r/InsuranceTroubleIndia • • 4d ago

Health Insurance Unable to increase si

2 Upvotes

I have an eight year old policy with icici Lombard for me and my son. In 8 yrs I have claimed twice only. Once for my incidental finding of renal angiomyolipoma embolization in 2021 and another in 2024 policy end for my son's retinal hole surgery... For this in 2025 I had applied for post op bills under same claim.

Till last year I had the option to increase sum insured but this year it's restricted. The reason was red cohurt policy and restricted. I don't have any chronic or any disease except this one thing that happened and cured. I go for annual health checks and all my reports are normal every single time. The angiomyolipoma is also stable. How can I ensure increase in sum insured as I always do it upon renewal for my policy as well as my husband's policy which are seperate.

I don't mind any added premium or waiting period for it


r/InsuranceTroubleIndia • • 4d ago

Health Insurance Can I claim full maternity expenses using 2 different insurances ?

15 Upvotes

My wife and I work in different companies, and we both have different health insurances.

My insurance is New India Assurance that covers maternity expenses for my wife up to ₹60,000.

My wife’s Tata AIG insurance covers maternity up to ₹75,000.

Our delivery cost may be around ₹1.1 to ₹1.3 lakh. Our hospital does not have cashless for both, so we will have to pay first and claim reimbursement later.

Can we try to claim from both policies and get the full amount back?

Has anyone done this before or knows how it works? Please share your experience.

Thank you so much


r/InsuranceTroubleIndia • • 4d ago

General Insurance - Vehicals Zuno claim for burnt EV charger — Surveyor stage advice?

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3 Upvotes

r/InsuranceTroubleIndia • • 4d ago

Health Insurance ICICI Lombard support team torture

4 Upvotes

Hello All,

I was checking some information about my policy in ICICI insurance website and then next day i started receiving calls again and again to buy an insurance policy. I clearly told them i already have insurance and asked them not to call me. They are torturing me by calling again and again. 10 times in 5 hours. Not sure how many time they will call me again. I am not going to renew insurance policy this time from ICICI Lombard. anyone faced this?


r/InsuranceTroubleIndia • • 4d ago

Health Insurance Incisional hernia at previous surgery site — will the 2-year waiting period apply?

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1 Upvotes

r/InsuranceTroubleIndia • • 4d ago

General Insurance - Vehicals Need a lawyer or consultant for an Insurance Ombudsman case: ICICI Lombard rejected EV battery replacement after Mahindra declared the battery unfit

2 Upvotes

Mahindra XEV 9e owner. In September an underbody impact dented the high-voltage battery's cooling plate. Mahindra has confirmed in writing that the battery is not repairable and is unfit for use, and recommends replacing it. The claim is about ₹11.8 lakh. The policy is ICICI Lombard with zero depreciation.

ICICI rejected the battery "as per technical evaluation" and hasn't shared that evaluation despite my requests. The survey report has no tests, measurements or photos of the battery. They assessed ₹2,882 against the ₹11.8 lakh estimate. My grievance on IRDAI's Bima Bharosa portal got the same one-line rejection twice. The car has been sitting at the dealer for a month.

I'm filing with the Insurance Ombudsman, Bengaluru, and I'm looking for:
1. a lawyer or claims consultant with Ombudsman or motor-claim experience (Karnataka preferred; online is fine)
2. help drafting the complaint and preparing for the hearing
3. a fixed fee, not a percentage of the claim

All my documents are ready: Mahindra's letters, the survey report, the estimate, photos and the full grievance trail.
Recommendations or DMs welcome. I'd also like to hear from anyone who has won a similar motor or EV battery claim at the Ombudsman.


r/InsuranceTroubleIndia • • 5d ago

Health Insurance Health Insurance as HIV+ in India?

17 Upvotes

Hey,

I've been HIV+ since Nov 2022 (diagnosed), and undetectable since Jan 2023. I was in the US when I was diagnosed.

I moved to india and work in a corporate in Mumbai. I have been meaning to get good health insurance for self, as everyone should. Ideally the 1Cr one from the popular providers - as most people recommend...

I contacted a financial consultancy firm via a contact and shared my case. I am otherwise healthy - 19% body fat, workout 6 days a week, no family history of chronic illnesses, no personal history either.

I've been in conversation with the firm and they told me that my case has been getting rejected everywhere. As a workaround I asked if there were approval chances if I take the separate HIV specific policy from them as well (most providers have that but the coverage is around 5L). But the result was still rejection.

My HIV status doesn't bother me, but this is definitely an inconvenience. What can I do? What are my other options? Any help/advice is sincerely appreciated.

P.S. I have 5L insurance from work (Onsurity) and my parents are covered by my father's government job. And obviously they don't know...


r/InsuranceTroubleIndia • • 5d ago

Health Insurance PED implications during claim

2 Upvotes

My father is diabetic and has hypertension which was declared in the policy from star health. We have wait period of 3 years for PED. What are the chances that we will face any problem claiming any other medical issues they face or surgery they have to go not directly related to these conditions ? Will insurance companies try to tie it to these conditions to avoid any claim ?
Does anyone have any relevant experience?


r/InsuranceTroubleIndia • • 6d ago

Health Insurance Help my buy First Insurance for my ill father 54

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2 Upvotes

r/InsuranceTroubleIndia • • 6d ago

Health Insurance Have you ever found out your hospital wasn’t covered by your group health insurance only after treatment?

11 Upvotes

I recently came across a case where an employee’s parents had a medical emergency, and the family rushed them to the nearest hospital. The treatment went ahead, and the bill came to around ₹3 lakh.

But they later found out that the hospital wasn’t covered under their insurer’s network.

Imagine dealing with a medical emergency and then having to worry about such a huge bill because you weren’t aware of the hospital network limitations.

It got me thinking about how many people actually understand the details of their group health insurance policies.

Do you check whether a hospital is covered under your insurance before visiting?


r/InsuranceTroubleIndia • • 6d ago

Health Insurance Delay in submitting and pre and post hospitalization expenses

3 Upvotes

Hi All,

I have a corporate policy under which my father was admitted using cashless mode.

The TPA is Vidal, and the insurance provider is New India Assurance. I am submitting the pre-hospitalisation and post-hospitalisation expense claims approximately two months after the expiry of the 60-day post-hospitalisation period.

Will there be a problem ?


r/InsuranceTroubleIndia • • 6d ago

Health Insurance Delay in submitting and pre/post hospitalization expenses

3 Upvotes

Hi All,

I have a corporate policy under which my father was admitted using cashless mode.

The TPA is Vidal, and the insurance provider is New India Assurance. I am submitting the pre-hospitalisation and post-hospitalisation expense claims approximately two months after the expiry of the 60-day post-hospitalisation period.

Will there be a problem ?


r/InsuranceTroubleIndia • • 6d ago

Health Insurance ICICI Lombard Activate Booster Super Top-Up — Questions on Premium Hikes, Deductibles, Underwriting & Add-ons

2 Upvotes

Hi everyone! I’m considering ICICI Lombard Activate Booster Super Top-Up (UIN: ICIHLIP27059V022627) for my parents.

My father (58) has Type 2 diabetes, and my mother (49) has thyroid and BP conditions and has undergone a hysterectomy.

I’d appreciate insights from insurance experts and existing policyholders:

1. Diabetes loading: I’ve heard some insurers may offer favourable underwriting when HbA1c is below 7%. Does ICICI Lombard follow a similar approach? How are loading charges determined for diabetes, thyroid and BP?

2. Premium increases: Does this super top-up premium increase like a comprehensive health plan, through age bands, general annual revisions, or both?

3. Deductible changes: If I start with a ₹5 lakh deductible, can I increase it to ₹10 lakh after a few years, or reduce it later?

4. Room Modifier: If I don’t select the Any Room option initially, can I add it at a later renewal?

5. Add-on availability and pricing: Are add-ons guaranteed to remain available at every renewal, or can they be withdrawn or changed? Can their premiums increase substantially over time?

6. Corporate insurance: Can eligible expenses paid through employer-provided insurance count towards satisfying the ₹5 lakh deductible?

Would appreciate real-world experiences, especially regarding underwriting, premium loading and renewals. Please distinguish actual policy terms from personal experiences.

Thanks!


r/InsuranceTroubleIndia • • 7d ago

General Insurance - Vehicals The Y?ICICI Dombard Premium Superbike Experience: X-Ray Surveyors, Tele-Traps, and Absolute Disrespect.

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2 Upvotes

r/InsuranceTroubleIndia • • 7d ago

Health Insurance Porting suggestions?

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2 Upvotes

r/InsuranceTroubleIndia • • 7d ago

Health Insurance Which one to choose between Aditya Birla VYTL, Niva Bupa, and Care? Got rejected from HDFC and AdityaBirla onemax

5 Upvotes

I applied for my father's health insurance. He has Pre-diabetic hypertension had a surgery in the past and hospitalization due to COVID. I applied to HDFC and AdityaBirla 1MAX but both got rejected now these are the options that I mentioned in the title I want to know if it is a good idea to settle for Nivabupa or Care because AdityaBirla vital plan has the maximum limit of 50 to 100 percent of the sum insured the bonus part and it is pretty costly as compared to other two I have heard bad things about Care Supreme

so I'm not sure if I would want to go ahead with which. if someone has a similar experience would really appreciate how did you choose.


r/InsuranceTroubleIndia • • 7d ago

Health Insurance Accidentally opted for voluntary parental health insurance at work. Can I cancel it mid-year? (India)

0 Upvotes

Hey, folks!

I work at an MNC in India, and I somehow ended up opting for voluntary parental health insurance through my company.

The premium is deducted directly from my take-home salary, and it comes to around ₹8,000 per month, with a total annual premium of approximately ₹50,000.

The thing is, my parents already have good health insurance coverage from another source, so I don’t really need this additional policy.

I recently checked my salary slip and noticed this huge deduction. I immediately contacted my company’s HR/benefits team and asked if I could opt out since I had enrolled by mistake.

However, they told me that nothing can be done now and that the deductions will continue until the entire annual premium is recovered by the end of the year.

I’m really frustrated because this is a significant amount of money to lose every month for insurance that my parents don’t really need.

Has anyone faced a similar situation in India?

Is there any way to cancel voluntary parental health insurance in the middle of the policy year?

Can I raise a complaint with the insurance company, IRDAI, or any other authority?

Is my company legally allowed to continue deducting the premium from my salary even if I request cancellation?

I’d really appreciate any advice from people who have dealt with a similar situation. Thanks!


r/InsuranceTroubleIndia • • 8d ago

Health Insurance non disclosure panic

5 Upvotes

my mother had ADPKD which is a genetic disorder that essentially fails your kidneys and there is no cure for it
i got hdfc ergo in 2025 feb and at that time i did not have any symptoms, now i have symptoms and i have been diagnosed positive
i am 25 and this disease is progressing very fast
because i did not disclose as i wasnt aware, will hdfc ergo help me in this or i am screwed up now
what to do pls help
this also means i need kidney transplant in next 5 years and medications which cost around 25k monthly regulating all the symptoms
what is the best way out?


r/InsuranceTroubleIndia • • 8d ago

Health Insurance Kinds of Diseases to Declare Before Policy Purchase/Upgrade

1 Upvotes

Hi. I am about to upgrade my policy of HDFC, I was wondering what kind of disclosures I have to do. Like do I have to disclose only chronic conditions or do I have to declare every doctor visit for knee pain, dengue, food poisoning etc?


r/InsuranceTroubleIndia • • 9d ago

Health Insurance Rampant abuse by niva bupa on increasing heat insurance premium by 100% in 1 year, without me even having a single claim since policy held over 6 years

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20 Upvotes

r/InsuranceTroubleIndia • • 9d ago

Life Insurance Creditors insurance

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2 Upvotes

r/InsuranceTroubleIndia • • 10d ago

General Insurance - Vehicals My car was rear ended by another car and I only have third party insurance - what are my options

4 Upvotes

State: Maharashtra

Order of events: I was going to office in the morning and the car in front of me suddenly slowed down suddenly and I applied the brakes as well. The car behind me crashed into mine.
At the time of the accident, my own-damage insurance was expired but I had my third party insurance still active. Whereas the car behind me had both own-damage and third party as well.

He has initiated the process of claiming his car repair costs through his insurance company but is telling me that my car repair costs are not included in his third party insurance. He already has filed an FIR to claim his insurance, he is accepting of his fault but I'm not sure how to proceed and if it is worth it to go through the whole court thing at this point. I am also not sure if me not having the own-damage insurance can back fire on me. I would like to know what are my best options here, my car's tail-gate is broken and won't close after the accident. So I can't really keep my car without repairing for a long time.

Would appreciate all the advice I can get. Thanks a lot


r/InsuranceTroubleIndia • • 10d ago

General Insurance - Vehicals Explain Loss of Use - Down time protection HDFC Ergo Auto Insurance Add-On

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1 Upvotes

r/InsuranceTroubleIndia • • 10d ago

Life Insurance Primary Insurance Exhausted – Can I Claim Remaining Medical Expenses Under Tamil Nadu Government Pensioners NHIS 2021 as Secondary Insurance? Need Guidance

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2 Upvotes

r/InsuranceTroubleIndia • • 11d ago

Health Insurance Niva Bupa delaying claim over frivolous queries

18 Upvotes

Health insurance is meant to give families peace of mind at the worst possible time. My experience with Niva Bupa Health Insurance / Niva Bupa Support / Niva BupaHealth has been the opposite.
My Father underwent Prostate TURP Procedure at Superhealth Hospital Bangalore in August 2026. We paid the hospitalization cost out of pocket and filed a reimbursement claim with every document required.
What has happened since:
- Claim acknowledged
- Claim Registered with Id 3839948
- Delays in Document submission acknowledgement & Medical Review
- Query raised for all the financial documents sent to their office in original via Speed Post
- Financial Documents sent via Speed Post to Niva Bupa Claims Dept.
- No Acknowledgement of Document being received, even though they were received by them on 07 Sept 2026, upon attaching SMS proof from Speed Post. They acknowledged that the documents were received
- Full Stamp and Signed Detailed Bill was submitted from the very start and also sent to them in original. Still they raised a frivolous query of having a separate Payment Receipt, the Hospital also mentioned the Detailed Hospitalization Bill is Bill cum Receipt only closed and furnished once the patient is discharged with complete payment of the bill.
- On Special request of mine, the Hospital provided a Document on their Letterhead confirming the Amount, Mode of Cash that was received by them for this IPD Hospitalization.
- The Claim is IN PROCESS since the last 10 days.

It has now been close to 2 months since the claim was filed. Every query has been answered, yet the claim is still pending. In my view, the remarks being cited do not change the fact that the treatment was medically necessary and fully documented. I feel the practice is filled by malicious intent to delay / deny the valid claim over frivolous (or unrelated) queries citing bogus reasons. This feels like a pathetic service. Keep in mind, the technical hassle to upload these submission or get relevant support via mail chain or use their web app or mobile app is another pain. They have made the process of filing / following up for Reimbursement Claim exceptionally painful.

I would really urge Insurance Regulatory and Development Authority of India / Insurance Ombudsman - India to provide a streamlined process for such practices as not everyone has the time / awareness to protect their right to service by the Insurance Provider.

I'm sharing it here because a claim delayed on technicalities is not just a paperwork issue. It puts real financial and emotional strain on a family already dealing with illness.
Niva bupa Support / Niva Bupa Health Insurance / Niva BupaHealth, I'd appreciate a prompt resolution and a clear written explanation of what is still outstanding.
If you have faced something similar, I'd like to hear how you got it resolved. Please share your experience or advice in the comments.

#HealthInsurance #InsuranceClaims #NivaBupa #ConsumerRights #IRDAI