India, Dec. 6 -- A few weeks ago, I suffered multiple fractures and muscle ruptures on my left shoulder. Although the hospital did not have a cashless facility for medical insurance, I presumed that I could pay upfront, and claim reimbursement. Post-surgery, even as I was recovering in the hospital, I started reading up on insurance claims. It was horrifying to learn that more than Rs26,000 crore of medical claims were not paid by the insurers. According to the portal managed by the Insurance Regulatory Development Authority of India (IRDAI), the sector's regulator, more than 95 per cent of the claims and complaints against the firms are about the failures to repay claims that the policyholders felt were legitimate and genuine.

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