That's precisely the reason why @BeshakIN we recommend people should never solely depend on employer insurance.
a. You are not in control of the terms.
b. It's linked to your employment.
c. It can become super difficult to get a comprehensive cover once you have an illness.
For people who work in fancy startups with fancy policies today that have zero limits, and conditions, please note that all policies start fancy because the founder wants to give everything, and the insurer is also excited
Only till losses creep in after a few years.
Once the insurer starts seeing losses during renewals, renewal premiums are brutally hiked.
That's when your company's CFO steps in and has to cut benefits to keep costs within defined budgets.
That's when policies like the one we see in the first tweet get designed.
Side note:
If you are a founder of a startup and want to introduce health insurance as a benefit, I would strongly recommend you set pragmatic limits on the benefits, right in the beginning.
This will ensure you don't shock your team with sudden curtailment in benefits later.
๐๐ป Thank you for the response to this tweet.
If you are ever looking for free 1-to-1 professional consultation for insurance from industry experts, do hit us at beshak.org
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๐ก Quick tip: Never depend on insurers to remind you about renewals
๐๐ป You can lose valuable coverage if you miss a renewal.
๐จ Super important as you grow older, especially for Sr. citizens
Read more ๐งต
But aren't insurers held responsible when they miss sending reminders?
As per an IRDAI circular, in the case of health insurance, insurers are liable to remind you before renewal.
No such requirement in Term Insurance or other products.
Note, sometimes missing renewals could be the insurer's fault. Many times we are at fault too: 1. You may have registered an email address we don't use anymore. 2. You didn't check emails (such emails can land in the Promo tab) 3. Your auto-debit fails.
A customer suffered deductions of 36K on a health insurance claim (pic below) for: 1. Room Rent Limit (See proportionate deduction) 2. Surgery Limits (See Hernia limit) 3. Non-standard charges (see "Assistant chgs" below)
But what are "non-standard charges"? ๐งต
You would have heard of financial limits like room rent & surgery limits, but what are Non-Standard charges?
Non-standard charges are ad-hoc charges applied by hospitals that per insurers should be included under other payable expenses.
For eg, "Assistant Charges" in the claim above are usually included under "Surgery charges" or "Room charges".
Since this was charged separately, insurers will simply deduct them as non-payable.
A post on a 79% premium hike in 4 yrs has gone viral.
Here's a ๐งต deconstructing health insurance premium hikes for everyone's read: 1. How do premiums rise? 2. Why do premiums rise? 3. What you can do about it?
1. 1st things 1st: Health Insurance is not a fixed-priced product
Insurers can hike premiums for existing products whenever they find them not to be feasible
Not for one customer who has made a claim, but for the entire cohort of customers who have bought this specific product
2. Earlier, there was a hurdle of insurers having to go to IRDAI to hike premiums, in a recent guideline, IRDAI has allowed insurers to self-regulate product changes including premium changes - which means Insurers can now change premiums without any regulatory hurdle ๐คฏ