Know Your Insurance Policy

Understanding your insurance policy is crucial. Let our experts help you decode your policy terms and ensure you get the most from your coverage.

Understanding Your Insurance Policy

Your insurance policy is a complex document with important details that affect your coverage. Here are key elements you should understand:

Policy coverage scope and limitations
Deductibles and co-payment terms
Waiting periods and exclusions
Claim settlement procedures
Policy renewal and cancellation terms

Our Hassle-Free Process

We take pride in our process, and we want to share it with you. Discover the steps we take to ensure that our service meets the highest quality standards.

-------------------Steps -------------------

Reach out to us: Kindly fill out the form with your name, email, and contact number.

Share case documents:We hear you out and ask you to share copies of case related documents with us.

Case Acceptance:We will proceed with your insurance complaint after thoroughly reviewing your case particulars and insurance paperwork.

Registration:There is no registration fee or any upfront charges; you only pay after you get your claim.

Complaint Resolution:Upon successful resolution of your insurance complaint, we charge a success fee of 20%.

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Frequently Asked Questions

What are some common examples of insurance mis-selling?

Common examples include selling policies without full disclosure, misrepresenting benefits, or recommending unsuitable products for the customer's needs.

Why do insurance companies reject claims?

Claims may be rejected due to policy exclusions, non-disclosure of information, lapsed premiums, or filing after the claim deadline.

Can an insurance claim be delayed due to pre-existing conditions?

Yes, insurance claims can be delayed if pre-existing conditions were not properly disclosed during policy purchase. The insurer may need additional time to investigate and verify medical history.

Can a short-settled claim be re-submitted for payment?

Yes, if you believe your claim was short-settled, you can request a review and re-submit with additional documentation supporting your claim amount.

What is a success fee?

A success fee is a percentage of the recovered amount that we charge only after successfully resolving your case. This fee is discussed and agreed upon upfront.

How long will it take to resolve my insurance-related problem?

Resolution time depends on case complexity and insurer response, typically 30-90 days. We work to expedite the process while ensuring thorough handling.

Do I have to meet anyone during the resolution of my case?

Most cases can be handled remotely through phone, email and our online portal. In-person meetings are optional and scheduled only if needed.

What is the pre and post hospitalization claim?

Pre and post hospitalization claims cover medical expenses incurred before and after hospitalization. The coverage period varies by policy, typically 30-60 days pre and 60-90 days post hospitalization.

Does smoking affect insurance plans?

Yes, smoking status affects insurance premiums and coverage. Smokers generally pay higher premiums due to increased health risks. Non-disclosure of smoking habits can lead to claim rejection.

Is there a waiting period before filing a claim under a health insurance policy?

Yes, most health insurance policies have waiting periods: 30 days for general claims, 2-4 years for pre-existing conditions, and specific waiting periods for certain treatments/procedures.