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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For any queries:
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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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health insurance 2024 , IRDAI Guidelines , IRDAI 2024 , health insurance india , health insurance claims , health insurance claim rejected , health insurance claim approved , moratorium period reduced , changes in health insurance , major change in health insurance guidelines , IRDAI new rules , best health insurance india , moratorium period 5 years , health insurance moratorium period , gurleen kaur tikku , financial advisor , hareepatti
#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

  • @yshah84
    @yshah84Ай бұрын

    Definition of Fraud is a grey area & very subjective

  • @yshah84

    @yshah84

    Ай бұрын

    @@PINKYinsuranceSolutionsFintech very true

  • @janmejaymohanty9454

    @janmejaymohanty9454

    29 күн бұрын

    ​@@PINKYinsuranceSolutionsFintech which KZread channel?

  • @zonejvm
    @zonejvm19 күн бұрын

    Great information, due to this new rule, insurance companies are not accepting new policies of people with PED.

  • @mohitmaskara4716
    @mohitmaskara4716Ай бұрын

    Does the moratorium clause also applicable to the No claim bonus/ plus benefits & Secure benefits (in case of hdfc ergo). Please specify.

  • @amitroy6972
    @amitroy697225 күн бұрын

    Very impressed with the content and presentation . Clear , concise and meaningful presented with a pleasant disposition . Thank you , Gurleen 🙏

  • @kalyanmishra6650
    @kalyanmishra6650Ай бұрын

    Mam Moratorium existing policies me milegi ,kya group policies me bhi ye applicable hoga ?

  • @vivexplorer842
    @vivexplorer84215 күн бұрын

    I HAVE 50 LAKH HEALTH INSURANCE RECENTLY BOUGHT JUST 1 WEEK BACK 22 YRS OLD , AND I DONT WANT EVER TO CLAIM

  • @sureshv7724

    @sureshv7724

    10 күн бұрын

    Jai Hindustan

  • @ranamondal9970
    @ranamondal9970Ай бұрын

    Thank you madam. This is really good news and this information is really helpful for an insured person. Thanks again 😊

  • @ajaybhat9359
    @ajaybhat935922 күн бұрын

    very informative... thanks

  • @moksh9271
    @moksh927129 күн бұрын

    HI I need your Help. My claim got rejected stating non discolsure. Request you to please guide me.

  • @tanmay8195
    @tanmay8195Ай бұрын

    Nice Info it will help to many people Thank You Gurleen Ji 🙏🙏

  • @GurleenKaurTikku

    @GurleenKaurTikku

    Ай бұрын

    Glad 😊, keep watching !!

  • @MrHaresh23
    @MrHaresh2327 күн бұрын

    Great Video Mam. Pls keep making such videos 👍

  • @healthylife4516
    @healthylife451626 күн бұрын

    What about existing Niva Bupa Reassure 2.0 Platinum? Please guide.

  • @utkarshkrishnajha3857
    @utkarshkrishnajha3857Ай бұрын

    Madam, No claim bonus kaa moratorium?

  • @kapil_Maheshwari
    @kapil_MaheshwariАй бұрын

    Like everytime thank you for your guidance...now I am always updated with insurance things...🙏 Also shared with my group to follow you...

  • @GurleenKaurTikku

    @GurleenKaurTikku

    Ай бұрын

    Thank you so much, keep watching & do Subscribe 😊

  • @shakeelqureshi7222
    @shakeelqureshi72226 күн бұрын

    Mam kya hyper thyroid insurance cover nahi karte hain

  • @devendranaidu3394
    @devendranaidu339428 күн бұрын

    Thank you for sharing valuable information

  • @GurleenKaurTikku

    @GurleenKaurTikku

    28 күн бұрын

    Glad it was helpful!

  • @saisurya1135
    @saisurya1135Ай бұрын

    Thanks For the Valuable Information Madam

  • @GurleenKaurTikku

    @GurleenKaurTikku

    Ай бұрын

    Thanks a lot, keep watching !!

  • @sigtianikita
    @sigtianikita29 күн бұрын

    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??

  • @akshaydixit4094
    @akshaydixit40949 күн бұрын

    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??

  • @varinderpalsingharneja3540
    @varinderpalsingharneja3540Ай бұрын

    Well describe IRDAI rule..

  • @GurleenKaurTikku

    @GurleenKaurTikku

    Ай бұрын

    Thanks a lot, keep watching !

  • @abhishekrampal8641
    @abhishekrampal864115 күн бұрын

    mam pucha tha company se vo kehte new rules only new products pe applicable hai

  • @learnwithmamalove
    @learnwithmamalove26 күн бұрын

    My 1st Health Insurance Policy 2015 still active...

  • @sureshv7724
    @sureshv772410 күн бұрын

    How about icici elevate plan

  • @basrurkrishna3977
    @basrurkrishna39775 күн бұрын

    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 ?

  • @skylinegamer6313
    @skylinegamer6313Ай бұрын

    ❤ 0:13

  • @bhavnishwadhwa8604
    @bhavnishwadhwa86044 күн бұрын

    Is the moratorium period applicable if we change the zone without informing the company?

  • @YashNeetpg
    @YashNeetpgАй бұрын

    Mam please make a video on health insurance for depression patients as PED I mean which companies are willing to offer insurance??

  • @user-fj7ek4im4o
    @user-fj7ek4im4oАй бұрын

    Hi Ma'am, Ye Moratorim Period Super-topup me v count hota hai kya ???

  • @GurleenKaurTikku

    @GurleenKaurTikku

    13 күн бұрын

    Yes

  • @ibunlimited
    @ibunlimitedАй бұрын

    *Hi Gurleen, thanks for a neat elaboration with examples on 'Moratorium'. Very useful video indeed for the viewers.*

  • @GurleenKaurTikku

    @GurleenKaurTikku

    Ай бұрын

    Glad it was helpful! Keep watching & do Subscribe 😊

  • @devendranaidu3394

    @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

    @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

    @GurleenKaurTikku

    13 күн бұрын

    The moratorium period will be carried forward with porting as per IRDAI guidelines

  • @devendranaidu3394

    @devendranaidu3394

    13 күн бұрын

    @@GurleenKaurTikku tx u for clarifying 😊

  • @vishwanathvt7701
    @vishwanathvt7701Ай бұрын

    Is it applicable for only new policies or also for the existing policy holders?

  • @senguptasentertainment8790

    @senguptasentertainment8790

    Ай бұрын

    Yes for all deadline for insurance companies is 31.07.24

  • @rdjstark7415
    @rdjstark741528 күн бұрын

    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?

  • @bhavinkhona3676
    @bhavinkhona3676Ай бұрын

    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

    @drrouf-er2ft

    Ай бұрын

    It will be considered a new policy

  • @santoshmandrekar46
    @santoshmandrekar4612 күн бұрын

    Thank you very much ma'am 🙏

  • @GurleenKaurTikku

    @GurleenKaurTikku

    12 күн бұрын

    Keep watching

  • @VinayKumar-xx1jd
    @VinayKumar-xx1jd12 күн бұрын

    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

    @shivasai362

    10 күн бұрын

    augusts se applicable hote hai mostly

  • @devangkapasi7097
    @devangkapasi709722 күн бұрын

    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 ????

  • @acivt2532
    @acivt253227 күн бұрын

    This is tough question but IMPORTANT. Does new moratorium starts from year 2024 on-wards only?

  • @GurleenKaurTikku

    @GurleenKaurTikku

    13 күн бұрын

    Yes

  • @davidfinancialconsultancy4609
    @davidfinancialconsultancy4609Ай бұрын

    Thanks 👍

  • @GurleenKaurTikku

    @GurleenKaurTikku

    Ай бұрын

    Thanks a lot, keep watching !!

  • @kuldeepsingh-od6sr
    @kuldeepsingh-od6srАй бұрын

    Nice explanation

  • @GurleenKaurTikku

    @GurleenKaurTikku

    Ай бұрын

    Thanks a lot, keep watching !!

  • @AsitKumarGupta
    @AsitKumarGupta29 күн бұрын

    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

    @acivt2532

    27 күн бұрын

    No problem with grace period (30 days). This is clearly mentioned in IRDAI document refered by Gurleen madam.

  • @acivt2532

    @acivt2532

    27 күн бұрын

    What is not clear - does moratorium applies for past years (BEFORE 2024)?

  • @user-lm8sg5qp6h
    @user-lm8sg5qp6h22 күн бұрын

    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

    @shamimahamed6850

    13 күн бұрын

    No

  • @entertainment4you409
    @entertainment4you409Ай бұрын

    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

    @GurleenKaurTikku

    Ай бұрын

    yes, claim milega.

  • @entertainment4you409

    @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

  • @GUDDUKUMAR-ke9th
    @GUDDUKUMAR-ke9th22 күн бұрын

    Medical insurance lene h konsa policy le please help me

  • @nileshsamdani6851

    @nileshsamdani6851

    19 күн бұрын

    Can i help u?

  • @drrouf-er2ft
    @drrouf-er2ftАй бұрын

    What's the moratorium period of term life insurance .

  • @TruthSeeker10250

    @TruthSeeker10250

    Ай бұрын

    2 years

  • @vickybansal5191
    @vickybansal5191Ай бұрын

    Bliend person ko miljayegi kya health policy madem

  • @Amandeepsingh-qg6dd

    @Amandeepsingh-qg6dd

    Ай бұрын

    Yes care freedom plan is available

  • @pankajsharma-np8rl
    @pankajsharma-np8rlАй бұрын

    Govt should launch a health savings scheme like kisan vikas Patra or national saving scheme etc with more interest rates than normal FD.

  • @maloyroy1
    @maloyroy1Ай бұрын

    I can't get answers from you for my question

  • @ramdasiyer2217
    @ramdasiyer221728 күн бұрын

    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

    @GurleenKaurTikku

    13 күн бұрын

    Yes, Moratorium is applicable

  • @hnbright
    @hnbright23 күн бұрын

    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

    @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

    @hnbright

    11 күн бұрын

    @@GurleenKaurTikku Got it. Thanks.

  • @alokbakshi6001
    @alokbakshi6001Ай бұрын

    Medical claim kya sirf in patient ko hi milta hai. Please reply

  • @GurleenKaurTikku

    @GurleenKaurTikku

    13 күн бұрын

    Yes, in patient hospitalisation is covered

  • @grajji5299
    @grajji529929 күн бұрын

    Break up means how?. Suppose payment of renewal is done late within grace period, is it break..

  • @GurleenKaurTikku

    @GurleenKaurTikku

    13 күн бұрын

    Break in means renewing after grace period

  • @sangitaverma6190
    @sangitaverma619018 күн бұрын

    Is this also applicable after policy portability?

  • @GurleenKaurTikku

    @GurleenKaurTikku

    13 күн бұрын

    Yes

  • @Shivaenna-rh5sr
    @Shivaenna-rh5srАй бұрын

    Nice 👍

  • @GurleenKaurTikku

    @GurleenKaurTikku

    Ай бұрын

    Thanks a lot, keep watching !

  • @dhavalvalia
    @dhavalvalia28 күн бұрын

    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

    @therevolutionary523

    24 күн бұрын

    Sabse badi bewkoofi ki aapne apni life ki

  • @dineshbohara2629
    @dineshbohara262918 күн бұрын

    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

    @GurleenKaurTikku

    13 күн бұрын

    Yes, in portability also, moratorium benefit will be given since inception

  • @sarojkumarsahu8315
    @sarojkumarsahu831529 күн бұрын

    How many days grace period is given by the insurance company??

  • @cricketwithAshu_j

    @cricketwithAshu_j

    28 күн бұрын

    30 days in renewl of policy

  • @arunnayar858
    @arunnayar85822 күн бұрын

    Most Insurance companies are not following this regulation and we need to knock the insurance ombudsman doorsteps

  • @user-lm8sg5qp6h
    @user-lm8sg5qp6h22 күн бұрын

    Mera policy Care me hai. Date commence 2017.

  • @riskyankit
    @riskyankit7 күн бұрын

    now they will cover money by increasing premium.

  • @Moca8610
    @Moca861029 күн бұрын

    Very complicated

  • @GurleenKaurTikku

    @GurleenKaurTikku

    28 күн бұрын

    We have tried to simplify it as much as possible.

  • @rakshithavidhya333
    @rakshithavidhya33320 күн бұрын

    In spite of asking the PED only, there is a fraud...😅

  • @trnswamy
    @trnswamyАй бұрын

    Insurance companies will misuse the clause of fraud. This is a grey area. IRDAI is not clear who determines the fraud.

  • @AdityaSingh-iv9wz

    @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

  • @Amit-0051
    @Amit-005127 күн бұрын

    Claim rejected for 8 years old policy stating non disclosure No break in insurance policy

  • @therevolutionary523

    @therevolutionary523

    24 күн бұрын

    Which company and which city and for which disease? What were the reason given by company

  • @dibakarchakraborty8712
    @dibakarchakraborty8712Ай бұрын

    👍👍

  • @GurleenKaurTikku

    @GurleenKaurTikku

    Ай бұрын

    Keep Watching !

  • @Oldschool-Gamer
    @Oldschool-Gamer21 күн бұрын

    Yeh konsa new clause he ?

  • @GurleenKaurTikku

    @GurleenKaurTikku

    13 күн бұрын

    Old clause hi hai

  • @PrabhatKumarPatel-ex6nn
    @PrabhatKumarPatel-ex6nn13 күн бұрын

    Wow mem

  • @GurleenKaurTikku

    @GurleenKaurTikku

    12 күн бұрын

    Thanks a lot !

  • @shaileshmaheshwari3771
    @shaileshmaheshwari3771Ай бұрын

    NIVA BUPA moratorium period नही मानेगी। Reimbursement claim करके देख लीजिए।

  • @Yakridu_Anna

    @Yakridu_Anna

    29 күн бұрын

    Report to IRDAI with documentary evidence.

  • @shaileshmaheshwari3771

    @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

    @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

    @shaileshmaheshwari3771

    28 күн бұрын

    @@annamalayadevi Never or get ready to get rejected reimbursement claim if ever taken

  • @magicrecreatedmusically8405

    @magicrecreatedmusically8405

    27 күн бұрын

    ​​​@@annamalayadeviWe will guide you to buy the right insurance. Reach me.

  • @user-eu7qv2jy7f
    @user-eu7qv2jy7fАй бұрын

    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

    @ravijadhav2011

    Ай бұрын

    सर शायद आपको पॉलिसी नही मिलेगी

  • @utkarshkrishnajha3857

    @utkarshkrishnajha3857

    Ай бұрын

    Care heart plan.. What's yr phone number

  • @veeranarayana

    @veeranarayana

    Ай бұрын

    Contact star health cardiac plan 30 days coverage star cardiac issues below 70 years only no co payment

  • @gourabgorai4561

    @gourabgorai4561

    Ай бұрын

    Ayushman Bharat ka card banaao

  • @user-eu7qv2jy7f

    @user-eu7qv2jy7f

    Ай бұрын

    @@gourabgorai4561 kaise

  • @sonusharmaofficial01
    @sonusharmaofficial0127 күн бұрын

    Ma'am, If we migrate police to another plan in the same company without loosing the continuity, So, will the modatorium work?

  • @hnbright

    @hnbright

    23 күн бұрын

    Yes. it will. She mentioned that in the video as well.

  • @lingarajpatra702
    @lingarajpatra702Ай бұрын

    Ma'am, Iss video thoda bhari ho geya. Thoda easy language main 1 bar aur banate to jada achha hota !!!

  • @praveenbalajibalasubramani116
    @praveenbalajibalasubramani11629 күн бұрын

    Thanks for the English subtitles. Else, I don't understand anything in your video and not worth the view.

  • @GurleenKaurTikku

    @GurleenKaurTikku

    29 күн бұрын

    Thank you, keep watching !

  • @shaileshmaheshwari3771
    @shaileshmaheshwari3771Ай бұрын

    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

    @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

  • @riddhimanhalder9055
    @riddhimanhalder905518 күн бұрын

    Magic

  • @ankittiwari-ex2tu
    @ankittiwari-ex2tu24 күн бұрын

    Fraud ko fraud😂😂😂

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