Illness non-disclosure key to claim rejection

Non-disclosure of existing health conditions is the main reason for insurers to reject claims. Around 25% of health insurance claims are rejected because the insured had pre-existing conditions like diabetes or hypertension, which were not disclosed at the time of purchase. Another 25% of claims rejections are because policyholders were unaware of the terms of cover and claimed for OPD (outpatient department) or other treatment excluded under the policy.

Nov 22, 2023 - 06:30
Illness non-disclosure key to claim rejection
Non-disclosure of existing health conditions is the main reason for insurers to reject claims. Around 25% of health insurance claims are rejected because the insured had pre-existing conditions like diabetes or hypertension, which were not disclosed at the time of purchase. Another 25% of claims rejections are because policyholders were unaware of the terms of cover and claimed for OPD (outpatient department) or other treatment excluded under the policy.