If the policyholder discloses an existing medical condition in the proposal, the insurance company cannot reject the claim citing the existing medical condition. The Supreme Court’s new ruling has provided relief to insureds, including the inability of insurance companies to refuse claims by citing existing medical conditions disclosed in the proposal at the time the policy was issued.
Mammo Hannanda’s overseas media claim refusal proceedings
Mammohan Nanda reportedly purchased an overseas Mediclaim business and holiday policy to travel to the United States.
Upon arriving at San Francisco Airport, he had a heart attack and was admitted to the hospital where angioplasty was performed and three stents were inserted to remove the cardiovascular obstruction.
He then charged the insurance company for treatment, which said he had a history of hyperlipidemia and diabetes, but said it was not revealed when he purchased the insurance policy.
However, the Supreme Court said the US Indian insurance company’s denial of policy was illegal and did not comply with the law. The court stated that the purpose of purchasing the Mediclaim Policy is to seek compensation for unexpected or imminent, sudden illnesses or illnesses that may occur abroad.
Suppose the insured is suffering from a sudden illness or illness, but it is not explicitly excluded by the policy. In that case, the insurance company is obliged to indemnify the appellant for the costs incurred under it.
Amit Chabra, Head of Health and Travel Insurance at Policybazaar.com, said that if your insurance covers your illness, your insurance company must respect that claim. In addition, the insurance company will have to pay the insurance if some illnesses are not specified in the “exclusion list” of the insurance policy.
Naval Goel, founder and chief executive officer of PolicyX.com, said this is because insurance buyers who purchase medical insurance are completely dependent on the commitments of their respective health insurance companies during emergency medical care. Said that it is a good step to get financial assistance.
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