[Resolved]  Apollo Munich Health Insurance — Claim Not Settled P. A. ID: 150580

Address:New Delhi, Delhi

Dear Sir/Madam NAME : AMITABH DUTTA INSURANCE ID: [protected] PA ID : 150580 This is in regards to a cashless claim. I was admitted in Indian Spinal Injuries Centre for 7 days suffering from Dengue Fever. But the Final Authorizations letter was sent only for 3 days. My question is on what basis Authorization is give end for only 3 days. On asking customer care on this, they replied that in my discharge papers somewhere it's written I was well 4 days before. Hence only for there days. On explaining that, they have miss interpreted the document and it's say that I was well 4 days before I got admitted in hospital, under the discharge summary heading "History of illness". Customer care had registered an complaint as "Deductions in cashless raised" case ID : 1212787. 1. Till now I have not received any information. Just an mail that says my case has been handled, and nothing else. 2. I think Apollo Munich look for any excuse to not to settle claims. You have all the documents and explanation from doctors. Detail how I was suffering from high grade fever and low platelets count, still you miss interpret one line of doc and find excuse to not settle claims. It was horrifying experience, I had better experience with Iffco Tokyo. Apollo Munich should not make tall claims of hassle free claim settlement. I have all the docs, if require. I am not attaching here as file size and format is in PDF
Was this information helpful?
No (0)
Yes (0)
Aug 14, 2020
Complaint marked as Resolved 
Apollo Munich Health Insurance customer support has been notified about the posted complaint.
Complaint comments 

Comments

Dear sir/madam

I got mail from your customer care that the complaint has been handled.

Please can you care to explain to your customers also how you have handled the case and what was the result.

It seems Apollo Munich is a fraud, you are not At all Re evaluating claims and complaints. Just closing the complaints.

I wanted to know on what basis claim for only 3 day was authorized instead of 7 days for which I was admitted.
Please explain.

Don't send me a useless mail saying as below

"We are delighted that we were able to take care of your request vide Case ID 1213724 and sincerely hope that we resolved it accurately"

Post your Comment

    I want to submit Complaint Positive Review Neutral Comment
    code
    By clicking Submit you agree to our Terms of Use
    Submit
    Apollo Munich Health Insurance
    customer care contact
    Customer satisfaction rating Customer satisfaction rating is a complex algorithm that helps our users determine how good a company is at responding and resolving complaints by granting from 1 to 5 stars for each complaint and then ultimately combining them all for an overall score.
    Read more
    41%
    Complaints
    204
    Pending
    0
    Resolved
    83
    Apollo Munich Health Insurance Phone
    +91 124 458 4333
    Apollo Munich Health Insurance Address
    Apollo Hospitals Complex,Jubilee Hills, Hyderabad, Andhra Pradesh, India - 500033
    View all Apollo Munich Health Insurance contact information