# Avoid these 5 common health insurance traps for full cover

2026-08-16T07:58:49+00:00 | Business & Economy | Indian Opinion Desk

Corroboration: 1 independent outlet

Health insurance policyholders risk losing out on claims due to hidden exclusions, room-rent caps, and sub-limits, Livemint reports. Even a cashless policy does not mean every expense is covered, items such as gloves, consumables, and PPE kits are often excluded unless a rider is added. Insurers may also invoke a 'reasonable and customary' clause to cap what they pay. A room-rent limit can multiply the shortfall: exceeding the daily cap means the insurer proportionately reduces all associated costs, not just the room bill. Sub-limits on modern treatments such as robotic surgery can slash a large claim to just a few lakh. Hiding pre-existing conditions like blood pressure risks claim rejection, as insurance is a contract of good faith. Livemint advises policyholders to check exclusions and R&C terms before buying, opt for plans without room-rent capping, and disclose full medical history. Buying solely for the lowest premium may leave a policyholder underinsured against rising treatment costs.

## Coverage

- livemint.com <https://www.livemint.com/money/personal-finance/5-health-insurance-traps-to-avoid-from-cashless-cover-and-room-rent-limits-to-hidden-exclusions-11786857930031.html>

This story was synthesised by AI from the source linked above.

Tags: health insurance, IRDAI, Livemint
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