A health insurance claim may be rejected when the insurer alleges that the policyholder failed to disclose an earlier illness, treatment, consultation, investigation, surgery, medication or other material medical information while purchasing the policy. A rejection for “non-disclosure” can have wider consequences than the rejection of one hospital bill. In [...]
A health insurance claim may be rejected when the insurer alleges that the illness was a pre-existing disease. This is one of the most common reasons given in health insurance disputes. The policyholder may receive a rejection letter stating that the disease, symptom, treatment or condition existed before the policy [...]
A health insurance claim rejection can place a patient and family under sudden financial pressure. The policyholder may have paid premiums regularly, submitted hospital bills and followed the claim process, but the insurer may still reject the claim by referring to policy exclusions, pre-existing disease, waiting period, non-disclosure, incomplete documents [...]
