Secret Behind health insurance Claim | Health insurance issues | Anand Open Talk | Sun News

[@durairajanmanivannan5666]

முற்றிலும் உண்மை. காப்பீட்டு நிறுவனம் ஒரு claim விண்ணப்பம் வந்தவுடன் அதை எப்படியாவது reject செய்ய முயன்று, நுகர்வோர் விடாப்பிடியாக துரத்தினால் மட்டுமே பணம் வழங்கும். இது பிக்பாக்கெட் அடிப்பதைவிட கேவலமான விஷயம்.

[@selvarajsubramaniam4973]

Nice super

[@karthikkeyan4853]

Vey useful information at correct time ❤

[@muthus6719]

I agree with you sir,, hospital excess billing.. heavy billing if we told insurance. YESTERDAY I DICHARGED APOLLO HOSPITAL VANAGARAM. HOSPTAL BILL AMOUNT FOR DAYS 2,23,000. FOR TREATEMENT AND PROCEDURES OF TEST. (i am at Deluxe room. One day rent is Rs.18000/- STARHEALTH SETTLMENT 1,90,000. i paid in my hand 33000. Starhealth 14000. complusory deductions. and balance hospital billings. ( also i take extra protect add on of star extra protect about non payable items and extra room rent cover) also not fair with Hospital bill. excess billed on each and every test and treatment. And please explain me sir what i can do regarding this,, hospital not willing to discounts or reduce billing..

[@MahendraSing7]

Better Port Your Policies To any of the 4 Government Companies Bro. They will settle better.

[@muthus6719]

@@MahendraSing7 thank u brother. i tried ..BECAUSE of PED(pre existing disease no companies accepting for port. I have my health insurance with star health from 2013.

[@b.elangovanbalasubramaniam5041]

தனியார் துறை இன்சூரன்ஸ் நிறுவங்கள் போலவே ivarkalaiyum🤣namba👍வேண்டாம்

[@poornachandran8929]

Am a health insurance professional In Tamilnadu CMCHIS scheme only working for claims denial. 😢😢😢 Don’t trust that govt scheme

[@MahendraSing7]

@@poornachandran8929 Bro, Both TN State Govt Scheme & Central Govt Insurance Companies are different. In Govt Insurance Companies, You have to pay comparatively lesser premium & get claim for medical emergencies.

[@sureshgk-jg1ut]

Poorna I need medicine insurance can you guide me

[@elamaransr9727]

Settlement ratios Irdai’s report commented on the performance of insurers in claim settlement ratios (the percentage of number of claims an insurance company settles within a specific period.). Public sector insurers had a settlement ratio of 103.38 per cent in 2023-24, indicating that they paid out more than they collected in premiums. In contrast, private insurers maintained a ratio of 88.71 per cent, while standalone health insurers struggled with a low ratio of only 64.71 per cent. This disparity suggests that consumers may face varied experiences depending on their choice of insurer.

[@manojkarthick375]

100% true

[@VigneshG-on4iv]

Any niva puba??

[@dvivekvinoth]

I am also the same company Niva puba any problem

[@b.elangovanbalasubramaniam5041]

பொது துறை நிறுவனதால் நான் நேரடியாக பாதிக்கப்பட்டவன்

[@rengaraj3392]

HDFC Ergo முடிந்தவரை claim தருகிறார்கள்.

[@mageshjayaraman1873]

Yes I agree, but you have to cross check the final bill.

[@Naveenmahimairaj]

Acko insurance naladha

[@kannan198422]

True sir

[@b.elangovanbalasubramaniam5041]

பொது thurai😂நிறுவங்கள் இவர் சொல்வது போல் இல்லை. இழுத்து அடிப்பார்கள்.

[@Venkatcheesy]

Please don't misguide people with wrong data. Care insurance claim settlement ratio is 90.50%

[@anandgopal6318]

Claims settlement ratio is different from percentage of claimed amount... CSR is the number of claims settled.. The second one is the quantum...the entire discussions is on percentage of claimed amount settled..

[@Venkatcheesy]

@@anandgopal6318 Thanks sir. Got it. Can you share me the recent database of claim settled percentage of various health insurance providers. Based on that, I'll choose it. Currently I am holding star and care for my family

[@dvivekvinoth]

Less than 80%, he did not misguid

[@sibivenkatesh_S]

All companies under IRDAI, Don't misguide peoples

[@MahendraSing7]

Every Company is under IRDAI guidelines. But Government Companies are only 4 PSUs namely New India Assurance, United India, Oriental, National.

[@rln9052]

False and misguiding

[@carewell2009]

Insurance all doobakoor... don't belive this insurance

[@இலமாறன்]

இவர் சொல்வது முற்றிலும் தவறு பிரைவேட் அதிகம் கிரைம் தருகிறது கவர் மெண்டல் வேஸ்ட் பணம் கிலைம் வருவதில்லை 😂😂😂

[@anandgopal6318]

Pl check the statistics before you comment sir. Public sector insurance companies settle 93% of claimed amount. Private companies settle only 70% of the claimed amount

[@poornachandran8929]

@@anandgopal6318he told Cmchis scheme

[@anandgopal6318]

Cmchis scheme is a structured scheme. The TN Government, and Hospital jointly fix the rates and the hospital authorities have to abide by it if they want to continue in the empanelment.. But they violate and charge extra from the patients

[@b.elangovanbalasubramaniam5041]

கதை அளக்கிறார்