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Time of India
20 hours ago
- Business
- Time of India
Have to pay a big hospital bill? Here's how you can split this claim into multiple health insurance policies
Navigating medical bills with multiple health insurance policies can be complex, but it's possible to split claims effectively. Inform all insurers, prioritising the least expensive plan first, which is often a family floater or employer's policy. for many.. Utilise Form 64 for smoother processing between multiple insurers. Read on to know how you can effectively split a big claim across more than one insurer. Tired of too many ads? Remove Ads Inform all insurers, but focus on the least expensive plan first Tired of too many ads? Remove Ads How do I split a big health claim across 3 different insurance policies? Type of policy Sum insured (In Rs) Policy conditions, if any Personal plan Rs 35 lakh No co-payment clause Family floater plan Rs 25 lakh Common cover for you+spouse+children No co-payment clause Employer (Group) Plan Rs 20 lakh Covers you+spouse 10% co-payment Tired of too many ads? Remove Ads Dont ignore co-payment, sub-limits clauses Consider top-up, super top-up plans Things to remember while making multiple claims How many health insurance policies should I ideally have? Medical emergencies don't exactly come with a warning, and often leave behind hefty bills. You might think having several health insurance policies -- like a corporate group policy from your employer, a floater plan that covers your family and even an individual health insurance plan -- would make handling those big medical bill here's the big question: if one of your health insurance plans doesn't cover the entire bill, can you use multiple policies to clear the bill? The answer is yes! However, the next question is, how do you split a large claim among different health policies? Many policyholders get pretty confused about how to allocate a significant claim across the various policies they have. Keep reading to find out how to split your claim wisely and maximise your Read: Latest claim settlement ratio of health and general insurance companies released by IRDA in 2025, Navi, Acko take lead, Star Health, Zuno fall below 90% If you know that a big medical bill, like a long hospital stay, is coming up, it's a good idea to inform all your insurers ahead of time. This way, you can dodge any surprises or claim rejections. Plus, this is mandatory, as per IRDAI Pankaj Nawani, CEO, CarePal Secure, 'Before deciding on your primary insurer, or the insurer on which you will be making the biggest claim, look closely at the benefits and exclusions under each policy. Some policies may have sub-limits for room rent or specific treatments. The total sum insured, any cumulative bonuses you've built up over the years, and how easy the claim process is—especially with corporate policies—should also guide your decision. Lastly, think about preserving your no-claim bonus and portability benefits in personal plans'.See this: Health and general insurance claim settlement: 5 fastest and 5 slowest insurers to settle claims within 3 months According to Suman Pal, Chief Claims Officer at Onsurity, individuals should opt for the most liberal, least expensive insurance policy to make their primary claim. 'For most, this is their family or personal floater policy. However, if your employer's policy has good coverage, low sub-limits or co-payment clauses and is cashless-in-network for your hospital, that can be used first', he reason why you should max out your corporate policy first in such cases is that, since the premium is paid by your employer, it won't affect your own policy's no-claim bonus or increase future as Mr. R Balasundaram, Secretary General, IBAI explains, corporate plans often come with zero sub-limits, no waiting periods, and quicker claim processing as compared to other plans. However, the only downside is that coverage might be limited compared to personal plansSuppose you have a Rs 70 lakh bill to be paid. You have 3 different policies at hand, namely:To start, you can utilise your employer's (group) plan. If all other conditions are satisfied, the employer's plan will cover Rs 18 lakh due to a 10% co-payment clause, which means you'll still have Rs 52 lakh in pending you can claim another Rs 25 lakh from your family floater plan. Since there is no co-payment clause here, you can claim the full amount, which leaves you with Rs 27 lakh in bills. These can be claimed from your personal plan, and even after that, you'll have Rs 8 lakh left as sum insured, which you can use, if necessary, during the rest of the policy in mind that sub-limits or co-payment clauses in your health insurance plans can create financial gaps that you might need to cover out of your own instance, if your personal health insurance plan had a sub-limit of Rs 15 lakh for this specific disease, you could end up paying the remaining amount yourself. With a co-payment of Rs 2 lakh and a Rs 10 lakh shortfall due to sub-limit, you'd have to fork out a total of Rs 12 lakh from your own pay close attention to these clauses in your corporate health insurance plan. Some employers might let you eliminate this co-payment clause if you are okay with paying a bit more in premiums. It's worth checking with your employer about can also consider having a top-up or super top-up plan, since they are generally designed for bigger claims. However, they kick in only after you hit a certain threshold or deductible.'They're great for big medical expenses like surgeries, cancer treatment, or organ transplants. Hence, rather than purchasing multiple base plans, it is a good idea to buy a top-up or super-top-up policy above a threshold (e.g. 5L or 10L). This enhances your primary plan's SI (sum insured) and takes over when you spend down the base policy. It effectively adds overall cover without the hassle of a second identical policy', adds Pal from case of multiple claims during one hospital stay, getting the entire treatment on a cashless basis is typically not possible. So you may use one policy to start the treatment on a cashless basis, and once its limit is exhausted, you may have to pay the remaining amount from your pocket. Afterwards, you can use the reimbursement process to claim the remaining amount from different insurers. Says Nawani, 'Submit original hospital bills to the first insurer you claim from. For others, send certified copies along with a claim settlement letter. Use Form 64 (Claim Settlement Summary) to make the process smoother between insurers'.Form-64, or claim settlement summary, is a statement you get when your primary insurer settles its part.'Once you have this statement, you can claim the unpaid balance to your subsequent insurers by presenting the first insurer's settlement letter and the hospital bills. They will process this as a new claim. Do this again if there is a third insurer. Each insurer pays up to its portion of the balance claim', says suggest that while IRDAI allows multiple policies, more is not always merrier. Most suggest having 2-3 health covers at most.'A savvy policyholder typically maintains one good personal plan (or floater) plus one group cover, and maybe a top-up for extra buffer. Make sure the combined sum insured across plans comfortably exceeds your potential bill, but don't chase insurance in sheer quantity. Maximising the benefits of 2–3 policies usually suffices for any claim. Keeping it simple prevents claim delays and guarantees you receive the required coverage', explains Nawani.
Time of India
a day ago
- Business
- Time of India
Don't punish policyholder for hospital's lapses, court tells insurer
Bengaluru: An insurance company cannot punish a policyholder for the alleged lapses of a hospital, the Bengaluru Urban District Consumer Disputes Redressal Commission has said, pulling up Navi General Insurance for rejecting a hospitalisation claim and cancelling a policy without due process. "If the insurer believed the hospital reports were unauthentic, it should have acted against the hospital, not the insured," the commission said, directing Navi to compensate 29-year-old Veeresh Rathod and restore his policy after branding him fraudulent and denying his Rs 14,500 claim without evidence. Rathod, a Bengaluru resident, had bought a group health policy from Navi in 2022 to cover himself and his elderly parents. Over three years, he paid Rs 67,606 in premiums without making a single claim. In April 2024, his mother was admitted to Sharavathi Hospital for acute gastroenteritis. After her discharge, Rathod submitted a reimbursement claim for 14,500. You Can Also Check: Bengaluru AQI | Weather in Bengaluru | Bank Holidays in Bengaluru | Public Holidays in Bengaluru However, Navi not only rejected the claim but also cancelled his policy, citing procedural discrepancies and suspected fraud. The company alleged that broad-spectrum antibiotics (Piptaz) were administered without a culture sensitivity test, that five doses were bought when only three were used, that the discharge summary lacked a doctor's authentication, and that blood reports were signed by a technician, not a pathologist. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like Giao dịch vàng CFDs với sàn môi giới tin cậy IC Markets Tìm hiểu thêm Undo Invoking the fraud clause, the firm terminated the policy and even issued an internal industry alert labelling Rathod as a fraudulent claimant — a move the commission deemed reputationally damaging and disproportionate. Rathod's appeals to the Insurance Regulatory and Development Authority and insurance ombudsman went unanswered. He then approached the consumer forum on June 24, 2024, alleging deficiency in service. Navi defended its actions, claiming the complaint was unfounded and that the discrepancies pointed to deliberate manipulation. But the commission, after examining the evidence, ruled otherwise. It said treatment decisions such as choice of antibiotics or minor documentation issues could not be pinned on the insured. Buying five vials instead of three, it said, did not amount to fraud. Importantly, Navi had neither issued Rathod the mandatory 15-day notice for policy termination, nor initiated action against the hospital for the alleged irregularities. The commission noted with concern the insurer's aggressive stance over a low-value claim and warned against turning procedural gaps into grounds for claim rejection. "Consumers, despite paying premiums, are being pushed into prolonged legal battles over small sums," the bench observed, finding Navi's objections unconvincing and unsupported by proof of fraudulent intent. On May 16, the forum ordered Navi to pay Rathod Rs 1 lakh as compensation for mental agony, Rs 14,500 towards the rejected claim with interest, Rs 10,000 as litigation costs, and Rs 50,000 as punitive damages to the Consumer Welfare Fund. The insurer was directed to issue a fresh policy for the remaining period and to honour renewals thereafter. It must also remove Rathod's name from the fraud alert database. Get the latest lifestyle updates on Times of India, along with Doctor's Day 2025 , messages and quotes!
New Indian Express
3 days ago
- Business
- New Indian Express
'Freshers are integral to our workforce'
IT services firm Infosys' Global Education Centre (CEC) in Mysuru, which is one of the largest corporate training campuses globally, is central to onboarding and upskilling fresh talent. In an interaction with Uma Kannan, Shaji Mathew, Chief Human Resources Officer at Infosys talks about the company's AI talent, inclusive leadership programme and hybrid work policies. Excerpts: How many of your employees are being trained in AI? Can you tell us about your upskilling programme and how it is benefiting your employees as well as clients? At Infosys, we are committed to preparing our workforce for the future. Over the last two years, we have significantly upgraded both our physical and digital training infrastructure. Our Lex platform now offers over 36,000 curated courses, engaging more than 320,000 employees who dedicate an average of 40 minutes per day to learning. Additionally, through our InfyTQ app, we have extended Lex to over 500,000 college students across India. Reskilling remains a cornerstone of our strategy. We have trained over 275,000 employees in AI and generative AI, while promoting cross-functional mobility through initiatives like Bridge and incentivising upskilling efforts. Over the past 18 months, many of our senior leaders completed an AI certification programme on business applications with Kellogg. In addition, external faculty and industry experts have led sessions covering various aspects of AI for our leadership team. What kind of training/skilling programmes do freshers undergo at Infosys? Freshers are integral to our workforce, and we ensure their seamless integration into projects through robust, structured training programmes. Our Global Education Centre (GEC) in Mysuru is central to onboarding and upskilling fresh talent, combining technical expertise with professional development. The Foundation Program enables fresh graduates to become corporate professionals. The programme curriculum covers over 45 variants of new technology streams alongside traditional streams like Mainframe, Open Systems, Java, and Microsoft. It also includes behavioural competencies and niche skills designed to prepare employees for dynamic business needs. We also leverage AI-powered tools like Navi and Zoiee to enhance the learning experience. Navi acts as a virtual mentor, supporting employees in career growth and well-being, while Zoiee personalises learning journeys and develops critical soft skills through real-world simulations. Can you tell us about your inclusive leadership programme and what is the percentage of women employees in leadership roles? Our #IamTheFuture program, developed in partnership with Stanford University and Orbit Next, equips women leaders with high-impact training to drive their growth. Additionally, gender sensitization workshops for all leaders help cultivate a culture of inclusive leadership. We also take a proactive approach to supporting women throughout their careers. From nurturing career intentionality among engineering graduates through our Campus Connect program to offering strong return-to-work support for women after maternity breaks, we remain focused on enabling personal and professional milestones. Our second career initiative, 'Restart with Infosys', creates opportunities for women professionals looking to re-enter the workforce after a break. We have hired 935 women into the Infosys ecosystem in fiscal 2025 through this endeavour. What about your hybrid work policy and what kind of feedback are you receiving from employees? At Infosys, we have embraced a flexible, hybrid work policy, and the response from our employees has been positive. We are seeing an increased number of people coming back to the office, appreciating the benefits of in-person collaboration within our hybrid work model. To enhance convenience and flexibility, we have expanded our office network to be closer to where our employees live. We have opened development centres in cities such as Coimbatore, Hubballi, Indore, Kolkata, Nagpur, Mumbai, Noida, GIFT City (Gandhinagar), and Visakhapatnam. These centres bring the workplace closer to the hometowns of our employees.
Hindustan Times
5 days ago
- Business
- Hindustan Times
Navi Mumbai rids ‘critically polluted' tag
NAVI MUMBAI: In a significant policy shift poised to inject new life into Navi Mumbai's real estate sector, the city no longer falls under 'Critically Polluted Areas', as it was categorised by the Comprehensive Environmental Pollution Index (CEPI). According to the CEPI score published in 2019, Navi Mumbai fell under the 'Severely/Critically Polluted Areas'. However, as of May, Navi Mumbai registered comfortably below the 60-point threshold with a score of 53.59. CEPI score takes into account the air quality, surface and groundwater, and soil. Construction projects that faced restrictions getting environmental clearances (EC) in the region will now see a drastically simplified process that is expected to unlock hundreds of crores in stalled real estate investments. A much simplified environ-mental clearances process is expected to unlock hundreds of crores in stalled real estate invest-ments. HT Archives (Hindustan Times) This latest development was announced, along with the updated 2024 CEPI data from the Maharashtra Pollution Control Board (MPCB) during the 241st meeting of the State Expert Appraisal Committee (SEAC-2) on May 29, the minutes of which were made available online recently. A Bombay High Court order from June 25 also bolstered the development, as it mandated all EC applications in the city to be assessed solely by the State Environment Impact Assessment Authority (SEIAA), Maharashtra. Responding to a writ petition filed by the Builders Association Navi Mumbai, the high court directed the state to process, within 8 weeks, all pending EC proposals on the current CEPI data as published by the MPCB. The elimination of the previous requirement for additional scrutiny from the Central Expert Appraisal Committee (EAC) reduces approval times for both new and ongoing projects, injecting fresh momentum into commercial and residential segments. Developers, investors, and homebuyers are hopeful about the accelerated revival of delayed housing projects, reduced financial strain, and promising new proposals, including under the NAINA (Navi Mumbai Airport Influence Notified Area) development scheme. Santosh Patil, secretary of the NAINA builder welfare association, said, 'Due to regulatory uncertainty, several projects were stuck financially. This policy shift clears that logjam. The development potential of Navi Mumbai can now be fully realized.'
Yahoo
09-06-2025
- Business
- Yahoo
XcelLabs to empower accountants to think AI-first
XcelLabs, a platform aimed at transforming the accounting sector has been launched by Jody Padar and Katie Tolin in partnership with the Pennsylvania Institute of CPAs (PICPA) and CPA Crossings. The platform provides a comprehensive training and technology solution to help accountants develop fluency in AI and strategic thinking. Central to this offering is XcelLabs Academy, which features online courses covering essential topics such as AI fundamentals, advisory skills, leadership, and practice management. Utilising Navi AI technology, XcelLabs converts unstructured data from communications into actionable insights. This innovative tool adapts to the unique emotions and needs of each user, enhancing the overall experience for accounting professionals. The platform aims to instil an AI-first mindset in teams at larger firms while leveraging Navi. This includes ongoing coaching to refine conversations and advisory actions, ultimately empowering professionals to excel in their roles. Currently in beta testing, these solutions are designed to help accountants achieve 'exceptional' performance. XcelLabs sets itself apart from traditional tech platforms by integrating high-impact strategy with practical AI tools focused on upskilling individuals rather than merely automating tasks. By pushing boundaries and leveraging AI for various business challenges, XcelLabs envisions the rise of AI-X(SM) firms that utilise AI to drive 'excellence'. This initiative underscores the importance of maintaining a human-centric approach within the evolving accounting profession. PICPA CEO Jennifer Cryder said: 'AI is transforming how CPAs work and XcelLabs is focused on helping the profession evolve with it. 'At PICPA, we're proud to support a mission that aligns so closely with ours: empowering firms to use AI not just for efficiency, but to drive growth, value and long-term relevance.' "XcelLabs to empower accountants to think AI-first" was originally created and published by The Accountant, a GlobalData owned brand. The information on this site has been included in good faith for general informational purposes only. It is not intended to amount to advice on which you should rely, and we give no representation, warranty or guarantee, whether express or implied as to its accuracy or completeness. You must obtain professional or specialist advice before taking, or refraining from, any action on the basis of the content on our site.
