LIFE GUARD HEALTH MANAGEMNET SERVICES PVT LTD, BHOPAL/MEDICLAIM(CASHLESS)
NON-PAYMENT OF CLAIM

With reference to the above subject & reference, I wish to draw your attention that my family (self, wife & son) has been insured with reference to the above receipt for group mediclaim (since Nov onwards) of

Life Guard Health Insurance Services Pvt. Ltd.

Z-6, M.P.Nagar, Zone-I

Opp. Orintal Insurance (II)

BHOPAL (M.P.)

Phone No.0755-4252598/4235594/4094537

My wife (Mrs. Neerja Sinha) has to undergo an operation on 14/12 at Sir Ganga Ram Hospital, New Delhi. I have informed all concerned including Mr. Kumar (manager) regarding this of the. At that time I was informed that the hospital is not on panel & we may not be able to process the case for a cash less treatment. Mr. Kumar that the company will reimburses the expenses incurred during the treatment has informed me. I had submitted & handed over all the related documents personally to Mr. Kumar on 29/12 after taking his token of receipt.

I have been asked to get in touch with him in January to get the status. In January, I have been asked to wait till April as there are some previous cases are pending for approval which were prior to my case. I do not bothered & waited till April. But in the last week of April, I have asked to wait till 25/05/07 & assured that I will be getting the reimbursements as per the claim.

But I am unable to get reimbursement till date. Instead, I am being harassed in settling the claim.

I was assured by Mr. Anish Nigam, the owner/head of the company that I will be getting the claim. He has send a cheque of Rs.29141/- of ING Vyasa Bank of Bhopal branch which has been bounced back of the bank as indicating that there is an insufficient amount.

I have requested several times Mr. Anish Nigam to settle the claim but all times he & his company is having an excuse or reason not to send the amount of claim. In fact, Mr. Nigam is not responding to either my email/fax/sms/mobile calls (Mobile No.09893851718) or his office is responding in positive.

As a customer am feeling harassed in getting the claim which is 100% genuine & as per the terms & conditions of the mediclaim agreements.

I seek your help & guidance in getting my claim.

Please indicate the details required by you to resolve the issue.

Company: LIFE GUARD HEALTH MANAGEMNET SERVICES PVT LTD, BHOPAL/MEDICLAIM(CASHLESS)
Country: India

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