Top Reasons for CASHLESS CLAIM REJECTION 😱 | Health Insurance Claims 2023 | Gurleen Kaur Tikku

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  • Опубліковано 7 лис 2024

КОМЕНТАРІ • 77

  • @prakashupadhyaya5348
    @prakashupadhyaya5348 Рік тому

    Hi madam mere tetmemt chal raha hai par doctor mujhe 4/5 bat visit karne ko bolta hai, wah admit nahi karta hai kiu k mera mukh pe only chot laga hai. Isme mai cashless insurence from var rakta ho. Kiu k mujhe 4/5 mai ek bar pay karna padta hai, pls reply me

  • @DeepakPandey-pj4of
    @DeepakPandey-pj4of Рік тому

    Dear Mam,
    Mere company ka jo health card hai usme mere wife ka surname different hai maine jo claim lagaya hai usase.pls reply.

  • @physiosp4109
    @physiosp4109 Рік тому +1

    Mam! I am 27 yr old healthy Active person which helth insurance will be best for me?

    • @GurleenKaurTikku
      @GurleenKaurTikku  Рік тому

      Please connect with us on WhatsApp/Call at 9650706699 or just fill up this short form & our team can connect with you directly. We can help you in choosing the plan according to your requirements.
      FORM LINK : hareepatti.com/contact-us/
      Thank you

  • @tarunendrapratap
    @tarunendrapratap Рік тому +1

    Thanks mam. Recently my reimbursement claim from Niva Bupa was denied citing they don't cover for OPD. However, the prescription was for multiple Physiotherapy sessions which should have come under Daycare treatment. Even the escalations to the Grievance Redressal didn't work. Any suggestions?

    • @s....982
      @s....982 Рік тому

      Physiotherapy come under OPD…

  • @geetanjalisharma4653
    @geetanjalisharma4653 Рік тому

    Ma'am casheless claim hai or network hospital hone k bad bhi kuch cash mujhse hospital ne fst day le liya. Is it righht??

    • @GurleenKaurTikku
      @GurleenKaurTikku  Рік тому

      That is advance payment and it will get adjusted on discharge

  • @Sahilchakroiwala1996
    @Sahilchakroiwala1996 Рік тому

    Hello Gurleen mam
    Travel insurance and Travel medical health insurance mei kya fark hai ?

  • @AnkitG12
    @AnkitG12 Рік тому +1

    Maam while purchasing health insurance should i give my original date of birth or the official one (which is 15months younger than original) ???? Kyn ki doctor ko toh original batana padega . what to do?? Please help.

    • @xerxes421
      @xerxes421 Рік тому

      D.O.B mentioned in ur PAN , VOTER ID or AADHAR CARD

    • @GurleenKaurTikku
      @GurleenKaurTikku  Рік тому +1

      DOB as per your id proof

  • @sunilnayak6920
    @sunilnayak6920 Рік тому

    I have corporate health insurance, should I buy personal health insurance for my family, if yes then which health insurance policy is good and from where to I buy

    • @GurleenKaurTikku
      @GurleenKaurTikku  Рік тому

      Yes, you definitely should buy an individual health insurance too. We have a made a dedicated video on this as well on our UA-cam Channel. LINK :ua-cam.com/video/d7M9SnwnPQA/v-deo.html
      Hope this gives more clarity. Also , to suggest you a suitable plan, we need more details. You can connect with us on WhatsApp/Call at 9650706699.
      Our team can assist you 😊

  • @sumanghosh5674
    @sumanghosh5674 Рік тому +1

    How is the Manipal Signa claim settlement ratio in cashless? ?

    • @GurleenKaurTikku
      @GurleenKaurTikku  Рік тому +1

      You can check the claim settlement ratios on the IRDAI's website 😊

    • @Manojhuman
      @Manojhuman Рік тому

      Did you bought Manipal Cigna? How it is

  • @2831520
    @2831520 Рік тому

    Mam critical illness covered or not in health policy

    • @GurleenKaurTikku
      @GurleenKaurTikku  Рік тому

      Depends on the policy as there are certain waiting periods .
      Also, there are specific critical illness policies available in the market.

  • @bhavikagarwal9233
    @bhavikagarwal9233 Рік тому +1

    Ma'am my claim is rejected by mensioning
    *Outside scope of cover other reason*
    What does it mean
    Please help me i have bought policy from Niva Bupa health insurance

  • @nabinchandrachoudhury711
    @nabinchandrachoudhury711 Рік тому

    Mam thanks for the information. Mam agar accident case main koi admit hota hai to woh admit hone ke time kaise documents submit karega. Ase situation main agar 2/3 days k baad documents submit karega to cashless claim deny hoga ya nahi

  • @shaileshmaheshwari3771
    @shaileshmaheshwari3771 Рік тому +4

    Oh Gurleen again I can see bloopers here. Have you forgotten the commitment ? Your videos as usual are always very informative. I need some genuine advice for the mediclaim of my uncle who expired three months back. The hospital didn’t provide me cashless facility and HDFC ERGO didn’t reply my several mails sent to them writing that the hospital is not providing me cashless facility and huge funds are needed for running the treatment as the patient was under ventilator. I want to know what action can be taken against the insurance company for not responding my mails. In the absence of funds my uncle expired. Kindly revert me.

    • @kalyanmishra6650
      @kalyanmishra6650 Рік тому

      Very Sad can I help you🙏

    • @shaileshmaheshwari3771
      @shaileshmaheshwari3771 Рік тому

      Doesn’t Gurleen reply these days ?

    • @GurleenKaurTikku
      @GurleenKaurTikku  Рік тому +1

      Shailesh jee, There is no commitment done for not putting bloopers, you can focus on the informative video before the bloopers. 🙂
      Also, you can reach out to the grievance department of the insurance company or reach out to the nearest branch office, they will definitely assist.

    • @shaileshmaheshwari3771
      @shaileshmaheshwari3771 Рік тому

      Not only I wrote to the grievance cell but have sent more than 100 mails in total to all the available mail IDs of HDFC ERGO. Besides it I wrote to IRDA, state & central government innumerable times but not a single reply came from anyone of the above. As you are associated from insurance sector since last so many years therefore tou are requested to guide me so that I can take action against the insurer. Most disappointing thing was when my uncle was admitted while being on ventilator I had sent so many mails to HDFC writing that the hospital is not providing cashless facility and the daily treatment is very much expensive. I wrote i do not have funds to continue the treatment therefore requested to instruct the hospital to provide me cashless facility. Can you believe inspite of sending around 10 mails in 2 days they replied me after 10 days knowing that the situation was so critical. And that reply came only after being complained to IRDAI, else this company is so insensitive for their customers. I need your sincere help to take action against HDFC ERGO. Please guide me 🙏

    • @shaileshmaheshwari3771
      @shaileshmaheshwari3771 Рік тому

      The insurer did not reply and I couldn’t arrange funds for long. In the absence of funds and cashless facility not provided by the hospital, my uncle expired which as told earlier too.

  • @RajinderKumar-we6sg
    @RajinderKumar-we6sg Рік тому

    Mam mara bhee claim denied hua hai manay apko pahlay bhee btaya tha please help me niva Bupa company hai

  • @VishalArora1008
    @VishalArora1008 Рік тому

    Hello Ma'am,Renewbuy company ne shayad edlewess company' ke saath milkar naya health plan launch Kiya hai, please uspar video banaiye 🙏

    • @GurleenKaurTikku
      @GurleenKaurTikku  Рік тому

      Jee, let us check and bring a video soon. 😊 Keep Watching

  • @kalyanmishra6650
    @kalyanmishra6650 Рік тому +1

    Very Nice Info, You're always the best 👍💯 Mam waiting for room capping episode 🙏

  • @j.psingla5764
    @j.psingla5764 Рік тому

    Investigation karne bale ladke jo 12 pade hote he unko verification kya kay pata

  • @shaileshmaheshwari3771
    @shaileshmaheshwari3771 Рік тому

    Gurleen I have elaborated my issue which earlier you didn’t get it very clear. Now please reply what I have asked you. Thanks

  • @j.psingla5764
    @j.psingla5764 Рік тому

    Madam ji documents hospital send karta he

  • @shaileshmaheshwari3771
    @shaileshmaheshwari3771 Рік тому

    Sushiji are you from Gurleen’s team ?

    • @schhugan
      @schhugan Рік тому

      No, I am not from her team. I have been thru similar situation when I was hospitalized during Covid and just shared my perspective with you.

  • @Jayho9211
    @Jayho9211 Рік тому

    Bone marrow transplant niva bupa health insurance me cover hota hai.

    • @s....982
      @s....982 Рік тому +1

      Hota he but kvi sapne me mat sochna es bimari ke bare me …1-2 crore ka expenditure aata he ….2 crore ki policy le skte ho ….if 10 lakh ka cover le krr ye question puch rhe ho to pkka ullu ho

  • @ibunlimited
    @ibunlimited Рік тому

    Gall bladder stones opération था of my wife. Policy है with Star Health. I myself is associated with Star Health. Surgery एक PPN hospital में हुआ। Pol. is more than 15 yrs old. So on the day of admission, hospital's Insurance Desk *'P. A. to Cashless'* के लिए apply किया (for those whose policy is less than two pol. years, one should apply the P. A. to Cashless 3-7 days prior to admission, if planned Hospitalization).
    Rcvd initial approval within 39 mins of the mail sent to the insurer from hospital's Ins. Desk.
    On the day of discharge, within around 1hr 30 mins of sending final list, we got the clearance from the hospital and got the patient released.
    Being an insurance & fin. professional myself, it was easy.

    • @gayatriyeole985
      @gayatriyeole985 Рік тому +1

      I am also having some query related to star could you please help me?

    • @s....982
      @s....982 Рік тому

      @@gayatriyeole985 , yes I will short your quary regarding star ….send me your mail , I will connect you

  • @debabratabiswas6904
    @debabratabiswas6904 Місяць тому +1

    Thank you Madam

  • @narendranaik7877
    @narendranaik7877 Рік тому

    Very good

  • @j.psingla5764
    @j.psingla5764 Рік тому

    Investing ke nam pe claim cancel hote he
    Investigation bheja he is lie jata he particular JD HEALTH CARE)

  • @ilisabalakra7361
    @ilisabalakra7361 Рік тому

    thank you

  • @newtonsaikia4109
    @newtonsaikia4109 Рік тому

    Informative

  • @pradipchakraborty5195
    @pradipchakraborty5195 Рік тому

    Great video

  • @virendrasshekhawat1998
    @virendrasshekhawat1998 Рік тому

    Thanks a lot 😊

  • @akzzz3492
    @akzzz3492 Рік тому +7

    Customers be like - " Insurance companies k itne Nakhre uthane se behtar hai loan le k hospital bills chuka dena " !!!

  • @afzalafzal6499
    @afzalafzal6499 Рік тому

    Bloopers 👌👌

  • @sameersaurabh21
    @sameersaurabh21 Рік тому

    Aabhar

  • @poonampingale7906
    @poonampingale7906 Рік тому

    Frod star health insurance company 👎👎

  • @karuneshkvaiswar612
    @karuneshkvaiswar612 2 місяці тому

    🎉🎉🎉🎉🎉

  • @rajeshsharma-xe4wf
    @rajeshsharma-xe4wf Рік тому

    Your voice is do sweet