Rights of a consumer
Just like any other policy, a medical insurance plan is a plan which is a mutual contract between a buyer that is you and the insurer. It is imperative to understand all the terms mentioned in the document.
A contract issued for an insurer is a contract made in good belief; however, if one is not willing or fails to disclose any requirement asked by the insurer, then the policy is liable to go in vain.
For instance, many agents or brokers would ask you questions such as the condition of your present health, pre-health conditions and so on. However, if you suffer from any kind of kidney problem and you have not disclosed this to your insurer, then your insurer would certainly not take into account any costs that you ask for treatment of your kidneys.
One must judiciously read all the exclusion and valid expenses compensated prior to the course of treatment in their health insurance plan.
In cases, where your claim is not being accepted or is incredibly delayed, then you can knock the door of Grievance Redressal Cell of the Insurance Regulatory and Development Authority (IRDA).
