Cashless Claim REJECTION Reasons | Why Health Insurance Claim Got Rejected ? 😱 | Gurleen Kaur Tikku

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  • Опубліковано 24 лис 2024

КОМЕНТАРІ • 94

  • @vijaysinghnegi3108
    @vijaysinghnegi3108 5 місяців тому +5

    Madam apka video dekh k mere ko bahut fayda hua. Mera Med. Claim company ne mera claim cashless reject kr deya tha kyu ki mane disease ko pahle btaya nhi but mane company k ZOCC.. CMD.. SAB KO MAIL KI KI ME IRDAI KO COMPLANT KRUNGA KYU KI MERA POLICY 7 YEAR OLD H.... AND FINALLY COMPANY NE MUJH KO REMBURSMENT AMOUNT FULL REFUND HO GYA IN 40 DAYS... Thank you maam for your guidence

  • @sujitkumarghosh5894
    @sujitkumarghosh5894 Місяць тому

    Madam, what is moritarium period pl clarify. How long time is required for this period.

  • @kapil_Maheshwari
    @kapil_Maheshwari 5 місяців тому +1

    Like every time thank you for your guidance and if we needed you will be there to help us in any type of claim settlement situation...

    • @GurleenKaurTikku
      @GurleenKaurTikku  5 місяців тому +1

      Thanks a lot & do Subscribe for more such informative videos 😊

  • @neeleshyadav5873
    @neeleshyadav5873 4 дні тому

    Mam agar individual policy ko family floater policy m 3 shaal bad change krte hai
    To waiting period suru s shuru hoga ya nhi

  • @pilya5436
    @pilya5436 5 місяців тому +1

    Thank you Gurleen for the useful insights.

    • @GurleenKaurTikku
      @GurleenKaurTikku  5 місяців тому

      Thanks a lot & do Subscribe for more such informative videos 😊

  • @yogeshkulkarni4952
    @yogeshkulkarni4952 2 місяці тому

    A request is to Please make a detailed video of New India Assurance policy and their new top up policy (Arogya pragati plus). If you have already made a video on the same please share the details. Thank you ma'am.

  • @divyajyotimishra4644
    @divyajyotimishra4644 5 місяців тому +1

    Very informative video. Keep up the good work👍

    • @GurleenKaurTikku
      @GurleenKaurTikku  5 місяців тому

      Thanks a lot & do Subscribe for more such informative videos 😊

  • @sahebpaul6589
    @sahebpaul6589 5 місяців тому +1

    Madam abhi kuch din pahele Mayri sister admit hua the reliance health insurance se call approve hua phir cancel ker diya koi reason nahi diya cancel per

  • @lingarajpatra702
    @lingarajpatra702 5 місяців тому +1

    Very useful video for everyone 👍👍👍

  • @subalsahu3865
    @subalsahu3865 5 місяців тому +1

    Reason 6 - lagbhag sare insurance company pan India coverage de rhe hai, premium v us regarding le rhe hai.

  • @vinayaksankpal4814
    @vinayaksankpal4814 5 місяців тому +1

    Nice and valuable information 🎉

  • @mrjon8994
    @mrjon8994 4 місяці тому

    Mam aabhi to IRDA ka new rule aa gaya hai ke kisi v hospital me cashless ho skta hai 48 hr phle inform krne se

  • @brindabangorai6003
    @brindabangorai6003 5 місяців тому +1

    Merako bhi Insurance Industry mai 19 yrs ho gaya.

  • @jackjmin123
    @jackjmin123 2 місяці тому

    Dear Madam,
    Care Supreme plan hai mera, 2 years chal raha hai. Recently hospitalized huwa tonsillitis ka deases pe, without surgery. Claim rejected. I think I was supposed to get claim settlement.. could you please clear my doubts

  • @Peaceofmind-m3p
    @Peaceofmind-m3p 3 місяці тому

    Kya port policy ko cancel kar sakte hai

  • @pujamirza5671
    @pujamirza5671 3 місяці тому

    Mam please video share for CKYC. Thank you mam

  • @sanjayprakash9872
    @sanjayprakash9872 5 місяців тому +1

    VERY INFORMATIVE VIDEO 👍

    • @GurleenKaurTikku
      @GurleenKaurTikku  5 місяців тому +1

      Thanks a lot, keep watching !

    • @sanjayprakash9872
      @sanjayprakash9872 5 місяців тому

      @@GurleenKaurTikku YESS MAM YOU ARE THE BEST DEVELOPMENT MANAGER IN THE HEALTH INSURANCE INDUSTRY IN THE WORLD FOR A NEW ADVISOR OR OLD THERE IS NEED OF DO IN THEIR ORGANISATION 🌹
      THANKS & REGARDS
      SANJAY PRAKASH
      DHANBAD

  • @mukeshrawat7851
    @mukeshrawat7851 5 місяців тому

    Mere sath aisa he hua tha. Mera cashless claim reject ho gya ye bol kar ki Hospitalization jaruri ni hai. But maine baad me reimbursement k liye claim kiya again reject ho gya. Then maine fight ki for claim. Apna case Ombudsman me register kiya and finally muje 3-4 months ki fight k baad muje mera 87000 ka claim paas hua jo maine apply kiya tha.

    • @anjanbiswas3158
      @anjanbiswas3158 5 місяців тому +1

      konsi insurance company?

    • @mukeshrawat7851
      @mukeshrawat7851 5 місяців тому

      @@anjanbiswas3158 Niva Bupa.

    • @mukeshrawat7851
      @mukeshrawat7851 4 місяці тому

      @@anjanbiswas3158 Niva Bupa

    • @MukeshVerma-cg1dj
      @MukeshVerma-cg1dj 3 місяці тому

      Same happened with me Aditya birla company ka even doctor ne justification bhi diya ki patient ko medicine or injection OPD base pe nh dek sakte lekin ab reimbursement ke liye or consumer court mei complaint dalne ki soch rha hu

    • @mukeshrawat7851
      @mukeshrawat7851 3 місяці тому

      @@anjanbiswas3158 Niba Bupa

  • @hajimalangnadaf7084
    @hajimalangnadaf7084 5 місяців тому

    Madam mai to 9 days se fever tha 2 baar consultant kiya 3 baar Dr addmit bola to adity birla policy company ne addmit ki jarurat nahi oral medicine per cover hoga but mai to 8 days se tab le raha tha blood test ne typhoid positive aya tha kay a oral per cover hoga kay

  • @nancyworld182
    @nancyworld182 4 місяці тому +1

    Very useful information

  • @vaibhavmishravaibhav9960
    @vaibhavmishravaibhav9960 4 місяці тому +1

    Thank you gurleen maam
    Very informative video ma'am 😊

  • @Shredderrr93
    @Shredderrr93 2 місяці тому

    Hello mam Big fan… i have a question
    What if someone is diagnosed with illness/disease after taking the policy.. what happens then?? Will that be covered ?? (If diagnosed after initial waiting period which is usually 30-90 days)

  • @maloyroy1
    @maloyroy1 5 місяців тому

    Dear Madam, my friend applied for Care Supreme plan as a floter basis, but his family members can get the policy without him, reason he have gallbladder polyp in small size, he admitted that to the company, and so care doesn't give him the Care Supreme plan, what should he do now? Please guide us, as soon as possible.
    We are waiting for your advise. Can we get any kind of help from IRDA??

  • @vaibhavwardhan555
    @vaibhavwardhan555 5 місяців тому +1

    Can you please clarify deductible amount.?

    • @GurleenKaurTikku
      @GurleenKaurTikku  5 місяців тому

      You can check our video for details : ua-cam.com/video/7E-Rfd7kdMo/v-deo.htmlsi=qmcmxcdwf3tNNf8U
      This may give you more clarification

  • @aakashgarg9363
    @aakashgarg9363 5 місяців тому +1

    If a young person takes a policy and after 6 months of taking policy he discovers diabetes, what should a policy holder do in this situation?
    Although he had not any symptoms or complications to determine his silent disease.
    Should he inform the company about that?

    • @GurleenKaurTikku
      @GurleenKaurTikku  5 місяців тому +1

      If it got diagnosed after the policy buying, it is not a PED
      You are not obligated to inform insurance company, however retain the first consultation paper for future claims

  • @avtarkaint
    @avtarkaint 5 місяців тому +2

    i stay in zone 3 can i take treatment in zone 1, can i get full claim?

    • @ashutoshtiwari7382
      @ashutoshtiwari7382 5 місяців тому +2

      Most of the policy deduct some percentage of claim and may applied co pay, depends on your policy T&C. Read your policy wordings. Also few policies are paying full in any zone.

    • @GurleenKaurTikku
      @GurleenKaurTikku  5 місяців тому

      It depends on your policy's terms & conditions.

  • @aaravhisdigitalmamu6321
    @aaravhisdigitalmamu6321 4 місяці тому

    Ma'am, star health assure me..Mam, 5 lack ki policy me Agar baby 24 months ke pehle deliver ho gya to maternity ki 50,000 rs cover nai hogi muje pata he. par new born baby ko kuchh deseas ho to uska 2lack claim milega??

    • @ImranKhan-wp5lp
      @ImranKhan-wp5lp Місяць тому

      Bhai haathi ka baby 24 month me delivery hoti hai insaan ki 9 month me hoti hai

  • @AmitBasak-q8z
    @AmitBasak-q8z 3 місяці тому

    Mam mera ASD heart me hole hai mera age 32 . Mene star helth ka young star policy le rakha hai 4 sal se . Abhi mujhe ye bimari ka pata chala kaya mujhe ye claim milega?

    • @pankajpanchwagh4062
      @pankajpanchwagh4062 3 місяці тому

      Check with your policy wording about specific disease waiting period kitna hai mostly ye 2-4 saal ke andar rehta hai

  • @satyasibapatra1162
    @satyasibapatra1162 5 місяців тому +1

    Nice presentation

  • @AdityaKumar-ny4sy
    @AdityaKumar-ny4sy 5 місяців тому +1

    ma'am mujhe apne mom k liye policy buy krna hai but aapki team ko cont.kiya to koi response nhi kiya

    • @GurleenKaurTikku
      @GurleenKaurTikku  5 місяців тому

      Hello jee,
      Please reach out to us for specific plan suggestion as per your requirement:
      WhatsApp : wa.me/message/VJCYEKX3EWHOE1
      Call : 9650706699
      Mail us at: info@hareepatti.com
      Contact us : hareepatti.com/contact-us/

    • @AdityaKumar-ny4sy
      @AdityaKumar-ny4sy 5 місяців тому

      @@GurleenKaurTikku hanji ma'am b

  • @MKJ000
    @MKJ000 2 місяці тому +1

    Thankyou so much

  • @ankureshawasthi8359
    @ankureshawasthi8359 5 місяців тому

    HDFC ergo में वेटिंग पीरियड कितने साल का होता है क्रिटिकल illness like heart, liver

    • @ashutoshtiwari7382
      @ashutoshtiwari7382 5 місяців тому +1

      It may vary plan to plan and premium, check policy documents

  • @anujcnair
    @anujcnair 5 місяців тому

    Can we have a comparison vedio - Niva Bupa Reassure 2.0 and Icici Lombard Elevate ?

    • @jeevdhar2005
      @jeevdhar2005 4 місяці тому

      Lombard chod kar dono le sakte ho

    • @anujcnair
      @anujcnair 4 місяці тому

      @@jeevdhar2005 which of the two?

    • @jeevdhar2005
      @jeevdhar2005 4 місяці тому +1

      @@anujcnair niva bula and HDFC ergo better

  • @RajinderKumar-we6sg
    @RajinderKumar-we6sg 5 місяців тому

    Mam mara ak swal hai ki company nay mujah health policy bachi ressure niva bupa or mujah koi bhee room lay sakta hu lakin hospital say niva bupa nay private room take ka hi mou sing kiya hai us say uper ka room hospital nahi dayga cashless mai agar uper ka room cahey to rembarsment mai jana paday ga kya aap bta saktay hai asa kyu

    • @pankajpanchwagh4062
      @pankajpanchwagh4062 3 місяці тому +1

      आपको जो room allowed है वही रूम ले लिजिये otherwise you need to pay difference amount as per the higher category room
      1. Doctor visiting charges
      2. Specialist visiting charges
      3. Nursing Charges
      4. Procedure charges
      5. Operation Theater charges
      Better to choose a room which is allotted by the insurance company.

  • @primeconsulting.007
    @primeconsulting.007 5 місяців тому +1

    Thanx !!

  • @sridar1992
    @sridar1992 5 місяців тому

    In a network hospital, the hospital sometimes has protocol while admitting like testing the patient for HIV, Hepatitis while the patient has arrived for accident treatment. Can the insurer deduct the test amounts for HIV and Hepatitis?

    • @pankajpanchwagh4062
      @pankajpanchwagh4062 3 місяці тому

      No
      These tests will get approved by the Insurance company because the hospital/doctor need to give the treatment accordingly by checking the patient & start the medicines to the patient

    • @sridar1992
      @sridar1992 3 місяці тому

      @@pankajpanchwagh4062 Yes, but, they usually deduct this amount which was in my case, I had to raise this to them, they then requested for a bill break up and after that I got the money. The insurer was DIGIT, so if anybody does not get such an amount, then please raise it.
      Well thank you Pankaj for responding.

  • @shiven7841
    @shiven7841 3 місяці тому +1

    6 minutes pe esa laga jese aap emotional ho gye bat karte karte !!

  • @nsrinivasan405
    @nsrinivasan405 5 місяців тому +1

    Thank you mam 🙏🙏

  • @dibakarchakraborty8712
    @dibakarchakraborty8712 5 місяців тому +1

    Very 👌

  • @santunubhaduri5353
    @santunubhaduri5353 5 місяців тому +1

    Pranam madam😊

  • @pavittarsingh2254
    @pavittarsingh2254 5 місяців тому

  • @venkateshpothu2434
    @venkateshpothu2434 5 місяців тому +1

    Medam aapse contact kaise karu..

    • @GurleenKaurTikku
      @GurleenKaurTikku  4 місяці тому

      Please reach out to us for specific plan suggestion as per your requirement:
      WhatsApp : wa.me/message/VJCYEKX3EWHOE1
      Call : 9650706699
      Mail us at: info@hareepatti.com
      Contact us : hareepatti.com/contact-us/

  • @FunInfoEduLifeNews
    @FunInfoEduLifeNews 5 місяців тому

    Ailment Myopia disclose nahi karne par claim nhin diya kya myopia bhi batana hota hai
    Myopia means - minus power chashme ka

    • @pankajpanchwagh4062
      @pankajpanchwagh4062 3 місяці тому

      Yes
      You have to inform everything while buying health insurance policy