Dear sir / madam
Feeling very sad to write this mail.
My daughter was passed away on 20th aug 2017 at deharadun. Due to this shock, my wife (Mrs. Madhuri motiwale {65 years}) facing health issue since that day.
Initially we consulted at max hospital deharadun for primary checkup. However it is not possible to stay long to deharadhun. My son insist us to move immediately to mumbai.
As her blood pressure is on higher side and some behavioral changes (Due to shock) we consulted apollo hospital navi mumbai.
Treating doctor advice us to admit her in hospital as some investigation (Like mri / eeg /eco / blood tests) to be conduct.
We admitted her in apollo hospital on 28 aug 2017. We co-operate doctors team in all manners which suggested to us. She is not suffering from cold & cough at the time of hospitalization, however same is started from 2nd day i. E. 29th aug 2017 night. On next morning, doctor advice us for performing h1n1 test as they feel same is required. As we know the fact as she is not use to air condition rooms. However hospital insist us for test. Also they insist us to shift room from standard to private room. As we already lost our daughter, we have not in position to deny anything as she is very important to us. We shifted her to private room on 30 aug 2017 and discharge on 1st september 2017.
However all reports status received as negative.
Simultaneously we approaches tpa desk at apollo hospital where many queries raised by insurance company and final status given as decline with the reason "as per queries raised and revert received from hospital - this treatment can be given on opd basis". We insist hospital to re put the claim with justified remark which you perform from 28th aug 2017 to 1st sept 2017. However same is again rejected.
We paid rs. 107000/- for 5 days.
I need a explanation from apollo hospital regarding treatment given to my wife - why you can not justified your given treatment?
Also i need a explanation from insurance company - if doctor explain everything while replaying your queries, why claim not sanctioned?
Who will pay this amount to me, i am a 66 years old retired person. I'm not a doctor, but i faith in doctor's treatment, we co-operate doctors team in all manners which suggested to us time to time, i paid insurance premium to company to secure my medical expenses.
Surprisingly my wife suger go down to 30 on sunday morning i. E. 3rd sept 2017, we immediately hospitalized her to niramaya hospital.
She is still in hospital, i already paid rs. 107000/- in apollo, now i don't know what amount to be pay in niramaya hospital at the time of discharge.
Still our claim not approved.
Request you to please look in to the same as we want refund of expenses / insurance claim.
Also request you to please look in to the same to existing claim application.
Awaiting your positive reply.
Your sincerely,
R. D. Motiwale
Navi mumbai
Apollo Hospital customer support has been notified about the posted complaint.
Sep 08, 2017
Updated by rdmotiwale Patient Name - Mrs Madhuri Motiwale
Admitted In Apollo Hospital, CBD Belapur Navi Mumbai
UHID : ANM1.[protected]
Please update on priority.