[Resolved]  Max Hospital — Extra Charges taken from me against the bill amount of Rs. 36332/-

Address:

New Delhi, Delhi

Dear Sir/Madam, I am writing in reply to the cashless facility authorised to me for Rs. 35383/- against the bill amount of Rs. 36333/- against Medi Assist ID No. [protected]. I Rekha Jain, got admitted in the hospital on 21/04/2014 and got discharge on 23/04/2014. I already informed the TPA counter about my mediclaim insurance with your company and also got the Cashless facility but the amount paid by the insurance company is less by Rs. 4771/- and the insurance company gave only Rs. 31562/- against my claim of Rs. 36333/-. The letter sent by your company to the hospital for authorizing the amount contains that certain charges are not payable which are as follows (as informed by hospital staff) :- 1. Dietetics and Nutrition 1 No. Rs. 300/- 2. Tus Q DX Liquid Expectorant 100 ml 1 No. Rs. 58/- 3. IV Cannula Safety 20G*32mm 2 No. Rs. 390/- 4. IV Cannula Safety 18G*45mm 1 No. Rs. 195/- 5. Identification Bracelets 1 No. Rs. 25/- 6. Intrafix Safe Set 2 No. Rs. 2160.02 7. Syringe Rs. 393.57 8. Nebulisation Kit Rs. 600/- 9. Medical Instrument Sterilization Charges Rs. 300/- 10. Sharp Containers Rs. 50/- 11. Medical Record Charges Rs. 300/- The hospital staff states that these charges are not related to treatment of patient and hence not payable by the insurance company. I would like to ask the insurance company that why a person gets admitted in the hospital? A person get admitted in the hospital for treatment only and he pay only for the treatment then why these charges are not related to the treatment of the patient.? I would like to recieve the answer for the above question of mine on the company's letterhead that why these charges are not payable to me. Also, i would like to draw the attention of the manager of National Insurance Company Ltd. that the staff at the company is not working as per the company's will and only serving their own personal interest. I am very depressed by the company's policy and it is against the market ethics which will harm the company in long run. I am a lawyer by profession and will sue the company in court of law if not got the satisfactory answer of my query else, refund my money as soon as possible. I ma attaching a copy of hospital's Bill for your ready reference. Kindly solve the issue as soon as possible else i have to take the help of court to get my money back. Thanking You Yours Faithfully Rekha Jain