Medical Insurance Claim from Raksha TPA
Details of deductions not given

Dear Sir,

Before I make an official complaint I need to know my rights with regard to a mediclaim made by me.

Details of this claim are available on the following website:

www.rakshatpa.com

Click on Claim status and on the form that appears fill in

ID Card Number: BN1195327

The claim No is : 12656220708

This claim is made with regard to my son who was recently admitted to Lilavati hospital. The claim amount as per the bills is

Rs: 4, 14, 860/-

However the insurance company has decided to pay me just Rs:2, 20, 000 and on the website they have mentioned that this

Amount payable restricted to SI CB: RS 220000/-

I do not follow what this means and want to ask them to give me details as to why they made these deductions.

Before I take this matter up, legally if necessary, I need to know from you if I am entitled to be given such information by Raksha TPA as to how they have arrived at this low figure in the amount reimbursed.

The company giving me the insurance is:

New India Assurance, Fort, Mumbai

They have mailed me the cheque but with a letter stating that if I encash the cheque then this will be considered as the full and final settlement with no additional liabilities on their part.

Therefore I am NOT encashing the cheque until I find out what are my rights in this matter.

Could you please let me know.

Thanking you

Colin Rebello

Mobile: 9820023193

Phone: 022-66960493

Bandra, Mumbai.

Company: Medical Insurance Claim from Raksha TPA
Country: India

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