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Reasons Why Your Health Insurance Claim Gets Rejected | Experts Share How To Avoid Them

Reasons Why Your Health Insurance Claim Gets Rejected | Experts Share How To Avoid Them

Sakshi Batra
Sakshi Batra
  • New Delhi,
  • Aug 8, 2026,
  • Updated Aug 8, 2026, 1:00 PM IST

Health insurance claims can be rejected for several reasons, many of which are avoidable. Vishwanath Mahendra, ED & CFO, Niva Bupa, explains that non-disclosure of existing medical conditions is the leading cause of claim rejection. He advises policyholders to honestly declare their medical history while purchasing insurance. Other common reasons include exclusions related to pre-existing diseases and hospital admissions that are not medically necessary. Understanding policy terms, disclosing accurate information, and seeking appropriate treatment can significantly improve the chances of successful claim settlement and help policyholders avoid unpleasant surprises during medical emergencies.