I applied for HDFC ERGO Optima Secure Health Insurance and was denied.

Community Forums Legal Advice India I applied for HDFC ERGO Optima Secure Health Insurance and was denied.

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    • #36170 Reply
      User_7c4e0ed2
      Participant
        U
        User_7c4e0ed2
        PARTICIPANT
        March 13, 2025 at 2:14 pm
        The denial was based on my present diagnosis of OCD that I mentioned so that there wouldn’t be any future claim rejection. OCD is a mental disorder. Is it legal for them to deny providing me insurance?

      • #36172 Reply
        Surbhiguru978
        Participant
          S
          Surbhiguru978
          PARTICIPANT
          March 13, 2025 at 2:37 pm
          Failing to disclose any pre existing illness at the time of purchase of policy and later they found out then they can deny you insurance. But If you had no knowledge of illness at that time later got diagnosed then they can’t reject it.

          • #36174 Reply
            User_7c4e0ed2
            Participant
              U
              User_7c4e0ed2
              OP
              March 13, 2025 at 3:03 pm
              That is exactly why I disclosed that I have OCD. But then they denied my application altogether.

              • #36176 Reply
                Surbhiguru978
                Participant
                  S
                  Surbhiguru978
                  PARTICIPANT
                  March 13, 2025 at 5:12 pm
                  When did you disclose it?

                  • #36178 Reply
                    User_7c4e0ed2
                    Participant
                      U
                      User_7c4e0ed2
                      OP
                      March 13, 2025 at 5:38 pm
                      While filling the proposal form itself.

              • #36171 Reply
                Kajalbear311
                Participant
                  K
                  Kajalbear311
                  PARTICIPANT
                  March 13, 2025 at 4:39 pm
                  Were you getting treatment or medication for this? Didn’t they add any loading charge and accept? And who is your broker?

                  • #36173 Reply
                    User_7c4e0ed2
                    Participant
                      U
                      User_7c4e0ed2
                      OP
                      March 13, 2025 at 5:10 pm
                      Broker was policy bazar. I’m on minimal medication. They gave me an alternate policy aarogyasanjeevani which is essentially crap.

                      • #36175 Reply
                        Kajalbear311
                        Participant
                          K
                          Kajalbear311
                          PARTICIPANT
                          March 13, 2025 at 5:13 pm
                          Don’t go with that, also with policybazaar. Book a call with ditto or beshak. At least you will have someone to guide.

                          • #36177 Reply
                            User_7c4e0ed2
                            Participant
                              U
                              User_7c4e0ed2
                              OP
                              March 13, 2025 at 5:55 pm
                              I already have an insurance with care which I was hoping to port to HDFC. Do you think I should stay with care?

                              • #36179 Reply
                                Kajalbear311
                                Participant
                                  K
                                  Kajalbear311
                                  PARTICIPANT
                                  March 13, 2025 at 6:06 pm
                                  I have taken Care health for my parents and have good and bad experiences. I have 50k worth of claim rejected last year, 3L worth of claim approved this year.

                                  Since your HDFC policy is rejected, consult with some other broker and get an idea if you can get a better policy than Care, or at least migrate to other Care plan (choosing the right broker is also important in my opinion).

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