Health Insurance
Room rent limit causing claim deduction - need advice
My spouse was hospitalized for 10 days for knee replacement. The total bill was 8 lakhs. My health insurance policy has a room rent limit of 2000 per day, but the hospital charged 12000 per day for the room. Because of this room rent capping, the insurance company has proportionately reduced my entire claim and only paid 5 lakhs. I had to pay 7 lakhs from my pocket. I did not know about this room rent proportionate deduction clause when I bought the policy. Is this fair? Can I challenge this? Should I upgrade my policy to remove room rent limits? Please advise.
#room-rent-limit
#claim-deduction
#proportionate-deduction
#health-insurance
12
147
0
4 months ago
Share:
0 Answers
No answers yet. Be the first to help!
Related Questions
Room rent limit causing claim deduction - need advice
146%
174
0
15
Same Category
Room rent limit causing claim deduction - need advice
143%
81
0
8
Same Category
Room rent limit causing claim deduction - need advice
143%
133
0
13
Same Category
Room rent limit causing claim deduction - need advice
143%
479
0
1
Same Category
Cashless hospitalization rejected - Apollo Hospital not in network list
32%
227
0
4
Same Category
Cashless hospitalization rejected - Max Hospital not in network list
32%
167
0
10
Same Category