Cigna TTK Health Insurance — cashless facility and reimbursement rejected on the ground of htn history which has no relation with dengue fever

Address:401/402, 4th floor, Raheja Titanium, Off western highway, Goregoan (East), 395009

Dear Sir,
Greetings for the day!!

As per the subjected my wife was diagnosed with Dengue Fever on 02.11.2019 with Hyper Tension from 03.05.2018 which we have showed and given all the documents related to that on while asked by BAPS hospital Surat and insurance company on time.

We have done primary reports at nearest hospital named Apex Hospital Surat and they have mentioned Hyper Tension History from last 3 years on their consultation papers which is not correct and went to them for the correction but they have denied straight on face that they will not do that which is their duty while i showed them the first consultation document of my wife related to Hyper tension.

Manipal Cinga TTK has rejected my Cashless facility while my wife was admitted to BAPS hospital for Dengue Fever Treatment and instructed me to file reimbursement of the same and on 30.11.2019 they have given rejection again on false ground that my wife has 3 years hyper tension history which was not mentioned while porting my policy from Appllo munich to Mainpal Cigna TTK insurance company.

If it was true than same documents were submitted to them on first instance than why they have told me to go for reimbursement at all. Insurance companies intention was to harass me on completely false ground which is clearly visible in my case.

While my wife was admitted to hospital and even afterwards all the ways they have harassed me mentally emotionally and financially on completely false ground by creating co-relation between hyper tension and Dengue Fever.

Request you to please support me on this as insurance Company has intentionally did this first in cashless facility and afterwards reimbursement claim which is not correct at all.

I have attached cashless and reimbursement rejection documents for the reference.

Request you to please look into it and do needful.

Regards

Chetan Goswami.
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Cigna TTK Health Insurance customer support has been notified about the posted complaint.
Verified Support
Dec 05, 2019
Cigna TTK Health Insurance Customer Care's response
Dear Mr. Chetan,
We regret the inconvenience caused, we have escalated your issue to the concerned department. Our team will get in touch with you soon.

Regards,
Team ManipalCigna Health Insurance
Verified Support
Dec 05, 2019
Cigna TTK Health Insurance Customer Care's response
Dear Mr. Chetan,
Our customer care team has taken note of your complaint. Your complaint is under process.

Regards,
Team ManipalCigna Health Insurance
Dec 06, 2019
Updated by g.chetan1911
Hello sir

Today and yesterday I have received call from marry and just now she told that they can not reimburse my claim as I hv hide details of Hyper tension of my Wife.
There are plenty of cases where court has instructed that when person is living normal life with medicine insurance company cannot deny cashless or reimbursement on this ground and they are not ready to reimburse my money which I have paid to hospital. They told me that I hv hide details what I get by hiding at all taking hyper tension Medicine is crime due to their beliefs and on 31.03.2018 my policy has ported to them and they told me that all will be covered from day one and now what denial as their intentions are like this only reject and give Harassment to patient and their family so they leave the idea of asking for reimbursement and this is not the first time here in forum there are so many cases and example are there for this company...

Now they are saying me that they will remove my wife from policy and rest two people are covered what kind of play is this being played by cigna ttk while I have payed insurance premiums for last two years they don't wanna talk about that part at all.

Give me my insurance premiums back with interest as you are keeping my money from last two years with you against giving insurance coverage to my family i[censored] wanna remove medical cover of my wife.

Again and again I hv stated them that my wife was admitted for dengue fever not for hyper tension at all. Dengue fever and hyper tension has no relation at all and can happen with any normal living person so what is the point in denying my reimbursement.

Consumer complaint forum please support me I really need your support to sort out with insurance.

Waiting for your reply once they sent me official mail about denial of my claim so I can submit documents here.
Wanna go legal way on this company and suggest all people to stay away from this cheating company who want money only but don't wanna pay back.

Legal bodies please help me what I can do on them legally to get what I paid to cigna ttk to get medical cover.

Regards

Chetan Goswami.
Dec 06, 2019
Updated by g.chetan1911
Cigna ttk insurance company has not done our medicals while porting policy to them and now they are blaming me that I have hide facts of my wife hyper tension...

It's your duty when any customer comes to your company to get insured and u hv to do medical reports before continue your policy... And in porting policy insurance company covers from day 1 so how can you deny me to reimbursement of my claim...
Verified Support
Dec 06, 2019
Cigna TTK Health Insurance Customer Care's response
Dear Mr. Chetan Rameshvan Goswami,
We regret our inability to extend the mentioned request currently. Kindly let us know if there’s anything else we can assist you with.

Regards,
Team ManipalCigna Health Insurance
Dec 06, 2019
Updated by g.chetan1911
Get ready for legal case as I am sending legal notice on same on your company for cheating and fraud case
Dec 06, 2019
Updated by g.chetan1911
Refund my all paid premiums with interest as u cheated me
Dec 06, 2019
Updated by g.chetan1911
https://www.google.com/amp/s/m.timesofindia.com/city/chandigarh/insurance-company-fined-for-rejecting-claim/amp_articleshow/65484637.cms

Case study for your reference and if you still think that I will not gonna do anything than surely you think wrong and I am gonna ask for every single penny I paid to hospital and legal charges which will occurred from my side.

Hope this clears your doubts and wrong ground of rejection of my claim. Reopen my claim and settle on priority.

Thanks and best of luck for legal case if you still don't wanna consider my claim and settle.

Regards

Chetan Goswami.
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