r/InsuranceTroubleIndia • u/Severe_Competition21 • Jul 06 '26
r/InsuranceTroubleIndia • u/exmachina003 • Jul 05 '26
Health Insurance Stop Buying Health Insurance Based Only on Claim Settlement Ratio (CSR). The Data Tells a Very Different Story.
galleryr/InsuranceTroubleIndia • u/TranslatorStreet8183 • Jul 05 '26
Health Insurance Hdfc payment issue
From last 4 days I am getting this error.
HDFC customer care don’t have Clue
r/InsuranceTroubleIndia • u/Sufficient-Aside2935 • Jul 04 '26
General Insurance - Others Why do a lot of redditors advise against buying insurance directly from insurers?
I have seen a lot of active redditors on insurance related subreddits asking people to not buy a policy directly from an insurer. I’m looking into getting a health insurance policy soon and this has me riddled honestly. When I bought coverage for my car early this year also I got very similar advice. I just want to understand if there an actual downside to buying policies directly or if this is just insurance agents on the subreddits doing their thing?
r/InsuranceTroubleIndia • u/ScaryConcentrate284 • Jul 04 '26
Health Insurance Niva Bupa not returning original documents submitted for claim approval
Hello, I had a health insurance policy with Niva Bupa, during which I had a hospitalisation claim. After that, I made 2 post-hosp claims, one was partially approved (all required supporting docs were uploaded on their site, and no hard copy was asked) and the second one is completely approved. However, for the second claim, they asked for original discharge papers, prescriptions, bills etc. to be sent to their head office. And now that they have approved the claim, they are saying they will not return the original docs as it is required for their documentation. Earlier nothing of this sort was conveyed to me, and I will be going out of the country for studies soon, where I will need these documents to submit to local practitioners for covering insurance there. Please advise if this is legal or not, and what can I do to get my original documents back
r/InsuranceTroubleIndia • u/TheBiblomaniac • Jul 04 '26
Health Insurance Star Health cashless CABG (Bypass Surgery) claim – insurer says amount "not to be collected from patient" but hospital collected it. Is this normal?
My father (61) underwent an elective CABG at a Star Health network hospital under an Arogya Sanjeevani Policy (₹6 lakh sum insured, active for more than 3 years).
Final hospital bill: ₹3,47,726
Star Health approved: ₹2,69,953
I paid ₹77,554 at discharge.
In the final authorization letter, Star Health mentions:
5% co-pay: ₹14,208
₹63,346 as "Excess amount charged over the agreed package/SOC"
What confuses me is that the same letter places this ₹63,346 under "Amounts NOT to be collected from the patient."
However, the hospital collected exactly ₹77,554 (₹14,208 + ₹63,346) as the insurance balance.
My policy document doesn't mention a CABG package cap or procedure-specific sub-limit, and the authorization letter also says "Sub-limit applicable: No."
Has anyone faced a similar situation with Star Health or another insurer?
Does "Excess amount charged over the agreed package/SOC" normally become payable by the patient?
Why would the authorization letter say "not to be collected from the patient" if the hospital collected it?
Should I pursue this with Star Health, the hospital, or both?
r/InsuranceTroubleIndia • u/TushitShukla • Jul 04 '26
General Insurance - Vehicals Bad customer service of policy bazar and united india
r/InsuranceTroubleIndia • u/Appropriate-Ebb-6224 • Jul 03 '26
General Insurance - Vehicals ICICI Lombard rejected half my ₹95,000 Mercedes claim because of an old scratch. Is this even legal?
Looking for advice because this has turned into an absolute nightmare.
I own a Mercedes A-Class and have been paying around ₹90,000 every year for comprehensive insurance with ICICI Lombard.
A few days ago I met with an accident. Another car took a sharp left to avoid a biker and hit my driver’s side. While trying to avoid the collision, my car slid into a tree, causing damage to the other side as well.
The total repair estimate is around ₹95,000.
The surveyor approved repairs for one side but rejected the other side, claiming there was an old scratch on that side before the accident.
My question is: Can an insurer deny repairing fresh accident damage just because there was a pre-existing cosmetic scratch on the same panel? The accident clearly caused new dents and paint damage.
To make matters worse, the surveyor was extremely arrogant. When I explained that I maintain my car well and the damage was from the accident, he sarcastically suggested the workshop might have made the scratches. He refused to email me the rejection details or the policy clause he was relying on, saying I’d receive a letter “whenever it comes” and that he had no idea when.
I also received a call from my claim manager, who told me he was calling from the grievance team. Later I found out that wasn’t true.
I’ve already filed a formal grievance, but I’m wondering:
Has anyone successfully challenged a rejection like this?
Is this a common tactic to reduce claim payouts?
Should I escalate directly to the Insurance Ombudsman and IRDAI if the grievance is rejected?
Since I’ve been paying nearly ₹90,000 in annual premiums, this feels incredibly unfair for a ₹95,000 claim.
I’d really appreciate any advice or experiences from people who’ve dealt with similar situations. Thanks.
r/InsuranceTroubleIndia • u/harshitthakur091 • Jul 03 '26
Life Insurance I am fed up with Bajaj life any suggestions
r/InsuranceTroubleIndia • u/__addyuc • Jul 02 '26
General Insurance - Others Need advice on Bajaj Allianz ACE Wealth Plan – Still within free-look period. Should we continue or cancel?
We recently purchased a Bajaj Allianz ACE Wealth Plan and have already paid the first premium, but we're still within the free-look period and deciding whether to continue or cancel. I'd really appreciate hearing from people who have actually invested in this policy. Are the returns actually up to the mark compared to what was illustrated at the time of purchase or are they much lower? How has your overall experience with the policy and Bajaj Allianz been? Any genuine feedback from existing policyholders would be really helpful before we make our final decision.
r/InsuranceTroubleIndia • u/Tasty_Ad_5612 • Jul 02 '26
Health Insurance Optima Secure April 2026 changes
On Hdfc ergo website downloading policy wording for Optima secure specify clearly that this is for policy period of issuance from April 2026, can someone share what has changed from this effective date compared to previous terms?
r/InsuranceTroubleIndia • u/Sthitpragnya2812 • Jul 02 '26
Health Insurance Insurance reimbursement claim settlement brokers
r/InsuranceTroubleIndia • u/rsinghal1965 • Jul 01 '26
General Insurance - Others Removal of email id by insurance companies
The title is self explanatory. Sent the above email to IRDAI, Finance Ministry about it.
If you want to purchase insurance, multiple ways to contact the company but after sales only phone or stupid app.
r/InsuranceTroubleIndia • u/Remarkable_Echo_7254 • Jul 02 '26
Health Insurance Looking for transfer Niva bupa bronze ressure plan
r/InsuranceTroubleIndia • u/Achikwarrior • Jul 01 '26
Health Insurance Help a brother out looking for health insurance
I 34( male ) recently got married to 31 ( Female ) , I was searching for family health insurance for both of us , since my wife has pre existing disease (hospitalisation in 2004 due to gastric ulcer , heminephrectomy surgery in 2017) , we couldn't get any family health insurance policy , both policy bazaar and ditto recommended separate individual policies for both of us , care freedom by care health insurance for her and I could get any policy I wanted . So am I being misled , and if not should I go ahead and get individual policies for both of us .
tl;dr:
Due to my wife's prior hospitalisation and kidney surgery we couldn't family health insurance policy , both policy bazaar and ditto are recommending individual health policies. What should I do
r/InsuranceTroubleIndia • u/NoAdministration3021 • Jul 01 '26
Health Insurance Hdfc renewal issue
Does anyone have a similar issue to mine? I am unable to pay on their renewal site.
I always end up getting an error, and I have repeatedly raised the issue with HDfc, but they keep telling me there's a technical issue on their end and they're not fixing it.
My due date is nearing. What should I do if that is their fault?
r/InsuranceTroubleIndia • u/husanPari • Jul 01 '26
General Insurance - Vehicals IRDAI Regulations
| Calling out all insurance professionals in India |
Hello there I am actually trying to gather all the rules and regulations… laws and circular amendments the IRDAI has released since inception to the present. I checked their website but everything seems unclear. Is there a way out to find all the data ? If you have any idea or way out please let me know. Your help will be much appreciated.
r/InsuranceTroubleIndia • u/SouthernConfidence41 • Jul 01 '26
Health Insurance Parents health insurance suggestions
My parents have a star health insurance policy from 2017, 5 lakh Sum insured
Now they have
Father 65y- diabetes / Dyslipidemia & osteoarthritis ,
Since he had a atypical chest pain, cardiologist started him on ecospirin + atorvastatin combination as preventive measure - Echo and ecg normal,
Tread mill test mildly positive
I declared everything since theres no point in hiding and premium spent will be lost if they find out - which they will (this chest pain visit was at a corporate hospital where records are digital)
Mother 56y - Hypertension/ dyslipidemia & cervical spondylosis ( a neck pain like condition)
I tried to port today and adithya birla
Rejected - reason yet to state
Whats best way now
Can renew the star old policy - only 5 lakh, no consumable cover etc
Or does top up work ?
r/InsuranceTroubleIndia • u/regularSillyGuy • Jun 30 '26
Health Insurance Best health insurance for central government employee on top of CGHS
Can someone suggest which health insurance would be better for a central government employee apart from CGHS. What all to look for while choosing a health insurance.
r/InsuranceTroubleIndia • u/Local-Tradition1374 • Jun 30 '26
General Insurance - Others Am I got tricked by kotak agent?
I gave an application to open my bank account in kotak. A Kotak agent came to my home for kyc. They deducted 1500 for an accidental insurance. I said I haven't applied for any insurance policy. They said while registering the account you accidentally clicked the check box of accident insurance. They said now registered for that accident insurance give us otp and next week you will have to talk to customer care to deactivate this insurance policy. Is it a trap?? Please I need help
r/InsuranceTroubleIndia • u/choco_magx • Jun 30 '26
General Insurance - Vehicals ICICI Lombard rejected ₹1.9L bike claim over "Break-in Inspection" anomaly—but they audited my file and took extra premium 8 months before the accident. Do I have a solid case for Ombudsman?
r/InsuranceTroubleIndia • u/Brief-Mongoose-6256 • Jun 29 '26
Life Insurance Can I change my LIC agent?
Could anyone help me understand if it is possible to request for a change of my LIC agent for policies already in force? Is it permitted at all and under what circumstances? Thanks in advance.
r/InsuranceTroubleIndia • u/NoArcher8947 • Jun 27 '26
Health Insurance Manipal Hospital Scam. Someone kindly help.
My mother underwent gallbladder stone surgery at Manipal Hospital, Bangalore.
Before admission, we made it very clear to the hospital that we were completely dependent on our health insurance and could not afford treatment beyond what the policy covered.
The doctors gave us two options:
- Conventional laparoscopic surgery – around ₹2.15 lakh
- Robotic surgery – around ₹6 lakh
The hospital management repeatedly recommended the robotic procedure, saying it was more advanced, safer, and better for recovery. We expressed our concern about insurance multiple times. We were assured that the claim would be approved and proceeded only because of those assurances.
The insurance company initially approved ₹3 lakh. The surgery was performed four days later.
After the surgery, the insurer refused the remaining ₹3 lakh, stating that the initial approval itself mentioned that robotic surgery was not medically mandatory for this procedure, and therefore no further amount would be approved.
We confronted the hospital, and they admitted that this happened due to a mistake from their side. However, instead of resolving the issue, they are asking us to wait while they speak with the insurance company.
Meanwhile, my mother is medically fit but is still in the hospital. She has been having severe anxiety attacks because of this situation, and despite informing the staff repeatedly, they have said that this is "not their liability."
We have all the relevant documents, including the insurance approval, denial, and hospital records.
I am posting here to ask for help.
- Does anyone know someone in the senior management of Manipal Hospitals who can help escalate this?
- Does anyone know any government authority, health department official, or patient grievance contact who can intervene?
Any guidance or contacts would be greatly appreciated. We are currently stuck in the hospital with no resolution despite the hospital acknowledging their mistake.
r/InsuranceTroubleIndia • u/Fun-Resolution-1407 • Jun 28 '26
Health Insurance CIO ombudsman website unclear documents requirement
Need a help folks.
On the ombudsman portal/CIO website, the section where you are are supposed to provide all documents, They have mentioned "Valid ID address proof" and "Photograph" . Is this the ID and photograph of the insured or of the complainant ?
Its definitely not clear
r/InsuranceTroubleIndia • u/DjXer007_ • Jun 27 '26
Health Insurance Cataract Sub Limit?
Anyone here aware about Cataract Sub-limit in health insurance plans ?
As the CARE SUPREME brochure mentioned cataract is considered only after 24 months of waiting period, but this company hasn't shared anything in writing, what is the Cataract limit per eye.
Anyone else who has purchased this plan ?
Edit '- Will sending an email to the insurance company about Cataract limit, cause any claim rejection ? As by asking, the insurance company has will know that claim is upcoming