[Resolved]  Bajaj Allianz — Claim not approved

Jun 27, 2017

Updated by Mrs poonam kapoor Dear sir
Mein Poonam kapoor w/o late sh vikram kapoor, present address ;- A-261, omaxe villa, omaxe city, NH-1 Sonepat (Haryana).
Sir mere husband ki death 14th feb 2017 ko sonepat mein sudden attack ki vajah se ho gayi thi.
Sir mere husband ne aek cashless health policy Bajaj Allianz General Insurance Company Ltd. Se 16 Nov 2014 mein li thi,
Sir durbayevash mere husband ko 30 dec 2014 ko paralysis ka 5 second ke liye attack aa gaya tha, lekin uske baad vo bilkul thik ho gaye the, lekin safe side ko dekhte huye hum log gurgoan ke forties hospital gaye, vaha hamne ye sari problem discuss ki, unhone kuchh test likhe aur MIR bhi kiya, un reports se hame pata chala ki mere husband ka Blood pressure aur sugar badi huyi thi, unhone sugar ka 3mahine wala test bhi karwaya, jismein unhe pata chala ki inko sugar ki problem ho gayi hein .
Forties hospital walo ne mere husband ko admit ho jane ki advice ki, lekin mere husband apne aap ko thik mehsus kar rahe the isliye unhone admit hone se mana kar diya,
Lekin safe side ko dekhte huye meri zid ki vajah se mere husband 3 din ke liye paras hospital, gurgoan mein 2 jan 2015 se 5 jan 2015 tak admit ho gaye.Aur vaha Dr. kapil aggarwal (Neurologist) ki dekh rekh mein rahe, discharge summery mein saf saf likha hein ki mere husband ko koi bhi chronic disease nahi thi, uske baad unhone mere husband ko medicines de di aur mere husband vo medicines lete rahe .
Oct 2016 mein achanak mere husband ko urine problem ho gayi, hum emergency mein Ram Manohar lal hospital, delhi aaye, vaha unke test kiye gaye aur unhe medicines di gayi.
Uske baad mere husband ki legs suj rahi thi aur saans bhi chad raha tha, hum 18 th nov 2016 ko paras hospital mein dubra aaye aur Dr Kudeep Arora ko mile, unhone urine ki problem dekhte huye aek injection Dubotamine lagwane ki advice ki, aur hospital mein admit hone ke liye kaha.
Aur mere husband 5/12/2016 se 07/12/2016 tak admit rahe, us samay hamne insurance claim karne ke liye papers submit kiye lekin hamara claim reject kar diya gaya, kaha gaya ki mere husband ko purani diabeties ki bimari thi, jo unhone nahi batayi.
Sir
jis bimari ka mere husband ko nahi malum tha, vo insurance company ko kaise batate,
dusri baat policy dete samay insurance company ne hamara medical check up kyo nahi karwaya.

Teesri baat, Yedi mere husband ko pata hota ki unko sugar ki problem shuru ho chuki hein to hum log vo policy lete jismein diebeties cover hoti hein.


Uske baad mere husband ki angiography bhi huyi, uske baad vo national heart hospital, delhi bhi admit huye, unhe CRT-D bhi lagayi gayi, kyoki unki heart beat 25% thi.
Lekin durbhaywash mere husband ki ilaaz ke time death ho gayi, uske baad meine insurance company mein medical bills submit karwaye, lekin vaha claim reject kar diya gaya kaha gaya ki purani bimari thi, aur policy holder ne ye baat chhupayi.
Sir mere husband ki death ho chuki hein, lekin mere husband par bahut bada iljaam lagaya gaya hein ki mere husband ne apni bimari chhupayi thi, isliye mein insurance company se apni insurance ke alawa 2 lac compensation ki demand karna chahti hu

Sir please meri help kijiye.

Thanks & regards
Poonam kapoor
w/o late sh vikram kapoor
ph # [protected], [protected]



*Have you Approached Insurance Company Regarding This Grievance (If Yes Provide Ref No )

Yes : Refrence no.

Sr No
Claim ID
Claim No
Claim Type
ID Card No
Partner Id
Patient Name
Claim Status
1
1193574
OC[protected]-00009544
CASHLESS
[protected]
62400854
MR VIKRAM KAPOOR
CLOSED