Nikhil Jha Profile picture
Jul 24 17 tweets 3 min read Read on X
🚨Portability Scam-Retail policyholders getting caught out

Random Telecaller asked the customer to port 2 years ago,
Sum Insured=50L
Claim Amount=5L

The new insurer rejected the claim saying pre-existing diseases weren't disclosed!
New insurer cancels the policy!

A thread🧵on scam around portability and checklist to follow while porting?👇Image
What is health insurance portability?

You bought a health insurance policy.
After some time when u read the policy terms and conditions.

You realize the policy has
🩺Room rent limit
🩺Copay
🩺Isnt a comprehensive policy

Now u want to change the policy!
What do u do?
In such cases, you can shift your policy to another policy with the same insurer or you can move it to a policy with a different insurer altogether.

This can be done by porting your existing policy.
For example:-

Mr X has an insurance policy with Star Health which has a co-pay of 20%
He finds Max Bupa has a policy with no co-pay

The premium is affordable for Mr X.

He can port his existing policy from Star health to Max Bupa
The Scam around porting:-

Many telecallers are randomly accessing policy details of customers and calling them on expiry,
These telecallers force people to port into some other policy with lower premium or show more benefits,

These telecallers are just incentivized to port and have no clue on checklist of portability

Here is a complete checklist on how to port your policy?
So what are the things to keep in mind before porting the policy?

1. Why are u Porting?

One must carefully read the terms/conditions of the existing policy.
If the policy is a comprehensive policy there is no need to change.

If there is a better policy with superior terms available at an affordable premium,

Then one can consider changing
So many agents port health insurance just for the sake of getting commissions!

DO NOT UNECCSARILY PORT UR POLICY!

Every time u port your policy whether the internal port within the same company or an external port to a different insurer
It will endure an underwriting process.
During underwriting,
If u are diagnosed with lifestyle diseases like hypertension or diabetes the insurer can load the premium.
There can be other complications as well which arise from frequent porting of policies
2. Disclose all pre existing diseases at the time of porting very clearly.

All porting entails underwriting again.
In fact the insurer will be even more cautious in underwriting as all waiting periods are now waived.
If you have been diagnosed with critical illness like cancer, kidney diseases or heart diseases.

ONE MUST NOT PORT.

Stick to ur previous policy
You should disclose each and every disease till date from birth to the insurer.

The insurer will then take a call on whether to accept or reject your port.

If the insurer comes to know later of nondisclosure then he will reject the claim and cancel the policy
3. Is the Premium of the new policy affordable?

Before you port to a new insurer.
Understand how will the premium increase?

Will they increase yearly?
Will they increase in 5 years?

All of this is clearly mentioned by the insurer in the terms and conditions
4. Quality of the service from the new insurer

How is the claims experience in the new insurer?
How swiftly does the new agent provide service in times of claims?

Just dont simply port on the request of an agent
Figure all of this out
5. Port at least 1 month before the expiry of the policy

This will allow sufficient time to the new insurer to underwrite the new policy and any queries can be solved

This helps a long way in continuity of the policy
How to port a policy?

Step 1: Request portability from the new insurance provider at least 45 days before the current policy is set to expire.

Step 2: When the request for portability is received, the new insurer will offer a proposal, a portability form
Step 3:

Once the new insurer receives all the relevant information, they will evaluate your proposal. The underwriting team of the insurance company will assess your risk profile.

Based on the underwriting, the insurer will decide whether to accept or reject your application
Conclusion
🩺Port only if you get a policy with better conditions
🩺Disclose all terms and conditions very transparently.
🩺Port at least 1 month prior to expiry of the current policy
🩺Check how the premiums will increase in the future

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More from @NIKHILLJHA

Jul 18
🚨Health Insurance and Cancer

Cancer is one of the most toxic illnesses,
Treatment costs range from 50L to 1cr today!🤯🤯

Do u have an adequate sum insured to treat cancer?🤔🤔
Do already recovered cancer patients get a health insurance policy?

A thread🧵on which insurance plan covers cancer and do cancer patients get a new health insurance policy?👇Image
What is cancer?

Cancer is a disease that occurs when cells in the body grow and multiply uncontrollably, forming tumors and potentially spreading to other parts of the body

Cancer can start almost anywhere in the human body, which is made up of trillions of cells.

Normally, human cells grow and multiply (through a process called cell division) to form new cells as the body needs them. When cells grow old or become damaged, they die, and new cells take their place.Image
Types of Cancer:-

Cancer can occur in many parts of the body, including:

Bones: Sarcomas are cancers that form in bone and soft tissues

Blood: Leukemias are cancers that begin in the bone marrow, where blood is formed

Lymphoid tissue: Lymphomas are cancers that start in lymphocytes, which are T or B cells

Plasma cells: Multiple myeloma is a cancer that starts in plasma cells, which are another type of immune cell

Epithelial tissues: Carcinomas are cancers that start in epithelial tissues, which cover the outside of the body and line the inside of organs and body cavities
Read 13 tweets
Jul 16
I have corporate health insurance of 5 Lakhs from my Office
Why do I need personal health insurance?

So many people think this way
But who will cover u when u retire?

A thread🧵on the features of a corporate cover & why personal health insurance is necessary?

Let's go👇 Image
What is a corporate cover?

A Corporate Health Insurance Policy is a type of insurance that covers a group of professionals working under an organization against illness, accidents, & other health issues.

Corporate Health Insurance is basically a Group Health Insurance Plan.
Who is covered under a corporate plan?

It is generally the spouse and children of the working member.
Some companies also allow parents to be covered under these policies on payment of some premium
Read 14 tweets
Jul 1
Do you know there are certain things which are not coverd in all the policies even if you are holding the policy for last 10 years crossing moratorium period...

What are those lets check below👇 Image
This types of disease, hospitalisation or claims are called as permanent exclusion

What is permanent exclusion ?

These are certain illnesses, treatments, or situations that your health insurance will simply never pay for, no matter what, and not even in the future.
List below are the diseases which are not coverd

Cosmetic treatments ÷

Thinking of a nose job or tummy tuck? If it’s just for looks, insurance won’t pay. (Exception: accidents or medical need.)
Read 12 tweets
Jun 17
🚨Co-payment vs Deductible in Health Insurance

Co-payments and deductibles are both used to lower the health insurance premiums
But which one should u choose?🤔🤔

A thread🧵on copayment vs deductible and which one to choose?

Lets go👇 Image
What is Co-pay in health insurance?

Co-pay (co-payment) in health insurance is the percentage of the claim amount that the policyholder has to pay from their own pocket that is part payment between company and policy holder under a health insurance policy
Generally companies have a co-payment clause of 20%

What does this mean?

If you have a 20% co-pay clause

Out of every Rs 1 lakh claim
You will have to pay Rs 20,000 from your own pocket
The rest Rs 80,000 will be paid by the insurer
Read 13 tweets
Jun 9
🚨Health Insurance Claims Stories

Sum Insured=5L
Claim Amount=90,000 for dehydration

Insurer Rejected Claim:-
"Hospitalization not needed."

Court Slammed the insurer and Ruled:-
"All kinds of sweet talk is done while selling policies
But the insurers find excuses when it comes to paying claims"

Why did the court fine the insurer?
Let's find out in this very important claims stories 👇Image
Background to the case:-

Sanjeev Rana and his family from Chandigarh had bought a 5L policy from a leading private insurer in 2023.

He paid a premium of 35,000 for the policy.
In April 2024,
He experienced severe dehydration and increased creatinine levels,

He went to Max Super Specialty Hospital, Mohali to undergo a thorough medical check-up.

Since some of his parameters were alarmingly abnormal,
He was advised to be admitted to the hospital immediately.
Read 14 tweets
Jun 7
🚨Is Single Private Ac room good enough?

Sum insured=25 lacs
Hospital bill=5 lacs
The insurer only paid 3 lacs

Most people think a Room rent limit of a Single private AC room is good enough!
But the reality is very different

A thread🧵on a room rent limit and is single private ac room good enough?👇Image
What is a room rent limit in a health insurance policy?

The room rent limit in health insurance is the maximum amount that an insurance company will pay for a policyholder's hospital room per day
There are different types of room rent limits that insurers impose based on the policy you’ve bought -

1. Financial Limit
Insurers generally put room rent limit at 1% of the Sum Insured

So for a 5 lakh sum insured the limit is at Rs 5,000/day
Read 16 tweets

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