[Resolved]  Icici Lombard — Denial of medical claim

Address:Mumbai City, Maharashtra
Website:icici Lombard

Policy no[protected]i / hp/ 91614641/02/000 dated 8th july16
Original policy no 4034i/hir / w - 3048211/00/000 dated july 2011without break
Denial of claim ref no –[protected]. •
I am holding this policy with icici lombard since 2011 and have never claimed any amount against it for last 5 years.
• my original policy was not having any standard exclusions for any disease life threatening or critical care except a waiting period for any existing disease, for which a waiting period of 2 years was indicated.
• i have gone thru the policy document which was forwarded to me on renewal in july 2016 along with policy wordings and the key information sheet. The same also does not state any such exclusions (Clause 3.3). Moreover the option add on covers also does not indicate that there is need to take any specific insurance for any excluded disease.

Icici lombard is denying my claim stating that my disease multiple myloemo is an exclusion in the policy.
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Dec 22, 2016
Complaint marked as Resolved 
ICICI Lombard customer support has been notified about the posted complaint.
Verified Support
Nov 18, 2016
ICICI Lombard Customer Care's response
Dear Sir,

Sorry for the inconvenience caused. We have made a note of the details and will get back to you with an update.

Regards,
ICICI Lombard General Insurance
Verified Support
Nov 21, 2016
ICICI Lombard Customer Care's response
Dear Sir,

Thank you for contacting ICICI Lombard General Insurance Company Ltd.

We are in receipt of your concerns and we shall respond to you shortly.

In accordance to our continual focus and commitment to customer service, we trust we will address your concern(s) in a fair and equitable manner.

We assure you best of our services.
Complaint comments 

Comments

Dear sir/ mam
I am employed at L&T and my Emp. ID is 20088060

Please tell help and support me for complet my claim because, I want to refer my mother from gujrat state to Rajasthan for best treatment. Please help me

Prakash kumar
[protected]

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