MD India
Health insurance claim rejection and then dilly-dally

My parents are medi-claim card holders and their policy is administered by MD India. Both my

parents are covered in that policy with an annual limit of 2 lakhs each, for hospitalization. My mother, Geeta Banerjee (Min #:2500548)

had a cataract surgery on 26th of May. We submitted the claims on 29th May with all documents. We had also

made a prior intimation to their Bangalore office 2 days before the surgery and they had assured that my

claims would be quickly processed after the surgery.

The policy manual clearly states that in case of cataract surgery with no overnight hospitalization, the claim will

still be considered as a hospitalization claim.

In any case, at first MD India summarily rejected the claim.

Thereafter we sent them scanned copies of the manual and told them to honour the claim. But in spite of

our attempts to make them see reason, they have till now maintained that this is an OPD claim. Approximately 3 weeks

have passed since we have started to talk with them but with no results.

I am absolutely sure that this claim is completely valid and justified according to my parents' policy guidelines.

I would request them to honour my mother's claim and if they donot, then give sufficent reason for that.

Company: MD India
Country: India

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