According to industry figures, almost 30 per cent claims are rejected every year by insurers. Of this, almost 90 per cent are on the back of pre-existing diseases. “People should be made aware that for smoothless claim process, they should reveal all health-related facts correctly while buying the policy. People with any pre-existing diseases will not be denied cover, but will be levied premium that will be commensurate to the risk involved,” said the chairman.
He also highlighted the absence of health products that insure expenses like diagnostic costs and outpatient fee. “Of Rs 2,00,000 crore health spend, almost Rs 1,30,000 crore is spent on health-related issues, diagnostics and outpatient fee. Only one-third of the total health spend is on hospitalisation.”