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Key health insurance clauses that affect claim payouts in India
short by / on Saturday, 13 December, 2025
Health insurance policies in India may include copay clauses requiring the insured to pay a fixed percentage of each bill before coverage applies. Policies also prescribe disease-specific waiting periods, commonly 1-3 years for conditions like diabetes, after which related claims become admissible. Room rent capping sets a maximum payable amount per day, & choosing a higher room leads to payment.
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