Infosys
Non settlement of claim

Hi,

I have two policies one is the Standard HIP which Infosys offers and the other is the Retail policy.

My father was hospitalised for a cardiac attack on 24th of July for about a week. For this, I have submitted a claim for a sum of Rs 47000.

This treatment is not related to the CABG and he was hospitalised for observation.

I have submitted another claim for Rs 2, 21, 314 in the mid of August as my father was hospitalised again for CABG. This claim has been closed and the amount reimbursed.

I understand that the settlement for CABG is 1, 50, 000 and this has been settled. However my first claim is not for CABG or for any treatment related to that and I have received a mail saying that the limit has exhausted and the claim is denied.

I was informed by your Mediassist team here in Infosys that there has been a confusion and the claim has been re opened. But now, I have communication from your team again saying that the approved limit is met and the claim cannot be settled.

Thanks,

Pooja