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1+ hour, 40+ min ago (396+ words) Juhu Resident's Claim Rejected Despite Worldwide Coverage Plan\ The case was filed by a Juhu resident, Alok Rajendra Bector, who had purchased the "Heartbeat " Family First Platinum Policy" with worldwide coverage. The policyholder was undergoing treatment for colorectal cancer at a medical facility in the United States. Despite informing the insurer before travelling abroad and generally fulfilling policy conditions, the claim for the critical overseas treatment was unilaterally repudiated by the company. Insurer's Earlier Illegal Cancellation at the Centre of Dispute The core of the dispute centred on the insurer's attempt to leverage its own previous illegal actions. The Commission noted that Niva Bupa had initially cancelled an earlier policy on the grounds of an alleged non-disclosure of asthma. Crucially, both the Commission and an earlier Ombudsman award in 2020 had established that asthma was an illness completely unrelated to the…...

3+ hour, 42+ min ago (348+ words) Life Certificate: The deadline for pensioners to submit their life certificate is November 30, 2025, meaning only one day remains. Failure to submit on time could result in a suspension of pension payments, so complete the process immediately using either the digital or offline option. November 29, 2025, is a crucial time for millions of pensioners across the country. The deadline for submitting a Life Certificate (Jeevan Pramaan Patra) is November 30, 2025, meaning only one day is left. If this document is not submitted on time, pension payments may be halted. Why is a Life Certificate necessary? Every year, pensioners must provide this certificate to ensure they are alive and that pension benefits are reaching the right person. Previously, this process required a visit to a bank or post office, but now digital options are also available. " Online option: Pensioners can generate an Aadhaar-based digital…...

4+ hour, 46+ min ago (885+ words) Seniors have embraced Medicare Advantage plans for their free or deeply discounted perks such as eyeglasses, dental coverage, gym memberships, and reimbursements for " not joking " golf clubs and pickleball paddles. While those plan perks are a pleasure to imagine using, many people never touch them. "Medicare Advantage enrollees often don't know which supplemental benefits are offered by their plans or how to use them," Gretchen Jacobson, vice president for Medicare at the Commonwealth Fund, a nonprofit research foundation, told Yahoo Finance. "Most Medicare Advantage enrollees say that they would like to receive notifications about unused benefits," she added. Eight in 10 consider these benefits to be an important part of their plans, according to a new study from the Commonwealth Fund. Yet, 3 out of 10 beneficiaries reported not using any supplemental benefits in the previous year. Less than half took advantage of…...

7+ hour, 10+ min ago (259+ words) My Shark Tank companies hate selling on Amazon but most don't have a choice. about 162 Americans shop there, and if you want to reach them, you have to play by Amazon's rules. Amazon knows this and... 10/22/25 Testimony: Modernizing Health Posted By: J. Arthur Brown, 11/29/2025 9:33:27 AM My Shark Tank companies hate selling on Amazon but most don't have a choice. about 162 Americans shop there, and if you want to reach them, you have to play by Amazon's rules. Amazon knows this and takes full advantage . . . Insurance companies work the same way. More than 300 million Americans have some kind of coverage -- commercial, Medicare, or Medicaid. Every one of those plans hires a Pharmacy Benefit Manager, or PBM, to run drug benefits. Three giant PBM's -- all owned by the biggest insurance companies -- control pharmacy benefits for 270 million Americans. 10/22/25 Testimony: Modernizing Health Posted By: J. Arthur…...

7+ hour, 19+ min ago (920+ words) Visitor insurance offers peace of mind to families hosting loved ones from abroad especially parents, elders, and first-time travelers visiting the United States. But like any insurance product, claims may sometimes get denied due to documentation issues, policy exclusions, or misunderstandings about coverage. If your visitor insurance claim is denied, it can feel confusing and stressful. Understanding why it happened and what you can do next can make the process smoother and improve your chances of getting the claim approved on reconsideration. READ: Buying health insurance after arriving in the US: What Indian visitors should know (September 13, 2025) This article breaks down common reasons for claim denials, what steps to take afterward, and frequently asked questions so families can navigate the situation with confidence. Why do visitor insurance claims get denied? A denial does not always mean the case is closed....

8+ hour, 43+ min ago (1090+ words) Three of six Denver-area health systems had strong financial years in 2024, according to a new report " but that's a picture those hospitals say is skewed or false. Much of that difference comes from which numbers are examined. The 2025 Colorado Health Market Review primarily focuses on total profits, which increased compared to recent years for most health systems in the state, said Allan Baumgarten, a health care consultant and the report's author. He argues that excluding income such as investments, government grants and philanthropy understates hospitals' true resources. "2024 was a great year for investments," Baumgarten said. But the Colorado Hospital Association and most of its member health systems emphasize the margins hospitals earn on patient care and the services that support it, such as the cafeteria or paid parking. As of June, about 70% of hospitals in Colorado had an unsustainable operating…...

9+ hour, 40+ min ago (396+ words) Juhu Resident's Claim Rejected Despite Worldwide Coverage Plan\ The case was filed by a Juhu resident, Alok Rajendra Bector, who had purchased the "Heartbeat " Family First Platinum Policy" with worldwide coverage. The policyholder was undergoing treatment for colorectal cancer at a medical facility in the United States. Despite informing the insurer before travelling abroad and generally fulfilling policy conditions, the claim for the critical overseas treatment was unilaterally repudiated by the company. Insurer's Earlier Illegal Cancellation at the Centre of Dispute The core of the dispute centred on the insurer's attempt to leverage its own previous illegal actions. The Commission noted that Niva Bupa had initially cancelled an earlier policy on the grounds of an alleged non-disclosure of asthma. Crucially, both the Commission and an earlier Ombudsman award in 2020 had established that asthma was an illness completely unrelated to the…...

9+ hour, 43+ min ago (303+ words) " " If you're a South Dakota Medicare beneficiary enrolled in a Medica Advantage Value, Medica Advantage Select, or HealthPartners Cost plan... If you're a South Dakota Medicare beneficiary enrolled in a Medica Advantage Value, Medica Advantage Select, or HealthPartners Cost plan, the South Dakota Senior Health Information and Insurance Education (SHIINE) program is reminding you to act soon to maintain your Medicare coverage in 2026. The Medica Advantage Value, Medica Advantage Select, and HealthPartners Cost plans will no longer be available in South Dakota after 2025. If beneficiaries don't choose a new plan, their coverage will automatically switch to Original Medicare (Parts A and B only) starting January 1, 2026. This could leave beneficiaries without prescription drug coverage and may result in a late enrollment penalty. Medicare beneficiaries enrolled in the impacted Medica and HealthPartners plans can: Choose a new Medicare Advantage plan that is…...

15+ hour, 44+ min ago (254+ words) Government pensioners have two days left to submit their annual life certificate. This mandatory process ensures continued pension payouts. The digital Jeevan Pramaan system uses Aadhaar for biometric authentication. Pensioners can submit this online using face authentication. Successful submission by the November 30, 2025 deadline prevents pension delays. This verification is crucial for all government pensioners. With just two days left for the November 30, 2025 deadline, government pensioners are running against time to submit their annual life certificate ( Jeevan Pramaan Patra) Once they submit their life certificate and their pension disbursing authority (PDA) accepts it, pensioners will continue getting their pension payouts Every year, all government pensioners must complete this simple but mandatory verification process to prove that they are alive and eligible to receive their pension Those who miss the deadline risk delays or temporary stoppage of their pension, which can cause…...

15+ hour, 55+ min ago (1153+ words) Humphreys, 68, feels betrayed by the Federal Employees Health Benefits Program. "As federal employees, we sacrificed good salaries in the private sector because we thought the benefits from government would be better now, in retirement," he said. As the nation's largest employer-sponsored health insurance program, the FEHB Program covers more than 8.2 million federal government employees and retirees, and it was once celebrated as a national model for controlling costs while giving enrollees many health plan options. But next year, average enrollee premium payments in the system are set to jump more than 12%, on top of a 13.5% hike in 2025. The two-year increase is higher than what many private employers and their workers are experiencing. The FEHB rate hikes are similar to those for plans sold on the Affordable Care Act exchanges " excluding the government subsidies most enrollees get, a major point of…...