[Resolved]  National Insurance Company Ltd — CLAIM MEDICLAIM POLICY

with reference to your mail dated:21/01/09 TTK CRM #108129 with reference to your email I undersigned hereby inform you that I had sent email on friday 19/12/2008 against your reply for your email dated 12/12/2008 for the card number.Hence no specific card no is given to us. National Insurance Compant Ltd started Floater Group Medical Policy to the members of our bank under G.M.P No:260800/46/07/[protected] which is common to all the members being a group policy.We provided documents enclosed in support of your claim:1.Original Discharge Card.2.Original Test Report prescribed by Doctor.3.Original Bills, Receipts and cash memo etc.4.Prescription for clinical report, medine etc.5.From Hospital and/or Surgeon/Consulting Doctors Prescription.6.Date of admission 31/07/2007 and Date opf discharge 10/08/2007, zerox statement sheet of Vyas Surgery Hospital Sion Mumbai .7.Zerox copy of Intake and output chart . I was hospitalised from dated 31/07/2007 till 10/07/2007 in doctor vyas surgery for the treatment of slip disc werein I had occured total expences of Rs.38000 which was previously understood by me that the same will be reimbursed to me after hospitalisation on submission of the relevant document as per company's process.I received a letter from Company that above hospital is having only 8 beds and that the hospital should have atleast 15 beds.We already paid premium Rs.3000 against medical allowance and the same amt is being provided by the bank on yearly basis for its members.But this fact was naver known to me and in case if any emergency occurs is it quite legitimate to find such hospital which will fulfill your norms or we shall have the right treatment as per the need of the hour and the same was done by me the case being critical. Company's address is as follows:National Insurance Company Limited, Tel.No:22093605/22050996, Fax.No:22096279 Issuing Office Address:National Insurance Company Limited, D.O.XVI, Commercial Union House, 9Wallace street fort .Regd office:3, Middleton street, POst Box No.9229, Kolkata 700071. Hence I request you to do the needful so that the sufferes like us will do believe in you and help us to have faith in you. Thanking you, Yours Faithfully, Vijay.Bhaskar.Deshpande.

--- On Wed, 21/1/09, care <[protected]@ttkhealthcareservices.com> wrote:

From: care <[protected]@ttkhealthcareservices.com>
Subject: RE:
To: [protected]@yahoo.com
Date: Wednesday, 21 January, 2009, 4:26 PM



Dear Sir,



We regret for the inconvenience caused to you. Please let us know your Policy number or the TTK ID card number together in each of your correspondence with us so that we can check with our records and revert.



Regards,
TTK Healthcare TPA Pvt Ltd.,





-----Original Message-----
From: SAM DESHPANDE [mailto:[protected]@yahoo.com]
Sent: Wednesday, December 31, 2008 4:49 PM
To: [protected]@ttkhealthcareservices.com; gupta
Subject:

Dear Sir
With refference to mail received from you I would like to say that being group medical insurance policy (Floatal Policy) was given to me from National Assurance company Ltd, card was not given to me being a group insurance
It learnt that previously some members recived the cards, after they stoped giving cards to all of the members hence I am not having cards as I could not recived the same. The company started group insurance after stopping the cards.
Please look into the matter and solve the promblem sympathetically,
Wishyou happy New Year & I hope it will be happy for us too.
Thanking you.

Vijay B Deshpande
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Aug 14, 2020
Complaint marked as Resolved 
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self
sir,
i want to know about the different mediclaim policies .
give me details to my email-id
thanks
sir,
i want to know about the different mediclaim policies .
give me details to my email-id i.e, [protected]@yahoo.co.in
thanks

National Insurance Company — mediclaim Reimbursement

i have subbmited all document for mediclaim Reimbursement to TPA since last 6 month but till date they are not responding i have check online on there company site also.
Adv: KR Rajendran 20th December 2017
Kanakam (Madambilly)
Cheranalloore P.O
Koovappady
Ernakulam District-PIN 683544
Manager
Medi Assist Insurance TPA Private Limited
4th Floor, Chicago Plaza, Rajaji Road
Off MG Road, Cochin 682015
[protected]

Sub: Cash less treatment a misnomer: Please spare the Insured from humiliations and harassment: CLAIM NOW SUBMITTED FOR REIMBURSEMENT- POLICY 571001/48/17/850000/2501-2

Sir
I was detected of CHOLELETHIASIS, on 25th of October 2017 and on 4th December 2017 was advised Laparoscopic Cholecystectomy by Dr Satheesh Iype of PVS Memorial Hospital Ltd at Kaloor, Ernakulam on and scheduled it for 13th December 2017. Same day I reported to the Insurance claim division of the Hospital and was advised to report on 12th December 2017 and they will take care of the rest. I did so on 12th and furnished my policy details.
The surgery did take place on 13th and I was advised for discharge on 14th December. The total bill of the Hospital came to be Rs.68373/- and I was told to wait up to 5-5.30 pm to get the authorization. But the wait pronged to 6 pm and after and a message from VK-M BUDDY came to my Mob [protected] that Rs10000/-is authorized for cashless. And the Hospital naturally wanted me to pay up the balance Rs 58373/-. I felt it prudent to pay up the whole bill and later take up the claim directly with you. The whole money was somehow arranged and I got out of the Hospital at about 7 pm as I was told that staying beyond 8 pm in the room will entail further rent.
The whole thing appears to have been designed that the Hospitals should get their money without wait from the Insurer. Those who believe the treatment is going to be cashless it is a shock. I understand that the mandate to agencies like you is to guard the interest of the Insurer, by curtailing/denying/dilly dallying with the patient’s claim. Yet I wish somebody look on such merciless acts more closely.
I am along with this submitting my claim duly signed with all reports and bills in original and await to hear from you. I must also be told whether there was any lapse on the part of the Hospital in handling my case, so that they are also called upon to testimony if warranted.

With very best regards

Yours truly

Adv KR Rajendran
(K/1084/G/1995) R 3259

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