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Health insurance claim repudiation


18-Sep-2024 (In Insurance Law)
Health insurance claim repudiation done due non disclosure of facts. We have disclosed everything during policy purchase of my father. We have undergone all the medical tests assigned by company at there designated lab and doctor,as they were satisfied with tests and issued the policy. 5 renewals done. Now they declined claim( first claim since 5 renewals) due to non disclosure and asked me to approach ombudsman.
Answers (2)

Answer #1
722 votes
hi first need to see the reasons for rejecting the insurance claim and the relevant facts and if they are not proper then you could approach court or ombudsman seeking neceessary reiief on the ground that the rejection was not proper
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Advocate Baddam Aravind Reddy

Adv. Baddam Aravind Reddy

LawRato Secunderabad | 1000+ Answers
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Answer #2
999 votes
As per the above quarry it is better to approach consumer forum for compensation (deficiency in services ) because test was done as per the health Insurance policy and you had done 5 renewal there is no issue when you claiming first claim they are refusing
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Advocate Mir Mansoor Ali

Adv. Mir Mansoor Ali

LawRatoHyderabad | 5+ Answers
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