MD India Healthcare Services (TPA) Pvt. Ltd., Ahmedabad
Partly reiumbursement out of my actual paid bill

Business & Finance

Dear Sir,

AS I am holding Mediclaim Policy since 6 years. My Policy No. is 212100/34/09/11/00000639, Insurance Company is New India Assurance Co. Ltd. CCN: MDI0729027, MDI No. MDI5-0005795104. As i had been hospitalised in in Apollo Hospitals International Ltd. Bhat, Gandhinagar-Gujarat on 3/06 and discharged on 5-06 for sever OESOPHAGITIS WITH LOWER ESOPHAGEAL MUCOSOL TEAR, STENOSIS OF GASSTROESOPHAGEAL JUNCTION, LARGE, (SUM INSURED 100000) AND 10000 BONUS.

The original bill was of Rs. 23660/- which i had actualy paid to the hospital at the time of discharged.

grievance : (!) TP MDIndia H.S.Pvt. Ltd., had rejected my bill as i had not submitted my original bill due to misplacement it by Hospital staff.

(2) I had written them a letter explaining all about misplaced original bill and had submitted the duplicate bill which was issued by the hospital authorities.

(3) I had given many undertakings but after 4 to 5 months period I had been asked for an Affidevit for the same. I have immediately submitted an affidevit to MD India. after that they had taken 2 more months to get my bill partially passed.

(4) As I have lodged my claim for Rs.23660/- which was paid for the treatment. Out of the said amount they have passed my bill and have issued me a cheque of Rs.12252/- only. (Out of Rs.23660/-).

Sir, I being a govt. official I had paid Rs.23660/- and the company after such a long period they have not admitted my genuine bill amount. As they have pointed out some points which are not at all accepted for any one. As I had stayed in the superior room as there was very dirty kind of low rate rooms. I was compelled to move to another higher kind of room. for that I am ready to pay the difference charges out of my pocket. butr on the same ground they have not passed my genuinely paid charges though i am eligible to get the same.

sir, in short, right from beginning they have harraced me like any thing and ultimately they have partially settled my genuine claim. and also i have to point it out that from beginning they were trying to cancel my claim by hook or croock. It is very very disappointing for such a genuine kind of person who sincerely paying his premium regularly.

In the said context, I wish that you will look into the matter and hope that you make it possible to get my remaining amount cheque at earliest.

Thanking you.

yours faithfully,

KIRAN G VYAS

Secto No.6-C, Plot No.1065/2, Gandhinagar-382006

(M) 098259-04547

(R) 079-23226068


Company: MD India Healthcare Services (TPA) Pvt. Ltd., Ahmedabad
Country: India
State: Gujarat
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