[Resolved] Icici Lombard — Rejection of Hospitalization Reimbursement Claim for the period 20.02.2021 to 19.02.2022

AKBage

Jun 23, 2022

Address:

ICICI Lombard Healthcare, ICICI Bank Tower Plot No. 12, Financial District, Nanakram Guda, Gachibowli, Hyderabad, TS- 500032

The complainant was hospitalized from 04.02.2022 to 07.02.2022 and diagnosed with Chronic Anemia, Gastric Erosions, Ulcer in Z line, Hiatus Hernia, H pylori, Hypothyroidism and Organic Mania along with the chief complaint of Persistent Low Haemoglobin.
According to the first policy renewal term, it was told that some standard diseases will cover in case of hospitalization ( communication mail image attached) and expenditure of hospitalization bill will reimburse at the time of case settlement. After discharging I made a reimbursement claim with all required documents it was rejected. After making all queries it was suggested that I have to submit the claim form again. Another rejection mail is sent to me with the same exclusion para that is not a satisfactory explanation for me as it was not mentioned at the time of renewal.
I am uploading the required documents and communication e-mail for supporting my case. This is for your kind perusal and necessary action.
Hence, the complainant urges justice.

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Jun 29, 2022

Complaint marked as Resolved

The problem is still there. The company sends the same exclusion message. It seems that the message is auto-generated mail. I am not happy with their approach. Kindly help me.

ICICI Lombard customer support has been notified about the posted complaint.

Verified Support

Jun 24, 2022

ICICI Lombard Customer Care's response Dear Sie/Ma'am,
We apologize for the inconvenience caused. Request you to share your policy and contact details. We will check this from our end and get back to you with an update.

Verified Support

Jun 24, 2022

ICICI Lombard Customer Care's response Dear Sir/Ma'am,
We apologize for the inconvenience caused. Request you to share your policy and contact details. We will check this from our end and get back to you with an update.

Jun 29, 2022

Updated by AKBage My policy no. is 4015i/IBOPD/[protected]/01/000 for the period 20 Feb 2021 to 19 Feb 2022.
Contact Details: Ashish Kumar Bage, Senior Geophysicist, GSI, M&CSD, Mangaluru, Pandeshwar, Mangaluru, Dakshin Kanndada, Karnataka- 575001. Mob no. [protected].

Jul 06, 2022

Updated by AKBage Regarding my hospitalization claim, the company people simply twisted the words and still have not resolved my complaint which I made earlier. According to my policy renewal, it is said that in case of hospitalization of any of the standard listed diseases (mail has attached with the claim) if diagnosed the claim will be given but now they twisting the words and saying that your diagnosis report is not found before hospitalization and they simply rejected my case again and again. It seems that the company policy is not in the favour of the insured person. Kindly help me in this regard.