02 November 2020

Tweaks In Health Cover

Debjoy Sengupta
As an executive with a large corporate, Anand Tripathi (name changed) thought he had his life figured out financially. Till he was diagnosed with a heart ailment requiring immediate hospitalisation and a possible surgery. Those were tense times for the family but Tripathi was not too worried, sure that his hospital bills would be settled by his insurer. He was admitted and treated at a multi-specialty hospital in a large metro. When the hospital presented a Rs 3-lakh bill for his treatment it was sent to the third-party administrator for cashless claim settlement. And that’s when Tripathi received a rude jolt—the third-party administrator informed that his claim was rejected by the insurer on the ground of pre-existing disease. The doctor’s diagnosis of Tripathi’s ailment indicated that he was suffering from hypertension, which led to further complications...
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