[Resolved]  Cigna TTK Health Insurance — regarding denial of reimbursement approval for hospitalization bill of approx rs 20000 against ticket no 3856727

Address:Paschim Medinipur, West Bengal, 721101

Policy no - prohlr[protected], manas kumar pal, sa 250000, dt of inception : 11/06/2016, appeal ticket no - 3856727 on 26.05.2018

Anybody do the health policy to get the support during health emergency. As of my case and issue is concern symptomatic diagnosis and treatment is due to the viral hepatitis type e (As per doctor consultation). Doctor's line of treatment and diagnosis is in my mail.

As per doctor, usg is a part of routine test like other blood test to confirm the abnormalities.in which cholecystitis is revealed. But, till then hcv, hav, hev (Igm) of blood report not come as no facilities was there (Network hospital in this area) to get the result. So report comes later which reveal the actual cause of my symptom.

Viral hepatitis type e treatment is very acute and doesn't relate to the cholecystitis and also its treatment only possible once viral infection come down. So doctor referred to surgeon for further course of action indeed.

But the company try to bypass or linger the matter with the issue of cholecystitis which is very unfortunate and injustice to the policy holder.

I do hope, i will get full support from your side to get justice.
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Jul 12, 2018
Complaint marked as Resolved 
Cigna TTK Health Insurance customer support has been notified about the posted complaint.
Verified Support
May 29, 2018
Cigna TTK Health Insurance Customer Care's response
Hi,
We regret the inconvenience caused, we have escalated your issue to the concerned department. Our team will get in touch with you soon.

Regards,
Team Cigna TTK
Verified Support
May 30, 2018
Cigna TTK Health Insurance Customer Care's response
Hi,
Our customer care team has taken note of your complaint. Your complaint is under process.

Regards,
Team Cigna TTK
May 30, 2018
Updated by manaskrpal
DEAR SIR,



As I have mentioned everything and uploaded all the details about the diagnosis and treatment in the FORM B part of Signa TTK network Hospital so there should not have any ambiguity in it.



As the case is that Gastritis followed by viral Hepatitis Type E is very acute problem and no way related to cholecystitis. It’s a finding from USG of WA treatment and treatment may proceed until and unless viral infection comes down. This should be easily understood by the medical term and no way of question of rejection.

But still they are lingering the matter.
so request you to kindly interfere into the matter to the justice at the earliest.
Thanks ..
with kind regards,
Manas Kr. Pal
ph [protected]
May 30, 2018
Updated by manaskrpal
It is more than 5 days over, but they didn't give the approval...
Verified Support
Jun 09, 2018
Cigna TTK Health Insurance Customer Care's response
Hi,
We believe that your concern has been addressed by our team. For any further query, you can reach out to us.

Regards,
Team Cigna TTK
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