| Address: | Aditya Birla Health insurance Co Limited, 9th Floor, Tower 1, One Indiabulls centre, Jupiter mills compound, 841, Senapati bapat Marg, Elphinstone road, Mumbai - 400013 |
| Website: | www.adityabirlacapital.com/healthinsurance/#!/homepage?ref=abc-homepage |
My father Mr. S B Bellary was admitted in Prakriya hospital and got discharged on 14th October 2020. Again the discharge process was not at all seamless because of very bad customer service of Aditya Birla health insurance, anyways he got discharged at around 9:18 pm.
1. Received approval letter at around 9:18 pm on 14th October 2020. According to that co pay was zero.
2. Within a few minutes at around 9:24 pm on 14th October 2020 received one more approval letter. According to that approved amount was Rs.127216.00, Amount to be paid by insured Rs. 22236.00
3. Your representative called me at around 9:40 pm on 14th October 2020 and said, there is a mistake in the approval letter. According to my insurance plan I need not pay any amount to the hospital and Aditya Birla health insurance will approve the full amount which is Rs. 166890.00. Since it was already late your representative asked me to get my father discharged and Aditya Birla will coordinate with the hospital and promised me they'll send new approval, according to which I need not pay anything, which means Aditya Birla health insurance will approve the full amount of Rs. 166890.00.
4. On 15th October 2020 11:21 am, I received whats app communication from your representative, according to that communication, new approval sent to hospital, and as an insured I need not pay anything. Full amount is being approved.
5. On 15th October 2020 5:51 pm, hospital also confirmed that they received new approval, according to which as an insured I need not pay anything. Full amount was approved, which is Rs. 166890.00 was approved
6. Received shocking information from the hospital saying Aditya Birla health insurance sent one more new approval on 15th October 2020 8:36 pm. According to that new approved amount was Rs 105574.00, and discount of Rs.29400.00, as an insured I need to pay Rs. 31916.00
7. Raised complaint to Aditya Birla health insurance on complaint and grievance cell on 17 October 2020 2:07 pm, asking for reimbursement of Rs. 31916.00, since you promised me that as an insured I need not pay anything, Aditya Birla health insurance will approve the full amount.
8. But to my disbelief on 23rd October 2020 01:47 am you sent one more approval letter, according to that approved amount was Rs. 127216.00, as an insured I need to pay Rs. 39674.00
Summary:
1. On 14th October 2020 at 9:18 pm, I need to pay Rs. 0
2. On 14th October 2020 at 9:24 pm, I need to pay Rs. 22236.00 (Your representative only called me promised me that this will be waived off, because it is wrong and mistake)
3. On 15th October 2020 at 11:21 am, I need to pay Rs. 0
4. On 15th October 2020 at 8:36 pm, I need to pay Rs. 31916.00
5. On 23rd October 2020 01:47 am, I need to pay Rs. 39674.00
Can you please explain how this works? Day by day you are sending new approval asking me to pay more and more. What is the guarantee that tomorrow you'll not send new approval saying I need to pay Rs. 50, 000 day after tomorrow one more letter saying I need to pay 1 lakh. This is really unbelievable and pathetic.
In my previous complaint I clearly mentioned I need reimbursement, I did not mention I ll pay more. According to conversation and all the documents attached Rs. 31916.00 has to be reimbursed. Instead you are asking me to pay more. How is this justifiable?
Please reimburse Rs. 31916 immediately
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