Health Insurance

Room rent limit causing claim deduction - need advice

My father was hospitalized for 12 days for knee replacement. The total bill was 15 lakhs. My health insurance policy has a room rent limit of 2000 per day, but the hospital charged 10000 per day for the room. Because of this room rent capping, the insurance company has proportionately reduced my entire claim and only paid 3 lakhs. I had to pay 6 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
6
65 0 3 months ago
Asked by nisha.yadav533 (243 rep)
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