Mediclaim

Please consider following things when you take MEDICLAIM in any form.

1. Premium against sum assured

2. Reimbursement at any hospital should be possible. Suppose you have accident and you have taken treatment in nearby hospital. insurance company may reject it as treatment is not taken at affiliated hospital. BE AWARE OF IT.

3. Many procedures can be done as day care procedures as scientific advancement. This does not require 24 hours admission in hospitals. supreme court had given order for list of procedures.

4. Select HONEST insurance agent for policy. As this agents may also misguide you to certain hospital for his personal gain. And at that place you might not get the treatment you deserve. so be cautious with such agents. If you are not knowing agent, don't take policy.

5. After taking policy, you are not eligible to get treatment for certain diseases. List will be issued by each company.  Please go through this list.

6. Remember, insurance company are here to earn. They do give service but not bearing financial loss.

7. For many common diseases, mediclaim company has put CAP for payment. Be aware of those in list. For example, cataract surgery will be reimbursed only 24000 for one eye.

8. When you take policy, you have to give premium to company. But when you put claim, you have to deal with TPA for claim settlement. This TPA - Third party association - also earns something from your claim

9. It is better to select honest doctor for your treatment rather to indulge in cashless and get ruined by unknown hospital and doctor.

10. Whenever you get reimbursed, the next premium usually rises. Be aware of it.

11. Certain diseases are not covered for first 3 years from the policy you take.

12.. if you want to have higher package surgery than the CAP (say for 24000/-) than you are allowed to do so by paying extra to hospital. Many insurance company do not allow to go for higher package.

IT return and accident claim

Accidental Death & Compensation:
(Income Tax Return Required)
Knowledge is Power....
If a person has an accidental death and the person was filing income tax returns for the last three years, then the government is obliged to give ten times the average annual income of the last three years to that person's family.
Yes, you will be surprised by this, but this is right and it is Government rule.
For example, if someone's annual income is  4 lakh 5 lakhs and 6 lakhs in the first, second and third years respectively, its average income is ten times of five lakhs.. means fifty Lac rupees, family of that person is entitled to receive from the Government.
In the absence of much information, people do not take this claim with the Government.
If any return is missing, mainly last three years, this could lower the claim amount or even no claim because court takes ITR as only evidence.
NO wealth record, FD's; business etc. is given that much importance as compared to ITR in the eyes of law.
Many a time,  people do not file ITRs regularly..or it will be taken lightly..
Due to lack of information the family receives no economic benefits.

Source - forwarded
Section 166 of the Motor act, 1988 (Supreme Court Judgment under Civil/ Appeal No. 9858 of 2013, arising out of SLP (c) No. 1056 of 2008) Dt. 31 Oct. 2013.

Spread the word. Let someone's family benefit.