Rs 5 lakh health insurance claim denied by insurer over waiting period for pancreatitis; here's why the policyholder's wife won

A health insurer cannot automatically reject claims using waiting-period clauses. The Mumbai Consumer Commission ruled that insurers must prove a condition was pre-existing, not just rely on policy terms. This landmark decision emphasizes fairness and consumer protection, reminding policyholders to understand their policy's nuances and challenge unjustified rejections.