Home > Money > Question
Need Expert Advice?Our Gurus Can Help
Sanjib

Sanjib Jha  | Answer  |Ask -

Insurance Expert - Answered on Nov 28, 2022

Sanjib Jha is the CEO of Coverfox Insurance. His expertise includes health and auto insurance. He has over 22 years of experience in the financial sector. He has completed his post-graduation from the Institute of Company Secretaries of India.... more
Chiraag Question by Chiraag on Nov 28, 2022Hindi
Listen
Money

Good evening! I have gone through your answers on reading getahead. I have question for “AYUSH” for which I’m paying premium and the insurance company is not advising how to make claims for my Homeopathic treatments where I’m being charged special premium for “AYUSH”.

The insurance company is asking me minimum 24 hours of admission to claim. Unfortunately, there’s no facility for Homeopathy Treatment Hospitalisation. I request you to please share your knowledge on the same.

Ans: Hi Chiraag, hope reading my answers cleared your doubts. To answer your personal query, the insurance company must have mentioned in your policy document that to raise a claim under your policy, you will need to be admitted for minimum 24 hours and without that the claim will not stand.

Also, the treatment in this case needs to be done in an AYUSH recognised hospital to avoid failure of claims.

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.
Money

You may like to see similar questions and answers below

Ramalingam

Ramalingam Kalirajan  |10902 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Apr 16, 2024

Listen
Money
Good Health Plan of New India Assurance Co Covers OPD Ayurvedic/Homeopathic treatment also ?
Ans: The coverage for OPD (Out-Patient Department) Ayurvedic/Homeopathic treatment under New India Assurance's Good Health Plan depends on the specific plan variant you have chosen. Here's how to find out:

Review your policy documents: The brochure or policy wording you received with your Good Health Plan will detail the inclusions and exclusions of the plan. Look for sections related to OPD benefits or Ayurvedic/Homeopathic treatment coverage.

Contact New India Assurance: Their customer service representatives can clarify your specific plan details. You can find their contact information on the company's website (https://www.newindia.co.in/) or on your policy documents.

Here's some general information based on publicly available details (it's crucial to confirm with your policy documents):

New India Premier Mediclaim Policy: This popular plan offers OPD coverage for Plan B after every block of two continuous claim-free years. This OPD benefit covers consultations, medicines, investigations, and dental treatment, but it likely excludes Ayurvedic/Homeopathic treatments.
Other Plans: New India Assurance offers various health insurance plans. Some might offer OPD coverage with Ayurvedic/Homeopathic treatment inclusion, but it depends on the specific plan variant.
Here's a recommendation:

Check your policy documents for the most accurate information.
If you're unsure, contact New India Assurance customer service for clarification.

..Read more

Moneywize

Moneywize   | Answer  |Ask -

Financial Planner - Answered on Jan 16, 2024

Asked by Anonymous - Jan 15, 2024Hindi
Listen
Money
How do I make a claim in case of an insurance event? I have a cashless mediclaim from United India but somehow I am not able to understand how I should initiate a claim settlement in case of hospitalisation. Could you please give me step-by-step procedure for filing claims and reimbursements?
Ans: Certainly! The process for filing a claim for cashless mediclaim with United India Assurance may vary slightly based on the specific policy and the nature of the medical event, but here is a general step-by-step guide that you can follow:

1. Inform the Insurance Company:

In case of planned hospitalisation, inform United India Assurance in advance. For emergencies, inform them as soon as possible.

2. Verify Network Hospitals:

Ensure that you are admitted to a hospital that is within the network of hospitals affiliated with United India Assurance for cashless claims.

3. Pre-Authorisation Process:

For planned hospitalisation, you need to obtain pre-authorisation from the insurance company. This involves submitting relevant documents such as the doctor's recommendation, estimated medical expenses, and other required information.

In an emergency, if pre-authorisation cannot be obtained in advance, inform the insurance company at the earliest opportunity.

4. Collect Necessary Documents:

Gather all relevant documents, including the policy document, ID proof, claim form, medical records, hospital bills, diagnostic reports, and any other documents required by the insurance company.

5. Submit Claim Form:

Fill out the claim form accurately. You can obtain this form from the hospital, the insurance company's website, or their customer service.

6. Submit Documents to the Hospital:

Provide the necessary documents to the hospital's insurance desk. The hospital will then submit the claim form and documents to the insurance company for processing.

7. Approval/Rejection of Claim:

The insurance company will review the submitted documents and decide whether to approve or reject the claim. If approved, the insurer will directly settle the bills with the hospital.

8. Paying Non-Covered Expenses:

If there are any expenses not covered by the insurance policy or if the claim is rejected, you may need to settle those directly with the hospital.

Reimbursement Claims:

• If you paid the medical expenses out of pocket, you can file for reimbursement
• Obtain all original bills, receipts, and medical reports
• Fill out the reimbursement claim form
• Submit the form along with the supporting documents directly to the insurance company within the stipulated time frame.

Follow-Up:

• Keep track of your claim's status by following up with the insurance company if necessary.
• Retain copies of all documents submitted for your records.

Always refer to the specific terms and conditions of your insurance policy and contact United India Assurance's customer service for any policy-specific details or clarifications. The contact information for United India Assurance can typically be found on their official website or in your policy documents.

..Read more

Moneywize

Moneywize   | Answer  |Ask -

Financial Planner - Answered on Mar 18, 2024

Asked by Anonymous - Mar 17, 2024Hindi
Listen
Money
Why do third party agents hesitate to reimburse genuine health expenditure incurred on ayurvedic treatment {all conditions fulfilled including admission in ayurvedic hospital}. All proofs submitted. What should I do if the TPAs don't process my claims for ayurvedic treatment?
Ans: There are a few reasons why third party administrators (TPAs) might hesitate to reimburse genuine health expenditure incurred on Ayurvedic treatment, even if all conditions are fulfilled and proofs are submitted.

• Ayurveda is not mainstream medicine: While Ayurveda is an ancient and recognised form of medicine in India, it is not considered mainstream medicine by some insurance companies. This means that TPA might not have clear guidelines for processing and approving Ayurvedic treatment claims.
• Lack of standardisation: There can be a lack of standardisation in Ayurvedic practices and treatments. This can make it difficult for TPAs to assess the validity and legitimacy of a claim.
• Cost-containment: TPAs work for insurance companies, and insurance companies are in the business of making money. This means they may be looking for reasons to deny or delay claims. Ayurvedic treatments can sometimes be expensive, and TPAs may be looking for ways to control costs.

Here are some things you can do if your TPA is not processing your claims for Ayurvedic treatment:

• Review your policy documents: Carefully read your insurance policy documents to understand the coverage for Ayurvedic treatment. Look for exclusions or limitations that might apply.
• Contact your TPA: Call your TPA's customer care department and ask them to explain why your claim was denied. Be polite but persistent in getting answers.
• File an appeal: If you are not satisfied with the TPA's explanation, you can file an appeal. The appeal process will vary depending on your TPA, but there should be information on how to file an appeal in your policy documents or on the TPA's website.
• Contact your insurance company: If the appeal process is unsuccessful, you can contact your insurance company directly. Explain the situation and ask them to intervene on your behalf.
• Consider legal action: If all else fails, you may want to consider taking legal action against your TPA or insurance company. This should be a last resort, as legal action can be expensive and time-consuming.

Here are some resources that you may find helpful:

• The Insurance Regulatory and Development Authority of India (IRDAI) is the regulatory body for the insurance sector in India. The IRDAI website has information on filing complaints against insurance companies and TPAs https://irdai.gov.in/.
• The Consumer Affairs Department of the Government of India also has a website where you can file complaints against companies https://consumerhelpline.gov.in/.

..Read more

Latest Questions
Anu

Anu Krishna  |1749 Answers  |Ask -

Relationships Expert, Mind Coach - Answered on Dec 17, 2025

Relationship
one of my friend who is married from past 14 years having 2 kids (elder son 12 and daughter 8)...he was out of home deputed to site on project work by company for more than 4 months. During this period he did not visit the home but regularly available on call and in touch with his w... when he returned to home his wife was behavior was not normal as like earlier ... later he found out that his wife got involve with her college friend during this period ..... and they had physical 01 time during this period... now my best friend he is very caring and not able to forget this betrayed act by his wife... after all this he is not able to concentrate and focus on his work.. he love his wife so much and want to forgive her but how to handle this situation in decent way... he is not willing to divorce or parting his ways... request you to suggest some way out to get out of situation and lead a normal life as like earlier
Ans: Dear Navya,
He loves her
He wants to forgive her
BUT
He is not able to forget what his wife has done
Sadly, both these work in opposite directions...
If he is willing to rebuild his marriage, he does not need to forget what his wife has done BUT he can work on how to process what she has done. This is difficult to do...but he will need to understand what happened, the reasons for it, if the wife is still interested in the marriage and if both are willing to work together towards the future. If this seems a bit difficult to work out by themselves, I suggest that they see an expert who can guide them aptly.

All the best!
Anu Krishna
Mind Coach|NLP Trainer|Author
Drop in: www.unfear.io
Reach me: Facebook: anukrish07/ AND LinkedIn: anukrishna-joyofserving/

...Read more

Anu

Anu Krishna  |1749 Answers  |Ask -

Relationships Expert, Mind Coach - Answered on Dec 17, 2025

Asked by Anonymous - Sep 26, 2025Hindi
Relationship
hello mam, My son 19 year old from last 4 year his behavior change not listing not having food properly whole day watching mobile after 10th i put him diploma in electrical engineer he completed his 1 year but from 2nd year he stop going to college we both are working parent so nobody is there at home to force to go for college his teacher every day calling me to send him to college but he is not listing i ask him did teacher scold you or any student is troubling you he said no one is troubling me i don't want to study i want to do voice dubbing i want to give my voice for cartoon and for dubb movies in july 2025 he told me in 2028 i will leave both of you i have my dream i leave the home i ask him what is your dream he said 1st 2 dream i cant tell you but 3rd dream is to go to japan for tour i thought he is joking. In August 2025 he started going for voice dubbing classes in 1st week of August 2025 he told me my planning is change next month only i will leave both of you again i thought is just pulling my leg but on 15 September its regular Monday we both parent went for job and he called me around 12 pm and said daddy left the home not a single rupees he had with him and he left the home in full of rain he keep walking and talking to me i ask him where you are going but he said that's secrete i took his mom in conference and try convince him but he not listing with 1 hour talking with him on phone i ask him tell me the landmark where you are he told me one landmark while talking him i left office to reach the landmark he told i forcibly sit him in car and take back home with his mother after reaching home with his mother we are trying to convince don't do like this its your home we have only one child that is you but he said no today is the i want to go let me go don't fail my planning whole standing at home he said want to go without having water or food just crying and saying i want leave the home in evening at 7pm i told him give me three month i will send to japan for tour after hearing this he little bit convince but said repair my mobile which was shutdown due rain water get inside arrange visa and passport within three month and give new laptop for playing game but after three i will leave both of you and left the home in december 2025 he told me he will the home. he is very superstitious at home not having bath use same cloth he said if change cloth and have bath all my power will go after that incidence leaving home he become more superstitious each and every moment he whispering himself after asking why you doing this saying this is my power i will get what i want if i scold him he said i will leave home right now please help me what to do he not having bath not changing cloth not having afternoon food not cutting his nails from last 15 days i am very much in stress due to his behavior and stress about his future also he is not behaving like a normal child whole day and night watching mobile. Please help
Ans: Dear Anonymous,
Please take him to a professional who can evaluate him. There are a lot of gaps in what you haev shared and a professional will be able to ask the right questions and be of better guidance to your son and your family.

All the best!
Anu Krishna
Mind Coach|NLP Trainer|Author
Drop in: www.unfear.io
Reach me: Facebook: anukrish07/ AND LinkedIn: anukrishna-joyofserving/

...Read more

Ramalingam

Ramalingam Kalirajan  |10902 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Dec 17, 2025

Money
Hi Vivek, I am 43 year old. I am currently working in private organization. Having an Investment of 8.0 Lac in NPS, 27 Lac in PF, 4 Lac in PPF and 2.5 Lac in FD. My child is in 11th Science. I have my own house and no any loan. I need to Invest around 80.0 Lac for Child Education, Marriage and Retirement.
Ans: Your discipline and clarity deserve appreciation.
You have built strong foundations early.
Many people reach forty without such assets.
You already reduced major future stress.
That itself gives you an advantage.

» Current Financial Snapshot
– You are 43 years old.
– You work in a private organisation.
– You own your house fully.
– You have no loans.
– This gives financial stability.

– Retirement focused savings already exist.
– Long term instruments form your base.
– Your money is spread across safety products.
– Liquidity is limited but acceptable.
– Growth exposure needs attention.

» Existing Investment Review
– Retirement related savings are meaningful.
– Mandatory savings have helped discipline.
– These instruments protect capital well.
– However growth potential is limited.
– Inflation risk exists over long periods.

– These assets suit long term security.
– They suit retirement stability well.
– They are not designed for high growth.
– Child goals need higher growth.
– Marriage expenses need liquidity planning.

» Child Education Time Horizon
– Your child is in 11th Science.
– Higher education expenses are near.
– Time available is limited.
– Risk capacity is lower here.
– Planning must be conservative.

– Education costs grow faster than inflation.
– Professional courses cost significantly more.
– Overseas options cost even higher.
– Partial funding support is important.
– Loans should be minimised.

» Child Marriage Planning Window
– Marriage expenses are medium term.
– You still have some time.
– Cultural expectations increase costs.
– Planning early reduces stress.
– This goal needs balance.

– Too much risk can hurt plans.
– Too little growth causes shortfall.
– Phased investing works best.
– Gradual shift towards safety helps.
– Liquidity must be ensured.

» Retirement Planning Horizon
– Retirement is long term.
– You have nearly two decades.
– This allows growth oriented approach.
– Inflation is biggest risk here.
– Passive savings alone will not suffice.

– Retirement expenses last many years.
– Healthcare costs rise sharply later.
– Regular income post retirement matters.
– Corpus must be inflation protected.
– Growth assets become essential.

» Understanding Rs 80 Lac Requirement
– Rs 80 Lac is a combined target.
– All goals have different timelines.
– One strategy will not suit all.
– Segmentation is essential.
– This avoids misallocation.

– Education needs immediate planning.
– Marriage needs medium planning.
– Retirement needs long term planning.
– Each goal must be ring-fenced.
– Mixing goals creates confusion.

» Asset Allocation Importance
– Asset allocation drives outcomes.
– Not product selection alone.
– Time horizon decides allocation.
– Risk appetite decides allocation.
– Discipline maintains allocation.

– Safety instruments protect capital.
– Growth instruments fight inflation.
– Balance avoids emotional mistakes.
– Rebalancing keeps strategy aligned.
– This is a continuous process.

» Role Of Equity Exposure
– Equity creates long term wealth.
– Equity is volatile short term.
– Time reduces equity risk.
– Retirement horizon suits equity.
– Education horizon needs limited equity.

– Selective equity exposure is essential.
– Quality matters more than quantity.
– Active management adds value.
– Market cycles require judgment.
– Discipline ensures success.

» Why Not Depend Only On Safe Instruments
– Safe instruments give predictable returns.
– They struggle to beat inflation.
– Purchasing power erodes slowly.
– Long term goals suffer silently.
– Growth becomes insufficient.

– Your current assets are safety heavy.
– Growth allocation needs improvement.
– This change should be gradual.
– Sudden shifts create stress.
– Planned transition works better.

» Education Goal Strategy
– Use conservative growth approach.
– Capital protection is priority.
– Avoid aggressive exposure now.
– Phased investing works best.
– Gradual de-risking is necessary.

– Education funding should be ready.
– Avoid dependency on future income.
– Avoid last minute borrowing.
– Keep funds accessible.
– Liquidity is key.

» Marriage Goal Strategy
– Marriage expenses are emotional.
– Costs are difficult to predict.
– Planning gives confidence.
– Balanced approach is ideal.
– Growth plus safety mix works.

– Start allocating gradually.
– Increase safety closer to event.
– Avoid locking money long term.
– Keep flexibility.
– Avoid speculation.

» Retirement Goal Strategy
– Retirement planning needs growth focus.
– Inflation is the silent enemy.
– Long horizon allows equity.
– Volatility should be accepted.
– Discipline ensures compounding.

– Retirement corpus must grow faster.
– Contributions should increase with income.
– Lifestyle expectations must be realistic.
– Healthcare buffer is essential.
– Regular review is necessary.

» Role Of Active Funds
– Markets do not move uniformly.
– Sectors rotate frequently.
– Index funds stay static.
– They reflect index weaknesses.
– Active funds adapt better.

– Active managers adjust allocations.
– They reduce exposure in weak sectors.
– They increase exposure in growth areas.
– This helps during volatility.
– Especially for long term goals.

» Why Avoid Index Based Approach
– Index funds mirror market direction.
– They cannot protect downside.
– They remain exposed during corrections.
– Investors feel helpless.
– Returns stay average.

– Active strategies aim to outperform.
– They manage risk dynamically.
– They suit Indian market inefficiencies.
– Skilled management adds value.
– This matters over decades.

» Regular Investing Route Benefits
– Regular route offers guidance.
– Behaviour management is critical.
– Panic decisions destroy returns.
– Professional handholding matters.
– Especially during volatile phases.

– Certified Financial Planner helps discipline.
– Goal tracking becomes structured.
– Portfolio review becomes systematic.
– Emotional bias reduces.
– Long term success improves.

» Liquidity Planning
– Emergency funds are essential.
– You currently have limited liquidity.
– One year expenses should be accessible.
– This avoids distress selling.
– It protects long term investments.

– Emergency planning gives peace.
– Unexpected events do not derail plans.
– This should be built gradually.
– Avoid using retirement savings.
– Keep it separate.

» Insurance As Risk Management
– Insurance protects your plan.
– It is not an investment.
– Adequate life cover is essential.
– Health cover avoids financial shock.
– Premiums are necessary expenses.

– Delaying insurance increases risk.
– Medical inflation is severe.
– Employer cover is insufficient.
– Family protection is priority.
– This secures your goals.

» Tax Efficiency Perspective
– Tax planning should support goals.
– Avoid tax driven decisions alone.
– Post tax returns matter.
– Simplicity reduces mistakes.
– Compliance avoids future stress.

– Long term equity taxation is favourable.
– Short term churn increases tax.
– Stability helps efficiency.
– Avoid frequent switching.
– Stay disciplined.

» Monitoring And Review Process
– Plans are not static.
– Life changes require adjustment.
– Income growth allows higher contribution.
– Goals may change.
– Reviews keep relevance.

– Annual review is sufficient.
– Avoid daily market tracking.
– Focus on progress.
– Ignore noise.
– Stick to strategy.

» Behavioural Discipline
– Emotions affect investment outcomes.
– Fear causes premature exit.
– Greed causes overexposure.
– Discipline balances both.
– Guidance helps immensely.

– Long term wealth needs patience.
– Short term market moves mislead.
– Consistency beats timing.
– Process beats prediction.
– Stay calm.

» Aligning Goals With Reality
– Rs 80 Lac goal is achievable.
– Planning must be realistic.
– Income growth will support it.
– Lifestyle control helps savings.
– Early planning reduces pressure.

– You already started well.
– Course correction is timely.
– Delay would increase burden.
– Action now simplifies future.
– Confidence improves.

» Family Communication
– Discuss goals with family.
– Shared understanding reduces conflict.
– Expectations become realistic.
– Decisions gain support.
– Stress reduces significantly.

– Financial planning is family planning.
– Transparency builds trust.
– It improves discipline.
– Everyone works towards goals.
– Harmony improves.

» Risk Capacity Versus Risk Appetite
– Risk capacity is strong for retirement.
– Risk appetite may vary emotionally.
– Planning must respect both.
– Overexposure creates anxiety.
– Underexposure creates regret.

– Balance is the answer.
– Gradual allocation changes work best.
– Avoid extreme decisions.
– Stay flexible.
– Stay focused.

» Final Insights
– You have built a strong base.
– Assets are safe but growth limited.
– Goals need segmented planning.
– Education needs conservative strategy.
– Marriage needs balanced approach.
– Retirement needs growth focus.
– Active management adds value.
– Regular guidance supports discipline.
– Insurance protects the plan.
– Liquidity avoids stress.
– Review keeps alignment.
– Patience creates results.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

https://www.youtube.com/@HolisticInvestment

...Read more

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.

Close  

You haven't logged in yet. To ask a question, Please Log in below
Login

A verification OTP will be sent to this
Mobile Number / Email

Enter OTP
A 6 digit code has been sent to

Resend OTP in120seconds

Dear User, You have not registered yet. Please register by filling the fields below to get expert answers from our Gurus
Sign up

By signing up, you agree to our
Terms & Conditions and Privacy Policy

Already have an account?

Enter OTP
A 6 digit code has been sent to Mobile

Resend OTP in120seconds

x