[Resolved]  Unit Trust Of India - Scup 93 Scheme — CASHLESS TREATMENT REJECTED BY NAIC

Address:

Andhra Pradesh

here with submit the particulars of Mr.Vanka Apparao UNIT TRUST
OF IDIA INSURANCE SCHEME SENIOR CITIZEN UNIT PLAN -1993 (SCUP1993) as
called for by you through your Email d/6-9-2010

*Name of Complainant :
Mr./Ms. Vanka Appa Rao

Communication Details ;-VANKA
APPARAO,D4-VAMSIAPARTMENTS,JAGANNADHAPURAM,AKKAYYAPALEM.P.O
VISAKHAPATNAM-530016, ANDHRAPRADESH


Door No./ Bldg/Name/ Floor ;[protected]/18 VAMSIAPARTMENTS


Street / Area ;-JAGANNADHAPURAM ,AKKAYYAPALEM P.O.


*City/Town/Panchayath/Village VISAKHAPATNAM


Taluk/Tehzil ;-VISAKHAPATNAM TALUK


District VISAKHAPATNAM DISTRICT


*State ANDHRAPRADESH


*Pin Code ;-53OO16


* E- Mail ;- apparao.[protected]@gmail.com


Telephone No [protected]


*Mobile No :- [protected]


Fax No NIL


*Insurance Type (Please mentioned Insurance Type) NON LIFE UTI scup
SCHEME 1993 COVERING HEALTH INSURANCE FOR MEMBERS OF THIS SCHEME
LINKED WITH NEW INDIA ASSURANCE CO. LTD.FOR PAYMENT OF HOSPITAL
CHARGES AS PER THE TERMS O[censored]TI

*Life
* Non Life


*Insurance Company Name :-NEW INDIA ASURANCE CO.LTD . THE UNIT TRUST
OF INDIA HANDED OVER THE SCUP SCHEME OF ME VANKA APPARAO WITH
MEMBERSHIP NO.SC[protected] TO NIAC AFTER PAYMENT OF ALL PREMIUMS BY
UTI ON BEHALF OF ME


Policy No: UTI MEMBERSHIP NO SC[protected] of SCUP scheme o[censored]TI


Cover Note: # DETAILED GRIEVENCE ARE FURNISHED BELOW


Other Reference No: MY E MAIL apparao.[protected]@gmail .com dated


Details of the Complaint (Please type the full details of the complaint)


*Have you Approached Insurance Company Regarding This Grievance (If
Yes YES I MET THE BRANCH MANAGER UTI VISAKHAPATNAM ALONG WITH MY
COCERNED UTI AGENT . BUT I COULD NOT SUCCEED IN GETTING REDRESSED THAN
IHAD TO GET THE TREAT MENT ALTERNATELY BY SOME OTHER HOSPITAL AS THE
SEVEN HIIIS HOSPITAL BLATANTLY REFUSED SAYIG THAT THE NIAC IS NOT
HONOURING THE BILLS OF THIS SCME O[censored]TI AND AS SUCH THEY CANNOT ADMIT
MEMBERS OF THIS SCHEME UTI SCUP1993.THIS IS ACLEAR CASE OFDENYING THE
GOVT SCHEME UNDER TAKEN LEAVING THE FATE OF MEMBER OF THE SCHEME UTUI
SCUP SCHEME
Provide Ref No )
# Iam Vanka Apparao a senior citizen aged 72 years now lured by the
advertisement by Unit Trust of India in 1993,joined the Senior Citizen
Unit Plan. My membership No.is SC[protected].It is promised that
health insurance is covered on attaining the age of 58 years Accordingly
I paid RS35000 on 9-6-1993.The UTI informed about and allotted
membership No.SC[protected].The UTI also paid premium to NIAC on my
behalf as detailed follows 1)From 9-6-1993to[protected] Rs5625
[protected]to[protected] Rs[protected]to[protected] Rs5625
[protected]to[protected] Rs5625.Second instalment was paid by UTI is
Rs4477-50 for the period up to[protected].next an amount of Rs4701-38
was paid for the period up to[protected].Thus a total amount of
Rs31,678-88 was paid to NIAC on behalf of me(V.APPARAO). Against which
UTI is bound to assure an amount of Rs7,50,000 cashless treatment to
me and to my wife as per the terms of the SCUP Scheme 1993.but
unfortunately the SCUP Scheme was closed saying that the liability
was handed over to NIAC .taking a stand that for members who more than
58 years and whose insurance premium had been paid there will be no
change and NJAC will still offer the hospitalisation cover duly
including the cashless facility. NOW IN MY CASE ALSO THE ENTIRE PREMIUM
HAD BEEN PAID AS DETAILED ABOVE. There fore eligible for the cashless
facility. But during 6/2009 the listed hospitals disowned saying that
NIAC IS NOT HONOURING THEIR CLAIMS. In this particular helpless
situation Iam driven to untold miserable position and had to absorb
their(UTI&NIAC) failures. though both are Govt. organisations. Is this
not voilation of HUMAN RIGHTS.AND DISRESPECTNG OF SENIOR CITIZENS
.Therefore kindly do the needful to restore the gross injustice. Please
direct thNIAC to issue the fresh policies for cashless hospitalisation
and extend all facilities contemplated in the UTI=SCUP Scheme mutatis
mutando and do the denied jusice at least now.without further loss of
time and breaking LAW by the Govt.organisations.


1) HENCE I REQUEST TO KINDLY DIRECT THE NEW
INDIA ASSURANCE CO.LTD.TO ISSUE SUITABLE ASSURANCE TO THE VICTIMS
OFTHIS SCHEME SCUP O[censored]TI AS NIAC HAS TAKEN OVER THIS SCHEME IN TERMS
OF TH SAME CONDITIONS HAD IT BEEN COTINUED IN UTI. THIS MAY BE IN THE
SHAPE OF BOND OR A LETTER BY PROPER AUTHORITY

2)NIAC MAY BE DIRECTED TO HONOUR THE BILLS PRESENTED BY THE APPROVED
HOSPITALS AND AVOID INCONVENIENCE AND POSSIBLE DAMAGE WHATSOEVER TO
THE MEMBERS OF THE UTI SENIOR CITIZENS UNIT PLAN IN AS MUCH AS THE
WHOLE PREMIUMS WERE PAID IN TIME ON BEHALF OF THE MEMBERS THIS SCUP
SCHEME O[censored]TI. IT IS ONCE AGAIN BROUGHT TO THE KIND NOTICE OF THE IRDA
AUTHORITIES THAT HAVING RECEIVED THE PAYMENTS BY THE NIAC ASSURANCE
CO. WHERE IS THE JUSTICE TO DENY THE CLAIMS OF THE MEMBERS RIGHTLY
PAID THEIR PREMIUMS. THIS IS NOTHING SHORT OF KNOCKING AWAY THE HARD
EARNED MONIES OF THE MEMBERS DISHONESTLY WITH VESTED INTERST AND
SHOWING THEIR MASKED ATTITUDE TO WHISK AWAY THE FUNDS . HOW EVER IT IS
REQUESTED TO KINDLY DO THE JUSTICE TO THE POOR AND DISABLED SECTION OF
THE SOCIETY THE SO CALLED SENIOR CITIZENS A COLOURFUL NAME FOR THE
NAME'S SAKE.AWATING EARLY REDRESSAL WITH FOLDED HANDS. APPARAO VANKA
.MEMBERSHIP NO SC[protected] VISAKHAPATNAM