[Resolved]  National Insurance Company Ltd — Undue delay in claim settlement of Mediclaim Policy No-[protected]

Address:Khordha, Odisha

I had been making the Mediclaim Policy since 2005 without any claim.I had been making the Mediclaim Policy every year without fail so that I will get the claim when I will make one.INow when I applied for a claim for my Medical checkup, the following comment was given by your Divisional Office-163200. "Last policy period was from 31.03.2013 to 30.03.2014.Re imbursement of expenses will be paid only after 30.03.2014. But the medical check up was done from 01.12.2013 to 04.02.2014 which is before the expiry of policy period. Re imbursement of medical expenses is permissible only after expiry of four claim free plicy period. so this claim is not entertainable.Last policy period was from 31.03.2013 to 30.03.2014.Re imbursement of expenses will be paid only after 30.03.2014. But the medical check up was done from 01.12.2013 to 04.02.2014 which is before the expiry of policy period. Re imbursement of medical expenses is permissible only after expiry of four claim free policy period. so this claim is not entertainable." Prior to Bhubaneswar, I was at Meerut, UP and used to make the policy there.The last Policy made at Meerut, UP was in 2009 vide Policy No-460707/ 48/ 08/ [protected] with expiry date on[protected]. There after I am making the Policy at your Bhubaneswar, Divisional Office-163200. The Mediclaim Policy vide clause No-8, Cost of Health Check-up says that cost of Medical Checkup is reimbursed at the end of block of four claim free years with NICL irrespective of place where policy is made. Request for the National Insurance Company to review and settle my claim asap. Thanks and regards, Prabhash nanda Mediclaim Policy No is-[protected].
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Aug 14, 2020
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