My name is gayatri sarkar, age 65, a senior citizen. I have national mediclaim policy no.-103000/50/16/10004055 with t. P. A. Id no. 01/01415911a. It is hereby informed that only a meager rs. 20, 763/- is approved for payment against claimed sum of rs. 36, 308 /- against my claim no.- t[protected]. While i submitted complete documents for claim and no shortcomings have been intimated from your side, it is really surprising to see such a huge deductions on claimed amount.
At this point, i wish to bring to your kind notice that i had undergone cataract operation with same procedure (Phaco+iol) on my left eye during december, 2016 (Under medi assist tpa) when i was refunded 86 % of the claimed amount. But, at this time it is a meager around 55 % of the claimed sum received for the right eye cataract operation with similar procedure (Phaco+iol) held on 05.10.2017!!!
I am a senior citizen and it is very difficult and painful to follow up such higher deductions while i am completely in dark about the reasons and grounds for such deductions. I hereby request you to kindly look into the matter with priority to refund further with less deductions. Otherwise, kindly inform me the reasons and grounds for such huge deductions against each break-ups. Thanking you, sincerely, gayatri sarkar (Insured) Was this information helpful? |
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