🏥 🚨 🚨Cracking the Code: Securing Health Insurance for Complex Pre-Existing Diseases In August'2023, a client approached me with a complex health history, seeking insurance solutions. Despite the challenges, I was confident that health insurance is possible if we can get the attention of senior underwriters. Knowing the significance of timing in such cases, I strategically submitted the application on 30th March. Why? Being in this business long enough, I understand the dynamics of TARGETS - especially at the end-of-financial year - increasing the likelihood of approvals for complicated cases. Additionally, I advised the client to keep all the necessary documentation ready, including discharge summaries, etc. Moreover, I persuaded the client to pay THREE YEARS PREMIUM in one go to enhance the chances of policy conversion. However, our initial submission was met with a setback – a rejection, accompanied by a counteroffer that insurance company is willing to offer the health cover only to the Spouse. Undeterred, I pursued reconsideration, providing additional documentation and self declartion by the client that as on date he is completely FIT and his intentions are not to cheat insurance company. The result? Success! The policy was issued on 31st March, albeit with a two-year waiting period for the PED, marking a significant win for the client. Key Takeaways: 1️⃣ Timing Matters: Consider strategic submission dates for complex cases. 2️⃣ Increase the weight of your premium by paying for THREE YEARS in one go 3️⃣ Documentation is Key: Keep comprehensive records handy to streamline the process. 4️⃣ Transparency is Non-Negotiable: Full disclosure is essential to avoid policy termination during claims. 5️⃣ Ultimately the issuance of policy will depend on underwriter's decision - there is no guarantee that this strategy will work in all complicated cases - this will work only in borderline cases.
Nishant Batra’s Post
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As a health-conscious individual, I have been investing in health insurance for the past 9 years to secure my family's well-being in case of any unexpected medical emergencies. However, my recent claim experience has shattered my confidence in the value of health insurance as an instrument of protection. It is rightly said that the moment of truth for any health insurance chain is realized at the time of claim. Unfortunately, my claim was wrongly repudiated on trivial, frivolous, and flimsy grounds. This experience has left me questioning the reliability of my insurance provider. As someone who understands the importance of maintaining good health in today's fast-paced lifestyle, I urge insurance companies to prioritize their customers' well-being and provide them with the support they need during difficult times. Health insurance should provide peace of mind, not added stress. I hope that insurance providers will take note of these concerns and work towards providing a better experience for their customers. After all, the true value of health insurance lies in its ability to protect and support individuals during their times of need.
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🚨 Important Reminder: Health Insurance Porting Requires Transparency 🚨 Porting your health insurance policy may seem like a convenient option, but it's crucial to understand the implications fully. Let's break it down in simple terms: Porting means your policy undergoes underwriting again. That means you must honestly disclose all pre-existing conditions to the new insurer. Unfortunately, many folks take porting lightly and fail to disclose their medical history accurately. Consider this real-life example: A client had been with Max Bhupa for 7 years. When he switched to HDFC Ergo, trouble followed. Shortly after, his Mother faced health issues, leading to a diagnosis of high sugar levels and hospitalization. The twist? The patient had been prediabetic a few months before, but it wasn't mentioned during the porting process. When the doctor revealed this to the insurer, the claim was denied due to incomplete disclosure. The lesson here is crystal clear: 1️⃣ Think twice before porting your policy unnecessarily. 2️⃣ If you do port, disclose all pre-existing conditions transparently. 3️⃣ Be cautious about porting policies for senior citizens or critical illnesses. 4️⃣ Seek guidance from an agent who can assist you through the porting process. Remember, health insurance is complex, and overlooking details can have serious consequences. Stay vigilant and ensure transparency to safeguard your coverage.
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# Star Health Insurance # Zonal Head Star Health Insurance # HR Star Health Insurance# Insurance companies, - SHAME FUL SERVICES It is about ‘Star Health Insurance’, disguising customers fooling them of ethical standards in the insurance world. It’s been 4 days trying to get our blood sample reports. As a policyholder, I’ve invested my time in making more than 53 calls to their ever-so-responsive Customer Care. Their consistent response? “We are sorry for the inconvenience. You have to wait for 72 hours.” Such a reassuring refrain!🥲 When it’s time for them to collect payments, their service is nothing short of exemplary. Phone numbers are readily shared, and assurances—though often empty—are handed out liberally. But once the payment is made and you need assistance, those phone numbers become unreachable, incorrect, or vanish entirely. What an impressive act! It’s truly astonishing how a company can uphold such double standards with unwavering confidence. If they can’t even provide a simple report, imagine the “assistance” they’ll offer in a real emergency. Kudos, Star Health Insurance! Your prompt attention to grievances is nothing short of shameful!
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Health insurance can make a big difference when you need to access medical treatment, which is why it's crucial to review it regularly to ensure it's still the right fit for you. Here's a few things I often talk to my clients about.
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Did you know that over one-third of Indians believe that fit individuals don't need health insurance? 💪 This intriguing Navi Insurance survey sheds light on some fascinating perceptions about health coverage. Check out this article to dive deeper into the findings and join the conversation on the importance of health insurance! https://lnkd.in/g6enDVpH #HealthInsurance #PersonalFinance #Wellness #NaviTechnologies
One-third of ‘insurance avoiders’ feel fit individuals do not need health covers: Navi Insurance survey
moneycontrol.com
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Understanding Health Insurance Liens: What You Need to Know - https://lnkd.in/gp3kYHyx
Understanding Health Insurance Liens: What You Need to Know
talkinsure.com
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Can you tell the difference here? Unfortunately, some insurance providers can't. A 'per year' maximum and a 'per lifetime' maximum are... Two. Different. Things. For several weeks, I’ve been working hard to expand the benefit categories on CompareHealth (launching later this year). I cross-reference contracts, websites, and brochures to validate every detail. It’s a time-consuming process—but a necessary one. Why? Because it’s allowed me to uncover a surprising number of errors and inconsistencies like: ❌ Providers listing benefits as “per year” when it’s actually “per lifetime” (hence the marriage joke!) ❌Spelling errors and missing limitation details (CPAP coverage period limitation not publicly provided; 'myofacial' vs myofascial; 'acomdation' vs accommodation) ❌ Incorrect co-insurance amounts (a plan indicates 100% accidental dental coverage when it's covered at 90%) ❌ A plan claiming to offer dismemberment coverage in their product PDF… when they only offer accidental death. ❌ Mislabelling the same general benefit categories as “medical equipment” in one place and calling it something slightly different in another I plan to contact these insurers to pass along my findings. Accuracy and consistency matters, especially with health insurance.
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𝗪𝗵𝘆 𝗵𝗲𝗮𝗹𝘁𝗵 𝗶𝗻𝘀𝘂𝗿𝗮𝗻𝗰𝗲 𝗶𝘀 𝘁𝗵𝗲 𝗺𝗼𝘀𝘁 𝘂𝗿𝗴𝗲𝗻𝘁 𝗮𝗻𝗱 𝗶𝗺𝗽𝗼𝗿𝘁𝗮𝗻𝘁 𝗮𝗺𝗼𝗻𝗴 𝗮𝗹𝗹 𝗶𝗻𝘀𝘂𝗿𝗮𝗻𝗰𝗲𝘀 . . . Simple. Because it's the most sensitive among all insurances. You can get almost all insurances at any given time. You can even avail of health cards even if you have pre-existing conditions. But not 𝗛𝗘𝗔𝗟𝗧𝗛 𝗜𝗡𝗦𝗨𝗥𝗔𝗡𝗖𝗘 - specifically Critical Illness Insurance One instance of illness or hospitalization can mean you're no longer eligible to get one - regardless of how much you are willing to pay. I've had clients whose applications were declined, even though they're fully healed from a previous condition I've had clients who were approved of all coverages EXCEPT health insurance because of a current condition I've had clients who never had the chance to apply because they are no longer insurable Many insurance advisors say... "get life insurance while you're young" But that's not the soundest advice. It should be... "get 𝗟𝗜𝗙𝗘 𝗜𝗡𝗦𝗨𝗥𝗔𝗡𝗖𝗘 while you have 𝗗𝗘𝗣𝗘𝗡𝗗𝗘𝗡𝗧𝗦" "and get 𝗛𝗘𝗔𝗟𝗧𝗛 𝗜𝗡𝗦𝗨𝗥𝗔𝗡𝗖𝗘 while you're 𝗛𝗘𝗔𝗟𝗧𝗛𝗬" If you've been meaning to explore your health insurance options, type "𝗛𝗘𝗔𝗟𝗧𝗛" below and I'll personally get in touch 📩
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So what is the difference between health insurance and health care and why does it matter? Over the last decade the phrases health insurance and health care have been bounced around a lot and used interchangably. I think this is a big and deliberate mistake. Health insurance in this country got its start in 1929 in Dallas, Texas and was meant to protect the teachers of this area against financial hardship caused by a serious medical situation. I feel a big misunderstanding exists in this country thanks to people's confusion about the differences between these two terms. Merriam-Webster defines insurance as a form of “coverage by contract whereby one party undertakes to indemnify or guarantee another against loss by a specified contingency or peril.” In an excellent article appearing in Insurance Business Magazine the writer states, " When purchasing an insurance policy, the first step a person needs to take is to apply and get approved. As part of this process, insurers evaluate how much risk they bring – meaning the likelihood that they will make a claim. From this, insurance providers calculate how much policyholders need to pay for coverage. This amount is called the premium." Going back to the Merriam-Webster dictionary we find a definition of health care as.." efforts made to maintain, restore, or promote someone's physical, mental, or emotional well-being especially when performed by trained and licensed professionals". Nowhere in the definition of healthcare does it say that this is the responsibiity of insurance companies. Rather for an insurance company desiring to show a profit, encouraging people to maintan good health and dealing with little troubles so they do not develop into big problems is just good business for the insurance provider. The Affordable Care Act threw all sound insurance underwriting practices out the window when it demanded that all health insurance plans accept anyone regardless of their prior medical condition and by so doing eliminated a person's need to accept responsibility for their state of health ( hence the proliferation of weight reducing drugs ) and other correctable bad lifestyle behavior. I believe a much more sensible path to providing access to healthcare could have been offered better than the ACA but riding a wave of personal popularity a President forced it on the American public without considering the consequences.
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Health insurance is an area that’s shrouded in myth and misconception. To help you get health insurance savvy, here are some of the biggest myths about health cover, debunked. Find out facts from fiction on the healthslips.com.au blog. https://lnkd.in/gQBXnm6c
The biggest myths about health insurance, debunked
healthslips.com.au
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