Health Insurance Claim Can't be REJECTED | IRDAI Insurance Regulations 2024 | Gurleen Kaur Tikku
Фильм және анимация
The IRDAI has also reduced the moratorium period significantly from 8 years to 5 years.
Once an active health insurance policy’s moratorium period ends, the insurer cannot deny any claim covered by the policy on any grounds, except fraud.
The moratorium would be applicable on the sums insured of the first policy.
WATCH THE VIDEO FOR MORE DETAILS :)
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✅ RDAI Latest Insurance Regulations 2024 : • IRDAI Latest Insurance...
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✅ TIME STAMPS :-
0:00 Introduction
0:51 Earlier Rules for Moratorium Period
1:03 New Moratorium Period by IRDAI
1:36 Details about Moratorium Period
2:50 Example for Moratorium Period
3:33 Clause for Moratorium Period
4:10 Fraudulent Activities
5:08 Claims Can't be rejected
5:50 Conclusion
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#irdai #healthinsurance #gurleenkaurtikku
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Disclaimer : Information presented in this video is for educational purpose only. It may not necessarily be taken as financial, legal or any other type of advice. It is not as per individual needs, objectives or financial situation of any particular person.The video is based on 19 years of experience of Financial industry.
It is based on researches from various books, internet etc and may include opinions of one or more persons who may or may not be the part of Hareepatti.
Gurleen Kaur Tikku or any other team member of Hareepatti will not hold be held responsible as this is not to be considered as personal finance advise.The video does not mean to hurt anyone’s sentiments or spread rumours of any sorts.Viewers should do their own due diligence before taking any action based on the video.
Viewers discretion is advised.
Пікірлер: 136
Definition of Fraud is a grey area & very subjective
@yshah84
Ай бұрын
@@PINKYinsuranceSolutionsFintech very true
@janmejaymohanty9454
29 күн бұрын
@@PINKYinsuranceSolutionsFintech which KZread channel?
Great information, due to this new rule, insurance companies are not accepting new policies of people with PED.
Does the moratorium clause also applicable to the No claim bonus/ plus benefits & Secure benefits (in case of hdfc ergo). Please specify.
Very impressed with the content and presentation . Clear , concise and meaningful presented with a pleasant disposition . Thank you , Gurleen 🙏
Mam Moratorium existing policies me milegi ,kya group policies me bhi ye applicable hoga ?
I HAVE 50 LAKH HEALTH INSURANCE RECENTLY BOUGHT JUST 1 WEEK BACK 22 YRS OLD , AND I DONT WANT EVER TO CLAIM
@sureshv7724
10 күн бұрын
Jai Hindustan
Thank you madam. This is really good news and this information is really helpful for an insured person. Thanks again 😊
very informative... thanks
HI I need your Help. My claim got rejected stating non discolsure. Request you to please guide me.
Nice Info it will help to many people Thank You Gurleen Ji 🙏🙏
@GurleenKaurTikku
Ай бұрын
Glad 😊, keep watching !!
Great Video Mam. Pls keep making such videos 👍
What about existing Niva Bupa Reassure 2.0 Platinum? Please guide.
Madam, No claim bonus kaa moratorium?
Like everytime thank you for your guidance...now I am always updated with insurance things...🙏 Also shared with my group to follow you...
@GurleenKaurTikku
Ай бұрын
Thank you so much, keep watching & do Subscribe 😊
Mam kya hyper thyroid insurance cover nahi karte hain
Thank you for sharing valuable information
@GurleenKaurTikku
28 күн бұрын
Glad it was helpful!
Thanks For the Valuable Information Madam
@GurleenKaurTikku
Ай бұрын
Thanks a lot, keep watching !!
Does moratorium is applicable to completely new problem for eg u dint mention 'High BP' but u got spine surgery done ..which has got no relation with spine like BP related if ur treatment is done heart surgery or paralysis we understand.. so can they reject in this case also what if company itself has nt asked for proposal form and issued new premium who is responsible??
Previously moratorium period was 8 years so if any policy is purchased in 2020 and after 2028 any claim came so company will not reject claim because of non disclosure??
Well describe IRDAI rule..
@GurleenKaurTikku
Ай бұрын
Thanks a lot, keep watching !
mam pucha tha company se vo kehte new rules only new products pe applicable hai
My 1st Health Insurance Policy 2015 still active...
How about icici elevate plan
Will the insurance companies consider continuity of 5 years from the time this rule comes into effect ? or is this applicable to those who completed continuous 5 years of coverage already ?
❤ 0:13
Is the moratorium period applicable if we change the zone without informing the company?
Mam please make a video on health insurance for depression patients as PED I mean which companies are willing to offer insurance??
Hi Ma'am, Ye Moratorim Period Super-topup me v count hota hai kya ???
@GurleenKaurTikku
13 күн бұрын
Yes
*Hi Gurleen, thanks for a neat elaboration with examples on 'Moratorium'. Very useful video indeed for the viewers.*
@GurleenKaurTikku
Ай бұрын
Glad it was helpful! Keep watching & do Subscribe 😊
@devendranaidu3394
29 күн бұрын
If I have a policy with one company for 5 years, then I go to another company, new company won't be able to reject my claim from day 1 because of moratorium ?
@ibunlimited
29 күн бұрын
@@devendranaidu3394 Like all other 'benefits' or 'specific exclusions', et al, 'Moratorium benefit' will also enjoy retroactive effect, regardless of porting.
@GurleenKaurTikku
13 күн бұрын
The moratorium period will be carried forward with porting as per IRDAI guidelines
@devendranaidu3394
13 күн бұрын
@@GurleenKaurTikku tx u for clarifying 😊
Is it applicable for only new policies or also for the existing policy holders?
@senguptasentertainment8790
Ай бұрын
Yes for all deadline for insurance companies is 31.07.24
Mam my policy is only for 3 years, here agar may renew kar du after 3 years at the end of 5 years kya muja Claim milaga?
I have a question. I hope you will reply. I have a policy which is running from past 9 years and if i buy a separate policy from the same insurer for my son who will turn 18 this year. Than will get the moratorium benefit or it will be considered a new policy.
@drrouf-er2ft
Ай бұрын
It will be considered a new policy
Thank you very much ma'am 🙏
@GurleenKaurTikku
12 күн бұрын
Keep watching
Mam companies like Care health insurance is saying ki unhe abhi tak written mai IRDA ki y guidelines nhi mili h islye unke plans mai abhi bhi waiting period 4 years hai and moratorium period 8 years, Eg - Care Supreme Plan... Kya aap bta sakti hai ki sari company new guidelines k according plans kab tak launch kregi? So that new plans lene wale ko y benefits mil paye
@shivasai362
10 күн бұрын
augusts se applicable hote hai mostly
मेने चार साल पहले जो मेडिक्लेम लिया था तो उसे ये नया ५ साल वाला नियम लागू होगा ??? की ८ साल वाला नियम लागू होगा ????
This is tough question but IMPORTANT. Does new moratorium starts from year 2024 on-wards only?
@GurleenKaurTikku
13 күн бұрын
Yes
Thanks 👍
@GurleenKaurTikku
Ай бұрын
Thanks a lot, keep watching !!
Nice explanation
@GurleenKaurTikku
Ай бұрын
Thanks a lot, keep watching !!
Ma'am lets say I have a 3 year old policy and in last renewal i renewed the policy in grace period. will the policy be considered for reduced moratorium or not. I had to give declaration that 'There is no change in health status'
@acivt2532
27 күн бұрын
No problem with grace period (30 days). This is clearly mentioned in IRDAI document refered by Gurleen madam.
@acivt2532
27 күн бұрын
What is not clear - does moratorium applies for past years (BEFORE 2024)?
Kya mai jan sakta hu ki payment without break kya hota hai. Mai har saal premium time per de deta hun. 2017 ka health insurance hai. Sirf ek bar mai grace time me payment diya hu, kya isse break mana jayega. Please bataye.
@shamimahamed6850
13 күн бұрын
No
Madam agar main ye batana bhul gya tha 5 saal pehle ki ..I drink alcohol.....to kya mujhe after the moratorium period claim milega...?...kya insurance company claim deny karegi ?
@GurleenKaurTikku
Ай бұрын
yes, claim milega.
@entertainment4you409
Ай бұрын
Maaf kariyega madam...mera poora question tha ki....agar main ye batana bhul gya ki ...i drink alcohol aur after moratorium period agar mujhe koi alcohol ki wjh se koi bimari ho jati hai...jaise ki koi liver related bimari...to kya claim milega after 5 years.....please.madam answer....i am your great fan...you are doing excellent job about awareness of insurance @@GurleenKaurTikku
Medical insurance lene h konsa policy le please help me
@nileshsamdani6851
19 күн бұрын
Can i help u?
What's the moratorium period of term life insurance .
@TruthSeeker10250
Ай бұрын
2 years
Bliend person ko miljayegi kya health policy madem
@Amandeepsingh-qg6dd
Ай бұрын
Yes care freedom plan is available
Govt should launch a health savings scheme like kisan vikas Patra or national saving scheme etc with more interest rates than normal FD.
I can't get answers from you for my question
I am listening to this term 'MORATORIUM' for the first time. Please tell me whether this is a condition brought by IRDA. I am 70 and have a policy of 4 lakh then increases to 6 lakh from 2001. I have not submitted any claim till now. If i am hospitalized will i get benefit of 'M' .
@GurleenKaurTikku
13 күн бұрын
Yes, Moratorium is applicable
Have an odd question. I have insurance which includes my wife and my kid. I am the primary policyholder. if something happens to the primary policyholder, does that policy automatically treat my wife as the next primary policyholder? Does this have any effect on the subject you shared in this video?
@GurleenKaurTikku
13 күн бұрын
In this example, the spouse has to inform insurance company and member deletion will be done and she will be treated as primary policyholder Policy benefits including moratorium will remain as it is
@hnbright
11 күн бұрын
@@GurleenKaurTikku Got it. Thanks.
Medical claim kya sirf in patient ko hi milta hai. Please reply
@GurleenKaurTikku
13 күн бұрын
Yes, in patient hospitalisation is covered
Break up means how?. Suppose payment of renewal is done late within grace period, is it break..
@GurleenKaurTikku
13 күн бұрын
Break in means renewing after grace period
Is this also applicable after policy portability?
@GurleenKaurTikku
13 күн бұрын
Yes
Nice 👍
@GurleenKaurTikku
Ай бұрын
Thanks a lot, keep watching !
Hi Mam, how will this impact my policy. I had new India insurance policy since 2010. Following a massive premium hike last year I ported to Care in December 2023.
@therevolutionary523
24 күн бұрын
Sabse badi bewkoofi ki aapne apni life ki
If it is a port policy , will it be considered from the inception of the policy ,that is from where it has being ported or after porting it is 5 years in the porting insurance co, kindly clarify From ur explanation my understanding is that even previous co tenure will be counted in 5 years period But still clarify
@GurleenKaurTikku
13 күн бұрын
Yes, in portability also, moratorium benefit will be given since inception
How many days grace period is given by the insurance company??
@cricketwithAshu_j
28 күн бұрын
30 days in renewl of policy
Most Insurance companies are not following this regulation and we need to knock the insurance ombudsman doorsteps
Mera policy Care me hai. Date commence 2017.
now they will cover money by increasing premium.
Very complicated
@GurleenKaurTikku
28 күн бұрын
We have tried to simplify it as much as possible.
In spite of asking the PED only, there is a fraud...😅
Insurance companies will misuse the clause of fraud. This is a grey area. IRDAI is not clear who determines the fraud.
@AdityaSingh-iv9wz
29 күн бұрын
Then they will refer to GCA Act If a meaning in an Act is uncertain or not provided then General Clause Act shall be referred
Claim rejected for 8 years old policy stating non disclosure No break in insurance policy
@therevolutionary523
24 күн бұрын
Which company and which city and for which disease? What were the reason given by company
👍👍
@GurleenKaurTikku
Ай бұрын
Keep Watching !
Yeh konsa new clause he ?
@GurleenKaurTikku
13 күн бұрын
Old clause hi hai
Wow mem
@GurleenKaurTikku
12 күн бұрын
Thanks a lot !
NIVA BUPA moratorium period नही मानेगी। Reimbursement claim करके देख लीजिए।
@Yakridu_Anna
29 күн бұрын
Report to IRDAI with documentary evidence.
@shaileshmaheshwari3771
29 күн бұрын
@@Yakridu_Anna Do you know how IRDAI works ? They are meant for nothing. I have sent more than 600 mails to them with a pdf of all the documents, but sorry to write they dare to take the action against insurers as they remain highly obliged by them.
@annamalayadevi
28 күн бұрын
I was planning to take Niva Bupa now....My earlier was star health...which is a useless company.... should I go for niva Bupa?
@shaileshmaheshwari3771
28 күн бұрын
@@annamalayadevi Never or get ready to get rejected reimbursement claim if ever taken
@magicrecreatedmusically8405
27 күн бұрын
@@annamalayadeviWe will guide you to buy the right insurance. Reach me.
Madam I want to get a health insurance for my mother, my mother is 70 years old, mother has pacemaker for four years. Now taking medicine for hypertension. Can I get any health insurance for mother? Which company's insurance premium will be lower madam? It would be great if you could give some suggestions please🙏🙏🙏
@ravijadhav2011
Ай бұрын
सर शायद आपको पॉलिसी नही मिलेगी
@utkarshkrishnajha3857
Ай бұрын
Care heart plan.. What's yr phone number
@veeranarayana
Ай бұрын
Contact star health cardiac plan 30 days coverage star cardiac issues below 70 years only no co payment
@gourabgorai4561
Ай бұрын
Ayushman Bharat ka card banaao
@user-eu7qv2jy7f
Ай бұрын
@@gourabgorai4561 kaise
Ma'am, If we migrate police to another plan in the same company without loosing the continuity, So, will the modatorium work?
@hnbright
23 күн бұрын
Yes. it will. She mentioned that in the video as well.
Ma'am, Iss video thoda bhari ho geya. Thoda easy language main 1 bar aur banate to jada achha hota !!!
Thanks for the English subtitles. Else, I don't understand anything in your video and not worth the view.
@GurleenKaurTikku
29 күн бұрын
Thank you, keep watching !
आपका video अधूरा है जब तक यह कुछ बातें clear ना हों: 1. आपने यह नही बताया कि moratorium period पहले की हुई policies पर भी घटकर 5 years हो गया है या अब जो नई policy ली जाएगी सिर्फ उनपर 5 years रहेगा। कृपया इसे स्पष्ट करे। 2. किसी policy का base sum insured 5 years में NCB मिलाकर 5 लाख का 25 lakhs हो जाता है तो moratorium period किस amount पर applicable होगा। इसे भी clear कीजिए। 3. अगर policy लेते समय कोई PED exclusion में डाल दी गईं है तो क्या वो disease भी 5 साल बाद cover मानी जाएगी। यह जानकारी देने से सभी viewers को बहुत अच्छे से सब clear हो जायेगा।
@GurleenKaurTikku
13 күн бұрын
1. It is currently on new policies and applicable to existing policies after renewal 2. It should be 25 lacs in this case, still Shall get clarity on this 3. Existing diseases are covered after waiting periods are over for PED
Magic
Fraud ko fraud😂😂😂