Health insurance cannot be generalized, each person’s health could be different. Some people may not disclose their preexisting conditions, and if in the future claims are raised, and if the underlying reasons are their preexisting conditions, their claims may not be settled.
Health insurance is complicated than pure life insurance.
Currently I am getting more benefits and features at lower cost in Niva Bupa Health Insurance compared to HDFC Ergo.
I don’t plan to hide anything from the insurance company.
So can I expect smooth settlement with Niva Bupa also ? (even to a level similar to HDFC Ergo.)
Probably yes. When a health problem arises, treatment is given after proper diagnosis, and bills and certificates are provided by the hospital, and if everything is valid, there should not be any problem. Also I think cashless is not guaranteed, reimbursement is.
I have no first hand experience with health insurance but I know about employees claiming for reimbursements, which were honored by the insurance provider, who provide cover for companies, after producing treatment bills and other documents.
In case of employee reimbursement, insurance companies tend to be liberal and many times pass the claims which would have otherwise been rejected. Because employers are their big corporate clients and they can’t afford to lose them.