The Oriental Insurance Company Limited — Ms. Thankamani Devi

Address:

Kottayam, Kerala

This is in regards to the denial of my mother's request of cashless hospitalization. My mother (Ms. Thankamani Devi, policy# 440202/48/2015/2913) underwent an OP cataract day surgery at Amrita Hospital (MRD#: 308641) on 25/09/2015 and have been denied her insurance claim of Rs. 24, 650 on grounds of pre-existing condition of this. I would like to bring to your notice that at the time of application of the insurance (30/10/2014), Ms. Thankamani Devi had no pre-existing ailments which has been cross-checked by the company at the time of the availability of the insurance. Moroever, she has been found to have a minimal cataract of 20% at the time of the operation, which cannot be deemed as a pre-existing condition, during the month of October 2014. Therefore, I would like to ask you to reconsider the claim and do the needful.