- HDFC ERGO Community
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- Health Insurance - Product Coverage
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- Re: refusal of payment
18-11-2016 02:32 PM - edited 29-12-2016 12:52 PM
18-11-2016 02:32 PM - edited 29-12-2016 12:52 PM
For my daughter's delivery, we opted for a single room instead of a twin sharing one. The insurance company is refusing the pay. Why
18-11-2016 03:02 PM
18-11-2016 03:02 PM
Check your policy. In case it has room rent sublimit clause, the insurance company will make only proportional payment.
19-11-2016 05:53 PM
19-11-2016 05:53 PM
Most probably because your claim exceeded the maximum amount you are eligible for. Check your policy details to see if you exceeded individual components
21-11-2016 02:16 PM
21-11-2016 02:16 PM
If your policy mentions a limit for room rent and your expense is above that, then insurance company will not pay the full amount.
26-04-2017 04:47 PM
26-04-2017 04:47 PM
Check the terms and condition of your Policy. There will be certain limit upto which your insurance Company will pay and the extra amount have to be payed by you.