I have an individual health policy with Nivabupa. The current renewed policy document mentions:
1. Base Sum Insured Rs 5 lakh
2. Loyalty Additions Rs 2 lakh
3. Next Column Sum Insured (Base Sum Insured + Loyalty Additions + Refill amount ^) (in Rs) 12,00,000
My 2 claims totalling Rs 6.25 lakh for Angiography and Bypass Surgery were settled only for Rs 500,000.
Is this in line with norms?
Ans: Hi Pannkaj,to answer your question we need to understand the plan details and the type of deduction done by the insurance company during the claim.
I suggest you speak with your insurer on why only Rs 500,000 was settled against your bills.
Also as a rule, do read all the terms and conditions on your policy document and the claim settlement process followed by your insurer.
