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Rakesh

Rakesh Kaul  |3 Answers  |Ask -

Answered on Jan 18, 2022

Ganesh Question by Ganesh on Jan 18, 2022Hindi
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 I have family floater policy since 5 years with Apollo Munich, Which is changed now to HDFC Ergo. I am paying approximately 36000 for 2 +1 family, I am aged now 62 years.

I am not getting proper service from the person from whom i took the Apollo policy he is called Intermediator in the Apollo company and when it’s changed to HDFC his Records (like his name Mob Number and his Code) are not shown in the policy. In the absence of the above details, I don’t know whom to contact for any information and follow up for claim reimbursements.

In the past years, with Apollo and HDFC Ergo my reimbursement claims was not settled ON TIME as well as the full amount not settled, approximately 50 to 60 percentage only settled even after many follow ups, courier and emails. Though the claims were around 50000 only.

I am the bread winner in my family, after paying so much for Premium, if I get admitted in hospital, the family members can’t do follow up and intermediary is not helpful, even he doesn’t bother to attend phone call, though he is substantially earning 15% premium as his commission (I hope) in such scenarios I am fearing that you won’t get help.

What is your advise? Should I change the intermediary in the policy, if there is provision in system? Why in HDFC Ergo why those intermediary details not there or portability is another option and what are conditions to meet portability at the ripe age/ financial scenario I should not be denied cashless facility/ at the need of my HOUR.

Ans:  The intermediary can be changed in the policy by the Insurer upon a request by the customer. However, for claims assistance, I would advise you to connect with your Insurer’s customer service team to get a response swiftly.

Portability of a policy can be done at any age but there are certain guidelines that differ from insurer to insurer. It is advisable to get the complete details of the insurance company you wish to port to and thoroughly understand the portability/ continuity benefits which will be carried forward in your ported policy. Please ensure you check the product/ plan coverages offered and compare it with the existing policy before making your decision to port.

DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Users are advised to pursue the information provided by the rediffGURU only as a source of information to be as a point of reference and to rely on their own judgement when making a decision.
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Roopam

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Answered on Aug 03, 2021

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I have United India health insurance since 2009. I have paid a regular premium with only one claim for hysterectomy in 2012. My renewal date is 12/8/2021. I want to port my UIIC insurance. I have sent a proposal form to HDFC Ergo online for porting with my 2 months back medical test details so that I can get the exact loading amount if any. I am taking medication for hypothyroidism, hypertension and cholesterol at the moment, very minimum dosage. I have sent those details too. According to them the procedure is to pay a premium then you will receive a consent call which will decide about medical test requirements and loading amount if any. For any reason, if we want to discontinue, they will refund the full amount paid by us. This procedure of porting is not mentioned clearly on the website so all are non-proof. My query is: How much I should trust them? I was interested in family floater with my husband, who doesn't have any diseases at present. This is a new policy for him. So no loading for him for sure. HDFC ERGO advisor is suggesting me to go for individual policy as floater has more chance of rejection than individual policy for both of us. So my second query is: Will loading be charged according to floater premium which is almost double than the individual policy? My husband’s new policy without any diseases and mine is porting with pre-existing diseases. Please advise whether individual or floater is better for us with reasons. Seeking your help as soon as possible.
Ans: For your first query it is advisable to speak with the insurance company you wish to port to for understanding the exact procedure for porting. You may also wish to engage a trusted insurance agent to help you with the porting process as they will be fully abreast with the procedure and will guide you well.

Remember to ensure that you fully disclose your existing medical condition at the time of application itself.

As regards your second query it is advisable to go for separate individual policy for your husband because basis your current health status there are high chances of the insurance company charging higher premium for a floater.

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Sanjib

Sanjib Jha  |66 Answers  |Ask -

Insurance Expert - Answered on Nov 24, 2022

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I was customer of Oriental Bank of Commerce. Being a customer of Oriental Bank of Commerce, Oriental Insurance Company provided Group Health Insurance Policy and inception date was 04-05-2015. My policy with them continued till 03-05-2021 without any break. Because Oriental Bank of Commerce merged with Punjab National Bank, Oriental Insurance Company discontinued that policy from 03-05-2021 onward. Being a customer of Punjab National Bank, I approached them, and they migrated my Group Health Insurance Policy of Oriental Insurance Company to Star Group Health Insurance Policy for customers of Punjab National Bank from 04-05-2021 to 03-05-2022.  As All my policy periods were continued from 04-05-2015 till 03-05-2021 with Oriental Insurance Company, Star Health Insurance given me the benefit of pre-existing disease waiting periods being waived because of continuity (They mentioned it in Policy Document too). They reimbursed my 1st claim of 15 July to 22 July 2021 (Non Empaneled Hospital) and Cashless claim of 16 December to 19/12/2021 but denied reimbursement of 19/12/2021 to 26/12/2021 with the excuse of pre-existing disease even I directly shifted from cashless hospital to non-Empaneled Hospital for same problem because Empaneled hospital having been less facilities.  Here I want to address that I was discharged from Cashless Hospital, on request, to get treated in Higher Hospital and treatment was in continuation of previous cashless hospital to new hospital. So, sir, please guide me accordingly as my correspondence with them is not fruitful.

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Ramalingam

Ramalingam Kalirajan  |8626 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on May 24, 2024

Asked by Anonymous - May 23, 2024Hindi
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Hello sir, my husband is paying for HDFC ergo life insurance it's almost 3 years ..but now he has changed the job and large amount is getting deducted as part of only life insurance.can we discontinue our HDFC life package will it get refunded? Other thing is which is good health insurance policy for a family of 3 ? . .
Ans: Managing Life and Health Insurance: A Comprehensive Guide
Your concerns regarding life insurance and health insurance are valid, and addressing them is crucial for your financial well-being. Let's explore your options and provide guidance on managing your insurance policies effectively.

Assessing the HDFC Life Insurance Policy
Understanding Policy Terms
Review the terms and conditions of the HDFC Life Insurance policy to understand the cancellation and refund policies.

Policy Cancellation
Contact HDFC Ergo Life Insurance to inquire about the possibility of discontinuing the policy and whether any refund is applicable.

Refund Eligibility
Evaluate the refund eligibility criteria based on the policy's surrender value and the duration of premiums paid.

Exploring Health Insurance Options
Family Health Insurance
Research and compare various health insurance policies available in the market to find the most suitable option for your family of three.

Key Considerations
Consider factors such as coverage amount, premium affordability, network hospitals, claim settlement ratio, and policy features.

Recommended Health Insurance Providers
Research reputable health insurance providers in India known for their comprehensive coverage and reliable services.

Crafting a Health Insurance Strategy
Coverage Requirements
Assess your family's healthcare needs and determine the optimal coverage amount required to safeguard against medical expenses.

Customized Policy
Customize your health insurance policy to include coverage for critical illnesses, pre-existing conditions, and other specific requirements.

Premium Affordability
Choose a health insurance policy with a premium that aligns with your budget while providing adequate coverage.

Benefits of Regular Funds Investing through MFD with CFP Credential
Disadvantages of Direct Funds
Direct funds require active management and market knowledge.

Investors may lack expertise in fund selection and portfolio management.

Benefits of Regular Funds Investing through MFD with CFP Credential
Working with a Certified Financial Planner ensures personalized guidance and expert advice.

MFDs provide tailored investment strategies aligned with your financial goals and risk profile.

Conclusion
Managing insurance policies effectively is essential for financial security and peace of mind.

Evaluate the options for discontinuing the HDFC Life Insurance policy and explore refunds if applicable.

Research and select a comprehensive family health insurance policy from reputable providers.

Consult a Certified Financial Planner for personalized guidance on insurance management and financial planning.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

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Milind

Milind Vadjikar  |1238 Answers  |Ask -

Insurance, Stocks, MF, PF Expert - Answered on Sep 09, 2024

Asked by Anonymous - Sep 09, 2024Hindi
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Hello Team, I have clarification w.r.t Insurance and please find my details below 12-Jul-2023: Second Child born 10-Aug-2023: Floater Policy(2 Adults and 1 Child) took as suggested by Agent with 3 years Premium Second child cannot be added due to minimum eligibility days Agent recommended to add 2nd child after 60days and difference premium to be paid After 90 days (not sure about the date): Tried to add 2nd child to the policy through agent but it was not able to done Agent suggested that "We can add it in next year (i.e during Start of August 2024) 10-Aug-2024: When checked with Star health, they said that "Addition/deletion can be done at 2026" and said that "Addition of child should be done through mail after 91 days and website will not support to add a child" and when I asked the document reference for the same and no response yet from Star Health Current Policy holding: Corporate Insurane : SI (3L) for 2 Adults and 2 Childs Personal Insurance : SI (25L) for 2 Adults and 1 Child Star Health Suggestion: Take a separate policy for 2nd Child for 5L and it can be added to existing policy in 2026. Please let me know how to proceed further 1. Whether the Separate policy can be taken here or wait until 2026, to add the 2nd child 2. Whether the Star Health was really worth or can I consider for porting in 2026 due to disappointment with above issue Thank you in advance!
Ans: I suggest you go ahead with the separate health policy for the new child as of now. Going further if you still find their service quality level poor you can decide about porting suitably.

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Milind

Milind Vadjikar  |1238 Answers  |Ask -

Insurance, Stocks, MF, PF Expert - Answered on Mar 17, 2025

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Sir need clarification regarding 1.i have done Reliance health infinity insurance for 15 lacks .date of inception is 11-6-2020 PEDs not disclosed ( DM,Hypothyroidism)( done by agent not verified me at that time) 2. Did Reliance Super top up policy after 11-7-2022 online by Reliance agent during this i disclosed that PEDs (DM,Hypothyroidism) and at that time specifically mentioned to online agent regarding PEDs and also told him to PEDs not mentioned in base policy please correct it. I never utilised insurance policy for any claims. During 23-4-24 i diagnosed to have Acute Myeloid Leukemia for which i applied for cashless admission for Reliance health infinity insurance ( base policy) They simply rejected on the basis of PEDs not disclosed. And told that your policy is canceled. But i kept a letter to company stating that in base policy PEDs not disclosed, but in super top up policy i mentioned Again the base policy renewal done after expiry by company online. Later also i went for cashless admission again they rejected claim for base policy. My question is why they did renewal of that base policy inspite of first rejection. And for super top up policy it can be claimed after spending 15 lacks i applied for cashless, they processed it and told to come for reimbursement claim After discharge i applied for reimbursement claim they simply replied that your PEDs not told correct duration since how many days. So we are rejecting this policy also For this what should i do, please Ag
Ans: Hello;

In any insurance adequate disclosure is essential to get a thorough underwriting check and risk acceptance.

Once insurance company agrees to insure with the disclosures then chances of claim rejection are remote.

You may escalate the matter with Compliance Officer of the insurance company, insurance ombudsman or IRDAI for an amicable settlement, if possible.

You may also check with organisations such as "beshak.org" for any possible help in the matter.

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Sir my son scored 98.3% in JEE mains rank 23k open category. Based on previous year ranking he might get civil metallurgical or production engg in NIT Trichy, integrated physics, mathematics in NIT Warangal, ECE in IIITDM kancheepuram. He is writing BITSAT today. Which one we should opt first Sir.
Ans: Priya Madam, With a JEE Main rank of 23,000 (Open category), your son’s viable options include Civil, Metallurgical, or Production Engineering at NIT Trichy (2024 closing ranks: ~24,691–26,669), Integrated M.Sc. in Physics/Mathematics at NIT Warangal (closing ranks up to 22,490–23,183), and ECE at IIITDM Kancheepuram (2024 closing rank: 27,634). While NIT Trichy offers established core engineering programs, these branches may have limited industry demand compared to electronics. NIT Warangal’s integrated sciences provide interdisciplinary flexibility but may require postgraduate specialization for engineering careers. IIITDM Kancheepuram’s ECE program aligns better with emerging tech domains like VLSI and communication systems. If BITSAT yields admission to higher-ranked BITS campuses (e.g., Pilani/Goa) in preferred branches like ECE or CS, it would surpass these options due to brand value and curriculum. However, if BITSAT results are uncertain, prioritize IIITDM Kancheepuram’s ECE for its focused tech curriculum and better alignment with current industry trends over NIT Trichy’s core branches or NIT Warangal’s science programs. All the BEST for your Son's Admission & a Prosperous Future!

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Dr Ganesh

Dr Ganesh Natarajan  |83 Answers  |Ask -

Career Expert - Answered on Jun 01, 2025

DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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