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Health insurance: Decoding the mismatch between claims filed and settled

What is going on with health insurance claims? According to recent data from the Insurance Regulatory and Development Authority of India (IRDAI), the volume of claims filed rose 21.8% in the financial year 2025, but the total amount settled by insurers increased by only 12.88 %. This stark mismatch has spilled over social media – where stories of claims going unsettled, settled for lower amounts of being endlessly delayed, are rife.

Adding to this issue is the steep rise in health insurance premiums. Earlier this year, the IRDAI, had directed that premiums for senior citizens not be revised…

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