Health Insurance

CAN STANDARDISATION OF EXCLUSIONS IN HEALTH INSURANCE POLICIES HELP CUSTOMERS? Need to rationalise scope of exclusions One of the most contentious issues, which is also the reason for the highest number of grievances lodged by health insurance policyholders, pertains to “exclusions” under a health insurance contract. As more comprehensive products are being introduced, the list of exclusions by insurance companies (to avoid litigation and court awards) is also growing. Different products carry different exclusions, and the same exclusion could mean different things, creating distress and distrust. The denial of a claim or unjustifiable deduction of expenses from the customer perspective usually stems from exclusions relating to treatment involving investigation only; treatment not requiring hospitalisation; unproven treatment or new treatment or specific treatment involving advanced or expensive techniques; among others. But sometimes even customers and doctors and hospitals fudge documents for circumventing exclusions. So, it’s important to rationalise the number of exclusions, standardise wordings and scope of exclusions. Read more at www.starhealthdevarajan.com/news/564 for Health Insurance Related services, U can always call at 98401 77017 Devarajan