[Resolved]  Vipul Medcorp — Not paying reimbursement against Hospitalization

Address:

Mathura, Uttar Pradesh

Vipul Medicorp is health insurer in my family for last 7 years. In total we were paying approximately 24K in the Two years back my father was hospitalized for which claim were made( approx Rs 20000). Post that in same year my father has to go hopitalization again in Dec(claim amount Rs 90000) but again the case is kept pending with unnecessary questions.Post even providing the answers the case is been pending.
In Januray 2012 we raised it in the grievance cell and still there is no response.


See the mail sent .

I would strongly recommend that nobody should take such policies and keep on paying premium thinking that they have insurance cover.


Regards
Tarun B Agrawal
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Sir/Madam,

This is to bring to your notice, that we are yet to receive any response of the grievance # C01B01GR4922, which was raised by Mr. Sanket on Jan 3, 2012.

Just to give a brief of the case, our claim 11RB05NAF0390 and 12RB05NAF0170, got rejected even after duly follow by our agent, Mr. Sanket.

We were in hope to receive our claim in due time as we had submitted all our documents at the time of intimation. Also, there was one instance when there was a requirement of additional document (alcoholic history), which were also provided in due time.

However, after long period, lot of confusion and assurances from our agent's end, we inquired with Vipul itself. Then we came to know that queries were raised on our claim, but we were not in receipt of any of the query, electronically or hard copy or of any form. And due to which the case has been closed.

To address this issue, we raised a grievance for your perusal six months back. However, there has been no reply for the same. Even we reminded Ms. Khushi of your team couple of times, but of no usage.

The case has long been pending and require your urgent intervention.

Looking forward for an early reply.

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[protected] Forwarded message[protected]
From: SANKET MEHRA <[protected]@gmail.com>
Date: Tue, Apr 10, 2012 at 12:09 PM
Subject: Fwd: Public Grievance Intimation Code : C01B01GR4922
To: khushi <[protected]@vipulmedcorp.com>




[protected] Forwarded message[protected]
From: SANKET MEHRA <[protected]@gmail.com>
Date: Wed, Mar 21, 2012 at 8:52 AM
Subject: Re: Public Grievance Intimation Code : C01B01GR4922
To: "Khushi Grievance Dept. HO" <[protected]@vipulmedcorp.com>


D/ALL

i have mailed all the required document asked by you on 8th of march 2012 to mr. santosh shukla and crcm id , please find

best regards
sanket mehra


On Fri, Jan 20, 2012 at 1:59 PM, Khushi Grievance Dept. HO <[protected]@vipulmedcorp.com> wrote:

Dear Sir,

We have received a online grievance regarding the rejected claim , Kindly arrange to send the xerox documents of the same.


Thanks & Regards,
Khushi
Grievance Dept.
Vipul MedCorp TPA Pvt. Ltd.

----- Original Message -----
From: Vipul MedCorp
To: [protected]@vipulmedcorp.com
Cc: [protected]@vipulmedcorp.com
Sent: Tuesday, January 03, 2012 8:51 AM
Subject: Public Grievance Intimation Code : C01B01GR4922

Dear Concern,

The Above Subject grievances has been intimated through web site with the following details:

Policy Number: 461406/48/08/[protected]
Name: sanket mehra
Phone Number:
Email ID : [protected]@gmail.com
Address : national insurance co. ltd. branch II delhi gate
State & City :agra( uttarpradesh )
Description :i would like to tell u that the file no. 11rb05naf0390 is being closed due to query reply is not recived , but i have send the query reply to ur t.p.a (1) i have provide u a ipd record of the hospital and alcholic history of the patent which was required for this file

Thank You,

Services-Systems Dept.
Vipul MedCorp TPA Pvt Ltd.

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