Mediclaim | India Consumer Forum

Tag: Mediclaim

Request for Reconsideration of health insurance Claim Rejection

I am writing to express my concern regarding the rejection of my health insurance claim. My policy has not yet completed two years, and I was informed that the claim has been rejected on this basis. However, at the time of purchasing the policy, the agent did not inform me about this two-year waiting period …

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Complaint regarding unjust claim rejection by Care Heal Insurance

I am filing this complaint against Care Health Insurance for wrongfully denying a valid cashless hospitalization claim for Ms. Gxxxxi Yxxxxv, under the excuse of a “pre-existing condition” — without providing any medical evidence or proof. I have submitted complete diagnostic reports dating back to 2014, which clearly show there was no such pre-existing condition …

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Complaint regarding claim not reimbursed by Raksha TPA

I am having a insurance policy of sbi general insurance and their tpa is Raksha TPA pvt ltd. My wife had a delivery on 19th of October 2021. According to terms I provided all relevant documents to raksha tpa by post . It’s been one and a half month till now I didn’t received my …

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Facing issues in medical claim reimbursement

I underwent black fungus treatment in RML Hospital New Delhi,  after discharge doctor advice to take four week medicine from home which is written on my discharge summary, I followed the doctor advice and continued my treatment accordingly after that I submitted my mediclaim form duly signed by the doctor along with all necessary paper …

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Complaint regarding mediclaim rejection by Universal Sompo

I had viral fever back in June. As I have visited the clinic and took medication for 3 days. But medicine couldn’t do any better and my condition got worse even more. As remedy doctor whom I was consulting they said to get admit and have some tests, injections, glucose etc. I have admitted by …

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Apollo hospital not providing break down of charges for mediclaim

I am working as a Nursing officer in a hospital. I have admitted my son at Apollo hospital on 31Oct 2020 & got discharged on 09 Nov 2020. I have cleared all the dues of hospital & got the bills. When these bills were submitted in my hospital for clearance, concernd person has not cleared …

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Regarding Raksha TPA not settling medical claim

Sir I am insured by the raksha tpa co ltd  I am ex employee  of punjab national bank  I am cronic patient of diabities and I take regularly  expenses  of domacil  treatment on monthly basis. Unfortunately I was effected from covid in the month of april 21 i was hospitalised  for 7 days i.e. 16 …

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