When insurance fails: A year of struggle over a critical health claim
Last Update Date: 06-10-2026
Published by India Today
Abhishek Kumar's role: Quoted
Abhishek Kumar explained that such cases are common and set out an escalation path: keep records, seek written reasons for a denial, approach the insurer's grievance desk, then the Insurance Ombudsman and consumer court. He cautioned that resolution can take months.
More of Abhishek's views on insurance
Part of a series on rejected health insurance claims, the article follows a family's year-long effort to get a heart treatment claim paid after the insurer cited non-disclosure of an existing illness. It covers the Insurance Ombudsman's role, the partial settlement, and the steps policyholders can take when claims are denied.
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When insurance fails: A year of struggle over a critical health claim