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Nikhil Jha

@NIKHILLJHA

Aug 18

Sum Insured=10L
Caratact Surgery=1.2L

Insurer paid=Rs 40,000 and used the clause sublimits on treatment of cararact disease

How many of you were surprised by this?

A thread🧵on how must insurers limit the treatment of cataract?👇

What is a cataract?

A cataract is a clouding of the natural lens in the eye, which can cause blurry vision, difficulty seeing in low light, and other vision problems.

Cataracts often develop with age but can also be caused by factors like eye injury, medications, or medical conditions.

Surgery is a common treatment to remove the cloudy lens and replace it with an artificial one to restore clear vision.

Cataract is only covered 2 years after issuance of the policy.
So the waiting period is 2 years.

Read 8 tweets

Nikhil Jha

@NIKHILLJHA

Aug 12

What is the biggest problem in health insurance ?

It is not increased premium

It is claim rejection 😞

Lets see what is the most common mistake many does and lets find out the way how you can avaoid it...

In below thread..

Why claim gets rejected or cut ?

1.sublimits

It is most common reason why claim is partial settled if your policy having limits on various disease even if you hold 50 lkhs policy at claim u will only get 2 or 3 lkhs limits on disease.

Sol÷ choose a no sublimits policy

rent limit

In many policies room rent limit is there of 5k per day or 10k per day..if u choose higher room category than u have to pay proportionate deduction that will cost you roughly 30 to 40% of your entire bill

Sol÷ choose no room rent limit policy2.Room

Read 7 tweets

Nikhil Jha

@NIKHILLJHA

Aug 4

🚨Health Insurance Policy Analyser-ICICI Lombard Elevate

Imagine,
A 10L policy adds 10L bonus each year without any upper cap!🤯
In the 5th year, it becomes 50L
In the 10th year, it becomes 1cr and so on

The power of unlimited bonus in "Elevate"

A thread🧵on the features of ICICI Lombard Elevate?👇

Room Rent limit:-

The policy has a single private AC room limit.

But this can be modified to have no room rent limit

Co-pay

This policy does not have any co-pay.

This means the insurer will pay the entire claim

Read 17 tweets

Nikhil Jha

@NIKHILLJHA

Jul 24

🚨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?👇

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.

Read 17 tweets

Nikhil Jha

@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?👇

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.

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

Nikhil Jha

@NIKHILLJHA

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👇

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

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