Ttk Health Care Tpa Pvt. Ltd. — NON-PAYMENT & ACCEPTANCE OF CLAIM

Address:

Kollam, Kerala

MY NAME IS UNNIKRISHNAN NAIR, POSSESSING "SBT-NRI HEALTH CARE" INSURANCE THROUGH UNITED INDIA INSURANCE COMPANY. THEY HAVE APPOINTED "TTK HEALTH CARE TPA PVT. LTD." AS THEIR THIRD PARTY AGENCY TO ASSESS AND SETTLE THE CLAIMS.

MYSELF AND MY FAMILY IS PROVIDED WITH THEIR CARD NOS.: KOC-UI-S[protected] A TO D BY "TTK HEALTHCARE".

THE POLICY WAS ISSUED AND VALID FROM OCTOBER - 2009 AND SUBSEQUENTLY MY WIFE GOT ADMITTED IN THE HOSPITAL FOR "THYROID" COMPLAINT. THE DOCTOR ADVISED HER TO UNDERGO AN OPERATIVE TREATMENT AND OPERATION WERE CARRIED OUT ON MARCH - 2009.

UPON SUBMITTING OUR CLAIM, TTK HEALTH CARE HAS REJECTED OUR CLAIM STATING THAT "PRE-EXISTING" DISEASE. BUT IN THE ISSUED POLICY THIS DISEASE IS NOT SHOWN IN THE "EXCLUDED" CLAUSE AND BESIDES, THERE IS NO EVIDENCE WITH THEM THAT IT EXISTED WHILE APPLYING FOR THE POLICY.

I HAVE SENT MANY LETTERS AND TELEPHONE CALLS BUT WERE NOT ATTNEDED OR NOT REPLIED SO FAR. NOW A DAYS NOBODY IS ANSWERING OUR CALL AS WELL.

THEREAFTER, WE HAVE APPROACHED "UNITED INDIA INSURANCE COMPANY" THE POLICY ISSUER AND ITS GRIEVANCE CELL BUT WITH OUT ANY RESPONSE.

I REQUEST YOU TO PLEASE HELP US OR ADVISE US HOW TO GET OUR CLAIM FOR AN AMOUNT OF RS.23,429/-.

BESIDES, IS IT POSSIVE TO APPROACH "INSURANCE OMBUDSMAN" FOR GETTING THIS CLAIM.

AWAITING FOR YOUR VALUABLE RESPONSE.

REGARDS,

UNNI.K.NAIR
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