Apollo Munich — Claim settlement

Address:

Bangalore, Karnataka

Sir, I the undersigned a undisputed policy holder with high credentials and social responsiability of your Esteemed Company “THE APOLLO MUNICH” under Medi claim policy since 4 years with sum assured of Rs.4.00 Lacs covering myself, My wife and My two children .The related premiums have been paid promptly without any delay and with NIL Claims as on to date. On Saturday 13 September 2014 about 5.30 P M my wife Dr Saritha Mahesh B G developed high fever with temperature of 102*F, chills, severe body ache, Head Ache and Joints pain with Vomiting and she was not in status of getting up by herself .As doctor by profession she took tablets for fever and body ache . On Sunday 14 September 2014, about 10.30 AM in the morning same continued to persist, we immediately rushed to our family physician, who advised us to take her to the nearby hospital because the symptoms were similar to Dengue . Upon the advice of our family physician we rushed to M/s VIKRAM HOSPITAL cunnigham road Bangalore around 11.15 AM, The duty doctors of M/s VIKRAM HOSPITAL outpatient department conducted the preliminary investigations and verifying the vital Parameters and patient status advised us to admit her. By 1.30 pm she was admitted with initial security deposit of Rs.5000.00 and the necessary insurance documents were provided under ID 143832/1 .We were informed by evening from the respective officials of M/s VIKRAM HOSPITAL that our insurance claim is under process and they also informed the necessary queries raised by Esteemed organization have been attended immediately. We were shocked to hear that our claim has been rejected under cashless scheme . The so called esteemed “THE APOLLO MUNICH’ officials were least bothered to resolve the issue and they were interested in out rightly rejecting the claim under cashless scheme. The officials were not interested in looking the credentials of the policy holder under what circumstances the claim has been raised there by putting the prompt policy holder under hardcore ship of difficulties . The so called esteemed “THE APOLLO MUNICH’ has the provision to depute its official/Agents for collecting the premium from the doorstep up of residence of policy holder but they do not have any provision nor interest in verifying the status under what circumstances the patient was made to admit, if the documents provided by the concerned officials of the Hospital were not satisfactory . Under these circumstances I wish to bring to your kind notice that iam not interested in claiming the claimed amount under reimbursement facility and wish to donate the entire amount to charity which might be utilized as per the companies requirement I once again like to thank TEAM “THE APOLLO MUNICH’ for supporting me under difficult times Aggrieved policy holder