TAKE A HARDER LOOK AT DENIALS OF HEALTH INSURANCE CLAIMS

THE government has undertaken insurance sector reforms to ensure Insurance for All by 2047.

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The aim is to ensure every citizen has appropriate life, health and property insurance. Achieving this requires the effective participation of the private sector. However, unless the regulator addresses the issue of high claim rejections, especially by private health insurers, the goal of achieving high insurance penetration will remain elusive. Of late, the issue of high claim rejections by private health insurers has become a significant talking point. The IRDAI data shows private insurers rejected/ disallowed, on average, claims worth 22 for every ₹100 they received in FY2024. The value of claims denied in FY2024 grew by 19 percent. The insurers disallowed claims worth around ₹15,000 crore (a growth of