Imagine paying insurance premiums for years and then one day you actually need it. You're in a hospital, or someone you love is. And the insurer says: no.
In the last financial year, Indian health insurers rejected claims worth ₹30,000 crore. Nearly one in eight claims were denied or left pending.
And what's wild is how far back the problem starts. There are agents filling out forms incorrectly to earn a faster commission. Hospitals that know exactly what a surgery costs but keep the number vague on purpose. And insurers operating on margins so thin that scrutinising every claim is more about survival than greed.
The Ken reporter Sudeshna Ray dived into this for The Ken’s Make India Competitive Again newsletter. Host Snigdha Sharma reads it for you in this episode.
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