Can insurers use ‘material change’ to hike premiums or deny claims? Know your rights
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Fri, Nov 21, 2025 | 02:17 PM IST

Navigate health insurance like a pro: From claim denials to cashless treatment
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Can insurers use ‘material change’ to hike premiums or deny claims? Know your rightsCan insurers use ‘material change’ to hike premiums or deny claims? Know your rights

Health insurance policy renewals are standard. However, some health insurance companies are introducing a 'Material Change' clause in their health policies, prompting policyholder concerns. This clause allows insurers to alter premiums and policy terms. Experts suggest this may conflict with IRDAI regulations. Read on to find out how you can handle such situations and understand your rights under IRDAI regulations.

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Why health insurance claims get rejected in India and how to fix the trust deficit?Why health insurance claims get rejected in India and how to fix the trust deficit?
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Employer health insurance: Who pays employees’ claims when the insurer changes? 7 key things to knowEmployer health insurance: Who pays employees’ claims when the insurer changes? 7 key things to know
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Confused about which health insurance to buy? Here’s all you need from youth to retirementConfused about which health insurance to buy? Here’s all you need from youth to retirement
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Getting only 50% of surgery cost in your health insurance claim? Check your policy’s sub-limit clauseGetting only 50% of surgery cost in your health insurance claim? Check your policy’s sub-limit clause

Health insurance policies often have hidden sub-limits. These caps on specific treatments or room rents can lead to unexpected out-of-pocket expenses. Policyholders must carefully review their documents to understand these clauses. Ignoring sub-limits can result in claim rejections. Choosing a policy with no sub-limits or adequate coverage is recommended for a stress-free hospital stay.

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Have an insurance claim-related grievance? Here’s how to file a complaint with the Insurance OmbudsmanHave an insurance claim-related grievance? Here’s how to file a complaint with the Insurance Ombudsman
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First-time health insurance buyer? 7 smart tips to choose the right policy and avoid costly regretsFirst-time health insurance buyer? 7 smart tips to choose the right policy and avoid costly regrets
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A reality check of health insurance claim: Denial of simple claim sparks huge online debateA reality check of health insurance claim: Denial of simple claim sparks huge online debate
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