seen advertisements from insurance companies boasting claim settlement ratios of 98-99%. By sheer statistics, it appears that every insurance company is customer-friendly and settles all...

    Reasonable and Customary charges

    This standard definition which you can find in every health insurance policy, implies that the insurance company will not cover the total cost of treatment if it exceeds the average cost for similar...

    Restoration of Sum insured meaning

    If you have tried to buy health insurance you might have come across terms like “Restoration of sum insured” or seen ads promoting 2x or 3x, cover etc. But what do these terms really mean?...

    Co Payment in Insurance

    In simple terms co-payment in Health insurance is the percentage of claim amount that a policyholder has to bear. Insurance regulator IRDA has defined co payment in insurance in Master Circular on...

    IRDA 2024 guidelines on Pre-existing diseases and Moratorium period

    The Insurance Regulatory and Development Authority of India (IRDA) on March 20, 2024 through its circular “Insurance Products Regulations, 2024”  has introduced changes regarding pre-existing diseases...

    Does insurance cover home dialysis ?

    Does your health insurance policy cover home dialysis? Dialysis is often recommended for patients with chronic kidney diseases, where the kidneys have sustained irreparable damage. The only way left...

    A comparison between Star Comprehensive Health insurance and Family Health Optima

    Star Health Insurance Company’s comprehensive health insurance and family health Optima policies stand out as top-selling insurance products in the Indian market. The similarities between these...

    Room rent limit in Health Insurance

    Choosing the right health insurance terms is crucial because you’re making a long-term commitment. You’ll be paying premiums for years, so understanding vital terms ensures your coverage...

    Is physiotherapy covered under health insurance?

    Physiotherapy is recommended by doctors for various conditions related to muscles, bones, joints, ligaments, and tendons. This includes conditions like arthritis, back pain, sprains, and strains...

    Insurance News

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    Coverage Clarity

    MD India Health Insurance

    MD India is a Third Party Administrator (TPA) that settles health insurance claims on behalf of insurance companies. Private insurance companies, however, typically have their own in-house claim...

    Balloon sinuplasty insurance coverage

    This article discusses in detail the insurance coverage for balloon sinuplasty. Is it considered a conventional or advanced treatment? Does your policy place any limits on its coverage? I have...

    IRDAI Master circular on Health insurance Business Review

    The Master Circular on Health Insurance Business is undoubtedly a customer-centric move by IRDAI, addressing key pain points from the policyholder’s perspective. The reduction in the moratorium...

    What is GIPSA PPN?

    GIPSA stands for the General Insurance Public Sector Association, a group of four public sector general insurance companies. These companies are National Insurance, Oriental Insurance, United India...

    Non Disclosure in Insurance Contract

    It is always better to disclose all information related to your medical conditions and lifestyle upfront to the insurance company before buying a health insurance policy. Otherwise, you may end up...

    Health Insurance vs. Ayushman Bharat: Which Is Better for Seniors Aged 70+?

    Treatment costs under private health insurance are significantly higher compared to Ayushman Bharat. Health insurance companies pay hospitals more, while Ayushman Bharat offers package rates that are...

    Policy Comparison

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