Critical Illness Claim Disputed? Get Specialist Support.

CI policies pay a lump sum on diagnosis — but insurers often dispute claims on grounds of definition non-fulfilment, survival period, or pre-existing disease linkage.

Critical Illness insurance is designed to pay a lump sum when you are diagnosed with a listed condition. However, insurers frequently dispute CI claims arguing the diagnosis does not meet the policy's specific definition of severity, the survival period was not completed, or the condition is linked to a pre-existing disease. We review the medical documentation against the exact policy definition and prepare a strong response.

How We Help You

Cancer — histopathology report vs. policy definition review
Heart attack — ECG, troponin, angiography evidence review
Stroke — MRI/CT findings vs. permanent neurological deficit definition
Kidney failure — creatinine levels and dialysis dependency review
CABG and open heart surgery eligibility review
Organ transplant documentation and eligibility
Survival period compliance verification (30-day clause)
Waiting period and pre-existing disease linkage disputes
Representation letter and medical expert correspondence

Every case is reviewed individually. We identify the specific reason for rejection and prepare the strongest possible response on your behalf.

📋 Documents Required

Insurance Policy Copy
Rejection / Query Letter
Histopathology / Biopsy Report (Cancer)
ECG, Troponin, Angiography (Heart Attack)
MRI / CT Report (Stroke)
Creatinine / Dialysis Records (Kidney)
Discharge Summary
Treating Doctor Certificate
All Investigation Reports

Need Immediate Help With Your Claim?

Share your rejection letter on WhatsApp — expert review within 24 hours. Pan India service.

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