Insurance Denial 101
Pesawala Digest is here speaking aloud, h ow insurers use your mistakes as excuses; a sardonic guide to avoiding insurance claim rejection. The Great Illusion: Paying Premiums isn't equal to Guaranteed Payout Many Indians are under the delightful delusion that as long as they pay their insurance premiums, their claims are a done deal. Surprise... it's not a guarantee! Insurers happily reject claims when the paperwork doesn’t line up, when you forgot to mention a minor detail, or when you completely misread what your policy actually covers. “Oops, I Forgot”: Non-Disclosure of Medical History Nothing says “trapdoor” quite like failing to tell your insurer about your thyroid issue, your old fracture, or that high blood pressure you thought was negligible. Insurers consider such things “material” when assessing risk. So, if you glossed over them in the application, don’t be shocked when your claim hits the rejection bin. Moral: just tell them everything, even if you think it'...
